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Relationships between various behavioural abnormalities and nigrostriatal dopamine depletion in the unilateral 6-OHDA-lesioned rat.

While rotational asymmetry is used as a characteristic behavioural sign of striatal dopamine (DA) loss in unilateral animal models of Parkinson's disease (PD), there is relatively little analysis of how other common behavioural deficits relate to nigrostriatal DA depletion. We analysed the relationships between several deficits induced by unilateral 6-OHDA lesions and striatal neurochemistry, as well as neuronal loss in the dopaminergic substantia nigra (SN). Behaviour was evaluated from before until 6 weeks after surgery and abnormalities appeared in body axis, head position and sensorimotor performance as well as apomorphine-induced rotation. As expected, rotational behaviour correlated with striatal DA loss and not with other striatal neurotransmitters measured. Similar observations were found for sensorimotor deficits ('disengage task'). Both deficits were observed in rats with >70% loss of TH+ nigral neurons and >80% loss of striatal DA. Additional postural abnormalities appeared with mean losses of 87% of nigral DA neurons and 97% striatal DA, consistent with observations in patients with advanced PD. The data show that the repertoire of behavioural abnormalities manifested by hemiparkinsonian rats relate directly to the degree of nigrostriatal DA loss and, therefore, mimic features of PD. Analysis of such behaviours are relevant for chronic therapeutic studies targeting PD.

Animals↗

Voluntary control of postural equilibrium patterns.

The ability to voluntarily transit from one whole-body movement to another is based on the multisensory integration of visual, vestibular, and somatosensory information. The role of functional sensory ranges and mechanical constraints on the ability to voluntarily transit between whole-body movements was studied by requiring subjects to switch from a head-fixed-to-surface to head-fixed-in-space postural pattern (and vice versa). The head-fixed-to-surface pattern required an erect stance characterized by an in-phase relationship between center of pressure (CoP) and platform motion. The head-fixed-in-space pattern required subjects to fix trunk-head position in-space while producing an anti-phase relationship between CoP and platform motion. The voluntary transition was performed with and without vision while standing on a surface oscillating in the anterior-posterior (A/P) direction. The support surface oscillated at five frequencies (0.2-1Hz) with amplitude fixed at 15cm. The voluntary transition was initiated with an auditory cue. The appropriate CoP-platform phase relationship for the two postural patterns was produced for all frequencies with and without vision. Upper-trunk kinematics revealed that subjects often failed to produce the head-fixed-to-surface pattern for frequencies >/=0.6Hz, while producing the head-fixed-in-space pattern at all frequencies with vision. Without vision, neither pattern was produced consistently based on upper-trunk kinematics. These findings demonstrate separate control processes for upper- and lower-body motion and that functional sensory ranges and mechanical constraints can facilitate or inhibit voluntary production of whole-body movements based on these control processes. The results are discussed in reference to neurological substrates that may be involved in the planning and execution of motor set-switching. The experimental protocol we employ may also have application as a diagnostic tool for the evaluation of postural deficits.

Adaptation, Physiological↗

Labyrinthine and other supraspinal inhibitory controls over head-and-body ventroflexion.

The vestibular head righting reflex can be demonstrated by holding an adult rat vertically downward, so that the snout points downward. In this situation, the animal dorsiflexes its head and neck, bringing the head towards its normal orientation in space. Bilateral labyrinthectomy not only blocks this response, but releases an actively maintained ventroflexion of the head and neck. Bilateral electrolytic lesions of the lateral hypothalamus (LH) exaggerate such ventroflexion in labyrinthectomized rats. By themselves, LH lesions had no such effect. Therefore, it is argued that there are vestibular and supraspinal inhibitory mechanisms which, in the intact adult animal, keep this ventroflexion response in check. In addition, when the rats were held with their heads down, and with gentle paw contact with the ground, they did not ventroflex. However, they ventroflexed immediately upon releasing this paw contact. These observations suggest that there are tactile mechanisms which can also inhibit this exaggerated ventroflexion released by labyrinthectomy.

