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Anticipatory postural control in children.

Postural responses, triggered by sensory feedback, are present very early in a child's development. The purpose of the present study was to investigate the ability of children to anticipate postural disturbances caused by self-initiated movements and their ability to coordinate anticipatory postural adjustments with movement execution. Children (N = 32) aged 4 to 14 years were asked to stand quietly on a stable force plate and to raise their right arm forward (or backward) to the horizontal position after a visual stimulus. Changes in the center of pressure beneath the feet were recorded before and during the arm raise. The anticipatory (feedforward) postural patterns seen before the arm movement, and noted in a previous study of adults, were present in the youngest of the children (4 years, 2 months). Longer reaction times and inconsistent postural responses (in the anteroposterior direction) suggest that children are less capable than adults of coordinating the anticipated postural adjustment with the forthcoming limb movement, however. In the lateral plane, anticipatory postural responses were initiated more consistently.

Journal Article↗

Adaptations of writing posture in response to task demands for left- and right-handers.

Handedness and writing posture are visible manifestations of differences between left- and right-handers. Although an inverted posture is witnessed in both groups, there is a much higher proportion of left-handers who invert. This study is framed within the adaptation hypothesis of writing posture, which states that invertedness in left-handers develops in response to the demands of cursive writing. Participants (N = 57) comprising left-handed inverters, left-handed standard writers, and right-handed standard writers engaged in tasks that required them to form letters and pen strokes at extreme angles. In addition participants were questioned about attempts to change writing posture. We hypothesised that letter angle controls posture in both left- and right-handers and that inverted posture would be a target of intervention. The results of the study showed some support for these hypotheses in that left- and right-handers adapted their posture in response to the constraints placed upon them and inverters reported more intervention.

Journal Article↗

Postural hypotension and dizziness in a general aged population: a four-year follow-up of the Helsinki Aging Study.

OBJECTIVE: To evaluate the frequency, risk factors, and prognostic significances of postural hypotension (PH) and dizziness on postural testing (DPT). DESIGN: A prospective cohort study. SETTING: General community, The Helsinki (Finland) Aging Study. SUBJECTS: Persons of three age cohorts (75, 80, and 85 years, n = 569) were chosen randomly and followed for 4 years. MEASURES: Postal questionnaires, structured interview, extensive clinical and laboratory examinations, blood pressure (BP) changes in a postural test using different definitions for PH, history of dizziness, dizziness on testing postural blood pressure reactions (DPT), and date of death during a 4-year follow-up. RESULTS: The frequency of a fall in systolic blood pressure greater than 20 mm Hg or a fall in diastolic pressure greater than 10 mm Hg (PH-I) was 30.3%. Both criteria occurred simultaneously (PH-II) in 7.5%, and if dizziness on postural testing (DPT) was an additional symptom (PH-III), the prevalence was 2.6%. The overall prevalence of DPT was 19.7%. PH-I, PH-II, and DPT were also frequent among the healthy aged (26.6%, 6.6%, and 17.3%, respectively). The postural change in BP correlated inversely with the initial supine BP levels (systolic r = -.149, P < .001 and diastolic r = -.218, P < .001), but in persons with isolated systolic hypertension PH was rather less frequent (21.9% and 2.3%). DPT was more common in the subjects with heart failure (26.3%, P < .05), impaired exercise tolerance (NYHA III-IV) (33.7%, P < .05), and PH-II (37.2%, P < .05) compared with the healthy controls (17.3%). The 1-year mortality was higher in subjects with than without DPT (7.1% vs 4.8%, P < .05), but the difference was not significant after controlling for age and gender. PH-I, PH-II, and PH-III were not significantly related to 4-year mortality. CONCLUSIONS: In this study of older people in Helsinki, Finland, asymptomatic hypotensive postural BP reactions and DPT were found frequently among healthy older people, and they tended to be increased in people with some diseases. Neither PH nor DPT were of prognostic significance for mortality in this population.

