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Vestibular abnormalities in encephalopathia pugilistica.

Vestibulological examination of boxers revealed that 80% had vestibular abnormalities. These were obvious, but well compensated, so that they remained hidden in everyday life and appeared only on laboratory examination or under stress. Regarding the origin of vestibulo-ocular reflex, abnormalities in boxing contribute three etiopathogenetic factors: the first is the direct traumatization of the vestibular apparatus by a direct blow. The second is the diffuse damage of the brain-stem white matter and of vestibular nuclei. The third factor is the traumatization of the cervical spine via the traumatization of the proprioceptive systems, cervical sympathetic and the adjacent vascular mechanisms. One-third of the abnormalities are caused by direct labyrinthine traumatization. The findings of simultaneous EEG, OKN and ETT abnormalities in one-half of our subjects suggests that there are probably also supratentorial lesions caused by the above-mentioned mechanisms.

Adolescent↗

The transduction properties of diaphragmatic mechanoreceptors.

The transduction properties of diaphragmatic mechanoreceptors were studied using an isolated organ preparation. Following localization of their receptive field and receptor characterization, controlled diaphragmatic stretch in 2 mm increments was performed while recording the steady-state firing frequency of these afferents. Of 31 receptors recorded, 14 could be categorized into one of 3 types: (1) muscle spindles, (2) Golgi tendon organs, and (3) pressure-sensitive mechanoreceptors. These receptors were also found to be widely distributed in the diaphragm. Four of the muscle spindles examined were shown to possess a length sensitivity of 4-8 mm with a wide range of maximal discharge. The results of this study suggest that the diaphragm contains mechanoreceptors that transduce muscle length and projects this information regarding respiratory proprioception to the CNS.

Animals↗

Passive and active lower-limb movements delay upper-limb balance reactions.

This study investigated the influence of rhythmic lower-limb activity on the timing of upper-limb balance reactions. Compensatory grasping reactions were evoked in healthy subjects by rapid sagittal tilts of a chair under three conditions: (1) active leg pedaling, (2) passive (motor-driven) leg pedaling, and (3) no lower-limb movement (control task). Compared with control trials, both active and passive pedaling resulted in similar delays in the initiation (43-47 ms) and execution (12-17 ms) of grasping reactions. The similarity between effects due to active and passive movement suggests that the conditioning arose predominantly from sensory discharge associated with lower-limb movement. These results may have important implications for understanding the influence of locomotion or other ongoing movement on the control of stability.

Adult↗

[Vesico-anal correlations during miction in human beings].

1. The electrical activity of external anal sphincter (EAS) and internal anal sphincter (IAS), and the endo-anal pressure were recorded during the miction on 10 male adults with no signs of anorectal nor urologic affection. 2. During the premictionary period, the sympathetic hypertonicity was due to a large vesical proprioceptive activity; that initiated a higher frequency and amplitude of the IAS slow potential oscillations, and masked the inhibitory parasympathetic effect usually triggered by rectal distension. 3. During the vesical systolic phase the vesico-anal reflex induced by a parasympathetic activation and by: (a) a total absence of the EAS electrical activity during the duration of the miction period; (b) a two stage development of the IAS electrical activity: a tonic first stage of short duration and constant activity, followed by a second larger stage of variable form in accordance with the type of pattern (tonic, intermediary of which followed a similar developmental stage to that of the IAS. 4. This vesico-anal reflex makes it possible to assume that IAS activity plays a specific and important functional role in the maintenance of anal continence.

Adult↗

Effects of prenatal spaceflight on vestibular responses in neonatal rats.

