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PubMed1994

Differential sensitivity to static visual cues in the control of postural equilibrium in man.

Decreasing the visual sampling rate by reducing the stroboscopic frequency affected the postural performance of human subjects. At low strobe frequencies of up to 2 flashes/sec., at which only static visual cues were available, no decrease in subjects' mean postural sway was previously observed as compared to their equilibrium behavior without vision. In this experiment, to test the hypothesis that there may be a differential sensitivity to static visual cues in the control of postural equilibrium, we examined the possible effects of subjects' sex and previous sports training on this sensitivity. The static postural equilibrium abilities of 70 subjects of both sexes were tested in a sharpened Romberg position. Performance was measured with accelerometers within a vertical cylinder under normal illumination, 2-Hz stroboscopic light, and darkness. Comparisons between the average postural performances under 2-Hz strobe light and darkness showed no significant differences between conditions. Analysis of subjects' individual scores showed that 27% of the sample performed significantly better under the strobe light than in darkness, 57% produced similar performances under both conditions, and 16% performed better in darkness. Although significant differences existed between the postural performances of men and women and between trained and untrained subjects, no differences were observed in the differential sensitivity to static visual cues depending on subjects' sex or on previous physical training.

Adolescent↗

PubMed1985

Postural sway during standing and unexpected disturbance of balance in random samples of men of different ages.

Postural sway behavior while standing and during and after an unexpected disturbance of balance was examined in men aged 31 to 35, 51 to 55, and 71 to 75 years. The groups studied were random samples of men living in the town of Jyväskylä in 1981. Postural sway while standing was more pronounced in the older age groups, whereas after a disturbance of balance postural sway was nearly the same in all age groups. The functioning of the postural control system was correlated with the vibratory threshold on the ankles, grip strength, as well as with aerobic and anaerobic capacity within the age groups. Further, in the youngest age group the functioning of the postural control system was poorer among those who had been subject to noise at their work. The correlation between health status and postural sway was negligible. The results may indicate the partly parallel and similar effects of aging, poor physical fitness, and harmful environmental factors on the functioning of the postural control system.

Adult↗

PubMed1974

The postural response of normal dogs to sinusoidal displacement.

1. Normal dogs were trained to adopt a laterally symmetric stance on a horizontal platform. Sinusoidal oscillation of the platform in the cephalocaudal direction caused the dogs to adopt a strategy of response which would keep them from falling down during the period of imposed motion or perturbation.2. A Fourier analysis of the response variables provided a quantitative measure of the distortion in the induced movement at the various hind leg joints and in the motion of the body. Certain aspects of the distortion could be accounted for by recognized random events such as drift and panting. The remainder of the distortion was task related and therefore provided evidence that the dog's postural control system behaved essentially as a non-linear system.3. The motion of the body was less distorted than the motion at the joints. The frequency response of the body motion resembled that of a second order linear system, but the amplitude of the body motion did not vary in constant proportion with changes in the amplitude of the input. Further, the phase relation between body motion and platform motion was not constant when the amplitude of the input was changed. Therefore, it was concluded that the control of the body position was probably non-linearly related to the input disturbance but that the low pass filter characteristics tended to minimize the appearance of distortion in that system output.4. Control of the position of the hind limb is related to the control of the torque generated at the hind limb joints. To the extent that joint angle and change in joint angle are related to the torque at a joint, the distortion of the motion at the joints clearly demonstrates that control of the hind limb during this postural task was non-linearly related to the sinusoidal input.5. The uniformity of the response parameters, as assessed from the Fourier coefficients, indicated that all of the tested dogs adopted the same or nearly the same strategy for solving the problem of adjusting their postural control in response to the perturbation. Therefore, a reasonable hypothesis for future testing is that the central programme which generates this particular postural response will be structured similarly from one dog to the next.

Animals↗

PubMed2003

Balance testing and Doppler monitoring during hyperbaric exposure.