Aged↗

In vivo locomotor strain in the hindlimb bones of alligator mississippiensis and iguana iguana: implications for the evolution of limb bone safety factor and non-sprawling limb posture

Limb postures of terrestrial tetrapods span a continuum from sprawling to fully upright; however, most experimental investigations of locomotor mechanics have focused on mammals and ground-dwelling birds that employ parasagittal limb kinematics, leaving much of the diversity of tetrapod locomotor mechanics unexplored. This study reports measurements of in vivo locomotor strain from the limb bones of lizard (Iguana iguana) and crocodilian (Alligator mississippiensis) species, animals from previously unsampled phylogenetic lineages with non-parasagittal limb posture and kinematics. Principal strain orientations and shear strain magnitudes indicate that the limb bones of these species experience considerable torsion during locomotion. This contrasts with patterns commonly observed in mammals, but matches predictions from kinematic observations of axial rotation in lizard and crocodilian limbs. Comparisons of locomotor load magnitudes with the mechanical properties of limb bones in Alligator and Iguana indicate that limb bone safety factors in bending for these species range from 5.5 to 10.8, as much as twice as high as safety factors previously calculated for mammals and birds. Limb bone safety factors in shear (3.9-5.4) for Alligator and Iguana are also moderately higher than safety factors to yield in bending for birds and mammals. Finally, correlations between limb posture and strain magnitudes in Alligator show that at some recording locations limb bone strains can increase during upright locomotion, in contrast to expectations based on size-correlated changes in posture among mammals that limb bone strains should decrease with the use of an upright posture. These data suggest that, in some lineages, strain magnitudes may not have been maintained at constant levels through the evolution of a non-sprawling posture unless the postural change was accompanied by a shift to parasagittal kinematics or by an evolutionary decrease in body size.

Journal Article↗

[Postural technique in prone position: hemodynamic and respiratory parameters and complications].

Therapeutic strategies used in the treatment of adult respiratory distress syndrome (ARDS) recommend placing the patient in prone position as an effective method for optimizing ventilation-perfusion parameters. We evaluated the therapeutic effect of postural treatment in prone position with the following goals: Comparison of hemodynamic and respiratory parameters before and after placing the patient in prone position, while in prone position, and before and after postural treatment. Complications associated with turning and time in prone position. A prospective study was made of 30 turns in 15 patients admitted to the Polyvalent ICU between January 1999 and April 2000 for medical-surgical pathology, mean age 55.4 +/- 16.3 years, diagnosed as ARDS during their stay in the ICU, Lung Injury Score (Murray) > 2.5, and a medical prescription for prone position. Nurses were experienced in postural treatment in prone position in accordance with two protocols, the technique for placing the patient in prone position and nursing care for patients in prone position. Comparison of paired means of the hemodynamic variables MBP, HR and CVP did not disclose any statistically significant difference between the time before turning, while in prone position, and before and after postural treatment. Comparison of paired means of the respiratory variables PaO2/FiO2, Sat O2, tidal volume (TV), PCO2, pH, and PaO2/FiO2 ratio showed a significant increase after placing the patient in prone position, another increase after 2 hours in prone position, and before and after postural treatment. Sat O2 increased significantly 2 hours after turning, and remained raised while the patient was in prone position. TV increased significantly before and after postural treatment. The reduction in PCO2 occurred after 2 hours in prone position. Comparisons before and after postural treatment disclosed a clinically significant difference but no change in pH. Following the protocol for placing the patient in prone position, no complications were associated with the turning procedure (accidental loss of TOT, tracheostomy, SNG, urinary catheter, vascular catheters, chest tubes, and drainage tubes). While patients were in prone position, stage II and III UPP, palpebral and/or conjunctival edema, and intolerance of enteral feeding occurred, but our results do not indicate that these complications appeared solely as a result of prone position.

Hemodynamics↗

Lifting in four restricted lifting conditions: psychophysical, physiological and biomechanical effects of lifting in stooped and kneeling postures.