Ten pregnant Norway rats (Rattus norvegicus) were flown for 11 days on board the NASA space shuttle from gestational day 9 (launch) until gestational day 20 (landing) of the rats' 22-day pregnancy. After the birth of the pups, vestibular responses were analyzed from postnatal day (P) 0 until P5. In the first test, P0 neonates were supported on a platform in a side-lying position. Skyward head movements (i.e., movements performed against the gravity vector) were more frequent than head movements toward Earth in both flight and control neonates. In the second test, the contact-righting reflex, composed of stereotyped movements that rotate the body from supine to prone on a solid surface, was analyzed in P0 neonates. The frequency and latency of contact-righting responses did not differ in flight and control neonates. In the third test, vestibular head righting, with tactile and proprioceptive cues removed, was tested in neonates on P1, P3, and P5 by using a water-immersion test. Righting responses were observed less frequently in P1 and P3 flight neonates compared with controls. However, this deficit was transient, as evidenced by complete response recovery on P5. Collectively, these findings provide evidence for a selective disruption of vestibular-mediated responses after prenatal exposure to spaceflight.

Animals↗

Efferent and afferent innervations of Mueller's muscle related to involuntary contraction of the levator muscle: important for avoiding injury during eyelid surgery.

Because stretching of Mueller's muscle induces involuntary contraction of the levator muscle, we hypothesised that Mueller's muscle functions as a serial kind of muscle spindle of the levator muscle. To confirm the presence and location of efferent and afferent innervations of Mueller's muscle, cadavers' eyelids were microscopically and macroscopically examined, and the resultant findings were physiologically confirmed in patients' eyelids during surgery. Fine neural myelinated structures acting as a mechanoreceptor were found in the proximal Mueller's muscle. Mueller's muscle is doubly innervated by the unmyelinated sympathetic efferent nerve and the myelinated trigeminal proprioceptive afferent nerve, both of which run transversely on the proximal Mueller's muscle to join the lacrimal nerve. Electrical stimulation of the transverse nerve fibres induced involuntary contraction of both the levator muscle as the Hoffmann reflex and Mueller's muscle. Surgical injury to these nerve fibres should be avoided to preserve involuntary contraction of the levator muscle.

Cadaver↗

Multimodal and motor influences on orientation: implications for adapting to weightless and virtual environments.

Human sensory-motor control and orientation involve the correlation of sensory information from many modalities with motor information about ongoing patterns of voluntary and reflexive activation of the body musculature. The vestibular system represents only one of the acceleration-sensitive receptor systems of the body conveying spatial information. Touch- and pressure-dependent receptors, somatosensory and interoceptive, as well as proprioceptive receptors contribute, along with visual and auditory signals specifying relative motion between self and surround. Control of body movement and orientation is dynamically adapted to the 1G force background of Earth. Exposure to non-1G environments such as in space travel produces a variety of sensory-motor disturbances, and often motion sickness, until adaptation is achieved. Exposure to virtual environments in which body movements are not accompanied by normal patterns of inertial and sensory feedback can also lead to control errors and elicit motion sickness.

Adaptation, Physiological↗

Dystonia: a disorder of motor programming or motor execution?

For some time, dystonia has been seen as purely a motor disorder. Relatively novel concepts published approximately 10 years ago also presumed that in the development of dystonic dyskinesias, only motor behaviour was abnormal. Neurophysiological observations of various types of dystonic disorders, which were performed using sophisticated electromyography, polymyography, H-reflex examination, long-latency reflex, etc., as well as new insights into the behaviour of dystonia, have urged the inclusion of sensory (particularly somatosensory) mechanisms into the pathophysiological background of dystonia. The major role has been considered to be played by abnormal proprioceptive input by means of the Ia proprioceptive afferents, with the source of this abnormality found in the abnormal processing of muscle spindle afferent information. However, neurophysiological investigations have also provided evidence that the abnormality in the central nervous system is located not only at the spinal and subcortical level, but also at the cortical level; specifically, the cortical excitability and intracortical inhibition have been revealed as abnormal. This evidence was revealed by SEP recordings, paired transcranial magnetic stimulation recordings, and BP and CNV recordings. The current concept of dystonic movement connects the abnormal function of somatosensory pathways and somatosensory analysers with the dystonic performance of motor action, which is based on the abnormality of sensorimotor integration.

