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PubMed2001

Effects of spatial and nonspatial cognitive activity on postural stability.

Is postural stability controlled automatically, or is it affected by concurrent cognitive activity? Are the effects influenced by the nature of the cognitive activity required, and do they increase in old age? To address these questions, 70 participants aged 20-79 years were asked to stand as still as possible on a force platform (postural control task) while performing (a) no cognitive task, (b) a spatial memory task, and (c) a nonspatial memory task. The memory tasks were also performed while seated as a comparison condition. Both spatial and nonspatial memory recall declined with increasing age but were unaffected by position (standing vs. seated). Postural stability declined with age; moreover, there was support for an earlier finding that age decline was greatest when performing the spatial memory task. Each recording period was split into two phases which, for the spatial and nonspatial memory tasks, corresponded to encoding and maintaining the stimuli. In comparison with no task, participants were more stable when encoding stimuli (particularly in the spatial task), but they were less stable when maintaining stimuli (particularly in the nonspatial task). The results suggest that postural stability can be affected by cognitive activity in complex ways, depending on the age of participants, the type of cognitive task (spatial vs. nonspatial), and the cognitive processing required (encoding vs. maintenance).

Adult↗

PubMed2001

Effects of spatial and nonspatial cognitive activity on postural stability.

Journal Article↗

PubMed2001

Somatosensory loss increases vestibulospinal sensitivity.

To determine whether subjects with somatosensory loss show a compensatory increase in sensitivity to vestibular stimulation, we compared the amplitude of postural lean in response to four different intensities of bipolar galvanic stimulation in subjects with diabetic peripheral neuropathy (PNP) and age-matched control subjects. To determine whether healthy and neuropathic subjects show similar increases in sensitivity to galvanic vestibular stimulation when standing on unstable surfaces, both groups were exposed to galvanic stimulation while standing on a compliant foam surface. In these experiments, a 3-s pulse of galvanic current was administered to subjects standing with eyes closed and their heads turned toward one shoulder (anodal current on the forward mastoid). Anterior body tilt, as measured by center of foot pressure (CoP), increased proportionately with increasing galvanic vestibular stimulation intensity for all subjects. Subjects with peripheral neuropathy showed larger forward CoP displacement in response to galvanic stimulation than control subjects. The largest differences between neuropathy and control subjects were at the highest galvanic intensities, indicating an increased sensitivity to vestibular stimulation. Neuropathy subjects showed a larger increase in sensitivity to vestibular stimulation when standing on compliant foam than control subjects. The effect of galvanic stimulation was larger on the movement of the trunk segment in space than on the body's center of mass (CoM) angle, suggesting that the vestibular system acts to control trunk orientation rather than to control whole body posture. This study provides evidence for an increase in the sensitivity of the postural control system to vestibular stimulation when somatosensory information from the surface is disrupted either by peripheral neuropathy or by standing on an unstable surface. Simulations from a simple model of postural orientation incorporating feedback from the vestibular and somatosensory systems suggest that the increase in body lean in response to galvanic current in subjects with neuropathy could be reproduced only if central vestibular gain was increased when peripheral somatosensory gain was decreased. The larger effects of galvanic vestibular stimulation on the trunk than on the body's CoM suggest that the vestibular system may act to control postural orientation via control of the trunk in space.

Adaptation, Physiological↗

PubMed1991

[The participation of the medial reticular formation of the medulla oblongata in the supraspinal control of locomotor and postural activities in the guinea pig].

The effect of procain microinjection into the ventromedial part of medullary RF on the effects of electrical stimulation of mesencephalic locomotor region (MLR) and vestibular adequate stimulation was investigated in the decerebrated guinea pig. The injection was followed by reversible increasing of MLR stimulation threshold necessary for the initiation of locomotion and by the decreasing of vestibular influence on forelimb flexor activity. The participation of RF in the supraspinal control of posture and locomotion in discussed.

Animals↗

PubMed1999

Postural set for balance control is normal in Alzheimer's but not in Parkinson's disease.