Many underground coal mines are less than 1.2 m in height, and require that manual lifting tasks be performed in restricted postures (usually stooped or kneeling). Unfortunately, little is known about how these postures affect the underground coal miner's capabilities to perform such work. A previous Bureau of Mines study indicated that lifting capacity is greater when stooped than kneeling when lifting under a 1.2 m roof height (Gallagher et al, 1988). However, many low-seam coal mines present even more restricted headroom than 1.2 m. Therefore, a study was conducted to: (1) examine the psychophysical lifting capacity of low-seam coal miners under four restricted lifting conditions, (2) investigate the associated metabolic costs, and (3) analyse the electromyography (EMG) of trunk muscles when lifting in these restricted positions. Subjects were 12 coal miners accustomed to handling materials in restricted postures (mean age = 35.9 yrs +/- 6.4 SD). Results of this study indicated that lifting capacity was greater when the subjects could assume a stooped posture than when kneeling (p < 0.01). Furthermore, the metabolic cost was greater in the kneeling posture for heart rate (p < 0.001), oxygen consumption (p < 0.001), minute ventilation (p < 0.05] ), and respiratory exchange ratio (p < 0.05), despite the fact that miners lifted less weight in this posture. Analysis of the EMG data indicated increased activity of the electores spinae when kneeling (p < 0.001), but higher latissimus dorsi activity when stopped (p < 0.001). The findings of this study indicate that the weight of supply items should be reduced approximately 14-18% when the kneeling posture must be used for lifting.

Journal Article↗

Unilateral postural control of the functionally dominant and nondominant extremities of healthy subjects.

OBJECTIVE: To determine whether a difference in unilateral postural stability exists between the functionally dominant and nondominant legs of a healthy population. DESIGN AND SETTING: The unilateral postural control of both legs of healthy subjects was tested using a force plafform. Before the postural control examination, each subject performed a series of functional tests to determine functional leg dominance. SUBJECTS: Ten healthy young adults with a mean age of 19.2 +/- 3.2 years volunteered for this study. MEASUREMENTS: Functional leg dominance was determined through the use of a battery of tests that included 3 separate evaluations of lower extremity dominance for functional activity. Two measures of postural control, sway area (SA) and sway path length (SPL), were collected for both the dominant and nondominant legs of all subjects. An analysis of variance (ANOVA) was used to determine whether a difference in postural control between the 2 legs was present. RESULTS: A subject x leg repeated-measures ANOVA was conducted on both dependent variables, SA and SPL. The SA ANOVA value was not significant. The mean value for the dominant-leg SA measurement was 9737.43 +/- 303.36 mm(2), whereas the mean SA for the nondominant leg was 9431.74 +/- 349.97 mm(2). The SPL ANOVA also showed no significant difference in the bilateral comparison. The mean SPL for the dominant leg was 4321.57 +/- 630.0 mm, and the mean SPL for the nondominant leg was 4341.88 +/- 1,013.31 mm. CONCLUSIONS: We found no difference in unilateral postural stability between the functionally dominant and nondominant lower limbs in a healthy population of young adults. This is of particular interest to the clinician who commonly uses singleleg postural control evaluations in the assessment of an athlete's level of progress in the rehabilitation setting.

Journal Article↗

Effect of orthotics on postural sway after fatigue of the plantar flexors and dorsiflexors.

OBJECTIVE: To examine the effects of orthotic intervention on unilateral postural sway after fatigue of the plantar flexor and dorsiflexor muscle groups. DESIGN AND SETTING: Subjects were assigned to both orthotic and nonorthotic testing conditions in a counterbalanced order, then assessed for postural sway before and after isokinetic fatiguing contractions of the plantar flexors and dorsiflexors. Postural stability was measured on the motor-dominant extremity. (Motor dominance was assessed as the foot the subject used to kick a ball.) SUBJECTS: Eleven active, healthy male subjects (mean age = 24 +/- 2.0 years, wt = 74.5 +/- 8.8 kg, ht = 180.3 +/- 8.4 cm) volunteered to participate in the study. MEASUREMENTS: Center-of-pressure postural sway was assessed via the force platforms of a Chattecx Dynamic Balance System and transformed via 4 transducers as values indicative of sway in the anterior-posterior and medial-lateral directions. The dependent measure was postural sway in centimeters. Fatigue was induced by consecutive concentric plantar flexiondorsiflexion contractions on a Kin-Com II isokinetic dynamometer. RESULTS: A repeated-measures analysis of variance revealed a significant orthotic-by-test interaction. Post hoc analysis with the Tukey honestly significant difference method revealed that postural sway values of the postfatigue nonorthotic condition were significantly greater when compared with the prefatigue orthotic, prefatigue nonorthotic, and postfatigue orthotic conditions. CONCLUSIONS: Our results suggest that molded orthotics may be an effective means of decreasing postural sway after an isokinetic fatigue protocol. Further research is needed to determine the exact mechanism of this improvement and whether orthotics are an effective means of preventing ankle injury.

