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At least 667 records · Page 37Linked to original sources

PubMed2004

The role of the human cerebellum in short- and long-term habituation of postural responses.

The aim of the present study was to investigate the role of the human cerebellum in short-term (STH) and long-term habituation (LTH) of postural responses to repeated platform perturbations. Ten cerebellar patients and ten age- and sex-matched healthy controls participated. Twenty backward platform translations were applied on each of 5 consecutive days. Changes of postural response size within each day were assessed to determine STH and changes across days to determine LTH. Both controls and cerebellar patients showed a significant reduction of postural response size within each day (i.e. STH). No significant reduction of postural response size was observed across days (i.e. no LTH). Both controls and cerebellar patients, however, showed a tendency of response size to increase across days suggesting long-term sensitization. The amount of changes within and across days did not significantly differ between groups. The present findings suggest that changes of postural response size to repeated perturbations do not depend upon the integrity of the cerebellum.

Adult↗

PubMed2004

Obstacle negotiation kinematics: age-dependent effects of postural threat.

This study investigated whether obstacle negotiation kinematics among younger (YA) and older adults (OA) are influenced by postural threat. Obstacle negotiation kinematics among YA and OA were examined under four conditions of postural threat. Seventeen older and 15 YA negotiated a fixed virtual obstacle while walking at a self-determined velocity along a 7.2 m walkway. Postural threat was manipulated by varying the width (0.60 vs. 0.15 m) and height (0.00 vs. 0.60 m) of the walkway. Increasing postural threat resulted in elevated levels of physiological arousal and altered crossing kinematics for all subjects. Specifically, crossing step length, lead limb velocity, trail limb velocity, and whole body center of mass (COM) velocity decreased and lead limb crossing height increased in the condition of greatest postural threat compared with the condition of least postural threat. Although both YA and OA altered obstacle negotiation kinematics under conditions of postural threat, the changes observed among older adults were considerably different from those of YA. In particular, OA demonstrated more marked reductions in the crossing velocity of the lead limb, trail limb, and COM than YA between the condition of least postural threat and the condition of greatest postural threat. The results of this study reveal that postural threat influences negotiation kinematics among YA and OA and illustrate that age-dependent differences exist for obstacle negotiation kinematics when postural threat increases. These findings may imply a beneficial effect of fear of falling on reducing fall probability among healthy OA.

Accidental Falls↗

PubMed1999

Effects of the type of holds and movement amplitude on postural control associated with a climbing task.

The aim of the present work was to characterize the modifications of the postural adjustments during a climbing task as a function of postural and/or movement constraints. The variations of the horizontal and vertical forces and momentum were analyzed for different movement amplitudes and types of holds. The results show that the horizontal momentum is influenced by all experimental conditions before the onset of movement. By contrast, the vertical momentum is only influenced by the amplitude of the movement, after its onset. These results confirm the hypothesis of a dual function of the anticipatory postural adjustments. The horizontal momentum is mainly involved in the control of equilibrium. The vertical momentum contributes to the movement initiation.

Adolescent↗

PubMed1999

The second order autoregressive model in the evaluation of postural stability.

The properties of a new postural stability criterion based on the analysis of the difference between centre of pressure and centre of gravity are discussed. This difference may be regarded as the control variable representing active work of ankle muscles allowing to maintain equilibrium and can be effectively modelled as the second order autoregressive process. The model includes two parameters, which allow us to compute stability margin and respective peak frequency considered here as stability biomarkers characterising the human posture control system. The approach, originally designed for quiet stance, lets us effectively assess the stability changes during performance of postural tasks at different levels of difficulty. The latter feature may indicate that the method can find clinical application in the assessment of postural disorders as a supplementary tool reinforcing traditional measures of postural sway. This is particularly convincing in view of the fact that the correlations between old and new measures are low, what implies that the stability biomarkers contain different information concerning the stability of posture as compared with other indices.

Adult↗

PubMed1999

The control of lateral stability during rapid stepping reactions evoked by antero-posterior perturbation: does anticipatory control play a role?

