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PubMed1984

Responses to head tilt in cat central vestibular neurons. I. Direction of maximum sensitivity.

Responses to head tilt were recorded from vestibular neurons in and around the lateral vestibular nucleus (LVN) of the decerebrate cat. Each animal had all six semicircular canals rendered nonfunctional by a plugging procedure. Each cell was studied by slowly tilting the cat, using one or both of two paradigms. In the first method, sinusoidal tilts (0.05 or 0.1 Hz) were used to produce bidirectional stimuli in up to 12 pairs of directions, including left/right (roll tilt) and fore/aft (pitch). The second method imposed a constant 10 degree tilt; the direction of the tilt was rotated around the animal by an appropriate combination of roll and pitch motions. Neurons responded by maximally increasing their discharge frequency in a particular direction of head tilt from the horizontal. Each cell's response could be described by a vector in the animal's horizontal plane whose orientation is given by the direction of the most effective stimulus and whose length represents the neuron's maximal sensitivity to tilt. The two methods of stimulation yielded equivalent response vectors. Response vectors were obtained for 100 neurons. The distribution of vector directions for these vestibular neurons was not uniform; there was a conspicuous absence of neurons with fore/aft-directed vectors. The sensitivity of these cells (length of the response vector) ranged from 10 to 230 impulses X s-1 X g-1 (median 50). Neurons whose vectors lay in the ipsilateral half-plane (which would be excited by ear-down tilt) tended to be less sensitive than those with contralateral vectors. Neurons excited by ear-up tilt tended to be located ventrally in the LVN, while those excited by ear-down tilt were more evenly distributed. There was no other obvious correlation of vector orientation with the anatomical locus of the cell in the LVN. The directional selectivity of the responses of these neurons to head tilts are similar to those previously reported tin utricular afferents. The broad distribution of response vector orientations provides an appropriate substrate for vestibulospinal reflexes to a wide variety of head tilts.

Afferent Pathways↗
PubMed1992

Coordination between equilibrium and head-trunk orientation during leg movement: a new strategy build up by training.

1. During unilateral leg movements performed while standing, it is necessary to displace the center of gravity toward the other leg to maintain equilibrium. In addition, the orientation of particular segments, such as the head and trunk, which are used as reference values for organizing the motor act, needs to be preserved. The aim of the present study was to investigate the coordination between movement, equilibrium, and local posture. 2. Experiments were carried out on standing subjects who were instructed to raise one leg laterally to an angle of 45 degrees in response to a light. Two sources of light placed in front of the subject indicated the side on which the movement was to be performed. Three main aspects of the posturokinetic sequence were investigated in two populations, naive subjects and dancers: 1) The body weight transfer toward the supporting leg was found to have two components: first, a "ballistic" one, initiated by a thrust exerted by the moving leg; and second, an "adjustment" component during which the displacement of the center of gravity (CG) reaches a final position (steady state). An early burst in the gastrocnemius medialis of the moving leg often precedes the onset of the center of pressure change. Two differences between naive subjects and dancers were observed: first, the new CG position was almost reached in one step very near to the end of the ballistic component and required only a short adjustment in dancers, whereas in naive subjects it was reached in two steps, including a much longer adjustment component. Second, the dancers were able to minimize the CG displacement toward the supporting side; this might be because they form a better internal representation of the biomechanical limits of stability because of their long training. 2) The onset of the lateral displacement of the malleolus marker of the moving leg always occurred when the body weight had almost completed its transfer to above the support foot. This shows that the positioning of the CG in a new position compatible with equilibrium maintenance was a prerequisite for the leg movement to be performed. The relative timing of events during the posturokinetic sequence was fairly fixed in the dancers, whereas it varied from one trial to another in the naive subjects. 3) The coordination between movement, equilibrium, and head-trunk orientation involves two control strategies. An "inclination" strategy was used by the naive subjects; this consisted of an external rotation of the supporting leg around the anteroposterior ankle joint axis. A counter-rotation at the neck level ensured the stability of the interorbital line in the horizontal plane.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed1993

Activity of neuromuscular compartments in lateral gastrocnemius evoked by postural corrections during stance.

