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Biomedical subjects

T Pozzo

Publications and source records attributed to T Pozzo.

At least 19 recordsLinked to original sources

Continuous, bilateral Achilles' tendon vibration is not detrimental to human walk.

Sensory feedback from the moving limbs contributes to the regulation of animal and human locomotion. However, the question of the specific role of the various modalities is still open. Further, functional loss of leg afferent fibres due to peripheral neuropathy does not always lead to major alteration in the gait pattern. In order to gain further insight on proprioceptive control of human gait, we applied vibratory tendon stimulation, known to recruit spindle primary afferent fibres, to both triceps surae muscles during normal floor walk. This procedure would disturb organisation and execution of walking, especially if spindles fire continuously and subjects are blindfolded. Vibration induced significant, though minor, changes in duration and length of stance and swing phase, and on speed of walking and kinematics of lower limb segments. No effect was induced on angular displacement of the ankle joint or trunk and head kinematics. This paucity of effects was at variance with the perception of the subjects, who reported illusion of leg stiffness and gait imbalance. These findings would speak for a selective gating of Ia input during locomotion and emphasise the notion that the central nervous system can cope with an unusual continuous input along the Ia fibres from a key muscle like the soleus.

Achilles Tendon↗

Simulating mechanical consequences of voluntary movement upon whole-body equilibrium: the arm-raising paradigm revisited.

Voluntary arm-raising movement performed during the upright human stance position imposes a perturbation to an already unstable bipedal posture characterised by a high body centre of mass (CoM). Inertial forces due to arm acceleration and displacement of the CoM of the arm which alters the CoM position of the whole body represent the two sources of disequilibrium. A current model of postural control explains equilibrium maintenance through the action of anticipatory postural adjustments (APAs) that would offset any destabilising effect of the voluntary movement. The purpose of this paper was to quantify, using computer simulation, the postural perturbation due to arm raising movement. The model incorporated four links, with shoulder, hip, knee and ankle joints constrained by linear viscoelastic elements. The input of the model was a torque applied at the shoulder joint. The simulation described mechanical consequences of the arm-raising movement for different initial conditions. The variables tested were arm inertia, the presence or not of gravity field, the initial standing position and arm movement direction. Simulations showed that the mechanical effect of arm-raising movement was mainly local, that is to say at the level of trunk and lower limbs and produced a slight forward displacement of the CoM (1.5 mm). Backward arm-raising movement had the same effect on the CoM displacement as the forward arm-raising movement. When the mass of the arm was increased, trunk rotation increased producing a CoM displacement in the opposite direction when compared to arm movement performed without load. Postural disturbance was minimised for an initial standing posture with the CoM vertical projection corresponding to the ankle joint axis of rotation. When the model was reduced to two degrees of freedom (ankle and shoulder joints only) the postural perturbation due to arm-raising movement increased compared to the four-joints model. On the basis of these results the classical assumption that APAs stabilise the CoM is challenged.

Arm↗

Neck muscle vibration disrupts steering of locomotion.

Neck muscle vibration was applied to human subjects to assess the influences of neck abnormal proprioceptive input on the organization and execution of gait. Subjects walked blindfolded to a previously seen target, located straight ahead at ~4 m. Vibration was applied on the right side of the neck, both during and before walking. The variables measured were length, duration, and velocity of trajectory; relative and absolute frontal errors at target; and width of walking support base. Vibration applied during locomotion produced an undershoot of target and deviation of gait trajectory toward the side opposite to vibration. Vibration applied before locomotion produced no effect on length of trajectory but slowing of velocity and nonsystematic deviation. When vibration frequency was increased, the amplitude of the nonsystematic deviation increased. Vibration applied during or before stance trials had minor effects on body sway. Vibration before stance had no effect on the position of mean center of foot pressure, whereas vibration during stance displaced it to the side opposite to the vibrated muscle. We suggest that vibration during locomotion reduces length and velocity of trajectory because of a direct action on the locomotor centers and produces trajectory deviation related to its effect on stance. Vibration before locomotion causes a major, nonsystematic deviation from the planned trajectory, possibly connected to a disorientation of the internal references.

Adult↗

[Vibration after effect during human walking].

Muscular vibration effects could usually persist after the end of the stimulation. The extinction of this after-effect was studied during human walk. Six subjects performed a locomotor task (six successive steps) under control, and after bilateral Achilles' tendon vibration (70 Hz). The step frequency was enhanced (diminution of the stance phase duration) whereas the stride length tended to decrease. The relative duration of the stance phase reached back normal values with repetitions. These results demonstrated that vibration-induced effects persevere after the end of the stimulation. In addition, owing to the dynamic of the re-adaptation process, they suggested that the muscular proprioceptive input could participate in both maintaining and regulating the locomotor rhythm.

