SEARCH · PubMed Health

Results for “Postural control”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,243 records · Page 69Linked to original sources

PubMedDate not supplied

Electromyographic study of newborn stepping in neonates and young infants.

The purpose of this study was to examine the developmental changes in the functional mechanisms of leg muscles in newborn stepping over the first four months in ten normal neonates. Neonatal stepping in the first month showed excessive coactivation, that is, co-contraction patterns of mutual antagonists appeared especially during stance phase. The discharge patterns of co-contraction in neonatal stepping began to change to reciprocal patterns in young infant stepping (after the first month), but excessive muscular activities associated with a slightly squatted posture and forward lean still remained. Strong muscle activities of leg extensors due to a parachute reaction of the legs before floor contact, not seen in the neonatal period, began to appear in the young infant period from one month of age to three months. We suggest that these gradual changes of leg muscular activity in newborn stepping are evoked by development of balance, postural control, and strength, thereby modulating the neonatal stepping reflex.

Child Development↗

PubMed2006

The sacroiliac joint: anatomy, physiology and clinical significance.

The sacroiliac joint (SIJ) is a putative source of low back pain. The objective of this article is to provide clinicians with a concise review of SIJ structure and function, diagnostic indicators of SIJ-mediated pain, and therapeutic considerations. The SIJ is a true diarthrodial joint with unique characteristics not typically found in other diarthrodial joints. The joint differs with others in that it has fibrocartilage in addition to hyaline cartilage, there is discontinuity of the posterior capsule, and articular surfaces have many ridges and depressions. The sacroiliac joint is well innervated. Histological analysis of the sacroiliac joint has verified the presence of nerve fibers within the joint capsule and adjoining ligaments. It has been variously described that the sacroiliac joint receives its innervation from the ventral rami of L4 and L5, the superior gluteal nerve, and the dorsal rami of L5, S1, and S2, or that it is almost exclusively derived from the sacral dorsal rami. Even though the sacroiliac joint is a known putative source of low back and lower extremity pain, there are few findings that are pathognomonic of sacroiliac joint pain. The controlled diagnostic blocks utilizing the International Association for the Study of Pain (IASP) criteria demonstrated the prevalence of pain of sacroiliac joint origin in 19% to 30% of the patients suspected to have sacroiliac joint pain. Conservative management includes manual medicine techniques, pelvic stabilization exercises to allow dynamic postural control, and muscle balancing of the trunk and lower extremities. Interventional treatments include sacroiliac joint, intra-articular joint injections, radiofrequency neurotomy, prolotherapy, cryotherapy, and surgical treatment. The evidence for intra-articular injections and radiofrequency neurotomy has been shown to be limited in managing sacroiliac joint pain.

Biomechanical Phenomena↗

PubMed1984

Vestibulospinal reflexes as a function of microgravity.

The idea that sustained microgravity will result in altered otolith input requiring a modification of postural control was explored by using the pathway that links the otolith organs and spinal motoneurons. Two related methods were used. First, the Hoffmann reflex was used to measure at specific times the excitability of the soleus-spinal motoneuron pool during a brief unexpected linear acceleration. Second, extensive dynamic postural testing with a moving platform was done before and after flight. The Hoffmann reflex amplitude, reflecting otolith-modulated motoneuron sensitivity, was low in flight after adaptation, and its postflight potentiation may have been dependent on rate of adaptation. The strength of inflight motion sickness symptoms was related to postflight Hoffmann reflex amplitude. Dynamic posture tests showed significant deviations from the results obtained before flight. The strategy used for balance on the moving platform was modified, and the behavior of the subjects suggested a decrease in awareness of the direction and magnitude of the motion.

Electromyography↗

PubMed1991

Postural stability on moving platform oscillating at high frequencies. Effect of vestibular lesion.

The effect of linear perturbation at a frequency range of 8 to 24 Hz on postural stability was studied in 7 patients with unilateral vestibular function loss. Force platform technique was used with automatic analysis resulting in the sway velocity of the center point of force. In all patients the support surface movement produced increased sway velocity which was significantly greater than in the controls. Tests at lower frequencies (8 and 10 Hz) produced higher sway velocities than tests at higher frequencies (12, 14, 16 and 24 Hz). The results indicate that the vestibular system controls postural reflexes at a substantially higher frequency range than hitherto suggested.

Adult↗

PubMed2004

Cervical muscle response to right posterolateral impacts.