BACKGROUND: The effects on the postural system of saturation diving to shallow and medium depths have not previously been adequately tested. The purpose of this study was to investigate whether postural function is affected by a moderate hyperbaric exposure, and whether any deterioration is correlated with the presence of intravascular bubbles. HYPOTHESIS: Postural control and the vestibulo-ocular reflex are not affected during heliox saturation diving to 5 meters of seawater (msw). At greater depths, an effect may occur. METHODS: Postural control was tested with the subjects standing on a static balance platform before, during, and after onshore experimental saturation chamber dives to 5 msw heliox, 20 msw air, and to 100 msw heliox. Standard caloric testing with electronystagmography was performed before and after the heliox dives. Cardiac ultrasound and Doppler monitoring were used to detect possible venous gas emboli (VGE) during decompression in the heliox dives. RESULTS: During the heliox exposure to 5 msw, no significant change in body sway was found. However, a significant change in body sway was found during an air dive to 20 msw and during the 100 msw heliox exposure. Caloric responses were unchanged immediately post-dive. After decompression from 5 msw, VGE were detected in two divers. During the 100 msw exposure, one case of VGE was observed. CONCLUSIONS: Exposure to hyperbaric heliox conditions corresponding to 5 msw, did not influence postural control significantly, while exposure to 100 msw heliox, and air diving to 20 msw, did. Although VGE were detected in the heliox dives, we could not find any correlation between this observation and postural instability.

Adult↗

PubMed1982

A two compartment model of the stepping generator: analysis of the roles of a stage-setter and a rhythm generator.

Recent studies on locomotion of the mesencephalic cat demonstrated that activation of the spinal stepping generator and the postural control system are dependent phenomena (Mori et al., 1978, 1980). This has motivated the construction of a new model of the stepping generator to account for interactions with the postural control system. The present model consists of two main compartments, the rhythm generator and the stage-setter. The rhythm generator generates rhythmic bursting discharges of extensor and flexor alpha motoneurons. The function of the stage-setter is to set and reset the excitability of extensor alpha motoneuron to a number of desired levels. This study analyzes interactions in this model between rhythm generating and postural control system. By adding a concept of "stage-setting" to the rhythm generator model, we succeed in simulating a variety of locomotor patterns observed in the mesencephalic cat, including "stepping automatism" (Mori et al., 1979).

Animals↗

PubMed2002

High transmittance of X-rays in the utricular otolith of upside-down swimming catfish, Synodontis nigriventris.

The upside-down swimming catfish (Synodontis nigriventris) has unique behavior, i.e., it frequently shows a stable upside-down posture during swimming and resting. To examine whether the unique postural control in S. nigriventris results from the characteristics of the vestibular organ, we observed the morphological aspects of the otolith and the orientation of sensory hair cells in the utricle. Soft X-ray densitometry analysis showed that the transmittance of soft X-rays in the otolith of S. nigriventris was higher than that in a closely related species (Synodontis multipunctatus) belonging to Synodontis family, goldfish (Carassius auratus) or miniature catfish (Corydoras paleatus) which shows upside-up swimming. The higher transmittance of soft X-rays suggests that the density of the otolith in S. nigriventris is lower than that in S. multipunctatus, C. auratus or C. paleatus. It is possible that the low density of the otolith may have a relation to the control of the unique upside-down posture of S. nigriventris. The hair cells in S. nigriventris were present at the ventral to ventro-lateral site of the utricular epithelium, forming a single hair cell layer as in the other 3 species of fish. The orientation of the sensory hair cells does not appear to cause the unique postural control.

Absorptiometry, Photon↗

PubMed2006

Current physical activity improves balance control during sensory conflicting conditions in older adults.