BACKGROUND: It has been suggested that patients with dementia of the Alzheimer type have abnormalities in the basal ganglia, and thus, may have similar sensorimotor problems as patients with basal ganglia degeneration from Parkinson's disease. Whether the similarity extends to balance control is unknown. One distinguishing feature of balance disorder in Parkinson's disease is difficulty with changing postural set in terms of adapting the amplitude of leg muscle activity as a function of support condition. We, therefore, tested whether patients with Alzheimer's disease without extrapyramidal signs would show a similar problem in changing postural set as patients with Parkinson's disease. METHODS: The ability to quickly change postural set was measured by comparing leg muscle activity under two conditions of support (free stance, versus grasping a frame, or sitting) during backward surface translations, during toes up surface rotations, and during voluntary rise to toes. Results were compared among 12 healthy adults, 8 nondemented Parkinson's patients on their usual dose of medication, and 11 Alzheimer patients without extrapyramidal signs. RESULTS: Subjects with Alzheimer's, but not Parkinson's, disease performed similarly to the healthy control subjects. They changed postural set immediately, by suppressing leg muscle activity to low levels when supported. Parkinson subjects did not change postural set immediately. They did not suppress the tibialis anterior in voluntary rise to toes when holding, nor the soleus in perturbed sitting as much as the healthy control and Alzheimer subjects in the first trial. Instead, the Parkinson subjects changed set more slowly, over repeated and consecutive trials in both protocols. The onset latencies of soleus responses to backward surface translations and perturbed sitting, as well as tibialis anterior responses to toes up rotations, were the same for all three groups. CONCLUSION: Alzheimer patients without extrapyramidal signs, unlike nondemented Parkinson's disease patients, have no difficulty in quickly changing postural set in response to altered support conditions. Our results, therefore, do not support the hypothesis that Parkinson's and uncomplicated Alzheimer's diseases share common postural set problems that may contribute to disordered balance control.

Adaptation, Physiological↗

PubMedDate not supplied

Participation of the medial reticular formation of the medulla oblongata in the supraspinal control of locomotor and postural activities in the guinea pig.

The influence of microinjections of novocaine (1.5 microliters of a 2% solution) into the ventromedial areas of the reticular formation of the medulla oblongata on the effects of electrical stimulation of the mesencephalic locomotor region, and of adequate stimulation of the vestibular apparatus, was investigated in experiments on decerebrate guinea pigs. It was demonstrated that such injections are accompanied by a reversible increase in the threshold of stimulation of the region indicated, necessary for the initiation of locomotor rhythmicity, as well as by the suppression of vestibular influences on the activity of the flexor muscles of the extremities. The role of the reticular formation of the brainstem in the supraspinal control of posture and locomotion is discussed.

Animals↗

PubMed2006

Is equilibrium point control feasible for fast goal-directed single-joint movements?

Several types of equilibrium point (EP) controllers have been proposed for the control of posture and movement. EP controllers are appealing from a computational perspective because they do not require solving the "inverse dynamic problem" (i.e., computation of the torques required to move a system along a desired trajectory). It has been argued that EP controllers are not capable of controlling fast single-joint movements. To refute this statement, several extensions have been proposed, although these have been tested using models in which only the tendon compliance, force-length-velocity relation, and mechanical interaction between tendon and contractile element were not adequately represented. In the present study, fast elbow-joint movements were measured and an attempt was made to reproduce these using a realistic musculoskeletal model of the human arm. Three types of EP controllers were evaluated: an open-loop alpha-controller, a closed-loop lambda-controller, and a hybrid open- and closed-loop controller. For each controller we considered a continuous version and a version in which the control signals were sent out intermittently. Only the intermittent hybrid EP controller was capable of generating movements that were as fast as those of the subjects. As a result of the nonlinear muscle properties, the hybrid EP controller requires a more detailed representation of static muscle properties than generally assumed in the context of EP control. In sum, this study shows that fast single-joint movements can be realized without explicitly solving the inverse dynamics problem, but in a less straightforward manner than implied by proponents of conventional EP controllers.

Adult↗

PubMedDate not supplied

A link-segment model of upright human posture for analysis of head-trunk coordination.

Sensory-motor control of upright human posture may be organized in a top-down fashion such that certain head-trunk coordination strategies are employed to optimize visual and/or vestibular sensory inputs. Previous quantitative models of the biomechanics of human posture control have examined the simple case of ankle sway strategy, in which an inverted pendulum model is used, and the somewhat more complicated case of hip sway strategy, in which multisegment, articulated models are used. While these models can be used to quantify the gross dynamics of posture control, they are not sufficiently detailed to analyze head-trunk coordination strategies that may be crucial to understanding its underlying mechanisms. In this paper, we present a biomechanical model of upright human posture that extends an existing four mass, sagittal plane, link-segment model to a five mass model including an independent head link. The new model was developed to analyze segmental body movements during dynamic posturography experiments in order to study head-trunk coordination strategies and their influence on sensory inputs to balance control. It was designed specifically to analyze data collected on the EquiTest (NeuroCom International, Clackamas, OR) computerized dynamic posturography system, where the task of maintaining postural equilibrium may be challenged under conditions in which the visual surround, support surface, or both are in motion. The performance of the model was tested by comparing its estimated ground reaction forces to those measured directly by support surface force transducers. We conclude that this model will be a valuable analytical tool in the search for mechanisms of balance control.