1. The electromyographic (EMG) activity of the four neuromuscular compartments in lateral gastrocnemius (LG) of cats was investigated to determine whether these intramuscular subdivisions could be activated differentially during automatic postural corrections. EMG electrodes were surgically implanted into each of the four compartments of left LG-LG1, LG2, LG3, and LGm--in two cats. Electrodes were also implanted into soleus and gluteus medius for comparative purposes. 2. Quiet quadrupedal stance was disturbed first by linearly translating the cats on a movable platform in each of 16 different horizontal directions. Mechanical events during corrections were characterized in terms of the three-dimensional forces exerted by each paw on the platform. EMG and force traces were quantified (area under the curve) and normalized, and tuning curves were constructed that relate muscle response and force change to direction of platform movement. 3. In a second series of trials, translations were presented along one direction only over a series of six velocities ranging from 5 to 16 cm/s. The third series of perturbations, termed the pop-up, consisted of a rapid upward displacement of the support under the left hindlimb only over a series of six amplitudes ranging from 1 to 10 mm. Evoked EMG activity and average change in force were normalized and regressions were computed onto velocity and amplitude, respectively. The slopes of the regressions were compared. 4. EMG tuning curves associated with the multidirectional horizontal translations revealed no differential activity across LG compartments. Similarly, there was no statistical difference among the slopes of the regressions within LG. In contrast, soleus exhibited significantly different slopes from LG for the regressions. Thus it is concluded that LG compartments are not differentially activated during automatic postural responses to perturbations of the support surface.

Animals↗
PubMed1994

Corrective responses to loss of ground support during walking. I. Intact cats.

1. In the cat step cycle the electromyographic (EMG) activity in ankle extensor muscles commences approximately 70 ms before foot contact. There is a sharp peak between 10 and 25 ms after contact and the EMG then declines for the remainder of the stance phase. It has been posited that the abrupt transition in EMG after contact is the consequence of reflexes elicited by the large barrage of afferent input that signals foot touchdown. However, it is also possible that the basic profile might be generated within the CNS, with little modification by afferent input. 2. These ideas were tested in 11 normal cats. We compared EMG responses and hindlimb kinematics in steps with normal ground support and steps in which an actuator-controlled trap door unexpectedly opened, withdrawing ground support just before foot contact. 3. In the absence of ground support the transition in EMG activity was still present. The averaged EMG pattern was similar for at least 30 ms after the foot passed through the plane of the floor. We conclude that the basic extensor activation profile in this part of the cycle is generated centrally and is not substantially altered by afferent input. 4. Between 35 and 200 ms after contact the stance phase was aborted and the foot was lifted smartly out of the hole. This reaction varied both in latency and kinematic detail, suggesting a fairly complex corrective response.(ABSTRACT TRUNCATED AT 250 WORDS)

Afferent Pathways↗
PubMed1994

Inertial representation of angular motion in the vestibular system of rhesus monkeys. I. Vestibuloocular reflex.

1. The spatial organization of the vestibuloocular reflex (VOR) was studied in six rhesus monkeys by applying fast, short-lasting, passive head and body tilts immediately after constant-velocity rotation (+/- 90 degrees/s) about an earth-vertical axis. Two alternative hypotheses were investigated regarding the reference frame used for coding angular motion. 1) If the vestibular system is organized in head-centered coordinates, postrotatory eye velocity would decay invariably along the direction of applied head angular acceleration. 2) Alternatively, if the vestibular system codes angular motion in inertial, gravity-centered coordinates, postrotatory eye velocity would decay along the direction of gravity. 2. Horizontal VOR was studied with the monkeys upright. Pitch (roll) tilts away from upright elicited a transient vertical (torsional) VOR and shortened the time constant of the horizontal postrotatory slow phase velocity. In addition, an orthogonal torsional (after pitch tilts) or vertical (after roll tilts) response gradually built up. As a result, the eye velocity vector transiently deviated in the roll (pitch) plane and then gradually rotated in the same direction as gravity in the pitch (roll) head plane until the orthogonal component reached a peak value. Subsequently, the residual postrotatory eye velocity decayed along a line parallel to gravity. 3. The time constant of the horizontal postrotatory response was maximal in upright position (21.5 +/- 5.7 s, mean +/- SD) and minimal after tilts to prone (3.8 +/- 0.7 s), supine (4.5 +/- 1.2 s), and ear-down (5.2 +/- 1.6 s) positions. A similar dependence on head orientation relative to gravity characterized the dynamics of the resultant eye velocity vector in the pitch and roll planes. 4. Torsional VOR was studied with the monkeys in supine or prone position. Pitch (yaw) tilts from the supine or prone position toward upright (ear-down) position elicited a transient vertical (horizontal) VOR and shortened the time constant of the torsional postrotatory response while a horizontal (vertical) orthogonal component slowly built up. As a result the eye velocity vector gradually rotated in the pitch (yaw) plane until the orthogonal component reached a peak value. Subsequently residual postrotatory eye velocity decayed along a line parallel to gravity. 5. The time constant of the torsional postrotatory response in supine/prone positions was 16.5 +/- 6.8 s. After tilts from supine/prone positions toward upright position, time constants decreased and were minimal after tilts to upright position (2.7 +/- 0.7 s).(ABSTRACT TRUNCATED AT 400 WORDS)