Cerebral Cortex↗

Motor control in humans with large-fiber sensory neuropathy.

Upper limb motor control was evaluated in a series of patients with a large-fiber sensory neuropathy associated with impaired position, vibration and cutaneous sensation and absence of deep tendon reflexes. Muscular strength was normal or only minimally affected. In studies of wrist movement it was found that both postural maintenance and accuracy of wrist displacement were heavily dependent on visual guidance. Without vision the limb would drift in almost random directions, and during intended movements both the trajectory and movement end-point were abnormal. The defects in posture and voluntary movement control were reflected in the inability of patients to maintain consistent levels or emit consistent patterns of muscle activity. It is concluded that whereas central motor commands are sufficient to initiate movements proprioceptive afferent inputs are important for accurate postural maintenance and the fine control of movement.

Adult↗

Basic fibroblast growth factor-like immunoreactivity in the trigeminal proprioceptive and motor systems.

Basic fibroblast growth factor (bFGF) isolated from the brain and pituitary, has been shown to induce cell divisions in a variety of cell types. It also acts as a potent stimulator of angiogenesis, and it is important in the survival of several types of cultured neurons. Despite considerable information on the functions of bFGF, there is incomplete knowledge about the ways in which it reaches remote tissues and its subcellular localization in the adult brain. Here we report our findings that a certain population of neurons with free ribosomes and rough endoplasmic reticulum immunoreactive for bFGF in the mesencephalic nucleus of the trigeminal nerve sends proprioceptive fibers to muscle spindles in the masseter muscle, and immunoreactive axons to the trigeminal motor nucleus to form synapses with the bFGF-containing motoneurons whose axons further constitute myoneural junctions in the periphery. Moreover, some bFGF neurons contain electron dense immunoreaction deposits in the euchromatin but not in the heterochromatin of the nucleus. These findings suggest that endogenous bFGF is transported within nerve processes and functions in mature neuronal circuits subserving the masseteric reflex arcs, and that bFGF is produced in free ribosomes and/or rough endoplasmic reticulum and is transported into the genetically active euchromatin as well.

Animals↗

Sensory inputs contribution to vestibulo-ocular reflex and postural response maintaining simultaneously body balance.

We investigated which sensor had dominant contribution to vestibulo-ocular reflex (VOR) and postural sway (PS) for the optimal body balance maintenance under conditions of visual or/and somatosensory input reduction. Healthy subjects were examined in upright stance on stable platform and foam rubber, under following conditions: in quiet stance with eyes open (EO) and closed (EC); during voluntary head movements in horizontal plane at frequency 0.2 - 0.3 Hz with EO (HO) and EC (HC). The results showed that PS increased smaller during HC than during HO on both supports stable and unstable, but particularly on the foam rubber. Mean gain of VOR induced by HO was 1.2 and this one evoked by HC was 0.9 on the two supports. Therefore, when in upright stance the vestibular input is stimulated, the reduction of either or both inputs visual and proprioceptive influences postural stability positively while VOR is affected negligibly. Hence, the vestibular contribution to both VOR and PS is dominant.

Adult↗

Proprioceptive control of extensor activity during fictive scratching and weight support compared to fictive locomotion.

