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PubMed2001

Dynamic biomechanical model of the hand and arm in pistol grip power handtool usage.

The study considers the dynamic nature of the human power handtool operator as a single degree-of-freedom mechanical torsional system. The hand and arm are, therefore, represented as a single mass, spring and damper. The values of these mechanical elements are dependent on the posture used and operator. The apparatus used to quantify these elements measured the free vibration frequency and amplitude decay of a known system due to the external loading of the hand and arm. Twenty-five subjects participated in the investigation. A full factorial experiment tested the effects on the three passive elements in the model when operators exerted maximum effort for gender, horizontal distance (30, 60, 90 cm), and vertical distance (55, 93, 142 190 cm) from the ankles to the handle. The results show that the spring element stiffness and mass moment of inertia changed by 20.6 and 44.5% respectively with vertical location (p<0.01), and 23.6 and 41.2% respectively with horizontal location (p<0.01). Mass moment of inertia and viscous damping for males were 31.1 and 38.5% respectively greater than for females (p<0.01). Tool handle displacement and hand force during torque build-up can, therefore, be predicted based on this model for different tool and workplace parameters. The biomechanical model was validated by recalling five subjects and having them operate a power handtool for varying horizontal distances (30, 60, 90 cm), vertical distances (55, 93, 142 cm), and two torque build-up times (70, 200 ms). Tool reaction displacement was measured using a 3D-motion analysis system. The predictions were closely correlated with these measurements (R = 0.88), although the model underpredicted the response by 27%. This was anticipated since it was unlikely that operators used maximal exertions for operating the tools.

Adult↗
PubMed2004

Biomechanical properties of shoes and risk of falls in older adults.

OBJECTIVES: To determine the relationships between the biomechanical properties of shoes worn in a cohort of healthy older adults and the risk of falling. DESIGN: Nested case-control study, comparing biomechanical measurements of shoes worn by those who reported a fall with measurements of shoes worn by age- and sex-matched nonfallers engaged in broadly similar activities. SETTING: On-site measurements where falls occurred. PARTICIPANTS: A cohort of 1,371 older adults, of whom 327 reported a fall and 327 served as age- and sex-matched controls. MEASUREMENTS: Shoe measurements related to lateral stability (heel height and width, critical tipping angle), foot position sense (heel-collar height, sole thickness, and sole flexibility), and the shoe/surface interface (foresole material, shoe-to-ground coefficient of friction, sole contact area). RESULTS: Greater heel height was associated with increased risk of a fall (P for trend=.03), whereas greater sole contact area was associated with reduced risk (P for trend=.005). Shoe characteristics related to foot position sense bore little apparent relation to fall risk. Coefficients of friction of 0.5 or greater were observed in 93% of shoes measured, indicating that very few were excessively slippery. CONCLUSION: Certain measurable properties of shoes were found to be significantly related to risk of falls in older adults. Wearing shoes with low heels and large contact area may help older adults reduce the risk of a fall in everyday settings and activities.

Accidental Falls↗
PubMed1986

Compensation effect of visual biofeedback in upright posture control.

The effectivity of the compensatory role of visual biofeedback in cases of decreased stability of upright posture has been analysed. The deterioration of stance was modelled by a subject standing on a soft surface and with additional weight load on the body. The influence of visual biofeedback was positive only for the compensation of decreased stability of upright posture caused by artificially increased body weight of the subject. The compensatory effectivity of visual biofeedback in stabilization of upright posture during stance on a soft surface was practically negligible. The results have shown that effective compensation of the destabilizing effect by visual biofeedback in human upright posture was possible only when the activity and efficiency of efferent-action part of the postural system remained unchanged.

Adult↗
PubMed1995

Sympathetic skin response and autonomic dysfunction in diabetes.