Aging process is characterized by difficulties in ensuring balance control, especially in conditions of reduced or conflicting sensory information, leading to an increased risk of falling. Conversely, the practise of physical activities (PA) has been recognized as a good approach to improve the quality of balance control. This study aimed to investigate the influence of current and/or past PA on balance-related neurosensorial organization in older adults on the maintenance of the upright stance, especially during sensory conflicting situations. Postural control was evaluated by means of the Sensory Organization Test on 130 healthy noninstitutionalized volunteers aged over 65, split into four groups according to the presence or absence of PA before or after retirement. Subjects who practised PA for a long time (Gr1) and subjects who started PA after retirement (Gr2) displayed the best postural performances and better managed sensory conflicting situations compared to subjects who had stopped PA for many years (Gr3) and subjects who had never practised PA (Gr4). Multiple regression analyses revealed that current PA was the major determinant for postural parameters during sensorial conflict compared to age, gender, body mass index and past PA. Regular PA, even when started late in life, allows appropriate reorganization of the different components of postural control during sensory conflicting situations. Indeed, active subjects were more able to compensate for suppressed or perturbed sensory information by an increased usage of another referential and so to correct their posture by adopting a more appropriate balance strategy. Thus, PA counteracts the age-related decline of postural control and could consequently reduce the risk of falling.

Adaptation, Physiological↗

PubMed2005

Effect of bilateral subthalamic nucleus stimulation on balance and finger control in Parkinson's disease.

We aimed to quantify the effects of bilateral subthalamic nucleus (STN) stimulation in Parkinson's disease (PD) on stance and gait ("axial"motor control), and related this to effects on finger movements ("appendicular" motor control). Fourteen PD patients and 20 matched controls participated. Subjects completed several balance and gait tasks (standing with eyes open or closed, on a normal or foam surface; retropulsion test; walking with eyes closed; walking up and down stairs; Get Up and Go test). Postural control was quantified using trunk sway measurements (angle and angular velocity) in the roll and pitch directions. Subjects further performed a pinch grip reaction time task, where we measured isometric grip forces, as well as movement and reaction times. Patients were examined with STN stimulators switched on or off (order randomised across patients), always after a supramaximal levodopa dosage. STN stimulation improved postural control, as reflected by a reduced trunk sway tremor during stance, a reduced duration for all gait tasks, an increased trunk pitch velocity while rising from a chair, and improved roll stability. STN stimulation also improved finger control, as reflected by a reduced time to reach maximum grip force, without altering reaction times and maximum force levels. Improvements in finger control timing did not correlate with reduced task durations during gait. We conclude that STN stimulation affords improvement of postural control in PD, over and above optimal drug treatment. STN stimulation also provides a simultaneous effect on distal and axial motor control. Because improvements in distal and axial motor control were not correlated, we assume that these effects are mediated by stimulation of different structures within the STN.

Adult↗

PubMedDate not supplied

Vestibular compensation: a review of the oculomotor, neural, and clinical consequences of unilateral vestibular loss.

Vestibular sensory input is just one sensory input involved in the control of functions such as gaze and posture. The recovery of gaze and posture control after partial or complete unilateral loss of vestibular input is reviewed. The relatively rapid and apparently complete behavioral recovery after unilateral vestibular loss was once regarded as justifying vestibular compensation being used as a text-book example of plasticity in the CNS. This review emphasizes how false that impression is: Detailed examination shows that vestibular compensation is not a single process that recovers completely at a rapid rate but is made up of a number of subprocesses that recover to different levels and at different rates. In some subprocesses there is very modest recovery; in other subprocesses there is probably substitution of other sensory input for the affected vestibular input. It also seems that in some instances new behavioral strategies appear to be learned to allow gaze and posture control to operate as if normal. Recent evidence concerning the physiological and pharmacological mechanisms underlying vestibular compensation is reviewed.

Animals↗

PubMedDate not supplied

[Posturography as objective evaluation of the balance system in Parkinson's disease patients after neurosurgical treatment. A preliminary report].