Biomechanical Phenomena↗

PubMed2001

Stereotypy and motor control: differences in the postural stability dynamics of persons with stereotyped and dyskinetic movement disorders.

We examined whether dynamic measures of postural stability differentiated persons with stereotyped movement disorder from persons with dyskinetic movement disorder. Participants from three groups (stereotypy, dyskinesia, control) were given a goal-oriented postural stability task, and performance was measured using a force platform and computerized posturographic techniques. The results showed that both movement disorder groups differed from the control group in the posture task. Further, the stereotypy and dyskinesia groups demonstrated markedly different postural movement profiles. The postural motion of the stereotypy group was characterized by greater amplitude and variability but lower complexity than the dyskinesia group. These results provide support for a motor control model of stereotypy.

Adult↗

PubMed2005

Reflex control of the spine and posture: a review of the literature from a chiropractic perspective.

OBJECTIVE: This review details the anatomy and interactions of the postural and somatosensory reflexes. We attempt to identify the important role the nervous system plays in maintaining reflex control of the spine and posture. We also review, illustrate, and discuss how the human vertebral column develops, functions, and adapts to Earth's gravity in an upright position. We identify functional characteristics of the postural reflexes by reporting previous observations of subjects during periods of microgravity or weightlessness. BACKGROUND: Historically, chiropractic has centered around the concept that the nervous system controls and regulates all other bodily systems; and that disruption to normal nervous system function can contribute to a wide variety of common ailments. Surprisingly, the chiropractic literature has paid relatively little attention to the importance of neurological regulation of static upright human posture. With so much information available on how posture may affect health and function, we felt it important to review the neuroanatomical structures and pathways responsible for maintaining the spine and posture. Maintenance of static upright posture is regulated by the nervous system through the various postural reflexes. Hence, from a chiropractic standpoint, it is clinically beneficial to understand how the individual postural reflexes work, as it may explain some of the clinical presentations seen in chiropractic practice. METHOD: We performed a manual search for available relevant textbooks, and a computer search of the MEDLINE, MANTIS, and Index to Chiropractic Literature databases from 1970 to present, using the following key words and phrases: "posture," "ocular," "vestibular," "cervical facet joint," "afferent," "vestibulocollic," "cervicocollic," "postural reflexes," "spaceflight," "microgravity," "weightlessness," "gravity," "posture," and "postural." Studies were selected if they specifically tested any or all of the postural reflexes either in Earth's gravity or in microgravitational environments. Studies testing the function of each postural component, as well as those discussing postural reflex interactions, were also included in this review. DISCUSSION: It is quite apparent from the indexed literature we searched that posture is largely maintained by reflexive, involuntary control. While reflexive components for postural control are found in skin and joint receptors, somatic graviceptors, and baroreceptors throughout the body, much of the reflexive postural control mechanisms are housed, or occur, within the head and neck region primarily. We suggest that the postural reflexes may function in a hierarchical fashion. This hierarchy may well be based on the gravity-dependent or gravity-independent nature of each postural reflex. Some or all of these postural reflexes may contribute to the development of a postural body scheme, a conceptual internal representation of the external environment under normal gravity. This model may be the framework through which the postural reflexes anticipate and adapt to new gravitational environments. CONCLUSION: Visual and vestibular input, as well as joint and soft tissue mechanoreceptors, are major players in the regulation of static upright posture. Each of these input sources detects and responds to specific types of postural stimulus and perturbations, and each region has specific pathways by which it communicates with other postural reflexes, as well as higher central nervous system structures. This review of the postural reflex structures and mechanisms adds to the growing body of posture rehabilitation literature relating specifically to chiropractic treatment. Chiropractic interest in these reflexes may enhance the ability of chiropractic physicians to treat and correct global spine and posture disorders. With the knowledge and understanding of these postural reflexes, chiropractors can evaluate spinal configurations not only from a segmental perspective, but can also determine how spinal dysfunction may be the ultimate consequence of maintaining an upright posture in the presence of other postural deficits. These perspectives need to be explored in more detail.

Journal Article↗

PubMed1999

Feedforward versus feedback control in children and adults subjected to a postural disturbance.

