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At least 1,261 records · Page 70Linked to original sources

PubMed2003

Comparison of the ankle, knee, hip, and trunk corrective action shown during single-leg stance on firm, foam, and multiaxial surfaces.

OBJECTIVE: To compare the quantity of ankle, knee, hip, and trunk corrective actions shown during single-leg stance. DESIGN: Counter-balanced crossover design. Single-leg stance under the conditions of eyes open on firm, foam, and multiaxial surfaces and eyes closed on a firm surface were recorded for 12 seconds in 18 participants. SETTING: A university neuromuscular research laboratory. PARTICIPANTS: Eighteen healthy and recreationally active college students. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Average angular displacement magnitude between successive sampling instances for the ankle, knee, hip, and trunk. RESULTS: A significant condition by joint interaction was revealed. Post hoc comparisons revealed that the ankle dominated as the source of corrective action across each of the testing conditions. As the challenge became greater because of foam surface or eyes closed, more corrective action occurred at proximal joints (hip and/or knee). CONCLUSIONS: The ankle is of primary importance during single-leg stance on firm, foam, and multiaxial surfaces, with proximal joints having an increased role under more challenging conditions. These results provide a scientific basis for clinicians' and researchers' decisions about support surface and visual condition during single-leg postural control testing and training.

Adolescent↗

PubMed1980

Saccadic eye movements and body sway.

Different conditions of moving retinal images show differential influences on postural stability. A surrounding pattern moved during steady fixation increases body sway, but similar image motions generated by voluntary saccades do not. Mechanisms for postural control do not respond to visual feedback during saccades. Analogous principles in saccadic suppression and space constancy are discussed.

Biofeedback, Psychology↗

PubMed1996

Rehabilitation of elderly fallers: pilot study of a low to moderate intensity exercise program.

OBJECTIVE: The role of exercise in the prevention of falls and fall-related injuries among elderly persons is unclear. The objective of this study was to assess the response to an exercise-based rehabilitation program intended to improve balance and mobility and reduce or prevent falls. DESIGN: Pretest-posttest experimental design with repeated measures at baseline, immediately postintervention, and 6 months postintervention. To assess the effect of repeated exposure to our main outcome measure (the obstacle course), half of the participants (randomly selected) were allowed to practice on the obstacle course. SETTING: A veterans affairs medical center. PARTICIPANTS: Elderly, ambulatory, community-dwelling volunteers recruited from among local outpatients at our medical center. INTERVENTION: Sixty-five volunteers completed a 6-week supervised low to moderate intensity program of stretching, postural control, endurance walking, and coordination exercises designed to improve balance and mobility. Participants were divided into 2 groups: 34 participants who did not practice on the obstacle course during their exercise program and 31 participants who practiced on the obstacle course in addition to their otherwise identical exercise program. MAIN OUTCOME MEASURES: Performance on a functionally oriented obstacle course and self-reported falls and fall-related injuries. RESULTS: No significant performance differences were found between the two groups. After intervention, mean qualitative obstacle course scores improved modestly (5%) and mean obstacle course completion time decreased by 15% from baseline. These postintervention pairwise performance differences were clinically important but not statistically significant. Relative to baseline levels, postintervention falls and injuries did not change significantly. CONCLUSIONS: Our exercise intervention may have the potential to improve functional performance. However, some modifications are necessary to enhance efficacy. The obstacle course may be a useful tool in the evaluation of elderly persons with balance and mobility impairment in the rehabilitation setting.

Accidental Falls↗

PubMed1999

Postural responses to combined vestibular and hip proprioceptive stimulation in man.

Vestibular-proprioceptive interaction in human postural control in the frontal plane was studied by analysing the lateral body sway evoked in a standing subject by a weak, near-threshold galvanic vestibular stimulation combined with a balanced, bilateral vibration of the medial gluteus muscles. The intensities of the stimuli were adjusted so that none of them produced a consistent postural response when delivered alone. The pattern of the lateral body sway evoked by the combined stimulation was compared with postural responses to suprathreshold vestibular stimulation and asymmetric (unilateral) vibration of the hip abductors. During the vestibular stimulation alone the head movement started earlier and was larger than movement of the hip. During unilateral vibration the head movement was delayed with respect to the hip movement and the amplitude of head deviation was less than that of the hip. The pattern of postural response to combined vestibular stimulation and balanced vibration resembled that observed under unbalanced, unilateral vibration in terms of both the latencies and amplitudes of deviation of the body segments from their respective baseline positions. It is suggested that the asymmetric vestibular signal provided by galvanic stimulation of the labyrinth introduces a bias into the reference frame for central interpretation of proprioceptive signals so that a symmetric proprioceptive input gives rise to a lateral body sway when referenced to an asymmetric vestibular input.