BACKGROUND AND PURPOSE: In advanced stages of Parkinson's disease (PD) beside resting tremor, rigidity, and bradykinesia, most patients reveal severe balance instability. The goal of this study is to determine objectively postural control changes using static posturography after neurosurgical treatment (unilateral posteroventrolateral pallidotomy). MATERIAL AND METHODS: 15 patients with advanced idiopathic PD underwent unilateral posteroventrolateral pallidotomy. The study group was composed of 8 men and 7 women. The mean disease duration until operation was 12.5+/-3.5 years, and the mean age of the patients at the time of surgery was 65.8+/-4.1 years. Postural control changes were assessed objectively by static computerized posturography and subjectively according to items of posture, gait and postural stability derived from Part III (motor examination) UPDRS. All evaluations of the balance system were performed preoperatively in the off and on condition, and also two weeks postoperatively in the same conditions. RESULTS: It was found that the majority of posturographic parameters in the off condition were improved after neurosurgical treatment. The improvement in the on condition was less pronounced. For example, the mean path length in the off condition during eyes opened was 318+/-159 mm before pallidotomy, and after surgery it was 240.9+/-119.2 mm in off. The difference was statistically significant (p < 0.005, t=3.11). CONCLUSIONS: Pallidotomy improves postural control changes in the early postoperative period, which can be proved by static computerized posturography.

Aged↗

PubMed2006

Imagery of different sensory modalities: hypnotizability and body sway.

Postural control in subjects with high (Highs) and low (Lows) susceptibility to hypnosis is differentially affected by changes in visual and neck tactile/proprioceptive input. The aim of the present experiment was to investigate whether imagery of the visual and tactile sensory modalities also induces different modulation of postural control in Highs and Lows. Fourteen Highs and 16 Lows were included in the study; they were recorded while standing upright with eyes closed during visual and tactile imagery tasks and during mental computation. Their posture and movement were recorded with an Elite System and their experience was assessed after each task in a structured interview. Visual imagery was judged "easier" than tactile imagery by Lows, while Highs performed both tasks easily and judged the tactile imagery less effortful and more vivid than Lows. No difference was observed for the mental computation. The Highs' body sway was not affected by the cognitive tasks, while Lows showed a task-related modulation of body sway. The results are in line with the hypothesis of lower vulnerability of Highs to the effects of tasks interfering with postural control and of different sensory-motor integration in Highs and Lows.

Adult↗

PubMed1994

Space flight and neurovestibular adaptation.

Space flight represents a form of sensory stimulus rearrangement requiring modification of established terrestrial response patterns through central reinterpretation. Evidence of sensory reinterpretation is manifested as postflight modifications of eye/head coordination, locomotor patterns, postural control strategies, and illusory perceptions of self or surround motion in conjunction with head movements. Under normal preflight conditions, the head is stabilized during locomotion, but immediately postflight reduced head stability, coupled with inappropriate eye/head coordination, results in modifications of gait. Postflight postural control exhibits increased dependence on vision which compensates for inappropriate interpretation of otolith and proprioceptive inputs. Eye movements compensatory for perceived self motion, rather than actual head movements have been observed postflight. Overall, the in-flight adaptive modification of head stabilization strategies, changes in head/eye coordination, illusionary motion, and postural control are maladaptive for a return to the terrestrial environment.

Adaptation, Physiological↗

PubMed2001

Influence of action and expectation on visual control of posture.

Previous studies have shown that human subjects presented with a moving visual environment initiate a postural re-adjustment in the direction of motion. The present study investigated how active control or expectation of the displacement of a visual scene affects this postural response. Center of foot pressure (COP) and head displacement were recorded using a sway platform and a tracking system, respectively. The subjects faced a visual scene (1 x 1 m, at a distance of 45 cm) which moved transiently (with a velocity of 1 cm/s) in a direction parallel to the interaural axis. When the displacement of the visual scene was under the active control of the subjects, visually induced body sway was strongly inhibited, in comparison with the response to unexpected stimuli. Prior knowledge of the characteristics of the forthcoming displacement was sufficient, in most subjects, to reduce postural re-adjustment, even when subjects did not exert active control. Finally, the visually induced postural response was strongly reduced even when subjects only triggered the stimulus, without any knowledge about the direction of motion. In conclusion, it appears that although vision is of primary importance in the control of postural orientation, high level processes such as expectation can modulate its impact by providing cues as to whether forthcoming visual flow is the consequence of self-motion or object-motion.