Study was conducted on 34 middle aged (35-52 years) diabetics of either sex to compare autonomic function in patients having and not having symptoms of dysautonomia. Fifteen age/sex matched healthy non-diabetic volunteers were control. No symptom of autonomic insufficiency was present in 19 (55.8%) while 15 (43%) diabetics had dysfunction in form of episodic syncope, vertigo, and palpitation, all on postural change. Tests of autonomic functions were restricted to evaluation of salivation, lacrimation, sweating, pilomotor response, reflex erythema and blood pressure changes with valsalva, posture and cold pressor. SSR was elicited using 5 stimuli on programmed Neuropack II and IV model machine. In asymptomatic diabetics, tests of autonomic functions were normal and comparable to controls but SSR was not recordable in 8 (42%). In remaining 11 (58%) asymptomatic diabetics, it was recordable. In 15 subjects who had symptoms of autonomic dysfunction, 6 (40%) had positive test of autonomic function but SSR was normal in only 5 (34%) and not recordable in 10 (66%) subjects. We conclude that SSR can be used as a easy, sensitive and probably early indicator of autonomic functions.

Adult↗
PubMedDate not supplied

An improved muscle-reflex actuator for use in large-scale neuro-musculoskeletal models.

This paper extends the systematic approach described in Winters and Stark (62) for developing muscle models. The underlying motivation is our finding that for larger scale shoulder and head-neck postural systems to be mechanically stable, open-loop muscle properties are often not sufficient. There are three primary contributions. First, the previous muscle mechanical model structure and parameter estimation process of (62) is updated to reflect recent experimental findings. Second, an intrafusal (IF) muscle model is developed that includes a gamma static motoneuron (MN) drive, a Hill muscle model, and a muscle spindle sensor across the IF series element; this provides a more appropriate muscle spindle output signal, especially for studies of posture. Third, the conceptual cut between the neuro-control input and the actuator is raised from just below the MN summing junction to a higher location, allowing a "muscle-reflex actuator" to be defined that satisfies the formal theoretical requirement for possessing passive spring-like behavior when the neurocontrol input is constant, alpha-gamma MN coactivation is assumed, and three types of intrinsic autogenic reflex responses (spindle, Golgi tendon organ, Rhenshaw cell) are developed. Default feedback gains are set based on the criteria that inherent feedback should not sculpt the feedforward excitation drive by more than +/- 10% of maximum. This new actuator model only mildly affects voluntary goal-directed dynamic performance, but enhances spring-like performance around the postural equilibrium state, in line with available animal and human studies and with several theories on postural regulation.

Animals↗
PubMed2001

[A forward leaning posture affects more the amplitudes of the centre of pressure displacements than those of the centre of gravity].

OBJECTIVE: An ordinary and practical method to assess the postural control mechanisms is to measure, through a force platform, the point of application of the resultant reaction forces. The recorded signal, the centre of pressure CP, is used to compute the motions of the vertical projection of the centre of gravity (CG(v)) and those of the difference CP-CG(v). The former is considered in this postural task as the controlled variable whereas the latter is thought to express the ankle resultant stiffness. Interestingly, the CG(v) motions can be extracted from the CP trajectory through a simple mathematical model. MATERIALS AND METHODS: The relationship between CP and the elementary motions CP-CG(v) and CG(v) has been tested in the present study by comparing the postural effects induced by a leaning forward position to a normal one consisting to stand still. RESULTS: A large increase is noticed for the amplitudes of the CP-CG(v) motions for both medio-lateral ML and antero-posterior AP directions. On the other hand, a similar effect appears for the CG(v) motions but only on the ML direction. Nevertheless, the frequency analysis indicates that the constancy of the CG(v) motions on the AP direction is accompanied by a change in the frequency distribution, as assessed by the MPF parameters. DISCUSSION-CONCLUSION: These features highlight the necessity, to interpret rigorously the postural performance, to take into account in separate ways each of the elementary CP-CG(v) and CG(v) motions which, combined, constitute the CP displacements.

Adult↗
PubMed2003

Coping with perturbations to a layout somersault in tumbling.