OBJECTIVE: To test the hypothesis that the head kinematic and the cervical muscle EMG responses to unexpected impacts of increasing low-velocity in the posterolateral direction will be greater than to expected impacts. DESIGN: Ten healthy volunteers were subjected to right posterolateral of 5.0, 8.6, 12.2, and 15.4 m/s2 acceleration in expected and unexpected conditions. BACKGROUND: The effect of a posterolateral impact on the cervical muscle responses is unknown. METHODS: Bilateral EMG of the sternocleidomastoids, trapezii, and splenii capitis were recorded and compared. The acceleration of the chair, torso, and head was recorded and compared. RESULTS: At an acceleration of 15.4 m/s2, the sternocleidomastoids generated the highest EMG in the unexpected impact conditions with lower percentages for the expected impact (50% of their maximal voluntary contraction). The splenii exhibited between 30% and 40% EMG, the trapezii generated approximately 25%. The EMG was significantly affected by the levels of acceleration (P < 0.01) for the sternocleidomastoids and splenii. The time to onset and peak EMG for all muscles progressively decreased with increasing levels of acceleration and regressed significantly on it (P < 0.01). Head accelerations were greater in the unexpected impacts (P < 0.5). CONCLUSIONS: The cervical muscles play a primary role in posture control. They may be a at risk of injury in whiplash especially in unexpected impacts. In the case of the right posterolateral impacts the sternocleidomastoids and splenii show a differentially higher response compared to the trapezii (P < 0.5). This may suggest an increased risk of injury to these muscles. RELEVANCE: The results presented contribute to an understanding of head and neck responses in posterolateral impacts.

Acceleration↗

PubMed2001

Backward and forward leaning postures modelled by an fBm framework.

Body leaning effects on postural control have been assessed by recording the centre of pressure (CP) displacements in healthy subjects under three experimental conditions (REF, BWD and FWD corresponding to upright, backward leaning and forward leaning of the body, respectively). The CP displacements were used to compute the motions of the vertical projections of the centre of gravity (CG(v)) and those of the difference CP-CG(v). A frequential analysis shows that the main effect takes place on CP-CG(v) motions, suggesting increased muscular activity in these leaning postures. In addition, changes also occur on CG(v) motions, especially in the antero-posterior (AP) direction. Modelling these motions as fractional Brownian motion (fBm) indicates that leaning the body induces, in the AP direction, a shift in the time interval Deltat at which the corrective process takes over the initial one operating in open-loop. In FWD and BWD conditions, the Deltat is diminished whilst the mean distance covered at this Deltat is increased for both CG(v) and CP-CG(v) motions. Moreover, more determinism in the overall upright stance control is observed in the corrective (closed-loop) process involving CG(v) motions. These facts emphasize the inability for the CP displacements to express properly the overall body sway in upright stance control.

Adult↗

PubMed2003

The effect of occlusal alteration and masticatory imbalance on the cervical spine.

The characteristics of mandibular lateral displacement include lateral inclination of the occlusal plane and the differences between the right and left masticatory muscles. The aims of this investigation were to compare the mandibular stress distribution and displacement of the cervical spine using three-dimensional finite element models (3D FEM) to simulate masticatory movements and to clarify the association between morphological and functional characteristics and head posture. A symmetrical standard model was produced (model-A). Model-B had higher masticatory muscle strength on the left side, model-C had symmetrical masticatory muscle strength but the occlusal plane was inclined upwards towards the right and model-D had the occlusal plane inclined upwards towards the right with higher masticatory muscle strength on the left side. Model-A showed a completely symmetrical stress distribution pattern, while in model-B there was an uneven distribution in the mandible with higher stress on the left side. In addition, the stress distribution in the cervical spine was asymmetrical, showing displacement to the right. Model-C showed a similar mandibular tendency to model-B but the opposite tendency in the cervical spine. In model-D, the mandibular stress distribution was markedly asymmetrical, but almost symmetrical in the cervical spine with markedly decreased lateral displacement. These results suggest that lateral inclination of the occlusal plane and imbalance between the right and left masticatory muscles antagonistically act on displacement of the cervical spine, i.e. the morphological and functional characteristics in patients with mandibular lateral displacement may play a compensatory role in posture control.

Adaptation, Physiological↗

PubMed1994

Binaural monopolar galvanic vestibular stimulation reduces body sway during human stance.