Journal Article↗

Inhibition of vestibulospinal reflexes during the episodes of postural atonia induced by unilateral lesion of the locus coeruleus in the decerebrate cat.

1. The spontaneous EMG activity of the forelimb extensor triceps brachii of both sides as well as their responses to roll tilt of the animal at 0.15 Hz, +/- 10 degrees leading to sinusoidal stimulation of labyrinth receptors were tested in precollicular decerebrate cats, before and after unilateral electrolytic lesion of the locus coeruleus (LC). 2. Lesion of the LC of one side decreased the tonic contraction of the ipsilateral limb extensors, but greatly increased the amplitude of modulation and the response gain of the corresponding triceps brachii to animal tilt; however, no change in the phase angle of the responses was observed. A slight increase in the response gain affected also the contralateral triceps brachii. 3. The postural asymmetry described above was followed from time to time by short-lasting episodes of postural atonia, which affected not only the ipsilateral but also the contralateral limb extensors. These episodes were also associated with a suppression of the EMG responses of the triceps brachii of both sides to sinusoidal stimulation of labyrinth receptors. 4. The episodes of postural atonia which appeared after unilateral lesion of the LC were not associated with rapid eye movements; however, the slow horizontal eye movements, which may occur in normal decerebrate animals, increased in amplitude throughout these episodes. Both the postural atonia as well as the related suppression of the vestibulospinal reflexes, which lasted for 5-10 min, disappeared either spontaneously or following acoustic or somatosensory stimulations. 5. Histological controls indicated that unilateral lesions limited to the caudal part of the LC produced only a permanent decrease in postural activity of the ipsilateral limbs, associated with an increase in gain of the vestibulospinal reflex. However, in order to elicit episodes of bilateral postural atonia associated with the suppression of the vestibulospinal reflexes it was necessary to extend the lesion to more rostral aspects of the LC. 6. Since the effects described above were similar to those elicited in decerebrate cats by local injection of cholinergic agonists into the dorsal part of the pontine reticular formation, we postulated that the postural atonia as well as the related suppression of the vestibulospinal reflexes was due to transient release from LC inhibition of these dorsal pontine reticular structures, which might in turn excite the medullary reticulospinal neurons, thus leading to inhibition of the extensor motoneurons.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Subjective postural orientation and visual vertical during slow pitch tilt for the seated human subject.

METHODS: To assess subjective postural orientation and the visual vertical during slow pitch tilt, subjects were seated, restrained and in darkness in a simulator. They estimated when they were tilted 0 degrees, 45 degrees, and 90 degrees forwards and backwards during cycles of pitching tilted at 1 degree x s-1 and at the same time set a 5-cm luminous cube, cockpit-mounted at 60 cm from the nasium, to be Earth vertical. Experimental protocols assessed the following: 1) the effect on postural estimates of seeing the cube versus darkness; 2) comparison of visual vertical settings at actual 45 degrees and 90 degrees tilts; 3) the adaptive effect of repeating estimates and settings; 4) the effect of a prolonged tilt on subsequent postural and visual vertical estimates; and 5) the comparative effect of tilting the body in alignment. RESULTS: Seated, subjects' estimates of postural tilt were consistently greater than machine tilt, and similar in darkness to when seeing the cube. Overestimations increased with preceding tilts in the opposite direction, particularly when tilting from forwards whence subjects estimated they were backwards when the machine was tilted forwards. Postural estimates became more accurate with repetition but visual verticals deteriorated. Duration of conditioning tilt did not effect estimates. Visual vertical settings were largely accurate throughout. Labyrinthine defective subjects performed similarly to normals. Subjects frequently reported they felt disoriented during tilting. DISCUSSIONS: Seated subjects' postural estimates were 'accurate' if one assumes that the reference shifted from the head to a trunk-leg axis on backwards tilt, however, subjects were unaware of this. Postural and visual vertical estimates could have been based solely on proprioception. Shifts in reference for verticality could be a factor in misperception of attitude in air and ground vehicles when accelerating or climbing.

Adaptation, Physiological↗

Age-related changes in open-loop and closed-loop postural control mechanisms.