Tumbling is a dynamic movement requiring control of the linear and angular momenta generated during the approach and takeoff phases. Both of these phases are subject to some variability even when the gymnast is trying to perform a given movement repeatedly. This paper used a simulation model of tumbling takeoff to establish how well gymnasts can cope with perturbations of the approach and takeoff phases. A five segment planar simulation model with torque generators at each joint was developed to simulate tumbling takeoffs. The model was customised to an elite gymnast by determining subject specific inertia and torque parameters and a simulation was produced which closely matched a performance of a layout somersault by the gymnast. The performance of a layout somersault was found to be sensitive to the approach characteristics and the activation timings but relatively insensitive to the elasticity of the track and maximum muscle strength. Appropriate variation of the activation timings used during the takeoff phase was capable of coping with moderate perturbations of the approach characteristics. A model of aerial movement established that variation of body configuration in the flight phase was capable of adjusting for takeoff perturbations that would lead to rotation errors of up to 8%. Providing the errors in perceiving approach characteristics are less than 5% or 5 degrees and the errors in timing activations are less than 7ms, perturbations in the approach can be accommodated using adjustments during takeoff and flight.

Adaptation, Physiological↗
PubMedDate not supplied

Melatonin influences human balance.

In order to evaluate a possible correlation between melatonin, the cerebellum and, consequently, human balance, a double-blind pilot study was performed in 5 subjects with random administration of different doses of melatonin. Before and 1 h after a single administration, a complete otoneurological examination was performed. This first pilot study revealed that melatonin had effects on human equilibrium although these effects were not dosage related and were different in individual subjects. On the basis of these results, a second study was performed. Fourteen healthy volunteers were investigated before and 1 h after administration of a single dose of 10 mg melatonin. The otoneurological examination was restricted to the evaluation of: horizontal saccades, horizontal sinusoidal smooth pursuit, eyes open, eyes closed and head retroflexed static posturography. All subjects showed a decrease in posturographic performances, especially in the simplest test (eyes open) and half of them (6 out of 13) showed also impairment of eye movements. These results confirm the role of melatonin in the control of sensorimotor performances, and the cerebellar receptors might be correlated with the control of human balance.

Adult↗
PubMedDate not supplied

Dizziness of suspected cervical origin distinguished by posturographic assessment of human postural dynamics.

Useful clinical tests are lacking for the controversial entity "cervical vertigo". In earlier studies patients assumed to suffer from cervical vertigo or dizziness manifested disturbed postural control as compared to healthy subjects, but were hard to distinguish from patients with other balance disorders. Using posturography in which stance was perturbed by a vibratory stimulus applied towards the calf muscles, we studied 16 consecutive patients with recent onset of neck pain and concomitant complaints of vertigo or dizziness, but normal findings at otoneurological examination and electronystagmography; 18 patients with recent vestibular neuritis; and 17 healthy subjects. We performed system identification of a model of the control of upright human stance, using the vibratory stimulus as input and the recorded body sway as output. According to values for the three normalized parameters of the transfer function of the model (i.e., swiftness, stiffness, and damping), cervical vertigo patients were distinguished both from healthy subjects (P < 0.001), and from vestibular neuritis patients (P < 0.001). It was also possible to distinguish the vestibular neuritis group from the group of healthy subjects (P < 0.01). The results show disturbed postural control in patients with cervical vertigo to differ from that in patients with recent vestibular neuritis, and indicate posturographic assessment of human posture dynamics to be a possible future tool for use in diagnosing cervical vertigo.

Adult↗
PubMed1993

Reciprocal inhibition, synergies, and movements.

This paper presents a conceptual scheme relating discrete motor entities, such as muscles, joints, synergies and reflexes, to a continuous space of movements. Synergies are first derived as combinations of muscles, with reference to Ia reciprocal inhibition. Derived synergies may be modified into bases (in the linear space sense) for movements. The empirical example discussed is human postural synergies. The methods presented provide a relatively simple means for describing the control of bending and twisting movements about a joint by multiple muscles, joined by modifiable spinal interconnections.

Humans↗
PubMed1989

Long-term neurological assessment of the post-resuscitative effects of flunarizine, verapamil and nimodipine in a new model of global complete ischaemia.

