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PubMed2006

Stability analysis of paraplegic standing while wearing an orthosis.

Paraplegics can maintain a standing posture, called the "C-posture", while wearing an orthosis. The significant feature of the C-posture is that the body's center of mass is located behind the hip joint. In this study, we investigate the C-posture mechanism and assess the relationship between posture and stability, the aim being to restore standing function. We first measured the standing postures of paraplegic subjects wearing an orthosis. The subjects maintained the standing posture for 30 s. Next, assuming the C-posture to be an equilibrium attractor in the musculoskeletal system, we used a dynamic model of the musculoskeletal system to analyze the relationship between posture and stability, and also to assess the influence of ankle stiffness. We calculated the standing posture on the basis of a return map. The calculated standing postures show some features of the C-posture. The stability analysis revealed that, despite a limitation in the range of stable postures, the C-posture is more stable than the postures of normal people. The results suggest that although the C-posture is an appropriate posture for paraplegic standing, sufficient ankle stiffness and an appropriate alignment of ankle angle are necessary and preventing hip flexion movements is desirable.

Adult↗
PubMed1976

Modifications and development of spinal reflexes in the alert baboon (Papio papio) following an unilateral vestibular neurotomy.

Unilateral vestibular neurotomy performed on 6 baboons was followed by the classical postural and locomotor postoperative disorders. Postoperative spinal reflex excitability was studied in these awake baboons by measuring monosynaptic recruitment ratios in soleus motoneuronal pool and the recovery cycle of the monosynaptic response. Vestibular neurotomy induces: (1) asymmetrical spinal reflexes with a decrease of the recruitment on the side of the section and an increase on the opposite side. (2) a modification of phases IV and V of the ipsilateral recovery cycle. The recovery during postoperative days of normal recruitment curves and recovery cycles is described. This recovery is relatively fast and relates closely to the compensation of postural and locomotor disorders. We note the importance of an early active motor exploration on the time-course of recovery: postoperative disorders in posture and locomotion are reduced much later when baboons are submitted to a motor restriction. These findings suggest a combined alpha and gamma-hypoexcitability of the ipsilateral hindlimb. The study of the recovery process suggests that the cerebellum is involved in the compensatory mechanisms. The regression of postural disorders, observed both in restrained and unrestrained baboons, demonstrates the importance of central regulations using proprioceptive afferents for recovery.

Animals↗
PubMed1996

Neurobehavioral consequences of induced spreading depression following photothrombotic middle cerebral artery occlusion.

In a model of experimental focal cerebral ischemia, we have recently reported a strong correlation between the magnitude of ischemic depolarizations in the peri-infarct borderzone and the extent of histological injury. In the present study, we assessed the neurobehavioral consequences of spontaneously occurring and induced ischemic depolarizations in rats following middle cerebral artery (MCA) occlusion, as well as the effects of induced spreading depression (SD) in intact animals. Halothane-anesthetized, artificially ventilated Sprague-Dawley rats underwent photothrombotic MCA occlusion coupled with ipsilateral common carotid artery (CCA) occlusion. The electroencephalogram and direct current (DC) potential were recorded in the parietal infarct borderzone-corresponding to the cortical forelimb area-for 3 h following MCA occlusion. Group 1 rats (n = 9) received MCA/CCA occlusion, and the spontaneously occurring negative DC shifts were recorded in the ischemic borderzone. In Group 2 animals (n = 9), the (non-ischemic) frontal pole of the ipsilateral hemisphere was electrically stimulated in order to double the frequency of peri-infarct DC shifts occurring over the initial 3 h postocclusion. Group 3 consisted of intact rats (n = 3) in which SD was repeatedly evoked in the frontal pole. Four animals served as sham-operated controls. A battery of sensorimotor behavioral tests, consisting of beam balance, postural reflex and elicited forelimb placing, was applied in a blinded fashion. Sham controls and animals of Groups 1 and 2 were tested 24 h after surgery, and Group 3 rats were tested 2, 6 and 24 h after generation of SDs. A cumulative neurobehavioral index, ranging from 0 to 144, was calculated by adding the individual test results. Brains were perfusion-fixed 24 h following surgery for calculation of volumes of infarction and scattered neuronal injury. Functional outcome at 24 h was significantly worse in Group 2 animals (spontaneous plus induced ischemic depolarizations) (neurobehavior index 43 +/- 19, mean +/- S.D.) compared to Group 1 rats, in which only spontaneous depolarizations occurred (neurobehavior index 24 +/- 19, P < 0.05). The cumulative neurobehavioral index of Group 1 and 2 animals correlated positively with the volume of total ischemic injury (r = 0.765, P < 0.001) and with the frequency of ischemic depolarizations (r = 0.474, P < 0.05). Correlations between severe forelimb placing deficits and severe degrees of histological injury (necrosis or ischemic cell change) in the corresponding primary sensorimotor cortical region FR1 were significant in these rats. Group 3 rats showed severe neurobehavioral deficits at 2 and 6 h following SD stimulation (index 57 +/- 1 and 39 +/- 1, respectively) but returned to normal at 24 h (4 +/- 0). The findings indicate that cortical spreading depression is accompanied by transient neurobehavioral deterioration and that SD in the ischemic hemisphere of animals subjected to MCA occlusion worsened functional outcome 24 h after surgery.