In an earlier posturographic investigation (Collins and De Luca 1993) it was proposed that open-loop and closed-loop control mechanisms are involved in the regulation of undisturbed, upright stance. In this study, stabilogram-diffusion analysis was used to examine how the natural aging process affects the operational characteristics of these control mechanisms. Stabilogram-diffusion analysis leads to the extraction of repeatable center-of-pressure (COP) parameters that can be directly related to the steady-state behavior and functional interaction of the neuromuscular mechanisms underlying the maintenance of erect posture. Twenty-five healthy young males (aged 19-30 years) and twenty-five elderly males (aged 71-80 years) who were free of major gait and postural disorders were included in the study. An instrumented force platform was used to measure the time-varying displacements of the COP under each subject's feet during quiet standing. The COP trajectories were analyzed as one-dimensional and two-dimensional random walks, according to stabilogram-diffusion analysis. Using this technique, it was demonstrated cross-sectionally that healthy aging is associated with significant changes in the 'quasi-static' dynamics of the postural control system. (It was also shown that more traditional posturographic analyses, i.e., summary statistics, were not sensitive enough to detect these age-related differences.) It was found that the steady-state behavior of the open-loop postural control mechanisms in the elderly is more positively correlated and therefore perhaps more unstable, i.e., the output of the overall system has a greater tendency to move or drift away from a relative equilibrium point over the short term. In contrast with this result, it was also found that the steady-state behavior of the closed-loop postural control mechanisms in the elderly is more negatively correlated and therefore perhaps more stable, i.e., over the longer term, there is an increased probability that movements away from a relative equilibrium point will be offset by corrective adjustments back towards the equilibrium position. In addition, it was demonstrated that the elderly utilize open-loop control schemes for longer time intervals and correspondingly larger COP displacements during periods of undisturbed stance. This result suggests that in the elderly there is a greater delay, on average, before closed-loop feedback mechanisms are called into play. Finally, it was shown that there is an increased heterogeneity of postural control abilities in healthy older adults.

Adult↗

The influence of dynamic visual cues for postural control in children aged 7-12 years.

Young children rely heavily on vision for postural control during the transition to walking. Although by 10 years of age, children have automatic postural responses similar to adults, it is not clear when the integration of sensory inputs becomes fully developed. The purpose of this study was to examine this transition in the sensory integration process in children aged 7-12 years. Healthy children and adults stood on a fixed or sway-referenced support surface while viewing full-field optic flow scenes that moved sinusoidally (0.1 and 0.25 Hz) in an anterior-posterior direction. Center of pressure was recorded, and measures of sway amplitude and phase were calculated at each stimulus frequency. Children and adults had significant postural responses during approximately two-thirds of the trials. In adults, there was a 90% decrease in sway on the fixed surface compared with the sway-referenced surface, but only a 50% decrease in children. The phase between the optic flow stimulus and postural response in children led that of adults by 52 degrees at 0.1 Hz and by 15 degrees at 0.25 Hz. Adults and children aged 7-12 years have similar ability to use dynamic visual cues for postural control. However, 7-12-year-old children do not utilize somatosensory cues to stabilize posture to the same extent as adults when visual and somatosensory cues are conflicting.

Adult↗

A cognitive intersensory interaction mechanism in human postural control.

Human control of upright body posture involves inputs from several senses (visual, vestibular, proprioceptive, somatosensory) and their central interactions. We recently studied visual effects on posture control and their intersensory interactions and found evidence for the existence of an indirect and presumably cognitive mode of interaction, in addition to a direct interaction (we found, e.g., that a 'virtual reality' visual stimulus has a weaker postural effect than a 'real world' scene, because of its illusory character). Here we focus on the presumed cognitive interaction mechanism. We report experiments in healthy subjects and vestibular loss patients. We investigated to what extent a postural response to lateral platform tilt is modulated by tilt of a visual scene in an orthogonal rotational plane (anterior-posterior, a-p, direction). The a-p visual stimulus did not evoke a lateral postural response on its own. But it enhanced the response to the lateral platform tilt (i.e., it increased the evoked body excursion). The effect was related to the velocity of the visual stimulus, showed a threshold at 0.31 degrees /s, and increased monotonically with increasing velocity. These characteristics were similar in normals and patients, but body excursions were larger in patients. In conclusion, the orthogonal stimulus arrangement in our experiments allowed us to selectively assess a cognitive intersensory interaction that upon co-planar stimulation tends to be merged with direct interaction. The observed threshold corresponds to the conscious perceptual detection threshold of the visual motion, which is clearly higher than the visual postural response threshold. This finding is in line with our notion of a cognitive phenomenon. We postulate that the cognitive mechanism in normals interferes with a central visual-vestibular interaction mechanism. This appears to be similar in vestibular loss patients, but patients use less effective somatosensory instead of vestibular anti-gravity mechanisms.

