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PubMed1997

The significance of somatosensory stimulations to the human foot in the control of postural reflexes.

The purpose of this study was to investigate the possible pathways in the somatosensory system that relate to the postural reflexes in the leg muscles during a sudden, toes-up platform rotation. The inputs to the cutaneous mechanoreceptors in the sole of the foot as well as to the joint receptors in the ankle joint were modulated by standing on different supporting surfaces and by immobilizing the ankle joints; and three leg muscle responses (characterized by short latency, medium latency, and long latency) to the platform movement were recorded in 15 healthy young subjects. It was found that: (1) the short latency was not affected by the changes in either plantar pressure or ankle joint movement; (2) the medium latency was regulated by the plantar pressures under the foot, as sensed by the cutaneous mechanoreceptors in the sole of the foot, and by the ankle joint movement, as perceived by the joint receptors in the ankle joint; (3) the long latency was also related to the ankle joint movement, but this relation seems to be modulated by the plantar pressures under the foot; and (4) both medium and long latencies were well correlated with the time derivative of the pressure difference between the forefoot and the rear foot regions (r=0.7), as well as with the static pressure in the antagonist foot region (r>0.6).

Adult↗
PubMedDate not supplied

The control of posture and movements during REM sleep: neurophysiological and neurochemical mechanisms.

Mammalian sleep is characterized by synchronized sleep, in which high-amplitude, low-frequency waves appear in the electroencephalogram, and desynchronized sleep, characterized by small-amplitude, high-frequency waves, absence of tonic muscle activity, and rapid eye movements (REM), which are associated in humans with dreams. The postural atonia typical of desynchronized sleep is due to postsynaptic inhibition of spinal motoneurons resulting from tonic activation of a bulbospinal inhibitory system. Superimposed on this background of postural atonia, a motor pattern appears, characterized by rapid contractions of the limb musculature synchronous with the REM bursts. Simultaneously one observes phasic inhibition of transmission of somatic afferent volleys to motoneurons and ascending spinal pathways. The bursts of REM depend upon rhythmic discharges of vestibulo-oculomotor neurons, due to extralabyrinthine volleys originating from the brainstem. Ascending and descending vestibular volleys are also able to excite corticospinal and other supraspinal descending neurons responsible for the motor events synchronous with the bursts of REM. Activation of cholinergic neurons located in the brainstem reticular formation reproduces the postural atonia typical of desynchronized sleep, as well as the phasic events characterized by the REM bursts and the related changes in spinal cord activities. Even in this instance the bursts of REM and the related spinal effects depend upon rhythmic changes in the discharge of vestibular nuclear neurons. Experimental evidence indicates that the cholinergic reticular neurons fire asynchronously, thus being able to trigger the bulbospinal inhibitory system responsible for postural atonia. Even the vestibulo-oculomotor neurons are activated by these cholinergic reticular neurons; however, the continuous stream of these extralabyrinthine impulses is transformed into rhythmic changes of discharge of the vestibular nuclear neurons due to the presence of inhibitory neurons interposed with the vestibulo-oculomotor system. Waxing and waning in the activity of these cholinergic reticular neurons accounts for the regular occurrence of the cholinergically induced bursts of REM.

Adrenergic Uptake Inhibitors↗
PubMed1997

Visually induced motion perception and visual control of postural sway in congenital nystagmus.

In congenital nystagmus (CN) the threshold for detecting motion of visual objects is increased. To determine whether this increase is due to a deterioration of visual motion signals or whether visual-vestibular interactions (which are necessary to judge object-motion in space) are also involved we examined how CN patients use visual motion signals to evaluate self-motion in perceptual and behavioral tasks. Using an optokinetic drum we measured the minimum optokinetic acceleration necessary to induced motion perception of the visual environment in CN patients. This threshold was significantly elevated in the CN patients compared with normals (20.1 deg/s2 to 3.25 deg/s2). We further addressed the question whether the elevation of this threshold is due to a deficiency in evaluating visual motion in general or to a specific modification affecting the percept of visual object-motion with respect to the inertial reference only. We thus measured the latency of visually induced self-motion perception, which was found to be very similar or even slightly smaller (1.7 +/- 0.7 s) compared with normals (2.2 +/- 1.7 s). Moreover, subjects with CN were found to use vision quite efficiently for the visual stabilization of posture (Romberg quotient 2.0 +/- 1.16), even if they did not reach the level of normals (Romberg quotient 3.7 +/- 1.1). The results indicate that CN affects the estimate of object-motion in a specific and much more severe way than the estimate of self-motion. The minimal effect of CN on self-motion perception can be explained by the low pass characteristics of the optokinetic input to self-motion perception. The specific deficiency in detecting object-motion indicates that adaptation to CN occurs on the level of visual--vestibular interactions for the perception of visual object-motion and not on the level of visual motion signals.