Animals↗
PubMed1984

Quantification of postural sway in normals and patients with cerebellar diseases.

Posturography was performed in 41 patients with cerebellar diseases by means of a force measuring platform using an on-line computer program which calculated sway path, sway area, antero-posterior and lateral sway components and the amount of visual stabilization. Postural ataxia was quantitatively studied in 8 patients with spinal ataxia (Friedreich's), 6 patients with vestibulocerebellar lesions, 11 patients with anterior lobe atrophy, 7 patients with hemispheral cerebellar lesions, and 9 patients with a disease affecting all parts of the cerebellum. Patients with lesions of the cerebellar hemispheres could not be separated from normals by means of posturography. Lesions of the spino-cerebellar afferents (Friedreich' ataxia) caused an omnidirectional low frequency sway with preserved visual stabilization. Patients with anterior lobe atrophy showed a predominant antero-posterior sway, often with a spontaneous high frequency body tremor around 3 Hz. Vestibulo-cerebellar lesions exhibited omnidirectional low frequency sway poorly stabilized by vision. Quantitative posturography helps to localize cerebellar lesions and allows for quantitative follow-up studies of cerebellar diseases.

Adult↗
PubMed1983

Morphine versus haloperidol catalepsy in the rat: an electromyographic analysis of postural support mechanisms.

Electromyographic recordings from antagonistic flexor and extensor muscles in the forelegs (biceps and triceps) and hind legs (tibialis and gastrocnemius-soleus) of freely moving rats demonstrated that haloperidol (5 and 10 mg/kg, i.p.) and morphine (20 and 40 mg/kg, i.p.) produced contrasting patterns of rigidity. Haloperidol catalepsy was characterized by increases in frequency, intensity, and duration of simultaneous tonic cocontractions in antagonistic flexor and extensor muscles of the limbs. Such synergistic rigidity suggested the release of an adaptive mechanism involved in static support and the maintenance of stable static equilibrium (the positive supporting reaction of Schoen and Magnus), at the expense of locomotor mechanisms. In contrast, morphine produced antagonistic/reciprocal rigidity, which was insensitive to challenges to static equilibrium, and was compatible with locomotion. Contrary to the haloperidol-induced limb postures, which were enhanced supporting reactions, those induced by morphine were "frozen" phases of the step cycle. Haloperidol-induced synergistic rigidity and morphine-induced antagonistic/reciprocal rigidity are discussed as manifestations of contrasting movement subsystems underlying these functionally opposite immobility states. In addition, we present hypotheses concerning supraspinal and spinal mechanisms underlying cataleptic rigidity states, and their relevance as models of parkinsonian rigidity and akinesia.

Animals↗
PubMed1984

Evidence of phase-dependent nociceptive reflexes during locomotion in man.