In anesthetized rats, global complete ischaemia lasting for 9 min was induced by controlled hydraulic compression of the chest. A neurological score, based on cranial and spinal reflexes, postural tone, gait, movement and limb placement, was determined at 2 hr and 1, 2, 3, 7, 14, 21 and 28 days after resuscitation. Three doses of three calcium antagonists, flunarizine, verapamil and nimodipine and their respective solvents, were given intravenously during the resuscitation. The total neurological score was significantly better than solvent with 0.16 and 0.63 mg/kg of flunarizine and 0.04 and 0.16 mg/kg of verapamil; it was significantly better with solvent (10% ethanol) than with 0.04 and 0.16 mg/kg of nimodipine. The deficiency in tactile placing reactions of the hindpaws was the most resistant to therapy. This non-invasive model of global ischaemia in rats seems useful for the evaluation of drugs, since it requires minimal anesthesia and allows assessment of neurological recovery over an extended period of time.

Anesthesia↗
PubMed2005

Breathing type and body position effects on sternocleidomastoid and suprahyoid EMG activity.

The objective of this study was to determine the effects of breathing type and body position on sternocleidomastoid and suprahyoid electromyographic (EMG) activity. The sample included 18 subjects with upper costal breathing type (study group) and 15 subjects with costo-diaphragmatic breathing type (control group). All individuals had natural dentition and bilateral molar support. EMG recordings at rest and while swallowing saliva were carried out by placing surface electrodes on the left sternocleidomastoid and left suprahyoid muscles. EMG activity was recorded while standing, seated upright, and in the lateral decubitus position. Upper costal breathing type subjects showed a significantly higher suprahyoid EMG activity at rest than costo-diaphragmatic subjects in all body positions studied (mixed model with unstructured covariance matrix). In the lateral decubitus position, both breathing types showed a significantly higher sternocleidomastoid EMG activity at rest and while swallowing saliva. The suprahyoid muscles demonstrated a significantly higher EMG activity at rest as well as in the lateral decubitus position (mixed model with unstructured covariance matrix). These results are relevant because sternocleidomastoid and suprahyoid muscles play an important role in controlling the head posture and mandible dynamics. The neurophysiological mechanisms involved are discussed.

Adult↗
PubMed1995

Motor adaptation to Coriolis force perturbations of reaching movements: endpoint but not trajectory adaptation transfers to the nonexposed arm.

1. Reaching movements made in a rotating room generate Coriolis forces that are directly proportional to the cross product of the room's angular velocity and the arm's linear velocity. Such Coriolis forces are inertial forces not involving mechanical contact with the arm. 2. We measured the trajectories of arm movements made in darkness to a visual target that was extinguished at the onset of each reach. Prerotation subjects pointed with both the right and left arms in alternating sets of eight movements. During rotation at 10 rpm, the subjects reached only with the right arm. Postrotation, the subjects pointed with the left and right arms, starting with the left, in alternating sets of eight movements. 3. The initial perrotary reaching movements of the right arm were highly deviated both in movement path and endpoint relative to the prerotation reaches of the right arm. With additional movements, subjects rapidly regained straight movement paths and accurate endpoints despite the absence of visual or tactile feedback about reaching accuracy. The initial postrotation reaches of the left arm followed straight paths to the wrong endpoint. The initial postrotation reaches of the right arm had paths with mirror image curvature to the initial perrotation reaches of the right arm but went to the correct endpoint. 4. These observations are inconsistent with current equilibrium point models of movement control. Such theories predict accurate reaches under our experimental conditions. Our observations further show independent implementation of movement and posture, as evidenced by transfer of endpoint adaptation to the nonexposed arm without transfer of path adaptation. Endpoint control may occur at a relatively central stage that represents general constraints such as gravitoinertial force background or egocentric direction relative to both arms, and control of path may occur at a more peripheral stage that represents moments of inertia and muscle dynamics unique to each limb. 5. Endpoint and path adaptation occur despite the absence both of mechanical contact cues about the perturbing force and visual or tactile cues about movement accuracy. These findings point to the importance of muscle spindle signals, monitoring of motor commands, and possibly joint and tendon receptors in a detailed trajectory monitoring process. Muscle spindle primary and secondary afferent signals may differentially influence adaptation of movement shape and endpoint, respectively.

Adaptation, Physiological↗
PubMed1997

Stability limits in extreme postures: effects of load positioning, foot placement, and strength.