Adult↗

PubMed1999

Visual contribution to self-induced body sway frequencies and visual perception of male professional dancers.

We studied the degree of dependence on vision, for postural control and for perception, among male adult dancers and untrained subjects. First, body sways were analyzed on a free seesaw platform. Fast Fourier transform processing allowed spectral frequency analysis of the platform sways recorded by an accelerometer. Secondly, a visual dependence test, the rod and frame test (RFT) was used. Professional dancers were significantly more stable and less dependent on vision for postural control and for perception than untrained subjects. Presumably, professional dance training strengthens the accuracy of proprioceptive inputs and shifts sensorimotor dominance from vision to proprioception. For the dancers, there was interaction between the RFT visual dependence and the visual control of posture: the less visual-dependent they were for the RFT, the more stable they were in dynamic balance conditions.

Adolescent↗

PubMed1998

Evaluation of clinical measures of equilibrium.

OBJECTIVE: Evaluate the clinical utility of several simple measures of static and dynamic equilibrium in human subjects. In particular, one proposed clinical measure, the Clinical Test of Sensory Integration and Balance (CTSIB) was compared with dynamic posturography for the measurement of postural control capabilities. STUDY DESIGN: Cross-sectional study of normal subjects and prospective observational study of the same performance measures in vestibular disorder patients. SETTING: Academic tertiary care referral center. PARTICIPANTS: Data were collected for all test measures from a group of normal subjects (ages, 20 to 79 years), as well as for a group of patients undergoing treatment for vestibular dysfunction. RESULTS: Data suggest that several semiquantitative clinical tests of static and dynamic equilibrium can be helpful in evaluating and monitoring patients with chronic vestibular dysfunction. The CTSIB results seem to correlate well with dynamic posturography, suggesting that this measure may be useful in identifying patients with abnormal postural control. Formal dynamic posturography testing appears to be more sensitive in detecting abnormal postural control and more exact in defining the specific pattern of dysfunction. CONCLUSION: Simple clinical measures of static and dynamic equilibrium can reliably distinguish vestibular disorder patients from normal subjects. Dynamic posturography continues to play an important role in the functional evaluation and management of vestibular disorder patients.

Adult↗

PubMed2005

Long-term effects of microgravity on the swimming behaviour of young rats.

The postnatal development of sensory systems has been shown in studies over the last four decades to be influenced by experience during critical periods of development. We report here that similar experience-dependent development can be observed in the swimming behaviour of young rats reared from postnatal day 14 (P14) to P30 in the reduced gravitational field of low earth orbit. Animals flown in space when placed in the water on the day of landing maintained their head and forelimbs in a balanced posture. However, until the animals began to swim, their hindquarters showed little lateral postural control resulting in rotation about the longitudinal axis (60 degrees+/-4 deg). Such results suggest an 'unlinking' of postural control of the forequarters from the hindquarters in the early hours after landing. Similar instability seen in animals age-matched to the day of launch (97+/-7 deg) and in ground control animals (9+/-3 deg) was corrected within one or two rotations, even in the absence of swimming. Animals flown in space began to swim sooner after being placed in the water, and the duration of swimming strokes was shorter than in control animals. Motion analysis revealed a difference in the swimming style on landing day. In flight animals, the knee joint was more flexed throughout the stroke, there was a narrower range of movement, and the linear velocity of the tip of the foot was faster throughout most of the stroke than in age-matched control animals. Thus, posture in the water as well as swimming speed and style were altered in the animals flown in space. Some of these characteristics persisted for as long as the animals were followed (30 days). These included the short pre-swimming interval and short stroke duration in flight animals. These findings clearly show that an altered gravitational field influences the postnatal development of motor function. The nature of the differences between animals reared in space for 16 days and those remaining on the ground reflects an adaptation of the flight animals to the microgravity environment. The data suggest that the most fundamental of these adaptations is a resetting of the basic motor rhythm to a higher frequency.