Acceleration↗
PubMed1994

Changes in a postural strategy with inter-paw distance.

1. The purpose of this study was to examine the effect of changing initial stance conditions on the postural response of the cat to horizontal plane translations of the support surface. Cats were trained to stand, unrestrained, on a moveable force platform. The platform was translated linearly in each of 16 directions in the horizontal plane, with a ramp-and-hold displacement. The animal's response was quantified in terms of the forces exerted at the ground. The trajectory of the center of mass (CoM) was computed from the forces. 2. Stance length was varied along the longitudinal (sagittal) axis by adjusting the distance between the forepaw and hindpaw force plates. Translation perturbations of the platform were recorded at stance distances varying from 66 to 110% of the preferred stance distance. 3. Changing stance distance had a significant effect on the amplitude and direction of the active forces exerted by the cat both during quiet stance and during the response to platform translation. At long stance distances, each limb exerted a force outward, along the diagonals during quiet stance. The response to translation was characterized by an invariance in the direction of force exerted against the ground, a strategy that was described previously. At short stance distances, quiet stance forces were more laterally directed. The force constraint strategy was usually not observed for the response to translation. Nevertheless, the cats were equally effective at all stance distances in restoring the position of the center of mass after translation of the support surface. 4. There was no discrete boundary between the presence and absence of the force constraint, suggesting that the strategy for exerting forces against the support surface is characterized by a continuum of response, from a bimodal, or anisotropic distribution of force vectors on the one extreme, to a uniform, or isotropic distribution on the other. Arguments are developed to suggest that the force constraint strategy may be useful in stabilizing the vertebral column during the response to platform translation, to allow linear translation of the CoM rather than bending of the trunk.

Animals↗
PubMed1994

Cerebellar control of postural scaling and central set in stance.

1. The effects of cerebellar deficits in humans on scaling the magnitude of automatic postural responses based on sensory feedback and on predictive central set was investigated. Electromyographic (EMG) and surface reactive torques were compared in patients with anterior lobe cerebellar disorders and in normal healthy adults exposed to blocks of four velocities and five amplitudes of surface translations during stance. Correlations between the earliest postural responses (integrated EMG and initial rate of change of torque) and translation velocity provided a measure of postural magnitude scaling using sensory information from the current displacement. Correlations of responses with translation amplitude provided a measure of scaling dependent on predictive central set based on sequential experience with previous like displacements because the earliest postural responses occurred before completion of the displacements and because scaling to displacement amplitude disappeared when amplitudes were randomized in normal subjects. 2. Responses of cerebellar patients to forward body sway induced by backward surface displacements were hypermetric, that is, surface-reactive torque responses were two to three times larger than normal with longer muscle bursts resulting in overshooting of initial posture. Despite this postural hypermetria, the absolute and relative latencies of agonist muscle bursts at the ankle, knee, and hip were normal in cerebellar patients. 3. Although they were hypermetric, the earliest postural responses of cerebellar patients were scaled normally to platform displacement velocities using somatosensory feedback. Cerebellar patients, however, were unable to scale initial postural response magnitude to expected displacement amplitudes based on prior experience using central set. Randomization of displacement amplitudes eliminated the set effect of amplitude on initial responses in normal subjects, but responses to randomized and blocked trials were not different in cerebellar patients. 4. Cerebellar patients compensated for hypermetric responses and lack of anticipatory scaling of earliest gastrocnemius activity by scaling large, reciprocally activated tibialis and quadriceps antagonist activity with the displacement velocity and amplitude. Correlations between these antagonist EMG integrals and displacement amplitudes were preserved when amplitudes were randomized, suggesting that feedback-dependent and not set-dependent mechanisms were responsible for scaling of antagonists by cerebellar patients. Antagonist compensation for initial hypermetric responses also could be induced in normals when they overresponded to unexpectedly small amplitudes of surface displacements. 5. The major effects of anterior lobe cerebellar damage on human postural responses involves impairment of response magnitude based on predictive central set and not on use of velocity feedback or on the temporal synergic organization of multijoint postural coordination.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed1994

Independent control of limb position and contact forces in cat posture.