Although injuries related to postural stability are prevalent, ergonomic job analyses traditionally have not addressed stability issues. In this research functional stability limits are quantified for persons standing in extreme postures under various external load and foot positioning conditions. Participants were asked to lean and displace their center of gravity (COG) as far as possible in eight directions to the sides and front of the body. Stability measures based on these COG displacements were calculated. All controlled variables significantly affected the stability measures. When standing unladen, participants extended their COG to within 99% of their theoretical maximum. Movement was much more restricted when handling a load (89%), especially when holding it with one hand on the shoulder (84%). On average, increased separation of the feet in a particular direction resulted in larger COG displacements in that direction. The results are discussed relative to their effects on balance and stability modeling.

Adult↗
PubMed2000

Adaptive effects of spaceflight as revealed by short-term partial weight suspension.

BACKGROUND: Human performance and adaptation to altered loading levels is investigated. A previous astronaut jumping study demonstrated significantly altered landing performance following spaceflight, complementing reports of postflight postural and gait instabilities. A dynamic model indicated that leg stiffness changes accounted for the kinematic differences due to adaptation in open-loop modulation of leg impedance. Muscular atrophy or altered stretch reflexes and vestibular sensing could not be discounted. HYPOTHESIS: We hypothesize that partial weight unloading can cause modulation of leg impedance and altered jump landing performance similar to longer-term microgravity exposure, while controlling for muscle atrophy and altered graviceptor inputs. Lower-body impedance changes after partial weight unloading support the hypothesis that postflight differences result primarily from modulation of leg impedance due to reduced postural control demands in microgravity. METHODS: Six subjects performed six baseline 30-cm downward jumps from a platform, followed by 10 jumps under 60% body weight unloading (the adaptation sequence), and then six additional jumps under full-body loading (termed "adapted jumps"). Joint and mass center kinematics were compared for the baseline and adapted jump landings. A second order model evaluated changes in vertical leg impedance. RESULTS: Three subjects exhibited significant increased joint angles and rates. Vertical ground reaction forces showed more heavily damped responses after adaptation. Model fits to mass center motion indicated reduced leg stiffness. CONCLUSIONS: Post-adaptation performance is similar to that of four astronaut subjects who demonstrated reduced postflight leg stiffness. The new study strongly suggests adaptive control of lower limb impedance to accommodate altered gravity levels which can be induced by minimal unloading exposure. Partial weight unloading provides a simple, inexpensive analog to spaceflight for certain postural and movement studies.

Adaptation, Physiological↗
PubMed2005

Feedback equilibrium control during human standing.

Equilibrium maintenance during standing in humans was investigated with a 3-joint (ankle, knee and hip) sagittal model of body movement. The experimental paradigm consisted of sudden perturbations of humans in quiet stance by backward displacements of the support platform. Data analysis was performed using eigenvectors of motion equation. The results supported three conclusions. First, independent feedback control of movements along eigenvectors (eigenmovements) can adequately describe human postural responses to stance perturbations. This conclusion is consistent with previous observations (Alexandrov et al., 2001b) that these same eigenmovements are also independently controlled in a feed-forward manner during voluntary upper-trunk bending. Second, independent feedback control of each eigenmovement is sufficient to provide its stability. Third, the feedback loop in each eigenmovement can be modeled as a linear visco-elastic spring with delay. Visco-elastic parameters and time-delay values result from the combined contribution of passive visco-elastic mechanisms and sensory systems of different modalities.

Adult↗
PubMed2006

Bipedal locomotion: toward unified concepts in robotics and neuroscience.

This review is the result of a joint reflection carried out by researchers in the fields of robotics and automatic control on the one hand and neuroscience on the other, both trying to answer the same question: what are the functional bases of bipedal locomotion and how can they be controlled? The originality of this work is to synthesize the two approaches in order to take advantage of the knowledge concerning the adaptability and reactivity performances of humans and of the rich tools and formal concepts available in biped robotics. Indeed, we claim that the theoretical framework of robotics can enhance our understanding of human postural control by formally expressing the experimental concepts used in neuroscience. Conversely, biological knowledge of human posture and gait can inspire biped robot design and control. Therefore, both neuroscientists and roboticists should find useful information in this paper.

Cybernetics↗