In 10 healthy subjects freely walking along a straightline, the effects of painful sural nerve stimulation, applied in different phases of the step cycle, were investigated on two antagonistic muscles of the ipsilateral lower limb acting on the knee joint: vastus lateralis (VL) and biceps femoris caput breve (BF). A clear-cut modulation in the amplitude (area) of the net reflex responses was consistently observed in both the motor nuclei explored. The extensor muscle, VL, exhibited a long-latency (mean 122 ms) reflex response, which was maximally increased by stimuli applied toward the end of the swing and in the first half of the stance phase of the stride, whereas the response appeared to be gated during the transition from the foot-flat to forefoot-contact phase. A second facilitation period was brought about by stimuli delivered in the early swing. When the response occurred superimposed on the VL locomotor activity, suppression of the ongoing EMG preceded the reflex discharge. In the flexor, BF, the same stimulus elicited a short-latency (mean 57 ms) and a long-latency (mean 132 ms) reflex response. The former was maximal after stimulation around the toe-off phase and the latter was strikingly enhanced in the late swing, where it was preceded by suppression of the background locomotor EMG activity. Responses with intermediate features (latency 70 to 80 ms, duration 90 to 120 ms), probably resulting from the merging of the early and late components, might be evoked in addition, being greatest in the last swing and in the period preceding toe-off. The findings show that in man the reflex pattern evoked by a painful cutaneous stimulus during locomotion is determined by the phase of the step cycle during which the stimulus is delivered. A functional role in maintenance of postural balance during destabilizing withdrawal reactions is conceivable.

Adult↗
PubMedDate not supplied

Nonstationary properties of postural sway.

Postural sway during quite stance is usually assumed to be a stationary stochastic process. We tested this assumption by investigating the time invariance of the average value and variance of the postural sway of three subjects. The sway was measured with a force plate under three conditions: subject standing on two feet with eyes open; subject standing on two feet with eyes closed; and subject standing on one foot with eyes open. Data were collected in 1 min runs. More than 50 min of data were collected for each subject under each test condition. The data were averaged across all runs for each subject and condition. Trends were found to be present in the data. In addition, there were initial transient increases in the second-order moments about the trends. The transient changes in first- and second-order moments usually disappeared during the first 20 s. In light of these findings, we can reject the hypothesis that postural sway is a stationary process. The results imply that the usual methods to parameterize postural sway have to be either changed or reinterpreted.

Adult↗
PubMed1996

Measures of paraspinal muscle performance do not predict initial trunk kinematics after tripping.

The ability to limit the trunk flexion associated with an anteriorly directed trip is a determinant of successful recovery of recovering postural stability and is subservient to rapidly detecting and correcting the imposed trunk flexion in the available time. This experiment tested the hypothesis that subjects demonstrating greater eccentric trunk/hip extension strength, faster voluntary reaction times, shorter automatic response latencies, and larger automatic activation amplitudes of the paraspinal muscles, would demonstrate less trunk flexion following a trip. An isokinetic protocol was used to obtain measures of trunk extension strength, response latencies, and activation amplitudes. Motion analysis methods were used to quantify trunk kinematics during the positioning phase of recovery following an induced trip. Statistically significant and functionally meaningful relationships between eccentric strength of the trunk/hip extensors, voluntary-reaction time, automatic reaction time, activation amplitudes and trunk kinematics failed to emerge. Thus, although automatic and voluntary paraspinal muscle responses have the potential to limit trunk flexion during the positioning phase of recovery, the task may be achieved through intersegmental factors or other muscular sources such as the gluteus maximus and hamstrings.

Accidental Falls↗
PubMed1992

Postural inflexibility in parkinsonian subjects.

In order to identify the types of postural deficits seen in parkinsonian patients with postural instability, we compared the performance of parkinsonian subjects with young and old control subjects in 3 aspects of postural control: (1) the use of sensory information for postural orientation, (2) the coordination of postural movement patterns in response to surface displacements, and (3) the flexible modification of postural response patterns to changes in support conditions. Parkinsonian subjects had very small sway, even under altered sensory conditions. Postural response latencies to displacements were also normal. Postural instability was associated with abnormal patterns of postural responses including excessive antagonist activity and inflexibility in adapting to changing support conditions. Some parkinsonian subjects appeared to have difficulty sequencing motor programs for postural correction. The parkinsonian subjects appeared stiffer since the rate-of-change of sway in response to displacements was reduced. Levodopa improved postural coordination but not the flexible adaptation to changing support conditions.