1. It has previously been demonstrated that a set of geometric and kinetic parameters are invariant in cats standing at their preferred interfoot distance and weight distribution. Thus the length and the angle of orientation relative to the vertical of each limb axis remain approximately constant when the supporting platform is tilted in the sagittal plane. The direction of the tangential contact forces is similarly constrained in response to horizontal translations. The main aim of the present study is to assess whether or not the control of limb position is independent of the control of the contact forces at the feet. To this end we have examined cat posture under a number of different conditions expressly designed to increase the range of postural variability. We considered that if the specification of limb position is a mere byproduct of the neural control of contact forces (or vice versa), geometric and kinetic parameters would covary interdependently. If instead limb position and contact forces are controlled in parallel and independently of each other, they will tend to follow different laws of variation. 2. Limb position and contact forces were measured in intact cats standing freely on a support platform. In a first series of experiments the pitch angle of the platform was randomly changed, as were the interfoot distance and head orientation. In another series of experiments cats were tilted in the presence of an external load tending to shift the weight distribution. The same load was applied in two different manners: 1) it made contact with a very limited surface of the body, and 2) it was attached by means of a long vest that made contact with most of the trunk and produced abnormal somesthesic cues to the body. 3. The range of different experimental conditions resulted in substantial trial-to-trial variations of the length and orientation of the axis of the limbs, as well as variations of the magnitude and orientation of the net contact forces. We found that the changes of the orientation of the contact force vector are uncorrelated with the corresponding changes of limb orientation, thus providing a first line of evidence in favor of the existence of a separate neural control of geometric and kinetic parameters. 4. Another line of evidence is provided by the specific form of the laws of variation of geometric parameters and tangential forces in different animals. Under normal (unloaded) conditions the values of the limb joint angles tend to covary linearly.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1994

Coordinate transformations in the control of cat posture.

1. Global geometric variables represent high-order parameters in the control of cat posture. In particular, limb length and orientation are accurately controlled in response to tilts of the support platform. There is now electrophysiological evidence, obtained in anesthetized cats, that spinal sensory neurons projecting to the cerebellum are broadly tuned to limb length and orientation. Limb length and orientation specify the position of the limb end-points in body-centered polar coordinates. They define an intended posture in a global manner, leaving the detailed geometric configuration of the limbs undetermined. The planar covariation of limb joint angles described in the accompanying paper suggests the existence of an intermediate processing stage that transforms endpoint coordinates into the angular coordinates of the joints (inverse mapping). In this paper we address the question of the nature of this coordinate transformation. Because the number of degrees of freedom of angular motion in each limb exceeds that of endpoint motion in world space, several different angular configurations are compatible with any given endpoint position in world space. Thus the problem of coordinate transformation is a priori indeterminate. We have tested a number of different hypotheses. 2. Coordinate transformation could be accomplished implicitly by means of discrete kinematic synergies. Any given geometric configuration of the limb would result from a weighed combination of only two distinct patterns of angular covariations, the first pattern affecting selectively limb length and the second pattern affecting limb orientation. This decomposition, however, was found in only a few sporadic cases. 3. We also tested the possibility that the coordinate transformation involves the Moore-Penrose generalized inverse. We found that this algorithm produces a planar covariation of the joint angles, but with an orientation orthogonal to the experimental plane. By contrast, a linear transformation with constant, position-independent terms can fit the experimental plane of angular covariations but predicts large errors in endpoint position. 4. The particular orientation in joint space of the experimental plane, coupled with the scatter of data points around the plane, bears a specific implication for the problem of inverse mapping. The experimental plane crosses the constant position lines (the loci of all possible changes of the joint angles that correspond with an invariant position of the endpoint) at an acute angle. Consequently the specification of limb orientation is little sensitive to joint configurations: relatively small changes in orientation can be produced by large changes in joint configurations.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1996

Is the regulation of the center of mass maintained during leg movement under microgravity conditions?