Achilles Tendon↗

Investigating centre of mass stabilisation as the goal of posture and movement coordination during human whole body reaching.

In the light of experimental results showing significant forward centre of mass (CoM) displacements within the base of support, this study investigated if whole body reaching movements can be executed whilst keeping the CoM fixed in the horizontal axis. Using kinematic simulation techniques, angular configurations were recreated from experimental data imposing two constraints: a constant horizontal position of the CoM and an identical trajectory of the hand to grasp an object. The comparison between recorded and simulated trials showed that stabilisation of the CoM was associated with greater backward hip displacements, which became more marked with increasing object distance. This was in contrast to recorded trials showing reductions in backward hip displacements with increasing distance. Results also showed that modifications to angular displacements were necessary only at the shoulder and hip joints, but that these modifications were within the limits of joint mobility. The analysis of individual joint torques revealed that the pattern and timing of simulated trials were similar to those recorded experimentally. Peak joint torque values showed particularly that keeping the CoM at a constant horizontal position resulted in significantly smaller ankle peak flexor and extensor torques. It may be concluded from this study that 'stabilising' the CoM during human whole body reaching represents a feasible strategy, but not the one chosen by subjects under experimental conditions. Our results also do not support the idea of the CoM as the stabilised reference value for the coordination between posture and goal-directed movements.

Adolescent↗

Standing up from a chair as a dynamic equilibrium task: a comparison between young and elderly subjects.

The purpose of this study was to analyze and compare the features of center of mass (CoM) control along anterior/posterior axis in young and elderly subjects during sit-to-stand (STS). From a sitting position, seven healthy young subjects and seven healthy elderly subjects were asked to stand up from a chair under different experimental conditions (visual conditions: normal and blindfolded; speed: normal and as fast as possible). Analysis of results was based upon the concept of a "dynamic equilibrium area" (DEA), which in turn identified the dynamic limits of balance. The results showed that both the maximal CoM velocity in the horizontal axis and the CoM velocity at the instant of seat-off were found to be lower in elderly compared with young subjects. Concerning the maximal CoM velocity, the difference was increased under blindfolded condition. The position of CoM in the phase plane (i.e., velocity according to displacement) at the instant of seat-off was found to be shifted backward in elderly subjects. From these results we can deduce that age-related modifications can he observed in the control of the horizontal CoM motion during STS in healthy elderly subjects.

Adult↗

Effects of kinematics constraints on hand trajectory during whole-body lifting tasks.

Trajectories of the hands and whole-body center of mass were studied during whole-body lifting tasks. The movements of different parts of the body were monitored with the ELITE system. Subjects were instructed to lift to shoulder height an object placed at one of two distances (5-45 cm) before them on the floor. The lifts were performed both with and without kinematics constraints (i.e. to produce a straight hand trajectory while lifting, and to lift without any instructions, respectively). Hand trajectories were roughly straight when performed under the constrained condition, but curved when performed without instruction. Hand velocity curves showed bell-shaped profiles. In both groups, body centers of mass (whole-body, upper and lower part) were calculated and their trajectories showed invariant sagittal displacements. These results support the idea that movement contributes to postural control and, reciprocally, that whole-body center of mass is a robust and controlled variable which plays an important role in hand trajectory formation.

Adult↗

Does the coordination between posture and movement during human whole-body reaching ensure center of mass stabilization?

The whole-body center of mass (CoM) has been classically regarded as the stabilized reference value for human voluntary movements executed upon a fixed base of support. Axial synergies (opposing displacements of head and trunk with hip segments) are believed to minimize antero-posterior (A/P) CoM displacements during forward trunk movements. It is also widely accepted that anticipatory postural adjustments (APAs) create forces of inertia that counteract disturbances arising from the moving segment(s). In the present study, we investigated CoM stabilization by axial synergies and APAs during a whole-body reaching task. Subjects reached towards an object placed on the ground in front of them in their sagittal plane using a strategy of coordinated trunk, knee, and hip flexion. The reaching task imposed constraints on arm-trajectory formation and equilibrium maintenance. To manipulate equilibrium constraints, differing conditions of distance and speed were imposed. The comparison of distance conditions suggested that axial synergies were not entirely devoted to CoM stabilization: backward A/P hip displacements reduced as head and trunk forward A/P displacements increased. Analysis of upper- and lower-body centers of mass in relation to the CoM also showed no strict minimization of A/P CoM displacements. Mechanical analysis of the effects of APAs revealed that, rather than acting to stabilize the CoM, APAs created necessary conditions for forward CoM displacement within the base of support in each condition. The results have implications for the CoM as the primary stabilized reference for posture and movement coordination during whole-body reaching and for the central control of posture and voluntary movement.