Adult↗
PubMed1989

A test of Raibert's symmetry equations in animal and human running.

Based upon his work with robots, Raibert proposed that a specific class of symmetry equations may be important to animals and humans during steady-state running. In a test of this hypothesis, Raibert found good agreement with his predictions. However, his test was limited to one cat at two speeds and a human at a single speed. For the present study, we duplicated Raibert's methodology and tested his predictions for three cats, two monkeys, and a human at a variety of speeds. Our results indicate that body and limb movements in animals and humans generally are not in agreement with predictions based on the symmetry equations.

Acceleration↗
PubMed1993

Somatosensory pressure affects immobility and grasping reactions in bilateral labyrinthectomized rats.

The effects of dorsal clip pressure and proprioceptive plate pressure to soles of the feet on tonic immobility; dorsal clip pressure on contact righting, horizontal bar, and vertical cling; forepaw and slope board grasp reactions were investigated in bilateral labyrinthectomized (BL) rats. Both dorsal and proprioceptive pressures potentiated the duration of tonic immobility in BL animals whereas only the dorsal pressure affected the controls. Dorsal pressure potentiated the duration of the horizontal bar, vertical cling, and slope board grasps in both the control and BL group. However, the behavioral patterns were different. The BL animals had weak grasp reactions and with the dorsal clip, emitted "head-back fall" during the vertical cling and slope board grasp conditions. The results were discussed in terms of the tactile and vestibular interactions and control on the postural mechanisms.

Animals↗
PubMed1994

Development of righting when falling from a bipedal standing posture: evidence for the dissociation of dynamic and static righting reflexes in rats.

Righting to prone when placed supine on the ground by rats is present at birth, albeit in incomplete form. In contrast, righting in the air when falling from the supine position does not begin to emerge until the end of the first week and is not complete until the end of the third week postnatally. On the ground, the animals have sensory information from proprioceptive-tactile sources, as well as vestibular; in the air, they have only vestibular. Thus, it is possible that the difference between contact righting and air righting is a reflection of the relative difference in the maturation of tactile vs. vestibular mechanisms. In this study, pups were tested by pushing them backwards from a bipedal standing position. Such a context provided proprioceptive-tactile information during the fall. The results showed that the developmental onset and maturation of righting from the bipedal position resembled that of air righting rather than contact righting. This suggests that the difference between air righting and contact righting is not due to differences in sensory inputs, but to differential maturation of neural mechanisms for acceleratory (i.e., falling) vs. stationary (i.e., lying on the ground) forms of righting. That is, the appropriate neural systems are organized for the type of righting, not for the sensory systems used. Even so, some evidence is provided suggesting a developmental dissociation between righting from falling with vestibular information only, and with proprioceptive-tactile information in addition. Therefore, righting systems appear to need two dimensions of classification--one based on sensory systems involved, and the other in terms of the context of righting (i.e., falling vs. stationary).

Aging↗
PubMed1982

The effect of ethanol on early manifestations of recovery from vestibular lesion.

The effect of intraperitoneal (i.p.) injection of ethanol (250 mg/kg) on compensatory rate of vestibular symptoms after unilateral labyrinthectomy was studied in guinea pigs. The treated group showed a faster dampening of vestibular disturbances in comparison with control animals. Both ocular and postural asymmetries declined to at least 50% of peak values after 2-3 h following alcohol injection. In control animals the same extent of compensation was achieved in 5-8 h after saline injection. This accelerating action of ethanol on early manifestations of vestibular compensation can be obtained by means of an increased inhibitory influence on vestibular nuclei and of an increased information provided by sensory systems.

Afferent Pathways↗
PubMed1982

The effects of cerebellar hemispherectomy in the young rat. I. Behavioral sequelae.

The effects of unilateral cerebellar hemispherectomy in rats operated on the 5th, 10th and 30th days were investigated. Their locomotor behaviour was studied longitudinally until the age of 360 days. Locomotion remained impaired to a variable extent in all experimental groups. Rats operated on the 30th day showed fewer deviations in locomotion than rats operated on the 5th or 10th day.

Aging↗