1. Investigations on stance regulation have already suggested that the body's center of mass is the variable controlled by the CNS to maintain equilibrium. The aim of this study was to determine how the center of mass of the body is regulated when leg movements are made under different gravitoinertial force conditions. 2. Kinematic and electromyographic (EMG) recordings were made during both straight-and-level flight (earth-normal gravity condition, nG) and periods of weightlessness in parabolic flight (microgravity condition, microG). The standing subjects were restrained to the floor (kept from floating away in microG) and were instructed to raise one leg laterally to an angle of 45 degrees as fast as possible. 3. Two modes of center of mass (CM) control were identified during leg movement in nG: a "shift mode" and a "stabilization mode." The shift mode served to transfer the CM toward the supporting side before the leg raising, and it preceded the phase of single limb support. The stabilization mode took place after the CM shift was completed and was aimed at stabilizing the CM during raising of the leg. In this phase, the movement of the raising leg is counterbalanced by a lateral inclination of the trunk in the opposite direction. As a consequence, CM position did not change with respect to the position reached before the leg raising, and its projection on the ground remained within the support area delineated by the stance foot. 4. Under microG, the CM position did not change before the leg raising. Moreover, gastrocnemius medialis activity observed in the moving leg under nG, preceding the initiation of the body weight transfer toward the supporting leg, was greatly reduced. While the leg is raising, the simultaneous and opposite lateral trunk movement was still present in microG. 5. Results suggest that the body weight transfer corresponding to the shift mode, might depend on the gravity constraints, whereas the stabilization mode, which remains unchanged in microG, might be a motor stereotype that does not depend on the gravity conditions.

Adult↗
PubMed1996

Two functional muscle groupings during postural equilibrium tasks in standing cats.

1. This study examined the relation between electromyographic (EMG) activation and the contact force and joint torques of the left hindlimb during postural equilibrium tasks in the standing cat. It is the appropriate application of force by the limbs against the support surface that allows the animal to control its center of mass and maintain equilibrium. 2. Cats were trained to stand quietly on a moveable force platform. During quiet stance, the cat was perturbed by a platform translation in each of 12 directions evenly spaced in the horizontal plane. EMG activity of mono- and biarticular thigh muscles, three-dimensional ground reaction force under the paw (contact force), and kinematics of the hindlimb segments were recorded Net joint torques were computed using inverse dynamics. The analysis focused on the functional organization of the rapid, automatic postural response in relation to the sagittal plane contact force and joint torques. 3. The muscles of the thigh were subdivided into two functional groups, based on the relationship of the evoked response to the various components of the sagittal plane contact force or joint torques. The first group, consisting of the monoarticular and some biarticular muscles, was correlated with the vertical force component, Fz. The second group, consisting of a separate group of biarticular muscles, was correlated with the difference between knee and hip torque. This torque difference is a function of both sagittal plane force components, Fz and Fy, and is related to contact force direction. 4. It is suggested that this subdivision of muscle activations reflects a neural strategy of parallel control of the two muscle groups in relation to their influence on Fz and Fy. Such a control mechanism could be a strategy for simplifying the control of the multisegmented limb in contact force tasks such as maintaining postural equilibrium.

Animals↗
PubMed1998

EMG responses to maintain stance during multidirectional surface translations.