Adolescent↗

Effects of movement direction upon kinematic characteristics of vertical arm pointing movements in man.

Vertical arm pointing movements in two directions (upwards and downwards), imposing two different loads (unload and 0.5 kg) and speeds (normal and fast) have been studied in six subjects. Movements were recorded using an optoelectronic system. Data analysis concentrated upon finger-tip kinematics. Significant effects of movement direction were recorded upon velocity profiles. The acceleration time, computed relative to total movement time, was greater for downward movements than for upward movements. In contrast however, no effects of load or speed were observed. Movement time was not affected by movement direction or load, for both speeds tested. These results suggest different planning processes, for movements with and against gravity and indicate that gravitational force influences the processes controlling movement execution.

Acceleration↗

The role of anticipatory postural adjustments during whole body forward reaching movements.

The purpose of this study was to examine the role of anticipatory postural adjustments (APAs) in the execution of forward oriented whole body reaching movements. From the standing position, eight healthy subjects were asked to reach an object placed at 45 cm from the feet, at both naturally paced and fast speeds. Electromyographic signals of six antagonistic muscles were analysed in conjunction with centre of mass (CM) displacements, centre of foot pressure displacements and resultant ground reaction forces. Results revealed that APAs created necessary angular momentum of body segments for effective task execution. These results suggest that APAs can initiate movements conducted from a fixed base of support, and in this context do not act solely to stabilize the CM.

Adaptation, Physiological↗

Hand trajectory formation during whole body reaching movements in man.

End-effector trajectory formation was studied during a reaching movement using the whole body. The movements of various parts of the body were measured with the optoelectronic ELITE system. Wrist reaching movement paths showed noticeable curvatures. The analysis of various marker onset latencies revealed that the wrist was the last to move, always after the head, knee or trunk, suggesting a subordinate role of the focal component with respect to the primary role of the equilibrium component. These results suggest that reaching wrist movements are subjected to whole-body equilibrium constraints in addition to constraints placed upon end-effector kinematics or the dynamic optimization of upper-limb movements.

Adult↗

The representation of gravitational force during drawing movements of the arm.

The purpose of the present experiment was to study the way in which the central nervous system (CNS) represents gravitational force (GF) during vertical drawing movements of the arm. Movements in four different directions: (a) upward vertical (0 degrees), (b) upward oblique (45 degrees), (c) downward vertical (180 degrees) and (d) downward oblique (135 degrees), and at two different speeds, normal and fast, were executed by nine subjects. Data analysis focused upon arm movement kinematics in the frontal plane and gravitational torques (GTs) exerted around the shoulder joint. Regardless of movement direction, subjects showed straight-line paths for both speed conditions. In addition, movement time and peak velocity were not affected by movement direction and consequently changes in GT, for both speeds tested. Movement timing (evaluated through the ratio of acceleration time to total time) changed significantly, however, as a function of movement direction and speed. Upward movements showed shorter acceleration times when compared with downward movements. Concerning the four directions, movements made at 0 degrees and 45 degrees differed significantly from those made at 135 degrees and 180 degrees. Drawing movements executed at rapid speed presented similar acceleration and deceleration times compared with movements executed at normal speed, which showed greater acceleration than deceleration times. In addition, the form of velocity profiles (assessed through the ratio of maximum to mean velocities), was significantly modified only with movement speed. Results from the present study suggest that GF is efficiently incorporated into internal dynamic models that the brain builds up for the execution of arm movements. Furthermore, it seems that GF not only is a mechanical parameter to be overcome by the motor system but also constitutes a reference (vertical direction), both of which are represented by the CNS during inverse kinematic and dynamic processes.

Adult↗

Hand trajectories of vertical arm movements in one-G and zero-G environments. Evidence for a central representation of gravitational force.

The purpose of the present experiment was to study the way in which the central nervous system (CNS), represents gravitational force during vertical arm pointing movements. Movements in upward (against gravity) and downward (with gravity) directions, with two different mass loads (hand empty and with a hand-held 0.5-kg weight) were executed by eight subjects in a normal gravitational environment. Movements by two cosmonauts, in the two directions, were also tested in a state of weightlessness. Analyses focused upon finger trajectories in the sagittal plane. Subjects in a normal gravitational environment showed curved paths for both directions and weight conditions. In addition, downward movements showed significantly smaller curvatures than upward movements. Movement times were approximately the same for all the experimental conditions. Curvature differences between upward and downward movements persisted during space flight and immediately postflight. Movement times from both cosmonauts increased slightly during flight, but returned to normal immediately on reentry in a one-G environment. Results from the present study provide evidence that gravity is centrally represented in an anticipatory fashion as a driving force during vertical arm movement planning.