Adolescent↗
PubMed2001

Balance control and posture in anxious mice improved by SSRI treatment.

A task requiring dynamic postural stabilisation during locomotion in a conflicting visual vestibular environment (rotating beam), has been devised to assess anxiety-related balance impairments and postural changes in mice. The model, already validated with acutely administered diazepam, was used to assess the action of two chronically administered selective serotonin reuptake inhibitors (SSRIs), fluoxetine and paroxetine. On three behavioural measures (imbalance, elevation of trunk and angle of tail), observed in anxious BALB/cByJ mice, both compounds had the same diazepam-like effects: reduction in number of imbalances, higher elevation of trunk and increase in tail angle. These data suggest, for the first time, that SSRIs should be useful in the treatment of anxiety-induced balance impairments.

Animals↗
PubMed1999

Visual-vestibular control of posture and gait: physiological mechanisms and disorders.

The scientific analysis of clinical disorders of posture and gait is an emerging field. Precise definition of the forces and postural movements involved has been pivotal to understanding many aspects of the visual and vestibular contributions to balance. However, a great deal of argument still surrounds the question of how much gait and posture laboratories actually contribute to improve the clinical management of individual patients. One of the reasons why gait analysis techniques have not penetrated rehabilitation clinics may be that the research questions asked have been aimed at understanding mechanisms rather than at quantifying disability. The condition known as primary orthostatic tremor, which is not too well known to many neuro-otologists and posturographists, is briefly reviewed here. We propose that posturography could be the easiest way to diagnose this treatable condition.

Electromyography↗
PubMed1986

Control and postural thixotropy of the forearm muscles: changes caused by cold.

The forearm was cooled in water at 5-10 degrees C while wrist biodynamics were investigated. Pronounced loosening following a perturbation (thixotropy) was no longer seen. The wrist became stiffer for large or moderate but not small movements; EMG activity did not increase. Cooling the wrist alone, or opposite forearm, was without effect. The ability to make rapid reciprocating movements was reduced and muscle relaxation time was increased. Single movements were not affected.

Adult↗
PubMed1988

Visual and mechanical control of postural and kinetic tremor in cerebellar system disorders.

The influence of alterations in visual guidance and somaesthetic sensory inputs was studied in five patients with kinetic and postural tremor characteristic of cerebellar impairment. The patients performed wrist flexion-extension movements or movements about the shoulder with or without visual guidance. Different types of mechanical loads were applied to oppose the wrist movements. The tremor was greatest when the patients used visual cues to guide movements. Kinetic tremor was substantially suppressed during performance of similar movements that were not guided directly by vision. Viscous loads suppressed the tremor nearly linearly, whereas constant loads opposing extension enhanced the tremor. The postural tremor was not observed during isometric contractions. These results support the view that processing of visual information contributes to the impairment of movement in disorders with cerebellar-type tremor and that certain somaesthetic inputs can selectively influence the generation of postural tremor.

Adult↗
PubMed2003

Limb position drift: implications for control of posture and movement.

In the absence of visual feedback, subject reports of hand location tend to drift over time. Such drift has been attributed to a gradual reduction in the usefulness of proprioception to signal limb position. If this account is correct, drift should degrade the accuracy of movement distance and direction over a series of movements made without visual feedback. To test this hypothesis, we asked participants to perform six series of 75 repetitive movements from a visible start location to a visible target, in time with a regular, audible tone. Fingertip position feedback was given by a cursor during the first five trials in the series. Feedback was then removed, and participants were to continue on pace for the next 70 trials. Movements were made in two directions (30 degrees and 120 degrees ) from each of three start locations (initial shoulder angles of 30 degrees, 40 degrees, 50 degrees, and initial elbow angles of 90 degrees ). Over the 70 trials, the start location of each movement drifted, on average, 8 cm away from the initial start location. This drift varied systematically with movement direction, indicating that drift is related to movement production. However, despite these dramatic changes in hand position and joint configuration, movement distance and direction remained relatively constant. Inverse dynamics analysis revealed that movement preservation was accompanied by substantial modification of joint muscle torque. These results suggest that proprioception continues to be a reliable source of limb position information after prolonged time without vision, but that this information is used differently for maintaining limb position and for specifying movement trajectory.

Adult↗