To characterize muscle synergy organization underlying multidirectional control of stance posture, electromyographic activity was recorded from 11 lower limb and trunk muscles of 7 healthy subjects while they were subjected to horizontal surface translations in 12 different, randomly presented directions. The latency and amplitude of muscle responses were quantified for each perturbation direction. Tuning curves for each muscle were examined to relate the amplitude of the muscle response to the direction of surface translation. The latencies of responses for the shank and thigh muscles were constant, regardless of perturbation direction. In contrast, the latencies for another thigh [tensor fascia latae (TFL)] and two trunk muscles [rectus abdominis (RAB) and erector spinae (ESP)] were either early or late, depending on the perturbation direction. These three muscles with direction-specific latencies may play different roles in postural control as prime movers or as stabilizers for different translation directions, depending on the timing of recruitment. Most muscle tuning curves were within one quadrant, having one direction of maximal activity, generally in response to diagonal surface translations. Two trunk muscles (RAB and ESP) and two lower limb muscles (semimembranosus and peroneus longus) had bipolar tuning curves, with two different directions of maximal activity, suggesting that these muscle can play different roles as part of different synergies, depending on translation direction. Muscle tuning curves tended to group into one of three regions in response to 12 different directions of perturbations. Two muscles [rectus femoris (RFM) and TFL] were maximally active in response to lateral surface translations. The remaining muscles clustered into one of two diagonal regions. The diagonal regions corresponded to the two primary directions of active horizontal force vector responses. Two muscles (RFM and adductor longus) were maximally active orthogonal to their predicted direction of maximal activity based on anatomic orientation. Some of the muscles in each of the synergic regions were not anatomic synergists, suggesting a complex central organization for recruitment of muscles. The results suggest that neither a simple reflex mechanism nor a fixed muscle synergy organization is adequate to explain the muscle activation patterns observed in this postural control task. Our results are consistent with a centrally mediated pattern of muscle latencies combined with peripheral influence on muscle magnitude. We suggest that a flexible continuum of muscle synergies that are modifiable in a task-dependent manner be used for equilibrium control in stance.

Adult↗
PubMed2000

Muscular responses and movement strategies during stumbling over obstacles.

Although many studies have investigated reflexes after stimulation of either cutaneous or proprioceptive afferents, much less is known about responses after more natural perturbations, such as stumbling over an obstacle. In particular, the phase dependency of these responses and their relation to the stumbling behavior has received little attention. Hence response strategies during stumbling reactions after perturbations at different times in the swing phase of gait were studied. While subjects walked on a treadmill, a rigid obstacle unexpectedly obstructed the forward sway of the foot. All subjects showed an "elevating strategy" after early swing perturbations and a "lowering strategy" after late swing perturbations. During the elevating strategy, the foot was directly lifted over the obstacle through extra knee flexion assisted by ipsilateral biceps femoris (iBF) responses and ankle dorsiflexion assisted by tibialis anterior (iTA) responses. Later, large rectus femoris (iRF) activations induced knee extension to place the foot on the treadmill. During the lowering strategy, the foot was quickly placed on the treadmill and was lifted over the obstacle in the subsequent swing. Foot placement was actively controlled by iRF and iBF responses related to knee extension and deceleration of the forward sway. Activations of iTA mostly preceded the main ipsilateral soleus (iSO) responses. For both strategies, four response peaks could be distinguished with latencies of approximately 40 ms (RP1), approximately 75 ms (RP2), approximately 110 ms (RP3), and approximately 160 ms (RP4). The amplitudes of these response peaks depended on the phase in the step cycle. The phase-dependent modulation of the responses could not be accounted for by differences in stimulation or in background activity and therefore is assumed to be premotoneuronal in origin. In mid swing, both the elevating and lowering strategy could occur. For this phase, the responses of the two strategies could be compared in the absence of phase-dependent response modulation. Both strategies had the same initial electromyographic responses till approximately 100 ms (RP1-RP2) after perturbation. The earliest response (RP1) is assumed to be a short-latency stretch reflex evoked by the considerable impact of the collision, whereas the second (RP2) has features reminiscent of cutaneous and proprioceptive responses. Both these responses did not determine the behavioral response strategy. The functionally important response strategies depended on later responses (RP3-RP4). These data suggest that during stumbling reactions, as a first line of defense, the CNS releases a relatively aspecific response, which is followed by an appropriate behavioral response to avoid the obstacle.

Adult↗
PubMed2000

Fingertip contact suppresses the destabilizing influence of leg muscle vibration.