Any action performed by standing subjects is generally accompanied by compensatory postural activities, which reduce or abolish the postural disturbance generated by the movements and keep the subjects' center of gravity within the supporting base. These postural activities are triggered by either anticipatory and/or feedback-based control processes, depending on the information available and on the behavioral context. To investigate the respective involvement of these two components in postural control during development, we studied the extent to which the postural equilibrium of children (3-to 10-year-olds) and adults was disturbed by the same physical event, an unloading, depending on whether it was initiated by the subject or externally imposed. The subjects were standing on a force platform with their eyes closed, holding a load (5% of their own body weight) in their hands, with arms vertical and forearms horizontal. Two conditions were applied: (1) the subjects voluntarily released the load and (2) the load was unpredictably removed. The unloading resulted in a backward movement of the center of pressure, which was smaller with self-initiated than imposed disturbances in all age groups. This difference varied depending mainly on the age-related changes in the relative amplitude of the self-initiated disturbance, which decreased between 3- to 5-, and 6- to 8-year-olds (who showed no marked postural instability after self-initiated unloading), and increased again in the two older groups (9- to 10-year-olds and adults), in which it also became more consistent It was concluded that feedforward control. becomes more efficient as children grow up, but that its relative contribution to postural control does not show a monotonic pattern of development.

Adult↗

PubMed1997

Posture and movement: coordination and control.

Studies are reviewed that address the problem of the variables controlled in the maintenance of body posture and generation of limb movement. Vestibulospinal and neck reflexes cancel each other in response to roll, but not in response to pitch of the animal. In pitch trunk orientation is not effectively stabilized in space. Instead, limb length and orientation relative to the vertical are accurately controlled in normal cats pitched statically and dynamically by variable angles. Control of limb geometry may even take precedence over the control of the projected centre of mass. Coordinate transformation results in a constraint of planar covariation of the elevation angles at all limb segments in cat posture. Because the same constraint applies also to human locomotion, we suggest that sharing the same laws of intersegmental coordination for the control of posture and locomotion helps to assure the maintenance of dynamic equilibrium during movement. Moreover, because several neural sites encode posture and movement in gravity-based reference frames, alignment in register of spatial information derived from multiple sensors and directed to multiple effectors is made possible.

Animals↗

PubMed2006

Head movement control in visually guided tasks: postural goal and optimality.

This work investigates the control of horizontal head movements in the context of unconstrained visually guided head and arm/finger aiming tasks. In a first experiment, the head was free to move while gaze was directed at randomly presented eccentric targets distributed horizontally (0 degrees-120 degrees) at eye level. In a second experiment, the horizontal head orientation was constrained to predetermined positions (0 degrees, 15 degrees, 30 degrees, 45 degrees or 60 degrees rightward) while the right index finger aimed at targets with the arm fully extended. Kinematics of head movements in gaze displacements exhibits an initial component weakly correlated with target position, followed by multiple corrections. Since the eyes are assumed to already be aimed at the target when the corrections occur, it is suggested that one goal of head movement control is to achieve a desired final orientation (posture). This hypothesis is supported by results from the second experiment that reveal an association between eye/head orientation angles and errors exhibited in the visuo-spatial representation of the environment. The minimization of error then underlies the control of head movement as a postural response optimized for a given target and task condition.

Adult↗

PubMed1999

Postural adjustment response to depth direction moving patterns produced by virtual reality graphics.

PURPOSE: Human posture is controlled by a combination of vestibular, somatosensory and visual information. This paper is concerned with postural readjustment responses induced by vection. In the visual control of posture, visually-induced perception of self-motion plays an important role and is called vection. Vection is difficult to measure quantitatively because it is a highly subjective phenomenon. HYPOTHESIS: An optokinetic stimulus that moves in depth induces vection. We hypothesize that the magnitude of the visually-induced body sway is correlated with the degree of vection. METHODS: A depth optokinetic stimulus (DOKS) was projected onto a head-mounted display (HMD) worn by standing subjects. The DOKS consisted of a random dot pattern that was perceived three-dimensionally and moved in depth sinusoidally. Vection was estimated in two ways, a verbal assessment and a joystick maneuver. In addition, visually-induced body sway was measured by monitoring five reference points on the body by two video-motion analyzers. RESULTS: The magnitude of the subjective vection was highly correlated with visually-induced body sway and was strongly dependent on the velocity of the visual stimulus. The ankle joint was pivoted during visually-induced body sway and acted as a motion initiator. When the magnitude of body sway was large, the body movement was adjusted at the hip and head-neck joints. CONCLUSIONS: The high correlation between vection and body sway suggests that vection can be estimated quantitatively by measuring visually-induced body sway.