Animals↗

A behavioral study of the contributions of cells and fibers of passage in the red nucleus of the rat to postural righting, skilled movements, and learning.

Although the red nucleus consists of cells of origin for the rubro-spinal and rubro-olivary tracts, fibers of passage, including those of the superior cerebellar peduncle, which project from the cerebellum to the ventrolateral thalamus, pass through it. This study examined the relative effect of cell vs. fiber damage in the red nucleus on a number of behaviors thought to involve the red nucleus, including a skilled movement of reaching for food with a forelimb, postural righting on a surface and in the air, and learning a place response in a swimming pool test. Rats received unilateral or bilateral red nucleus lesions, using either the relatively cell-specific neurotoxins, ibotenic and quinolinic acid, or non-specific electrolytic anodal lesions. Both neurotoxic lesions effectively eliminated all red nucleus cell bodies, and in some animals they produced small cavities in the red nucleus and/or loss of cells in adjacent structures. Electrolytic lesions destroyed both cells and fibers, leaving a large cavity. The severity of the behavioral deficits were not related to the loss of red nucleus cells and there was a close relation between fiber damage and behavioral impairments on all of the tasks. The results suggest that for a number of behaviors, which have been thought to involve the red nucleus, impairments are more closely associated with fiber damage or damage to structures outside the red nucleus than they are to damage to cells of the red nucleus.

Animals↗

Potentiation by vestibular stimulation of the immobility reflex elicited by clamping in developing and adult rats.

We have previously described (Exp. Neurol., 97: 315-326, 1987) that clamping of the neck elicits a profound immobility with flexion of limbs and ventroflexion of head and neck ('carrying posture'). We also observed that when a clamped rat pup is carried by the experimenter's hand, such carrying posture was potentiated. In the present paper we observed that in adult rats vestibular stimulation by circular acceleration potentiates the duration of immobility reflex by clamping and intensifies the limb flexion. In rat pups from 10 to 20 days, vestibular stimulation potentiated only the carrying posture but not the duration of the immobility reflex by clamping.

Age Factors↗

The effects of early vestibular deprivation on the motor development in the rat.

The motor development after uni- or bilateral vestibular deprivation from the 5th or 16th postnatal day was studied in 23 rats between the 6th and the 60th day. Their motor behaviour was compared to that of 17 normal rats. Vestibular deprivation from the 5th day causes a marked retardation in motor development. Our results suggest that this retardation is caused by non-optimal stabilization of the trunk during development. Vestibular deprivation from the 16th day causes only short lasting disturbances of motor behaviour for one or two days. The main permanent effect of bilateral vestibular deprivation is head oscillation during locomotion. The temporal organization of the motor behaviour of rats bilaterally deprived from the 5th day was disturbed as well. These rats show more bouts of locomotion, rearing and pivoting.

Aging↗

A longitudinal study on changes of movement performance and their relation to medical conditions in a female population followed from age 70 to 78.

We described longitudinal changes of movement performance in a population-based sample of women followed from age 70 to 78. We also studied the cross-sectional relationships between medical conditions and movement performance at baseline, and longitudinal relationships between baseline medical conditions and changes of movement performance. Two hundred and thirty-four women aged 70 years participated in the baseline study, and 88 women participated in a follow-up study 8 years later. Movement performance was measured by an optoelectronic test, the postural-locomotor-manual (PLM) test, which objectively and precisely measures the subject's mobility of lower and upper extremities. Information on medical conditions including selected diseases and symptoms were obtained by self-report and/or by physical examination. Movement time (MT), an indicator of the overall movement performance of the PLM test, increased over 8 years. This change was mainly related to prolonged duration of the locomotor phase (walking forward), but not to the duration of the manual phase (goal-directed arm reaching). At baseline, poor PLM performance was related to hypertension, orthostatic hypotension, cerebrovascular diseases, chronic bronchitis, depression, arthritis, dizziness, chest pain, dyspnea, joint problems, leg pain, tiredness, number of diseases and number of symptoms at baseline. Increased MT during follow-up was associated with arthritis and dyspnea at baseline, and newly developed diseases during follow-up. Our study results indicated that 70-year-old women had a general slowing of their movement performance over 8 years. Age-related decrements of movement performance were more striking in the lower extremities than in the upper extremities. Arthritis and dyspnea at baseline, and incident diseases during follow-up were related to this age-related decline of movement performance.