Adult↗

The effects of trunk stiffness on postural control during unstable seated balance.

This paper focused on the relationship between trunk stiffness and postural control during unstable seated balancing. We hypothesized that an increase in trunk stiffness would degrade postural control, and further hypothesized that signal dependent noise (SDN), resulting in increased muscle force variability, was responsible for this impairment. Ten subjects balanced on an unstable seat during four randomized conditions: normal balancing (control condition), trunk muscle co-activation (active stiffness), arm muscle co-activation (attention control), and belt (passive stiffness). Center of pressure (CoP) and EMG data were collected during three 20 s trials. Postural control was quantified by CoP velocity (total path divided by sample time in seconds). Trunk muscle co-activation resulted in significantly higher CoP velocity than the control (P < 0.001) and arm co-activation (P < 0.001) conditions. EMG data confirmed that the trunk co-activation condition had significantly higher muscle activity than the control (P = 0.001) and arm co-activation (P = 0.001) conditions. The belt condition, which increases passive trunk stiffness, showed no degraded postural control, but interestingly produced slightly lower levels of trunk muscle activity than the control condition (P < 0.001). Increased active trunk stiffness from muscle co-activation degraded postural control. Since the arm co-activation condition showed no impairment, attention demands cannot explain this result. Furthermore, since passive trunk stiffness from wearing a belt did not affect performance, it is believed that SDN from increased trunk muscle recruitment, and not an altered postural control strategy from increased joint stiffness, was responsible for the impairment.

Adult↗

Effect of altered sensory conditions on multivariate descriptors of human postural sway.

Multivariate descriptors of sway were used to test whether altered sensory conditions result not only in changes in amount of sway but also in postural coordination. Eigenvalues and directions of eigenvectors of the covariance of shnk and hip angles were used as a set of multivariate descriptors. These quantities were measured in 14 healthy adult subjects performing the Sensory Organization test, which disrupts visual and somatosensory information used for spatial orientation. Multivariate analysis of variance and discriminant analysis showed that resulting sway changes were at least bivariate in character, with visual and somatosensory conditions producing distinct changes in postural coordination. The most significant changes were found when somatosensory information was disrupted by sway-referencing of the support surface (P = 3.2 x 10(-10)). The resulting covariance measurements showed that subjects not only swayed more but also used increased hip motion analogous to the hip strategy. Disruption of vision, by either closing the eyes or sway-referencing the visual surround, also resulted in altered sway (P = 1.7 x 10(-10)), with proportionately more motion of the center of mass than with platform sway-referencing. As shown by discriminant analysis, an optimal univariate measure could explain at most 90% of the behavior due to altered sensory conditions. The remaining 10%, while smaller, are highly significant changes in posture control that depend on sensory conditions. The results imply that normal postural coordination of the trunk and legs requires both somatosensory and visual information and that each sensory modality makes a unique contribution to posture control. Descending postural commands are multivariate in nature, and the motion at each joint is affected uniquely by input from multiple sensors.

Adult↗

The effects of stochastic galvanic vestibular stimulation on human postural sway.