Adaptation, Physiological↗

PubMed2006

Modification of human postural responses to soleus muscle vibration by rotation of visual scene.

Sensory interaction in posture control in 20 healthy subjects was investigated by postural responses to differently timed proprioceptive and visual stimulation. As proprioceptive stimulation was used both soleus muscles vibration. Visual stimulation was rotating disc moving in forward and backward direction. Centre of foot pressure (CoP) and trunk tilts in antero-posterior (AP) direction were measured during stance by two accelerometers on the upper and the lower trunk level. Subjects performed four series of eight trials lasted 20s: vibration with eyes open and closed, visual scene motion forward or backward, vibration together with scene motion forward or backward, scene motion forward or backward 3s before vibration. The results showed that early velocities and final angles of body tilt induced by soleus muscle vibration were modified by motion of visual scene. Early part of postural responses was changed slightly if sensory stimulation starts together. When visual stimulation started 3s before muscle vibration, the induced early CoP and trunk tilt records of postural response to vibration occurred with the faster slope similar for both directions of scene motion and for condition of vibration alone with eyes closed. Significantly different final CoP shifts and trunk angles were measured between condition with visual scene motion forward and backward. The effect of visual input on posture control was two times enhanced in paired sensory stimulation. The results indicated an important influence of unstable visual field on posture response to somatosensory stimulation where the early part of postural reaction indicated absence of visual influence.

Adult↗

PubMed2000

Postural stability using different neck positions in normal subjects and patients with neck trauma.

Subjects with neck problems, such as whiplash injuries, often complain of disturbed equilibrium and, in some instances, provocation of the neck position can elicit such problems. The importance of neck proprioceptors for maintaining balance is gaining increased interest, moreover the function or malfunction of the otoliths may disturb equilibrium in certain head positions. The aim of the study was to create a reference material for postural control and its dependence on head position in healthy subjects and to compare this with a set of patients with known neck problems and associated vertiginous problems. A total of 32 healthy subjects (16 men, 16 women, age range 21-58 years) as well as 10 patients age range 27-62 years (mean 44 years) with neck problems and associated balance problems since a whiplash injury were tested for postural control using the EquiTest dynamic posturographic model. The normal subjects were initially split into four age groups in order to estimate the effects of age on performance. The postural stability was evaluated for dependence of support surface conditions (stable or sway-referenced), visual input (eyes open or closed) and head position (neutral, left rotated, right rotated, extended backwards or flexed forward) using analysis of variance (ANOVA) with Tukey's post hoc test in case of a significant factor effect. As expected, visual cues as well as stable support surface improve postural stability (p < 0.001). Postural stability is statistically different in the head extended backwards condition compared with the other four head positions (p < 0.001 in all cases) in both patients and controls. Eliminating this test condition from the analysis, only a slight (p < 0.05) difference between head forwards and head turned left remained. This pattern of results remained if the normal subjects were only split into two age groups instead of four. Finally, the patient group exhibited significantly lower postural performance than all the groups of normal subjects (p <0.01), but none of the normal groups differed significantly from each other. It is concluded that the postural control system is significantly challenged in the head extended backwards condition in both normal subjects and patients with previous whiplash injury and persistent neck problems. The patient group differed statistically from all groups of normal subjects. This suggests that neck problems impair postural control, and that the head extended position is a more challenging task for the postural system to adapt to. Whether this is due to utricular malpositioning, central integrative functions or cervical proprioceptive afferents is not within the scope of this study to answer.

Adult↗