Activities of Daily Living↗

The flip side of perception-action coupling: locomotor experience and the ontogeny of visual-postural coupling.

The possible role of motor development on psychological function is once again a topic of great theoretical and practical importance. The revival of this issue has stemmed from a different approach to the topic, away from Gesell's interest in the long-term prediction of psychological functions from early motoric assessments, toward an attempt to understand how the acquisition of motor skills orchestrates psychological changes. This paper describes how the acquisition of one motor skill, prone locomotion, has been linked to developmental changes in an infant's ability to regulate posture based on information available in patterns of optic flow. It is argued that the onset of prone locomotion presses the infant to differentiate spatially delimited regions of optic flow to effectively and efficiently control the important subtasks nested within the larger task of locomotion, namely, steering, attending to the surface of support, and maintaining postural control. Following this argument, a research program is described that aims to determine if locomotor experience is causally linked to improvements in the ability to functionalize peripheral optic flow for postural control or whether locomotor experience is merely a maturational forecaster of such improvements. Finally, a hypothesis is put forward that links the emergence of wariness of heights to infants' ability to regulate posture on the basis of peripheral optic flow. The paper's overarching theoretical point is the principle of probabilistic epigenesis, which states that one developmental acquisition produces experiences that bring about a host of new developmental changes in the same and different domains.

Humans↗

Relative damping improves linear mass-spring models of goal-directed movements.

A limitation of a simple linear mass-spring model in describing goal directed movements is that it generates rather slow movements when the parameters are kept within a realistic range. Does this imply that the control of fast movements cannot be approximated by a linear system? In servo-control theory, it has been proposed that an optimal controller should control movement velocity in addition to position. Instead of explicitly controlling the velocity, we propose to modify a simple linear mass-spring model. We replaced the damping relative to the environment (absolute damping) with damping with respect to the velocity of the equilibrium point (relative damping). This gives the limb a tendency to move as fast as the equilibrium point. We show that such extremely simple models can generate rapid single-joint movements. The resulting maximal movement velocities were almost equal to those of the equilibrium point, which provides a simple mechanism for the control of movement speed. We further show that peculiar experimental results, such as an 'N-shaped' equilibrium trajectory and the difficulties to measure damping in dynamic conditions, may result from fitting a model with absolute damping where one with relative damping would be more appropriate. Finally, we show that the model with relative damping can be used to model subtle differences between multi-joint interceptions. The model with relative damping fits the data much better than a version of the model with absolute damping.

Attention↗

Are transitions in human gait determined by mechanical, kinetic or energetic factors?

It is currently unclear whether it is the need to maintain metabolic efficiency, the need to keep skeletal loading below critical force levels, or simple mechanical factors that drive the walk-to-run (W-R) and run-to-walk (R-W) transitions in human gait. Eighteen adults (9 males and 9 females) locomoted on an instrumented treadmill using their preferred gait. Each completed 2 ascending (W-R) and 2 descending (R-W) series of trials under three levels of loading (0%, 15% and 30% body weight). For each trial, participants locomoted for 60 s at each of 9 different speeds--4 speeds both above and below their preferred transition speed (PTS) plus their PTS. Evidence was sought for critical levels of key kinetic (maximum vertical force, impulse, first peak force, time to first peak force and maximum loading rate), energetic (oxygen consumption, transport cost) and mechanical variables (limb lengths, strength) predictive of the gait transition. Analyses suggested the kinetic variables of time to first peak force and loading rate as the most likely determinants of the W-R and R-W transitions.

Adult↗

Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients.