Adult↗

The sensorimotor and cognitive integration of gravity.

In order to demonstrate that gravity is not only a load acting locally and continuously on the body limbs, but is also used by higher levels of the nervous system as a dynamic orienting reference for the elaboration of the motor act, a review of several experiments conducted both in 1 g and 0 g are presented. During various locomotor tasks, the strategy that consists of stabilizing the head with respect to gravity illustrates one of the solutions used by the CNS to optimize the control of dynamic equilibrium. A question which remains to be solved when considering experimental results obtained in weightlessness concerns, however, the maintenance of motor schema that has evolved under normal gravity. Results have suggested that the concept of conservative processes, that would adapt postural control to weightlessness by using previously learned innate strategies, must be reconsidered during goal-oriented tasks. In fact, it is proposed that when conservative processes and existing solutions derived from a repertoire of terrestrial postural strategies do not provide efficient output, the CNS has to create novel strategies through a slow learning process. As with the study of postural control, three-dimensional arm reaching movements also illustrate the central representation of gravity. Indeed, gravity can be regarded as either initiating or braking arm movements and, consequently, may be represented in the motor command at the planning level. Finally, from a prospective point of view, there is a need to determine new experimental paradigms in order to study the specific motor control of man in space. It is suggested that the formulation of experimental paradigms should not consider man in space simply as a terrestrial biped.

Arm↗

[Drawing movements and gravitational force: central or peripheral regulation?].

Drawing arm movements in four different directions: a) upward vertical (0 degree), b) upward oblique (45 degrees), c) downward vertical (180 degrees) and d) downward oblique (135 degrees), and at two different speeds, normal and fast, were executed by eight subjects. Movements of the arm were recorded using an optoelectronic (2 TV, 100 Hz) system which allowed the computer reconstruction of joint motion. Analyses focused upon pen kinematics in the frontal plane. Velocity profiles were unimodal for all conditions. The ratio of acceleration time to total movement time changed significantly as a function of the direction and the speed of the movement. Movement time and was not affected by movement direction and consequently changes in gravitational torques, for both speeds tested. Results from this study provide indirect evidence that the CNS executes movements by taking advantage of gravitational force.

Adult↗

Evidence of a preprogrammed deactivation of the hamstring muscles for triggering rapid changes of posture in humans.

Normal subjects were asked to make rapid flexions of the legs from a stationary initial standing posture in a self-paced mode. Because this movement implicates a rapid change in posture, questions were asked about the type of central command which must include the rupture of the erect posture and the accomplishment of the goal directed movement. Movements of the different segments of the body were recorded and analyzed using the optoelectronic ELITE system. Electromyographic (EMG) activities of 8 muscles of the lower limb on one side were recorded, rectified and integrated. The time relationships of the different EMG signals (activation or deactivation) were analyzed with respect to selected kinetic measures of the related segments of the body. In the majority of the subjects, before the movement onset, EMG events included a specific deactivation of the tonic EMG activity of the semimembranous (SM) and semitendinous (ST) muscles (time onset relative to the onset of the legs flexion: -196.9 +/- 96.4 ms and -180.5 +/- 89.7 ms, respectively). A second event was a phasic activation of the tibialis anterior (TA) muscle (time onset: -60.5 +/- 117.6 ms). Conjugate cross-correlation analysis of these EMG signals demonstrated the existence of a common coordinated strategy between the deactivation of the hamstring and the TA activation. Even though a small horizontal displacement of the head was recorded prior to leg movement, it occurred too late to induce deactivation of the hamstring muscles. These results demonstrate that for rapid legs flexion, where the gravity forces are the main source of joint angle acceleration, the deactivation of the SM and ST muscles acts in conjunction with the phasic activation of the TA. The preprogrammed deactivation of the SM and ST muscles represents the early phase of the central command to switch from the standing to the squatting posture.

Adult↗

[Effects of aging on standing up and sitting down. Kinematic analysis].

Standing up from and sitting down to a chair are a challenging task for many elderly persons. The purpose of this study was to analyse the effects of ageing in kinematic features of each phase of motion. The study was performed on 7 young subjects (22.8 +/- 1.5 years) and 5 healthy elderly subjects (73.2 +/- 5.5 years). The kinematics of the movement were analysed by mean of an optical automatic TV processor (Elite system). Eight reflective markers were placed on left side of body. The elderly subjects showed modifications of velocity profiles of trunk and knee during the two phases of movement, an important need for an adjustment of velocity before seat-on and an inability to increase the velocity of trunk displacement in space. We suggested that these differences between young and elderly subjects, well seen during standing to sitting down, were related to deficits in postural control ability.

Adult↗