Adult↗

PubMed2006

[Synergic analysis and dynamics pattern of human normal gait during swing phase].

A dynamics model of human lower extremity, which combines musculotendon dynamics and muscle excitation-contraction dynamics, is presented. With this model, a motion process of normal gait during swing phase is numerically analyzed by use of the optimal control theory. The model was verified using experimental kinematics, muscles activation, and electromyographic data. The result showed that the tri-phasic activation pattern and synergistic muscles displayed during a normal gait in swing phase. The pattern consists of three distinct phases, i. e., acceleration during moving initiation, braking the moving segment, and posture control at the final specified position.

Biomechanical Phenomena↗

PubMed1999

Turning strategies during human walking.

The mechanisms involved in rapidly turning during human walking were studied. Subjects were asked to walk at a comfortable speed and to turn toward the instructed direction as soon as they felt an electrical stimulus to the superficial peroneal nerve. Stimuli were presented repeatedly at random over 10- to 15-min periods of walking for turning in both directions. Electromyograms (EMGs), joint angular movements of the right leg, and forces under both feet were recorded. The step cycle was divided into 16 parts, and the responses to stimuli in each part were analyzed separately. Two turning strategies were used, depending on which leg was placed in front for braking. For example, to turn to the right when the right foot was placed in front, subjects generally altered direction by spinning the body around the right foot (spin turn). To turn left when the right foot was in front, subjects shifted weight to the right leg, externally rotated the left hip, stepped onto the left leg, and continued turning until the right leg stepped in the new direction (step turn). The step turn is easy and stable because the base of support during the turn is much wider than in the spin turn, so some subjects used it in all parts of the cycle. Initially, the deceleration of walking is similar to a rapid stopping task, which has been previously examined. The deceleration mechanism involves a sequence of distal-to-proximal activation of muscles on one side of the body (soleus, biceps femoris, and erector spinae). This pattern is similar to the "ankle strategy" used in postural control during forward sway. The control of foot placement in the swing leg and muscle activities for rotating the trunk in the stance leg occurred within a step after the cue. The action of ankle inverters and elevation of the pelvis by activity of gluteus medius may contribute to the control of trunk rotation. This activity was closely related to the timing of the opposite foot strike, independent of the part of the step cycle when the stimulus was applied. In most subjects, the turn was completed without resetting the underlying walking rhythm. This first EMG analysis of rapid turning shows how common strategies for postural sway and stopping can be combined with one of two turning strategies. This simplifies the complex task of turning at a random time in the step cycle.

Adult↗

PubMedDate not supplied

Systemic effects of the occlusal destruction in guinea pigs.

Although there is an increasing amount of information pertaining to the systemic effects of malocclusion, its mechanisms still remain unclear in many ways. This study was conducted to find out the systemic effects of the occlusal destruction in guinea pigs. The animals showed an abnormality in posture and a reversal of the T wave in electrocardiogram (ECG) about 6 days after the grinding of all molar teeth. All the animals died about 7 days after the occlusal destruction. We established the optimal condition of occlusal destruction for the induction of the above symptoms in guinea pigs: at least 6 molars, both side premolar, 1st and 2nd molar of upper jaw, because of the ease for repair. The following results were obtained: 1. The experimental group died about 5 days earlier than the fasting group. 2. The animals could not hold their head positions and dropped the head to the earth. 3. The animals died about 12 hours after the onset of postural abnormality. 4. Ninety percent of the animals with postural abnormalities showed T wave inversion on ECG. 5. None of the above symptoms occurred with bite rising. These results indicate that occlusal destruction affects head position, preventing the animals to hold their head positions and causing the head to drop to the ground. Occlusal destruction may also cause abnormality of the masticatory muscles, which control posture and modulate cardiac function via the trigeminal system. This experimental model is suitable for the analysis of the systemic effects of occlusal destruction.