The goal of this study was to compare young and elderly healthy individuals and elderly stroke patients in their capacity to use visual CP feedback (VF) in controlling both quiet standing and weight shifting and to assess their sensory re-weighing when this VF is withdrawn. A total of 40 participants were involved in this study. Participants were asked to either quietly stand on a force platform for a period of 45 s with eyes open (EO), using visual feedback (VF) or without visual feedback (No VF) or to perform a dynamic weight shifting task while using VF or No VF. During the quiet standing trials with VF, only the young (YO) were able to decrease the amplitude and increase the frequency of their sway in either plane. Removal of the VF resulted in a 'destabilizing' effect in both healthy elderly (EL) and stroke patients (ST) in the sagittal plane. With regard to the dynamic task, both the YO and EL were generally more successful at weight shifting in terms of speed and control when compared to the ST. Yet, when VF was removed, only the YO were able to largely maintain speed and precision of control. Hence, providing or removing visual CP feedback during quiet standing or removing VF during visually controlled weight shifting can discriminate healthy young participants from healthy elderly, but does not clearly discriminate healthy elderly from stroke patients in the same age group. Results revealed that sagittal plane imbalance in healthy elderly and stroke patients may be largely due to the effects of aging, whereas frontal plane imbalance is much more specific for the postural problems associated with stroke.

Adult↗

The effects of visual input on postural control of the lumbar spine in unstable sitting.

Postural control of the lumbar spine in unstable sitting was quantified through the analysis of the center of pressure (CoP) movement recorded by a force plate situated underneath a seat that incorporated a hemisphere. Thirteen healthy subjects were tested under conditions of increasing seat instability and elimination of visual input. The purpose of this study was to determine the relative effects of visual input and support surface instability on open and closed loop postural control mechanisms in sitting and to determine the association between traditional summary statistics and random walk analysis of CoP movement. The effects of the seat instability level and visual input on the CoP movement parameters were tested with a two-factor, repeated measures ANOVA (p<0.01). In all summary statistics CoP movement parameters increased significantly due to the seat instability level and lack of visual input. The random walk analysis identified two regions, short- and long-term, which has been postulated to represent open and closed loop control mechanism, respectively. While short-term scaling exponents were independent from visual input, CoP displacement in the short-term region was significantly increased in the eyes closed condition. Summary statistic of CoP total path length per second correlated highly with critical point coordinates and short-term diffusion coefficients. The CoP movement in the long-term region was consistent with a closed loop control mechanisms. The findings of visual influence on what is assumed as an open-loop control mechanism does not, at face value, support the hypothesis that two separate mechanisms are working to achieve postural control.

Adult↗

Backward and forward leaning postures modelled by an fBm framework.

Body leaning effects on postural control have been assessed by recording the centre of pressure (CP) displacements in healthy subjects under three experimental conditions (REF, BWD and FWD corresponding to upright, backward leaning and forward leaning of the body, respectively). The CP displacements were used to compute the motions of the vertical projections of the centre of gravity (CG(v)) and those of the difference CP-CG(v). A frequential analysis shows that the main effect takes place on CP-CG(v) motions, suggesting increased muscular activity in these leaning postures. In addition, changes also occur on CG(v) motions, especially in the antero-posterior (AP) direction. Modelling these motions as fractional Brownian motion (fBm) indicates that leaning the body induces, in the AP direction, a shift in the time interval Deltat at which the corrective process takes over the initial one operating in open-loop. In FWD and BWD conditions, the Deltat is diminished whilst the mean distance covered at this Deltat is increased for both CG(v) and CP-CG(v) motions. Moreover, more determinism in the overall upright stance control is observed in the corrective (closed-loop) process involving CG(v) motions. These facts emphasize the inability for the CP displacements to express properly the overall body sway in upright stance control.

Adult↗

[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↗

Functional stability limits while holding loads in various positions.