Adult↗

PubMed2004

Why and how are posture and movement coordinated?

In most motor acts, posture and movement must be coordinated in order to achieve the goal of the task. The focus of this chapter is on why and how this coordination takes place. First, the nature of posture is discussed. Two of its general functions are recognized; an antigravity role, and a role in interfacing the body with its environment such that perception and action can ensue. Next addressed is how posture is controlled centrally. Two models are presented and evaluated; a genetic and a hierarchical one. The latter has two levels; internal representation and execution. Finally, we consider how central control processes might achieve an effective coordination between posture and movement. Is a single central control process responsible for both movement and its associated posture? Alternatively, is there a dual coordinated control system: one for movement, and the other for posture? We provide evidence for the latter, in the form of a biomechanical analysis that features the use of eigenmovement approach.

Central Nervous System↗

PubMed2002

Increased visual dependence in Parkinson's disease.

The present study tested the hypothesis that there is increased visual dependence perceptually in patients with Parkinson's disease. We also evaluated whether the visual control of posture and locomotion was related to perceptual visual field dependence. 21 patients with idiopathic Parkinson's disease and 22 age-matched normal subjects were compared on judgment of the visual vertical using the Rod-and-Frame test with visual perturbations in the frontal plane with a tilted frame. Patients had significantly larger errors than controls in the estimation of the subjective vertical. In the same experiment, we performed a posture and a gait analysis in both groups. Posturographic evaluation did not indicate significant differences in unsteadiness between patients and controls. Gait analysis indicated a typical pattern of reduced velocity, shortened stride length, and normal step width. A significant correlation of .89 was found only in the Parkinsonian group between their errors in estimating subjective visual vertical and the Romberg quotient evaluating visual contribution to postural control. No specific locomotor pattern was correlated with visual dependence. Considering our results and previous reports on the visual control of posture, we conclude that patients with Parkinson's disease showed a significantly increased dependence upon visual information both perceptually and motorically, with an increased perceptual visual dependence in the patients being predictive of an equivalent visual dependence or visual control of posture and equilibrium.

Aged↗

PubMed1981

The role of the antigravity musculature during quiet standing in man.

The view that postural regulation is achieved by controlling the destabilising effects of gravity through myotatic reflex activity was examined using surface electromyography. Forty seconds of recordings were made of myograms from eighteen muscles in each of a sample of nine young adults. It was observed that antigravity muscular activity in standing is generally low and often absent, and that the myograms from the muscles of the right and left sides of the body differed appreciably, the two sides rarely working together. Some sudden and united bursts of antigravity muscle activity could be observed. These might well have been stretch reflex induced, but they were transient and rare. It is concluded that the view that postural control in quiet standing is continuously mediated in a simple way by stretch reflex mechanisms is probably not valid, and that other mechanisms for controlling posture remain to be identified.

Back↗

PubMed2000

Upright posture influences salivary cortisol.

This study was designed to investigate the influence of posture on salivary cortisol concentrations in healthy volunteers. In a balanced cross-over design 24 subjects were exposed at 1 week intervals to different body positions (sitting [S], lying [L] upright [U]) for 20 min in each condition. Before, during and after the experimental treatment measures of blood pressure, heart rate and saliva samples for determining the free fraction of cortisol were obtained. Furthermore, at corresponding time points a questionnaire on emotional states was completed. In addition, subjects were requested to complete personality questionnaires before the experiment and to rate their emotional states during saliva sampling. Results clearly indicate that the circadian decrease of cortisol concentrations was present only in the conditions [S] and [L] whereas in [U] salivary cortisol concentrations increased significantly. As expected, heart rate accelerations associated with a marked reduction of systolic blood pressure were observed in [U]. To further examine the relationship between hormonal and cardiovascular responses as indicators of autonomic activation, correlations between change scores were computed indicating that a relationship between cardiovascular responses and cortisol increases is not restricted to [U]. Positive correlations were observed between changes in systolic blood pressure and changes in cortisol concentrations in both conditions [U] and [L]. Posture does not affect emotional states indicating independence between posture induced physiological responses and experienced discomfort. Posture therefore should be adequately controlled, since those non-specific increases of hormones may interfere with state or trait dependent responses. Data are discussed with respect to the importance to control for posture in field and experimental studies and to possible mechanisms of posture induced changes in cortisol.

Anxiety↗