At rest, extensor group I afferents produce oligosynaptic inhibition of extensor motoneurons. During locomotor activity, however, such inhibition is replaced by oligosynaptic excitation. Oligosynaptic excitation from extensor group I afferents plays a crucial role in the regulation of extensor activity during walking. In this study we investigate the possibility that this mechanism also regulates extensor muscle activity during other motor tasks. We show that the reflex pathways responsible for extensor group I oligosynaptic excitation during fictive locomotion can be activated during both fictive scratching and fictive weight support (tonic motor activity induced by contralateral scratching). These observations suggest that the excitatory group I oligosynaptic reflex pathways are open for transmission during several forms of motor activities. We also show that extensor group I input during fictive scratching can affect the amplitude and the timing of extensor activity in a pattern similar to that observed during locomotion. Most likely these effects involve the activation of the excitatory group I oligosynaptic reflex pathways. Accordingly, it is suggested that extensor group I oligosynaptic excitation during motor activities other than locomotion is also used to regulate extensor muscle activity. Furthermore, the similarity of effects from extensor group I input on the rhythmicity during scratching and locomotion supports the hypothesis that both rhythms are generated by a common network.

Animals↗

Interactions between vestibular and proprioceptive inputs triggering and modulating human balance-correcting responses differ across muscles.

Interactions between proprioceptive and vestibular inputs contributing to the generation of balance corrections may vary across muscles depending on the availability of sensory information at centres initiating and modulating muscle synergies, and the efficacy with which the muscle action can prevent a fall. Information which is not available from one sensory system may be obtained by switching to another. Alternatively, interactions between sensory systems and the muscle to which this interaction is targeted may be fixed during neural development and not switchable. To investigate these different concepts, balance corrections with three different sets of proprioceptive trigger signals were examined under eyes-open and eyes-closed conditions in the muscles of normal subjects and compared with those of subjects with bilateral peripheral vestibular loss. The different sets of early proprioceptive inputs were obtained by employing three combinations of support surface rotation and translation, for which ankle inputs were nulled, normal or enhanced, the knees were either locked or in flexion, and the trunk was either in flexion or extension. Three types of proprioceptive and vestibulospinal interactions were identified in muscles responses. These interactions were typified by the responses of triceps surae, quadriceps, and paraspinal muscles. The amplitudes of stretch responses at 50 ms after the onset of ankle flexion in triceps surae muscles were related to the velocity of ankle stretch. The amplitude of balance-correcting responses at 100 ms corresponded more with stretch of the biarticular gastrocnemius when the knee was re-extended at 60 ms. Absent stretch reflexes at 50 ms in triceps surae with nulled ankle inputs caused a minor, 12-ms delay in the onset of balance-correcting responses in triceps surae muscles. Vestibular loss caused no change in the amplitude of balance-correcting responses, but a negligible decrease in onset latency in triceps surae even with nulled ankle inputs. Stretch responses in quadriceps at 80 ms increased with the velocity of knee flexion but were overall lower in amplitude in vestibular loss subjects. Balance-correcting responses in quadriceps had amplitudes which were related to the directions of initial trunk movements, were still present when knee inputs were negligible and were also altered after vestibular loss. Stretch and unloading responses in paraspinals at 80 ms were consistent with the direction of initial trunk flexion and extension. Subsequent balance-correcting responses in paraspinals were delayed 20 ms in onset and altered in amplitude by vestibular loss. The changes in the amplitudes of ankle (tibialis anterior), knee (quadriceps) and trunk (paraspinal) muscle responses with vestibular loss affected the amplitudes and timing of trunk angular velocities, requiring increased stabilizing tibialis anterior, paraspinal and trapezius responses post 240 ms as these subjects attempted to remain upright. The results suggest that trunk inputs provide an ideal candidate for triggering balance corrections as these would still be present when vestibular, ankle and knee inputs are absent. The disparity between the amplitudes of stretch reflex and automatic balance-correcting responses in triceps surae and the insignificant alteration in the timing of balance-correcting responses in these muscles with nulled ankle inputs indicates that ankle inputs do not trigger balance corrections. Furthermore, modulation of balance corrections normally performed by vestibular inputs in some but not all muscles is not achieved by switching to another sensory system on vestibular loss. We postulate that a confluence of trunk and upper-leg proprioceptive input establishes the basic timing of automatic, triggered balance corrections which is then preferentially weighted by vestibular modulation in muscles that prevent falling. (ABSTRACT TRUNCATED)

Adult↗

Postural maintenance during movement: simulations of a two joint model.