Volitional step initiation invariably includes a medio-lateral anticipatory postural adjustment (ML APA), which causes the center of mass (COM) to be propelled toward the stance-limb side prior to the lifting of the swing foot. The present study examined whether this type of anticipatory control plays a functional role in maintaining lateral stability during the rapid compensatory stepping reactions that are evoked when whole-body stability is challenged by unpredictable perturbation. Forward and backward stepping reactions were evaluated in five healthy young adults (ages 22-28) under three task conditions: (1) unconstrained compensatory stepping evoked by platform translation (no specific instructions), (2) constrained compensatory stepping cued by platform translation (prior instruction to step rapidly), and (3) rapid voluntary stepping to a light cue. ML APAs occurred during 70% of perturbation reactions but were too small and brief to have a substantive influence on the lateral movement of the COM occurring during leg lift or swing phase. In contrast, during the light-cued stepping, the ML APA propelled the COM toward the stance-limb side prior to the lifting of the swing limb, and effectively reduced the tendency of the COM to fall toward the swing-limb side during the execution of the step. It is proposed that the presence of an ML APA during compensatory stepping may represent an attempt to preplan a stereotypical stepping response, but that the ability to fully express the anticipatory phase is disrupted by the need to react rapidly to the unpredictable antero-posterior instability imposed by the perturbation. The results suggest that anticipatory control is not the primary mechanism by which the central nervous system deals with the lateral instability arising during rapid compensatory stepping reactions evoked by large, unpredictable antero-posterior perturbation.

Adult↗

PubMed1999

Quadriceps muscle strength and dynamic stability in elderly persons.

Several measures of dynamic stability during two functional activities correlated to quadriceps femoris muscle strength. A total of 34 disabled elders (aged 60-88) living in the Boston area consented to maximum isometric quadriceps muscle strength testing, chair rise and gait analysis. During chair rise, quadriceps strength significantly correlated with maximum upper body vertical linear momentum, r=0.53, P<0.005, anterior posterior linear momentum, r=0. 38, P<0.05, and the time to complete the chair rise, r=-0.48, P<0.05, n=29. Stride length and gait velocity correlated (r=0.56, P<0.001 and r=0.51, P<0.002, n=34) with quadriceps muscle strength. The maximum range of whole body anteroposterior (A/P) linear momentum during gait also correlated with quadriceps strength (r=0.47, P=0. 004, n=31). Dynamic stability during chair rise and gait, at preferred speed, correlates directly with quadriceps femoris muscle strength in functionally limited elderly individuals. In our sample, elders performed one of three movement strategies to arise from a chair, and quadriceps strength did not statistically differ between the chair rise strategy groups. However, persons with the greatest quadriceps strength values were more stable regardless of which chair rise strategy they performed. Our data indicate that clinicians should not suggest that patients use compensatory momentum inducing locomotor strategies unless the patient has sufficient strength to control these induced forces.

Age Factors↗

PubMed1999

Influence of artificial saddle riding on postural stability in children with cerebral palsy.

Stability of quiet upright stance was investigated in 25 children with cerebral palsy at the beginning and the end of a 3-month period of therapy involving 20 min microprocessor-controlled saddle riding, performed twice a week. The traditional parameters of postural sway based on the centre-of-pressure analysis (range, standard deviation, mean speed and mean radius) dropped significantly over time confirming advantageous influence of this treatment. As a complementary tool, an autoregressive modelling technique was used allowing us to establish after each single ride considerable decreases in the frequency of the feet adjustments, which represent the control variable of the postural system in sagittal plane. These changes reflect diminished ankle joints stiffness resulting from a single session, and are supposedly a basic reason for substantial progress of the patients. The autoregressive approach proved to be a powerful method, which corroborates and reinforces stabilographic investigations. The findings confirm that the therapy led to a noteworthy improvement in the postural performance of the CP children in sagittal as well in frontal planes. Moreover, they let us to infer about biomechanical properties of joints involved in maintaining posture, thus giving more insight into the operation of the neuro-muscular system and allowing us to better understand the reason of progress in motor control of posture.

Animals↗

PubMed2000

Specificity of postural sway to the demands of a precision task.

We examined a precision aiming task in which a handheld laser pointer was controlled by the postural system. The task was performed in two orientations of the body's coronal plane to the target. In the parallel orientation medio-lateral (ML) sway had to be minimized, in the perpendicular orientation antero-posterior (AP) sway had to be minimized. In the parallel orientation ML sway decreased and AP sway increased with target distance and size. The pattern reversed in the perpendicular orientation. Nonlinear measures found independence of the two directions of sway and differences in their deterministic structure. Apparently a postural organization for upright standing and aiming (as in archery) entails two independent postural subsystems with different but reciprocally related dynamics. Furthermore, it seems as if some amount of postural variability is needed to ensure stability in quiet standing; if postural activity is reduced in one direction it is compensated for in the other direction.