Animals↗

PubMed2005

Lateral weight transference exercises following acute stroke: a preliminary study of clinical effectiveness.

OBJECTIVES: To evaluate a training programme aimed at improving lateral weight transference in patients following acute stroke to determine main treatment effects, if any, to inform the design of future studies. DESIGN: A single-blind randomized controlled trial. SETTING: The Stroke Unit at The James Cook University Hospital, Middlesbrough, UK. SUBJECTS: Thirty-five patients with an acute stroke. INTERVENTIONS: All subjects received their usual care, including physiotherapy. The treatment group (n = 17) received 12 additional therapy sessions (over four weeks) comprising exercises aimed at improving lateral weight transference in sitting delivered by trained physiotherapy assistants. MAIN OUTCOME MEASURES: Measures of dynamic reaching, sitting and standing, and static standing balance were undertaken by a blind independent observer. RESULTS: Specific measures of weight displacement in standing and reaching, and timed standing up and sitting down did not detect any differences over time regardless of group. Neither were there any significant changes over time, except for sway during static standing (p < 0.01) and time to return to their original position during dynamic reaching (p = 0.01). CONCLUSIONS: A training programme aimed at improving lateral weight transference did not appear to enhance the rehabilitation of acute stroke patients. Improvements observed in postural control in standing and sitting may be attributable to usual care or natural recovery.

Acute Disease↗

PubMed2005

On modeling center of foot pressure distortion through a medium.

The center of foot pressure (COP) is a commonly used output measure of the postural control system as it is indicative of the systems stability. A dense piece of foam, i.e., a sponge, can be used to emulate random environmental conditions that distort the ground reaction forces received and interpreted by the cutaneous sensors in the feet; thus introducing uncertainty into the control system. In this paper, the density and size of the sponge was selected such that a subject's weight did not cause full compression. In general, the COP is measured from the bottom of the sponge. As the sponge is used to distort ground reaction forces, it is reasonable then to assume that the COP signal would also be distorted. The use of other sensory information to identify state of balance, and compute necessary balance adjustments, is therefore required. In addition to a sponge, many different types of specialized footwear and inserts are used for people with peripheral neuropathy, such as diabetics. However, it is difficult to design diabetic footwear without a better understanding of the mechanical and physiological effects that different surfaces typical of outdoor terrains, such as a sponge, which cannot be predicted without the sense of the foot, have on balance. Therefore, the goal of this study was to investigate the change of the COP signal from the top and bottom of the sponge. Portable force sensing mats from Vista Medical were used to obtain the COP from the top and bottom of the sponge. The COP measured on the bottom of the sponge is not the same as the COP measured on the top, particularly in the medial-lateral direction. Several linear and nonlinear models were used to identify the unknown plant; i.e., the sponge. Overall, the nonlinear neural network method had superior performance when compared with the linear models. Thus, the results indicate that the signals from the top and bottom of the sponge are in fact different, and furthermore, they are nonlinearly related. A nonlinear mathematical model is proposed which describes COP distortion through a medium such as a sponge. Although the values for the model parameters determined were for a particular sponge, this study suggests that a neural network plant identification model may be applied to any medium other than the sponge; the information can then be used to determine how the balance control model is affected given the sensory information received.

Adult↗

PubMed2005

Body sway characteristics during static upright posture in healthy and disordered elderly.

This study aimed to compare body sway characteristics of the healthy elderly and the disordered elderly. The subjects were 38 healthy elderly and 24 disordered elderly with disequilibrium. The latter consisted of two groups: 12 elderly with vestibular organ or central nervous systems disorder (central nervous disorders), and 12 elderly with disorder in other systems (other disorders). The measurement device can calculate the center of foot pressure (CFP) of vertical loads from the values of three vertical load sensors, which are located at the corners of an isosceles triangle on a level surface. The data sampling frequency was 20 Hz. Four body sway factors with high reliability (unit time sway, front-back sway, left-right sway, and high frequency band power) were used to evaluate body sway. As compared with healthy people, central nervous disorders had larger unit time sway, high frequency band power, and left-right sway factors. Other disorders were larger in unit time sway and high frequency band power factors. Central nervous disorders, as compared with other disorders, had larger unit time sway and left-right sway factors. Disorders produced large and fast sway, and central nervous disorders in particular showed a marked sway in the left-right direction. The existence of disease influenced body sway more than decline in various functions related to posture control with aging, because even with the same elderly, disorders showed a larger body sway.