The influence of monopolar binaural galvanic stimulation of the vestibular system was studied on body sway. Subjects, with eyes closed, were standing on a hard support or on foam rubber. Their body sway was registered on a force platform at intervals of 50 s. Both polarities of direct current with intensity 1 mA were used as a galvanic stimulus during the whole recording interval. Changes of body sway amplitude and velocity were analyzed in situations with and without galvanic stimulation on two different support surfaces. In stance on the hard support, the cathodal polarization of labyrinths (in most subjects) reduced body sway velocity and decreased body sway slightly in the anteroposterior direction. Anodal polarization of labyrinths during 50 s did not affect the body sway parameters. The results on the foam rubber platform exhibited a significant reduction of body sway velocity induced by both anodal and cathodal polarization of the labyrinths. The decrease of body sway in the anteroposterior direction was also observed during cathodal polarization. The stabilizing effect of vestibular binaural monopolar stimulation on the upright stance was mainly observed in the postural control situation where the leg proprioceptive input was changed (stance on soft surface) and the role of vestibular input was more important.

Adolescent↗

PubMed1992

Adaptive feedback control models of the vestibulocerebellum and spinocerebellum.

We extend the cerebellar learning model proposed by Kawato and Gomi (1992) to the case where a specific region of the cerebellum executes adaptive feedback control as well as feedforward control. The model is still based on the feedback-error-learning scheme. The proposed adaptive feedback control model is developed in detail as a specific neural circuit model for three different regions of the cerebellum and the learning of the corresponding representative movements: (i) the flocculus and adaptive modification of the vestibulo-ocular reflex and optokinetic eye-movement responses, (ii) the vermis and adaptive posture control, and (iii) the intermediate zones of the hemisphere and adaptive control of locomotion. As a representative example, simultaneous adaptation of the vestibulo-ocular reflex and the optokinetic eye-movement response was successfully simulated while the Purkinje cells receive copies of motor commands through recurrent neural connections as well as vestibular and retinal-slip parallel-fiber inputs.

Animals↗

PubMed1985

Supramedullary projections to the dorsal and ventral divisions of the paramedian reticular nucleus in the cat.

Injections of combined lectin-conjugated and unconjugated horseradish peroxidase were made in the dorsal (d) and ventral (v) divisions of the paramedian reticular nucleus (PRN), a precerebellar relay nucleus, of the cat. The origins of supramedullary afferent projections to the PRN were identified in the pons, midbrain and cerebral cortex using the transverse plane of section. The data indicate a segregation of input from a number of sites to the dPRN and vPRN. The interstitial nucleus of Cajal projects bilaterally to the dPRN and predominantly to the ipsilateral side. The vPRN receives only a unilateral projection from the ipsilateral nucleus of Cajal. Major afferent projections to the vPRN arise from the ipsilateral nucleus of Darkschewitsch and the intermediate layer of the contralateral superior colliculus. Neither of these sites projected to the dPRN. The raphe nuclei and medial reticular formation of the pons and midbrain contribute a moderate input to both divisions of the PRN. A moderate bilateral cerebral cortical projection arises from the first somatomotor area (SMI). The ventral coronal and anterior sigmoid gyri project mainly to the dPRN and vPRN respectively. Smaller afferent projections arise from the posterior sigmoid gyri and area 6 of Hassler and Mühs-Clement (1964) in the medial wall of the anterior sigmoid gyrus. Inputs from the accessory oculomotor nuclei, tectal regions and the first somatomotor cortex suggest a role in postural control for the PRN which may underlie its involvement in mediating orthostatic reflexes.

Animals↗

PubMed2006

Postural, physiological and psychological reactions to challenging balance: does age make a difference?