Stability of the body during manual material handling is an important issue in the prevention of falls and over-exertion injuries. This research investigated stability limits while standing and holding loads in different positions relative to the body. Theoretically, the stability region is the full base of support defined by the perimeter of the foot contact area. However, the functional stability region may be smaller. The purpose of this study was to locate functional stability limits with respect to the base of support. Fifteen male subjects leaned as far as possible in four directions in the sagittal and frontal planes. Their center of gravity location at these extremes determined the stability limit. The results showed that functional stability limits reached only about 60% of the distance to the maximum base of support limits under the conditions of this study. The sway angles reached at the stability limits averaged 9.2 degrees anteroposteriorly and 15.3 degrees laterally. External load positions which lowered the center of gravity of the body-and-load system extended those stability limits. This study provides a postural stability perspective of load-holding which may be applied in establishing safe lifting and reach limits.

Accident Prevention↗

Posturographic performance in patients with the potential for secondary gain.

OBJECTIVES: To determine the incidence of nonorganic sway patterns on computerized dynamic posturography (CDP) among patients with potential secondary gain compared with patients without any obvious secondary gain. METHODS: A retrospective chart review of 100 patients who underwent clinical evaluation, audiometry, electronystagmography, and CDP was undertaken. Group 1 consisted of 50 patients who were randomly selected from a group who had pending lawsuits, worker's compensation claims, or disability claims. Group 2 consisted of 50 randomly selected patients who had no pending legal status, worker's compensation claims, or disability claims. Previously published criteria for nonorganic sway patterns were then applied to each group. Statistical analysis was performed. RESULTS: The average age of group 1 patients was 43.8 years compared with 63.2 years for group 2 patients (P < 0.0001). Among group 1 patients 50% had normal audiovestibular evaluations compared with only 4% of group 2 patients (P < 0.0001). Nonorganic sway patterns were found in 76% of group 1 patients, but only in 8% of group 2 patients (P < 0.0001). CONCLUSION: Patients who have the potential for secondary gain are generally younger and have a much higher prevalence of normal audiovestibular evaluations and a much higher prevalence of nonorganic sway patterns on CDP. A high degree of clinical suspicion should be maintained when evaluating the dizzy patient who has a pending lawsuit, worker's compensation claim, or disability claim.

Adult↗

Computerized dynamic platform posturography.

Computerized dynamic platform posturography is defined in this technology assessment. The review discusses what computerized dynamic platform posturography measures, what the reliability and validity of the information are, and the uniqueness of the information provided. The clinical contribution and indications for testing are discussed. There are comments on future directions for research on computerized dynamic platform posturography and a summary and conclusion.

Diagnostic Techniques, Neurological↗

Nystagmus and postural instability after headshake in patients with vestibular dysfunction.

Nystagmus after rapid head-shaking (post-headshake nystagmus) is often seen in patients with vestibulopathy. Post-headshake nystagmus is transient and is frequently associated with symptoms of dizziness, dysequilibrium, or vertigo. The phenomenon presumably reflects headshake-induced asymmetry in vestibulo-ocular reflex pathways, which persists after head-shaking stops. We postulated that the same vestibular imbalance that underlies post-headshake nystagmus might produce an equivalent in postural instability. To test this hypothesis, we investigated the effect of headshake on postural control and eye movements in patients who exhibited post-headshake nystagmus, vestibulopathy, or both. Postural instability was quantified with a dynamic platform device, whereas eye movements were recorded with electrooculography. Ten normal controls and 21 patients with a history of post-headshake nystagmus or unilateral vestibulopathy were evaluated. Subjects were tested for 20 seconds before and immediately after passive horizontal headshake (+/- 30-degree amplitude) at 2 Hz for 20 seconds. Postural stability was assessed while subjects stood with eyes closed, and the floor was modulated proportionally with sway. The difference in normalized peak-to-peak sway (equilibrium score) before and after headshake was assessed in all subjects and compared between groups. Post-headshake nystagmus was documented by electro-oculography recorded during posturography. Results for normal controls and vestibulopathic subjects without post-headshake nystagmus showed only a small transient decline in postural stability after headshake. Those with post-headshake nystagmus (regardless of caloric asymmetry) showed a robust decline in postural stability.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