Touch of the hand with a stationary surface at nonmechanically supportive force levels (<1 N) greatly attenuates postural sway during quiet stance. We predicted such haptic contact would also suppress the postural destabilization caused by vibrating the right peroneus brevis and longus muscles of subjects standing heel-to-toe with eyes closed. In experiment 1, ten subjects were tested under four conditions: no-vibration, no-touch; no-vibration, touch; vibration, no-touch; and vibration, touch. A hand-held physiotherapy vibrator (120 Hz) was applied approximately 5 cm above the malleolous to stimulate the peroneus longus and brevis tendons. Touch conditions involved contact of the right index finger with a laterally positioned surface (<1 N of force) at waist height. Vibration in the absence of finger contact greatly increased the mean sway amplitude of the center of pressure and of the head relative to the no-vibration, no-touch control condition (P < 0.001). The touch, no-vibration and touch-vibration conditions were not significantly different (P > 0.05) from each other and both had significantly less mean sway amplitude of head and of center of pressure than the other conditions (P < 0.01). In experiment 2, eight subjects stood heel-to-toe under touch and no-touch conditions involving 40-s duration trials of peroneus tendon vibration at different duty cycles: 1-, 2-, 3-, and 4-s ON and OFF periods. The vibrator was attached to the subject's leg and remotely activated. In the no-touch conditions, subjects showed periodic postural disruptions contingent on the duty cycle and mirror image rebounds with the offset of vibration. In the touch conditions, subjects were much less disrupted and showed compensations occurring within 500 ms of vibration onset and mirror image rebounds with vibration offset. Subjects were able to suppress almost completely the destabilizing influence of the vibration in the 3- and 4-s duty cycle trials. These experiments show that haptic contact of the hand with a stable surface can suppress abnormal proprioceptive and motor signals in leg muscles.

Adult↗
PubMed2005

Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance.

Postural problems play a central role in the motor dysfunction of children with cerebral palsy (CP). Therefore, they spend more time in sitting than in standing to perform vital tasks of daily life. The focus of this article is to describe the pathophysiology of postural control in sitting and outline some implications for management and treatment. In general, children with CP exhibit muscular activity counteracting forces that disturb equilibrium. Only 'non-sitting' children with severe CP lack such 'direction-specific' adjustments, possibly ruling out achievement of independent sitting. Most frequently, the children display dysfunctions in the adaptation of the adjustment. Typical characteristics of this adaptation in children with CP are a top-down recruitment of postural muscles, an excessive degree of antagonistic coactivation, and an incomplete adaptation of the EMG-amplitude to task specific constraints. Despite our knowledge on the pathophysiology underlying the postural problems in children with CP, little 'high-level' evidence (according to Sackett) exists on how different interventions can affect these problems. Therapeutic attention to promote motor performance in sitting focuses on adaptive seating, tilting of the support surface, and ample, variable training in motivating settings. The challenge facing us now is to provide evidence about the efficacy of specific treatment approaches facilitating that children reach an optimal level of functioning in daily life.

Cerebral Palsy↗
PubMedDate not supplied

Visual contributions to postural stability in older adults.

BACKGROUND: With advancing age, there is a generalized reduction in visual functioning which has been associated with impaired postural stability and increased risk of falls. However, little is known about which visual abilities are the most important in the control of postural sway when standing. OBJECTIVE: To determine whether specific visual abilities predict stability when standing on firm and compliant surfaces. METHODS: Tests of visual function, peripheral sensation, strength, reaction time and sway were administered to 156 community-dwelling men and women aged 63-90 years. The visual tests included high- and low-contrast visual acuity, contrast sensitivity, depth perception, stereopsis and lower visual field size. Postural sway was measured with eyes open on a firm and a compliant foam rubber surface. RESULTS: On the firm surface, sway was significantly associated with only one sensorimotor measure: proprioception in the lower limbs. In contrast, on the compliant surface, sway was associated with all of the visual measures, quadriceps strength and reaction time. Multiple regression analysis revealed that contrast sensitivity, stereopsis and quadriceps strength were significant independent predictors of total sway when subjects stood on the compliant surface. CONCLUSION: The study findings confirm the importance of vision, in particular contrast sensitivity and stereopsis, in the control of posture under challenging conditions, and suggest some mechanisms for the association between impaired vision and falls in older people.

Accidental Falls↗
PubMed2002

Loss of postural reflexes in long-term occupational solvent exposure.

Inhalation of organic solvents has long been known to damage various nervous systems, including cerebellum, brainstem, and pyramidal tract. However, little is known about the damage of the dopaminergic system. We report two patients with occupational long-term solvent exposure who developed postural instability without other features of parkinsonism. The concentration of HVA in CSF was decreased and the retropulsion was dramatically improved after the administration of levodopa. These findings indicate that the nigrostriatal dopaminergic neurons were disturbed by chronic solvent exposure, resulting in the loss of postural reflexes.

Adult↗