Voluntary movements of the upper body are accompanied by anticipatory postural adjustments to the lower body in a standing subject. The long-standing hypothesis is that these anticipatory adjustments serve to counteract the perturbation to the body's center of gravity caused by the voluntary arm movement. This paper presents model simulations investigating the possible roles of anticipatory postural activity that accompanies a rapid, upward arm swing. The model incorporates two (idealized) antagonistic muscle pairs controlling the movements of a double-joint system, with a "shoulder joint" between the arm and stiff body links, and an "ankle joint" between the stiff body-leg segment and the ground. Each muscle is represented by a nonlinear viscoelastic element and also includes proprioceptive feedback. Four inputs to the model define the motor control signals for muscle force generation in both the arm and the postural muscle pairs. The neurological component of the model describes consequences of alternate strategies for cocontractions, stretch reflex activity, and anticipatory and synchronous postural activities (or combinations thereof). Simulations with this model show that: (1) none of the postural maintenance schemes considered in these simulations (including varying anticipation) could suppress the initial backward thrust on the body link; (2) the more important destabilizing perturbation is a subsequent forward sway that, left uncountered by postural activity, would eventually leave the body to fall flat on its face; and (3) anticipatory silencing of the postural extensor followed by a brief period of extensor activation (descending control) and synchronous reflex activity (feedback control) appears to be the most likely postural stabilizing strategy that inhibits the continuous forward sway and is consistent with the experimental evidence.

Arm↗

Nucleus retroambigualis respiratory neurons: responses to intercostal and abdominal muscle afferents.

Studies were performed on anesthetized (Dial), paralyzed, vagotomized, artificially ventilated cats. Phrenic efferent activity, ventral respiratory group neuron activity in the region of the nucleus retroambigualis and, in some instances, thoracic dorsal root compound action potentials were recorded during electrical stimulation of intercostal nerve afferents (INS). Phrenic activity and inspiratory (I) neurons were inhibited by stimulating external, internal and lateral intercostal nerve afferents. Some expiratory (E)-neurons were also inhibited by these afferents. No I or E-neurons were facilitated with INS. Changes in I and E activity were correlated with muscle proprioceptor and cutaneous receptor afferent fibers. It is concluded that the dominant effect of intercostal and abdominal muscle proprioceptive afferent information on medullary respiratory activity in inhibition of inspiratory activity.

Abdominal Muscles↗

Dynamic and static stretch responses in muscle spindle receptors in fatigued muscle.

Dynamic and static stretch responses in muscle spindles were investigated in fatigued muscle to determine if acute adaptations do occur in receptor discharge as has been shown after contractions of short duration. Fatigue to 60-50% maximum tetanic tension was induced in the isolated gastrocnemius muscle in 16 cats by sustained, 7 X threshold electrical stimulation (100 Hz) of the cut L7 ventral root and S1 ventral root. Group Ia and II afferent fiber responses to slow ramp stretches (5 mm X s-1) and vibration (100 Hz) applied to the Achilles tendon were monitored before and immediately after muscle tetany to fatigue. Changes in firing characteristics were similar when results from faster (25-30 mm X s-1) ramp stretches were contrasted. During muscle fatigue, decreases in response latency to displacement and increases in resting discharge, mean frequency during stretch, and frequency of firing to vibration were predominant in both afferent fiber types. Static responses were generally lower, indicating a decrease in position sensitivity. Resting muscle force and passive peak muscle stiffness were consistently higher following contraction. The sum effects of these proprioceptive afferent and mechanical muscle responses would be to increase muscle stiffness and thus resist yield in muscle length to perturbations at lower muscle forces. The magnitude of these adaptations in proprioceptive discharge appears dependent on intrafusal muscle fiber activation.

Adaptation, Physiological↗