Aged↗

PubMed2004

Postural responses exhibit multisensory dependencies with discordant visual and support surface motion.

The purpose of this study was to identify how the postural system weights coincident yet discordant disturbances of the visual and proprioceptive/vestibular systems. Eleven healthy subjects (25-38 yrs) received either fore-aft translations of an immersive, wide field-of-view visual environment (0.1 Hz, +/- 3.7 m/sec), or anterior-posterior translations of the support surface (0.25 Hz, +/- 15 cm/sec), or both concurrently. Kinematics of the head, trunk, and shank were collected with an Optotrak system and angular motion of each segment plotted across time. With only support surface translation, segmental responses were small (1 degrees -2 degrees ) and mostly opposed the direction of sled translation. When only the visual scene was moving, segmental responses increased as the trial progressed. When the inputs were presented coincidentally, response amplitudes were large even at the onset of the trial. Mean RMS values across subjects were significantly greater with combined stimuli than for either stimulus presented alone and areas under the power curve across subjects were significantly increased at the frequency of the visual input when both inputs were presented. Thus, intra-modality dependencies were observed, such that responses to the visual inputs significantly increased and responses to the somatosensory signals reflected the stimulus amplitude only when the two inputs were combined. We believe it unlikely that the role of any single pathway contributing to postural control can be accurately characterized in a static environment if the function of that pathway is context dependent.

Acceleration↗

PubMed2004

Dynamic posturography in humans imagining a fixed spatial reference.

OBJECTIVE: To investigate the effect of imagining a fixed spatial reference on balance control. MATERIAL AND METHODS: Twenty-one healthy subjects were asked to remain as stable as possible while standing on a sway-referenced platform (NeuroCom Equitest posturography system). Subjects were instructed to keep their eyes open in the dark and to either look far into the distance without fixating on any particular point in space or to direct their gaze towards a remembered earth-fixed target (25-cm distant). Room lights were switched off immediately before each 20-s sway recording. Postural stability measures included equilibrium scores and root-mean-square sway amplitudes in the anterior-posterior plane. RESULTS: Postural sway was not influenced by the instruction to gaze towards a remembered target. CONCLUSION: Imagining a fixed spatial reference does not influence postural control, at least during sway-referenced dynamic posturography.

Adolescent↗

PubMedDate not supplied

Visual influences on balance.

This paper discusses the impact of vision on balance and orientation in patients with vestibular disorders and in anxiety patients with space and motion discomfort (SMD). When the vestibular system is impaired, vision has a greater influence on standing postural control, resulting in greater sway when individuals are presented with erroneous or conflicting visual cues. Studies have shown that individuals with other motion sensitivities, such as motion sickness, also tend to rely on vision for balance and do not disregard erroneous visual cues. Recently, patients with anxiety disorders that include SMD also have been shown to have increased postural sway in conflicting visual environments, similar to patients with vestibular disorders. Thus, while specific vestibular deficits are not always directly associated with SMD, data regarding the impact of vision on balance suggest that some patients with SMD may have an underlying balance disorder.

Anxiety↗

PubMed1997

Aspects of postural development in the rat.

The activation patterns in the longissimus and gastrocnemius muscles during the development of the mature type of locomotion were studied in rats from the 11th day until maturity. The EMG's of these muscles were recorded and movements were simultaneously recorded on videotape. Results indicate that during locomotion at early ages, the longissimus muscles are activated irregularly. From the 16th day, the bursts in the longissimus muscle become more pronounced. During locomotion, they are activated differentially and often a simultaneous activation of the longissimus and the contralateral gastrocnemius muscle was observed. From the 20th day, bursts in the gastrocnemius muscle during walking coincide with bursts in the ipsilateral longissimus muscle. Our results demonstrate that the mature type of postural control (from the 20th day) develops a few days after the development of the mature type of fluent walking (around the 15th-16th day).

Animals↗

PubMed1997

Posturographic evidence of nonorganic sway patterns in normal subjects, patients, and suspected malingerers.