Galvanic vestibular stimulation serves to modulate the continuous firing level of the peripheral vestibular afferents. It has been shown that the application of sinusoidally varying, bipolar galvanic currents to the vestibular system can lead to sinusoidally varying postural sway. Our objective was to test the hypothesis that stochastic galvanic vestibular stimulation can lead to coherent stochastic postural sway. Bipolar binaural stochastic galvanic vestibular stimulation was applied to nine healthy young subjects. Three different stochastic vestibular stimulation signals, each with a different frequency content (0-1 Hz, 1-2 Hz, and 0-2 Hz), were used. The stimulation level (range 0.4-1.5 mA, peak to peak) was determined on an individual basis. Twenty 60-s trials were conducted on each subject - 15 stimulation trials (5 trials with each stimulation signal) and 5 control (no stimulation) trials. During the trials, subjects stood in a relaxed, upright position with their head facing forward. Postural sway was evaluated by using a force platform to measure the displacements of the center of pressure (COP) under each subject's feet. Cross-spectral measures were used to quantify the relationship between the applied stimulus and the resulting COP time series. We found significant coherency between the stochastic vestibular stimulation signal and the resulting mediolateral COP time series in the majority of trials in 8 of the 9 subjects tested. The coherency results for each stimulation signal were reproducible from trial to trial, and the highest degree of coherency was found for the 1- to 2-Hz stochastic vestibular stimulation signal. In general, for the nine subjects tested, we did not find consistent significant coherency between the stochastic vestibular stimulation signals and the anteroposterior COP time series. This work demonstrates that, in subjects who are facing forward, bipolar binaural stochastic galvanic stimulation of the vestibular system leads to coherent stochastic mediolateral postural sway, but it does not lead to coherent stochastic anteroposterior postural sway. Our finding that the coherency was highest for the 1- to 2-Hz stochastic vestibular stimulation signal may be due to the intrinsic dynamics of the quasi-static postural control system. In particular, it may result from the effects of the vestibular stimulus simply being superimposed upon the quiet-standing COP displacements. By utilizing stochastic stimulation signals, we ensured that the subjects could not predict a change in the vestibular stimulus. Thus, our findings indicate that subjects can act as "responders" to galvanic vestibular stimulation.

Adolescent↗

Synergy of the human spine in neutral postures.

The neutral position of the spine is the posture most commonly sustained throughout daily activities. Previous investigations of the spine focused mainly on maximal exertions in various symmetric and asymmetric postures. This report proposes a new synergetic approach for analysis of the spine in neutral postures and evaluates its performance. The model consists of passive components, the osteoligamentous spine, and active components, the spinal muscles. The muscle architecture includes 60 muscles inserting onto both the rib cage and lumbar vertebral bodies. The passive spine is simulated by a finite element model, while kinematic constraints and optimization are used for resolution of a redundant muscle recruitment problem. Although the passive spine alone exhibits little resistance to a vertical load, its load-bearing capacity in neutral posture is significantly enhanced by the muscles, i.e., the passive spine and its muscles must be considered as a synergetic system. The proposed method is used to investigate the response of the spine when the T1 vertebra displaces 40 mm anteriorly and 20 mm posteriorly from its initial position. The sacrum is fixed at all times and the T1 displacements are achieved by the action of muscles. The results suggest that relatively small muscle activations are sufficient to stabilize the spine in neutral posture under the body weight. The results also indicate that muscles attaching onto the rib cage are important for control of the overall spinal posture and maintenance of equilibrium. The muscles inserting onto the lumbar vertebrae are found mainly to enhance the stability of the spine. The proposed method also predicts forces and moments carried by the passive system. Flexion moments ranging from 8000 Nmm to 15,000 Nmm, corresponding to decreases in lordosis of 6 degrees and 7.5 degrees respectively, are found to be carried by the passive spine at the thoracolumbar junction when the T1 vertebra is 40 mm anterior to its initial position.

Finite Element Analysis↗

Anticipatory postural adjustments associated with arm movements during balancing on unstable support surface.

This study aims to investigate the pattern of anticipatory postural adjustments associated with arm movements during balancing on unstable support surface as a mechanism of coordination between movement and posture in this specific motor task. The experiments were arranged in two series: (1) the subjects stood on a force platform, and (2) on unstable platform (see-saw). They performed self-paced arm elevations as fast as possible for each support condition. EMG activity of deltoideus anterior (DA), soleus (SOL), tibialis anterior (TA), biceps femoris (BF) and erector spinae (ES) muscles were recorded. The mean EMG of SOL and TA muscles during balancing and during the last 100 ms prior to DA EMG onset were measured. For both series the anticipatory postural adjustment of BF preceded the ES activation. During balancing on see-saw the following differences from the stable condition were found: (1) co-contraction of SOL and TA muscles; (2) significantly earlier recruitment of BF; (3) delayed related activity of ES; (4) decrease of SOL and increase of TA mean EMG activities during balancing and just prior to the onset of DA EMG activity. These data showed that posture control during balancing on unstable support surface consists mainly in adapting the motor program according to the postural requirements rather than in changes of the postural strategy.

Adult↗