Adult↗

PubMed2000

Anticipatory postural adjustments depend on final equilibrium and task complexity in vertical high jump movements.

Anticipatory postural adjustments (APA) associated with high vertical jumping were studied in five normal men. The dependence of APA on final equilibrium and task complexity was studied by analyzing the characteristics of single versus repetitive jumps. Subjects performed series of 25 single jumps and 25 repetitive jumps on a force platform, in response to a Go signal. Surface EMG from the Soleus (SO), Tibialis anterior (TA), Vastus lateralis (VL) and Biceps femoris (BF) muscles were recorded simultaneously with the three components of the ground reaction forces. The existence of APA associated with both single and repetitive jumps was evidenced by a backward shift of the center of pressure, an SO deactivation, and a TA activation which preceded the onset of movement by hundreds of milliseconds. In repetitive jumps, SO deactivation occurred later than in single jump, whereas the center of pressure shift started earlier, lasted longer and had a greater amplitude. Moreover, repetitive jumps were initiated later with respect to the Go signal. These data show that the central nervous system anticipates not only the equilibrium disturbance caused by an initial movement but that caused by a whole sequence of movements. They also show that the corresponding APA are based heavily on a single functional ankle synergy.

Adaptation, Physiological↗

PubMed2004

Relationship between two proprioceptive measures and stiffness at the ankle.

Previous research has investigated the role of proprioception and stiffness in the control of joint stability. However, to date, no research has been done on the relationship between proprioception and stiffness. Therefore, the purpose of this study was to determine the relationship between force sense, joint reposition sense, and stiffness at the ankle. A heterogeneous sample was obtained for this study; 20 of the 40 participants had a history of ankle sprains, and 13 of the 20 had been diagnosed by a physician (two mild ankle sprains, seven moderate sprains, four severe sprains). All subjects were asymptomatic and active at the time of the study. Active joint reposition sense was measured using a custom-built ankle goniometer, force sense was measured unilaterally and contralaterally with a load cell, and ankle muscle stiffness was measured via transient oscillation using a custom-built inversion-eversion cradle. We found no significant correlations between stiffness and joint reposition sense, with values of r ranging from 0.01 to 0.21. Significant correlations were found between stiffness and force sense. Specifically, contralateral force sense reproduction was significantly correlated to stiffness in the injured or "involved" ankle (r's ranging from 0.47 to 0.65; P< or =0.008). Whether the decreased ability to appropriately sense force (increased error) sends information to the central nervous system to increase muscle stiffness in response to an unexpected loss of stability, or whether these two phenomena function independently and both change concurrently as a result of injury to the system requires further investigation.

Adult↗

PubMed2002

The sensitivity of posturographic parameters to acquisition settings.

The objective of this study was to evaluate the sensitivity of posturographic parameters (PP) to changes in acquisition settings. A group of eight young adults underwent a set of typical orthostatic posture trials, and selected PP were then calculated from a set of centre of pressure (CoP) displacement time series obtained by applying different cut-off frequencies to the same set of raw data. Four PP out of 11 showed significant changes with respect to cut-off frequency. Statistical mechanics parameters exhibited smaller sensitivity than summary measures. On the basis of the results obtained, a proposal for a standard cut-off frequency and a sampling rate value is embodied in the paper together with some suggestions on measurement settings, with a view to standardized use of instrumentation for quantitative analysis in orthostatic posturography.

Acceleration↗

PubMed2003

Quantitative assessment of co-contraction in cervical musculature.