OBJECTIVES: To determine if increases in balance challenge influenced concomitant change in self-efficacy, state anxiety and physiological arousal, and if these changes were correlated with changes in standing balance in young and older adults. DESIGN: A 2 x 2 between- (age) by within-subject (balance challenge) factorial design. SETTING: quiet standing trials were performed on low and high support-surface heights in a research laboratory. SUBJECTS: 14 Young (22-31 years) and 14 older (60-83 years) adults with no known neurological or balance disorders, or falls within the last year. METHODS: Forceplate-derived measures of standing balance, measures of state anxiety, blood pressure and task-specific balance and coping self-efficacy. RESULTS: Independent of age, mean position, amplitude and frequency of centre of pressure displacements were significantly influenced by surface height, as were anxiety and efficacy. Decreased amplitude and increased frequency changes observed in both age groups with increased balance challenge were consistent with a stiffening strategy. Blood pressure, state anxiety and self-efficacy were correlated with different postural control changes in young and older adults. CONCLUSIONS: Older adults used the same stiffening strategy as young adults to cope with the increased anxiety and lowered confidence associated with standing on a high surface. Converging evidence indicates that physiological status, state anxiety and balance efficacy are related to specific changes in postural performance with increased balance challenge. Findings highlight the potential additive effects of psychological and physiological factors on clinical balance performance and the need to consider comprehensive rehabilitation and prevention techniques that concern psychological and physiological contributions to balance deficits.

Adult↗

PubMed2002

Head posture and loading of the cervical spine.

Calculations by Colombini et al. (Ergonomics of Working Postures. Taylor & Francis, London, 1985) showed that a line of gaze below the horizontal would load the cervical spine more than a horizontal gaze. Precision stadiometer tests were run, using seven subjects, to measure the effects on spinal length of different angles of gaze. After 1 h exposure whilst sitting in a controlled posture, there were significant differences in the shrinkage of the spine between the horizontal gaze and the 20 and 40 angles below the horizontal. The increased spinal loading demonstrated by the increase in spinal shrinkage calls into question the recommendations for angle of gaze recommended in textbooks.

Adult↗

PubMed2005

Effect of vision, touch and stance on cerebellar vermian-related sway and tremor: a quantitative physiological and MRI study.

Postural balance is impaired in individuals with pathology of the anterior superior vermis of the cerebellum. Chronic alcoholism, with its known vermian pathology, provides a viable model for studying the relationship between cerebellar pathology and postural stability. Decades of separate study of recovering alcoholics and post-mortem neuroanatomical analysis have demonstrated vermian pathology but few studies have used quantitative posturography, acquired concurrently with quantitative neuroimaging, to establish whether this brain structure-function relationship is selective in vivo. Here, 30 healthy men and 39 chronic alcoholic men, abstinent from alcohol for several months, underwent MRI for volumetric quantitation of the cerebellar vermis and three comparison brain regions, the cerebellar hemispheres, supratentorial cortex and corpus callosum. All subjects also participated in an experiment involving a force platform that measured sway path length and tremor during static standing balance under four sensory conditions and two stance conditions. Three novel findings emerged: (i) sway path length, a physiological index of postural control, was selectively related to volume of the cerebellar vermis and not to any comparison brain region in the alcoholics; (ii) spectral analysis revealed sway prominence in the 2-5 Hz band, another physiological sign of vermian lesions and also selectively related to vermian volume in the alcoholics; and (iii) despite substantial postural sway in the patients, they successfully used vision, touch and stance to normalize sway and reduce tremor. The selective relationship of sway path to vermian but not lateral cerebellar volume provides correlational evidence for functional differentiation of these cerebellar regions. Improvement to virtual normal levels in balance and reduction in sway and tremor with changes in vision, touch and stance provide evidence that adaptive mechanisms recruiting sensorimotor integration can be invoked to compensate for underlying cerebellar vermian-related dysfunction.

Alcoholism↗

PubMed1979

Midbrain asterixis.

Asterixis is usually a manifestation of metabolic encephalopathy. It was the only skeletal motor sign in a patient with ophthalmoplegia caused by midbrain infarction; no metabolic abnormality was present. The asterixis was accompanied by signs of damage to the mesencephalic reticular formation. We propose that episodic lapses of postural control by the reticular formation are responsible for midbrain asterixis and suggest that this asterixis is a segmental form of drop attack.

Aged↗

PubMed2006

Muscle synergies during voluntary body sway: combining across-trials and within-a-trial analyses.