During the last 10 years, computerized dynamic posturography has yielded various patterns of sway on the sensory organization test and the motor control test that have been associated with a variety of organic balance disorders. Some aspects of performance during computerized dynamic posturography, however, are under conscious control. Voluntary movements not indicative of physiologic response to balance system stimulation can also affect computerized dynamic posturography results. Quantification of nonorganic or "aphysiologic" response patterns in normal subjects, patients, and suspected malingerers is crucial to justify use of computerized dynamic posturography for identification of physiologically inconsistent results. For this purpose the computerized dynamic posturography records of 122 normal subjects, 347 patients with known or suspected balance disorders, and 72 subjects instructed to feign a balance disturbance were critically evaluated by use of seven measurement criteria, which were postulated as indicating aphysiologic sway. Each criterion was scored with a standard calculation of the raw data in a random, blinded fashion. The results of this multicenter study show that three of the seven criteria are significantly different in the suspected "malingerer" group when compared with either the normal or patient group. The relative strength of each criterion in discerning organic from nonorganic sway provides the examiner with a measure of reliability during platform posture testing. This study demonstrates that computerized dynamic posturography can accurately identify and document nonorganic sway patterns during routine assessment of posture control.

Adult↗

PubMed1999

The evolution of human speech: the role of enhanced breathing control.

Many cognitive and physical features must have undergone change for the evolution of fully modern human language. One neglected aspect is the evolution of increased breathing control. Evidence presented herein shows that modern humans and Neanderthals have an expanded thoracic vertebral canal compared with australopithecines and Homo ergaster, who had canals of the same relative size as extant nonhuman primates. Based on previously published analyses, these results demonstrate that there was an increase in thoracic innervation during human evolution. Possible explanations for this increase include postural control for bipedalism, increased difficulty of parturition, respiration for endurance running, an aquatic phase, and choking avoidance. These can all be ruled out, either because of their evolutionary timing, or because they are insufficiently demanding neurologically. The remaining possible functional cause is increased control of breathing for speech. The main muscles involved in the fine control of human speech breathing are the intercostals and a set of abdominal muscles which are all thoracically innervated. Modifications to quiet breathing are essential for modern human speech, enabling the production of long phrases on single expirations punctuated with quick inspirations at meaningful linguistic breaks. Other linguistically important features affected by variation in subglottal air pressure include emphasis of particular sound units, and control of pitch and intonation. Subtle, complex muscle movements, integrated with cognitive factors, are involved. The vocalizations of nonhuman primates involve markedly less respiratory control. Without sophisticated breath control, early hominids would only have been capable of short, unmodulated utterances, like those of extant nonhuman primates. Fine respiratory control, a necessary component for fully modern language, evolved sometime between 1.6 Mya and 100,000 ya.

Animals↗

PubMed2002

Joint segmental kinematic trunk motion and C.O.P. patterns for multifactorial posturographic analysis.

Measurements of postural sway are used to determine a subject ability to maintain upright stance. In many clinical analyses, postural control measured during a quiet standing provides very useful insights about CNS and Motor control behaviour. The aim of this paper is to present a new posturographic methodology including both classical parameter extraction techniques and new specially developed figuring algorithms, in which both kinematic patterns and ground reaction force COP evolution are jointly processed in order to identify the biomechanical behaviour in particular of the spine at each metameric level for both orthostatic posture and lateral bending test.

Adult↗

PubMed1986

Postnatal locomotion development in a neurological mutant of rolling mouse Nagoya.

Postural control skills and quadrupedal locomotor pattern in infant rolling mice, a neurological mutant, were observed in the following situations: hindlimb support when suspended, rope descent, narrow path traverse, quadrupedal locomotion on an inclined corridor, and swimming behavior when entirely submerged. Until the second week of age, rolling mice developed primitive responses similar to, or somewhat slower than, their unaffected littermates, but failed to show mature adaptive and coordinated movements from Days 16-18 onward in hinblimb support and rope descent tests. The gait was broadbased and they frequently lurched, rolled over on the side in the narrow-path and incline situations. Also, swimming behavior was extremely clumsy with varying degrees of disturbed rhythm and inconsistent movement of hindlimb paddling. These findings might result from an immature development of hindlimb muscle tonus control system and distortion of smooth and orderly sequence of hindlimb muscular contractions which characterize skillful quadrupedal locomotion.

Animals↗