The co-contraction of cervical musculature is quantitatively assessed. For the modeling procedure, electromyographic (EMG) signal and anatomical data of the neck musculature were used. EMG signals were collected from eight sites of the neck bilaterally using Ag-AgCl surface electrodes from ten adult male subjects. The subjects performed voluntary isometric contractions gradually developing to maximum efforts in flexion, extension, left lateral bending and right lateral bending. The EMG-assisted optimization modeling procedure was used to estimate muscle forces. To quantify co-contraction, muscle forces were decomposed into task subset and co-contraction subset of muscle forces. To show the degree of co-contraction, 'co-contraction ratio' was defined as the proportion of co-contraction muscle forces to total muscle forces. The ranges of co-contraction ratio are 0.08-0.16 during extension, 0.30-0.41 during flexion, 0.27-0.32 during left lateral bending, and 0.30-0.36 during right lateral bending. In all cases, co-contraction ratios increase as external moments increase. The ratios of compressive spinal loads from the co-contraction subset of muscle forces to those from total muscle forces are similar to co-contraction ratios during the whole ramp period. This study provides data demonstrating quantitative measures of the contribution of muscle co-contraction to cervical spinal loads.

Adult↗

PubMed2003

Arm EMG during abduction and adduction: hysteresis cycle.

The electromyographic study of the muscles involved in the complex movements of the shoulder, is usually one way to quantifying the static and dynamic joint's behavior. In particular, the deltoid medium EMG produced a phenomenon similar to a hysteresis cycle when its amplitude was plotted as a function of the lateral angular position during a static, step by step, sequential abduction-adduction of the arm. Such a cycle was consistently repeated in 16 subjects (12 males and 4 females). The paired Student t-test, after comparing the mean EMG values of the rectified wave for the same arm opening angle between abduction and adduction, produced a highly significant difference (alpha<0.001) in all subjects. In all likelihood, it manifests the participation of muscles other than the deltoid medium in the overall movement (as for example, the anterior and posterior deltoids), that is, they are collaborating muscles that are different in the opening or lifting of the arm from those involved in its closure or lowering. Thus, it is concluded that a quantifiable and significant deltoid medium EMG difference has been demonstrated when the muscle is either ready to abduction or ready to adduction. The effect is fully reproducible between 0 and 90 degrees of an arm in static position within the scapular plane.

Activity Cycles↗

PubMed2000

Aspects of body self-calibration.

The representation of body orientation and configuration is dependent on multiple sources of afferent and efferent information about ongoing and intended patterns of movement and posture. Under normal terrestrial conditions, we feel virtually weightless and we do not perceive the actual forces associated with movement and support of our body. It is during exposure to unusual forces and patterns of sensory feedback during locomotion that computations and mechanisms underlying the ongoing calibration of our body dimensions and movements are revealed. This review discusses the normal mechanisms of our position sense and calibration of our kinaesthetic, visual and auditory sensory systems, and then explores the adaptations that take place to transient Coriolis forces generated during passive body rotation. The latter are very rapid adaptations that allow body movements to become accurate again, even in the absence of visual feedback. Muscle spindle activity interpreted in relation to motor commands and internally modeled reafference is an important component in permitting this adaptation. During voluntary rotary movements of the body, the central nervous system automatically compensates for the Coriolis forces generated by limb movements. This allows accurate control to be maintained without our perceiving the forces generated.

Adaptation, Physiological↗

PubMed2000

The roles of proximal and distal muscles in anticipatory postural adjustments under asymmetrical perturbations and during standing on rollerskates.

OBJECTIVES: The study addresses two controversial issues surrounding the nature of anticipatory postural adjustments (APAs). The first deals with the reproducible APA patterns in proximal postural muscles and variable APA patterns reported for the muscles controlling the ankle joint (TA-SOL). We hypothesized that the TA-SOL muscles participate mainly in the compensation of lateral and rotational perturbations, in particular those associated with asymmetrical movements. The second issue deals with decreased APAs reported during both very stable and unstable standing. We hypothesized that APA changes during unstable standing might depend on the actual mechanical nature of instability. METHODS: Eight healthy subjects were recruited who had had no prior experience with rollerskates. They performed series of bilateral and unilateral, flexion and extension movements during regular standing and bilateral movements during standing on rollerskates. EMG changes and shifts of the center of pressure were analyzed within a time window typical of APAs. RESULTS: We found that APAs in proximal muscles were decreased during unilateral shoulder movements as compared to APAs during bilateral movements but did not show right-left differences. In contrast, the distal muscles (TA-SOL) showed little involvement during bilateral movements, while a clear right-left asymmetry was seen during unilateral movements. Bilateral movements performed while standing on rollerskates were accompanied by unchanged APAs in the proximal muscle pairs and increased APAs in the TA-SOL pair. CONCLUSIONS: We conclude that the proximal muscles provide a general pattern counteracting expected perturbations in the anterior-posterior direction while the distal muscles deal with asymmetrical perturbations and the modulation of APAs in unusual conditions such as standing on rollerskates. There seems to be no unambiguous relation between the magnitude of APAs and the stability of standing: Depending on the exact mechanical nature of postural instability, it could be associated with qualitatively different changes in the APAs.