We investigated co-varied changes in muscle activity during voluntary sway tasks that required a quick shift of the center of pressure (COP). We hypothesized that multi-muscle synergies (defined as task-specific covariation of elemental variables, muscle modes) stabilize a COP location in the anterior-posterior direction prior to a voluntary COP shift and that during the shift the synergies would weaken. Standing subjects performed two tasks, a cyclic COP shift over a range corresponding to 80% of the maximal amplitude of voluntary COP shift at 1 Hz and a unidirectional quick COP shift over the same nominal amplitude. The cyclic sway task was used to define muscle modes (M-modes, leg and trunk muscle groups with parallel scaling of muscle activation level within a group) and the relations between small changes in the magnitudes of M-modes [in the principal component analysis (PCA), the M-mode magnitudes are equivalent to PC scores] and COP shifts. A novel approach was used involving PCA applied to indices of muscle integrated activity measured both within a trial and across trials. The unidirectional sway task was performed in a self-paced (SP) manner and under a typical simple reaction time (RT) instruction. M-modes were also defined along trials at those tasks; they have been shown to be similar across tasks. Integrated indices of muscle activity in the SP-sway and RT-sway tasks were transformed into the M-modes. Variance in the M-mode space was partitioned into two components, one that did not affect the average value of COP shift (V (UCM)) and the other that did (V (ORT)). An index (DeltaV) corresponding to the normalized difference between V (UCM) and V (ORT) was computed. During steady-state posture, DeltaV was positive corresponding to most M-mode variance lying in a sub-space corresponding to a stable COP location across trials. Positive DeltaV values have been interpreted as reflecting a multi-M-mode synergy stabilizing the COP location. The magnitude of DeltaV was larger in SP trials than in RT trials. During voluntary COP shifts, the DeltaV magnitude dropped to zero or even became negative. We conclude that M-mode synergies stabilize COP location during quiet standing, while these synergies weaken or disappear during fast voluntary COP shifts. Under RT conditions, the COP stabilizing synergies were weaker supposedly to facilitate a quick COP shift without time for preparation. The suggested method of M-mode identification may potentially be applied to analysis of postural synergies in persons with impaired postural control such as elderly persons, persons with atypical development, or in the course of rehabilitation after an injury.

Adult↗

PubMed2006

A neural network approach to motor-sensory relations during postural disturbance.

This study explored whether artificial neural networks (ANN) can be used to quantify the motor-sensory relationship during postural disturbance. An ANN model was constructed with seven mechanical stimuli to the visual, vestibular and somatosensory systems (i.e., head angular and linear accelerations, eye-target distance, ankle joint rotation and velocity, as well as normal and shear ground contact forces under the feet) as inputs, and electromyographic activities of tibialis anterior and gastrocnemius muscles as outputs. These inputs and outputs were directly measured during a sudden toes-up-down rotation of the supporting base in two groups of elderly subjects: people with peripheral neuropathy (NP) who have severe loss of mechanoreception in the sole of their feet and people without NP. The products of ANN weights were used in a summary statistic called the Q-value to estimate the contribution of each mechanical stimulus to sensory systems in determining each leg muscle activity. It was found that: (1) the stimuli to the vestibular system and/or ankle proprioceptors have greater contributions to leg muscle activities, especially the TA muscle, in people with NP than people without NP; (2) the stimuli to somatosensory receptors have the greatest contribution, and the stimuli to the vestibular system have the least contribution to both muscle activities in both groups. These findings are supported by previous studies and have demonstrated the potential of the Q-value concept in the ANN model in studying the motor-sensory relationship in human postural control.

Aged↗

PubMed2006

Postural responses to specific types of working memory tasks.

Standing participants performed working memory tasks that varied along three dimensions: (1) type of information presented (verbal or visual); (2) the primary cognitive process engaged (encoding or rehearsal); and (3) interference that targeted the working memory components (phonological loop and visual sketchpad) believed primarily active during rehearsal. Postural sway variability decreased during rehearsal and increased during encoding. The effects during encoding, but not during rehearsal, differed for verbal versus visual material. Changes in cognitive activity were also associated with changes in the temporal patterns of postural sway. The results suggest postural control is sensitive to the type of cognitive task performed.

Adolescent↗

PubMed2002

Motor strategies in standing up in leukomalacic spastic diplegia.

In spastic diplegia impaired postural control jeopardizes the organization of whole-body movements. We studied segmental motor patterns involved in standing up from a supine position in ten children with spastic diplegia associated with periventricular leukomalacia and 14 unimpaired children using a visual analysis scale previously devised for developmental research. This approach examines specific movement patterns in upper limbs, axis and lower limbs. We found that children with spastic diplegia use movement patterns described in normal children but with markedly reduced intra- and interindividual variability. One previously undescribed stereotyped lower limb pattern was observed in four patients. This approach can systematically characterize the limited repertoire of movement in patients with spastic diplegia and therefore contribute to a better understanding of motor control.

Biomechanical Phenomena↗