Adult↗

PubMed2005

[Evaluation of patients with dizziness and normal electronystagmography using stabilometry].

UNLABELLED: The causes of dizziness are difficult to be diagnosed. At present we have a variety of tests and exams but none of them can adequately evaluate the vestibular function. The most commonly used tests are electronystagmography and posturography. AIM: The objective of this study was to analyze the results of stabilometry in patients with complaints of dizziness who had normal results in electronystagmography and to compare them with a control group. STUDY DESIGN: The study was prospective, sectional transverse. MATERIAL AND METHOD: It was conducted at the ENT department of the University Hospital in Rio de Janeiro's Federal University. Twenty-two patients (fifteen women and seven men) were evaluated with ages, on average, of 47.6+/-9. The control group was made up of twenty-five healthy individuals (eighteen women and seven men) with ages, on average 46.8+/-7. RESULTS: In all analyzed parameters, there were statistically significant differences between the groups. Comparing the results with eyes closed and opened, the antero-posterior medium velocity, in control group, was the only statistically significant result. CONCLUSION: We concluded that the group of patients had results statistically significant in relation to the control group in all the analyzed parameters, showing that the group of patients with complaints of dizziness had more instability in standing position than the group of healthy individuals.

Dizziness↗

PubMed2003

Associations of hormone replacement therapy with bone structure and physical performance among postmenopausal women.

The purpose of this cohort study was to focus on factors associated with bone mass and structure of lower limbs and physical performance after menopause. Eighty nonsmoking women with a mean age of 62.1 (SD 0.8) years participated in the study. They were classified into two groups by their use of hormone replacement therapy (HRT), either the current users (n = 43) or the never or discontinued users (n = 37). The tibial shaft and distal tibia were scanned with peripheral computed tomography. For the shaft region, the bone mineral content (BMC, g), cortical density (CoD, g/cm(3)), cortical area (CoA, mm(2)), and section modulus (BSI, mm(3)) were determined. For the distal part, the evaluated variables were BMC, total area (ToA), ratio of cortical to total area (CoA/ToA), trabecular density (TrD, g/mm(3)), cortical thickness, BSI, and buckling ratio. Isometric and dynamic muscle strength of the leg extensors, agility and postural sway, and cardiorespiratory capacity (VO(2max)) were measured. Unadjusted values for all bone variables were slightly higher among the HRT users compared to nonusers, with the exception of TrD with no difference. After controlling for body weight, the mean differences (95% confidence interval) remained significant for CoD of the tibial shaft and BSI of the distal tibia, the mean between-group differences being 1.5% (0.4 to 2.5%) and 23.0% (7.1 to 41.3%), respectively. Underlying the greater bending strength, HRT users had thicker cortices and a greater ratio of CoA/ToA. No differences existed between the two study groups for lower limb isometric or dynamic power, cardiorespiratory capacity, or postural balance or sway. HRT may offer protection against bone loss and maintain bone strength, although its ability to improve physical performance is not evident.

Bone Density↗

PubMed2005

Development of postural adjustments in sitting position during the first half year of life.

Little is known about the development of postural adjustments during early ontogeny. We examined postural adjustments due to sudden perturbations during sitting in 40 healthy term infants (28 males, 12 females) assessed in groups of eight at 1, 2, 3, 4, and 5 months of age. Surface electromyograms of neck, trunk, and leg muscles were recorded while the infants were exposed to a random series of horizontal forward and backward displacements of the surface of support. Video recordings of spontaneous motor behaviour were analyzed. For part of the analyses, previously collected data on 26 infants aged 6 to 10 months were included. In general, postural adjustments at all ages were direction specific and showed large variation. Within the variation developmental changes could be observed, revealing a transient decrease in postural activity at 3 months of age. After this transition, direction-specific postural activity was correlated with spontaneous motor behaviour. This was true, in particular, for dorsal postural activity. The clinical relevance of these findings is discussed.

Age Factors↗