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PubMed1978

[Studies on righting reflexes in newborn cats falling in the air (author's transl)].

The classical righting reflexes have been well illustrated in the familiar example of a falling adult cat, which always lands deftly on all four feet. It, however, has never been clear when newborn animals come to turn themselves in the air after birth. In the present studies the newborn cats were dropped in the air with legs pointed upward from a height of about 30 approximately 40 cm, and the observations were continued for the period of 36 days. The results were as follows: 1. The newborn cats fell plump on their back when they were dropped with legs pointed upward in the air. 2. No righting reflexes were observed in the cats of 27 days and downward. 3. The eyelids (rima palpebrarum) of the cats came to be open on the 8th approximately 14th after birth. 4. The cats which were suggested to obtain full eyesight judged from the observations of their behaviours had no visual righting reflexes when dropped with legs pointed upward. 5. The walking pattern of the cats changed in association with their growth. For the period of 20 days after birth the type of locomotion was creeping, for the period of 21st approximately 26th plantigradation, and after the 26th approximately 27th digitigradation. 6. It has been concluded that the righting reflexes as compound reflexes are never observed in the experimental cats for about one month after birth even though the cats have obtained each postural reflex, i.e. tonic neck or labyrinthine reflex which constitutes righting reflexes.

Animals↗
PubMed1996

Drug therapy for Parkinson's disease.

Parkinson's disease (PD) is a common neurodegenerative disease characterized by tremor, rigidity, bradykinesia, and loss of postural reflexes. Although the agents available for symptomatic treatment now allow most parkinsonian patients to live a normal life-span, these patients become progressively unable to participate in social functions, perform activities of daily living, and work. Therapy for PD may be associated with many complications that contribute to these disabilities. For this reason, education is helpful for the patient newly diagnosed with PD. Over the past 6 years, three new medications (selegiline, pergolide, and controlled-release levodopa) have been approved for use in Parkinson's disease. Other agents now available for the treatment of psychiatric illness may also be helpful in selected cases of PD. With this in mind, we review the commonly prescribed drugs and outline a rational plan for treatment of parkinsonism.

Activities of Daily Living↗
PubMed1998

Postural modulation of the segmental reflex: effect of body tilt and postural sway.

This purpose of this study was to clarify the relationship between segmental reflex excitability and posture and to investigate potential mechanisms responsible for modulation of the H-reflex (HR) in unsupported standing. Soleus (S) and lateral gastrocnemius (LG) HRs were recorded from subjects (N=12S, N=11LG) while their static posture was altered from supine to vertical (5 positions). This was compared to an unsupported standing position in which the subjects naturally underwent a small degree of postural sway, a dynamic posture condition. Although individual profiles suggested varied relationships between the S and LGHR and the angle of body tilt, the group data did not reveal significant differences. There was, however, a significant (p < .01) decrease in the S (43% 49%) and LG (34%-46%) HR when subjects stood without support compared to all static postures. This decrease occurred even though the tonic or background activity of the S and LG was present only when subjects were free standing. To determine whether weight-bearing was responsible for the HR depression, 3 additional conditions were compared (N=3), supported standing without weight-bearing (90 degrees NWB), supported standing with weight-bearing (90 degrees WB), and free standing. Again, S and LGHRs were depressed only when subjects were free standing. Presynaptic inhibition presumably accounts for the depression of the HR in unsupported standing. Data from 8 of the subjects were collected under the same 6 conditions using a shorter interstimulus interval (1 Hz stimulus instead of 0.1 Hz) which produced low frequency depression (LFD) of the S and LG HR. LFD reduced the amplitude of the S HR an average of 43% (p < .05) when subjects were in a supported static position but only 21% when subjects were free standing. Although tonic activity of the S was present only when subjects were free standing, in 2 (of 8) individuals the EMG in free standing was not measurably different from static conditions. In these individuals, free standing still depressed the SHR by 35%; however, the shorter stimulus interval now produced the same degree of LFD when subjects were free standing (35%) as when they were standing with support (37%). The data suggest that 2 presynaptic mechanisms, although independent, interact to control spindle afferent feedback when subjects are free standing. Postural sway appears to be necessary to reduce the gain of the HR when subjects are standing, whereas, LFD is influenced by the degree of muscle activation.

Adolescent↗
PubMed1993

Pontine microinjection of carbachol and critical zone for inducing postural atonia in reflexively standing decerebrate cats.

Pontine carbachol injection sites critically related to the induction of postural atonia were explored in reflexively standing acute decerebrate cats. Carbachol (4.0 micrograms/0.25 microliter) and atropine (2.0 micrograms/0.25 microliter) were focally injected into the pontomedullary reticular formation, and their effects on hindlimb extensor muscle tone were studied. The effective carbachol injection sites were concentrated in the region between P 1.5 and P 3.5, H -3.0 and H -5.0, and LR 1.2 and LR 2.5 (Horsley-Clarke coordinates). The effective sites corresponded to the dorsomedial part of both the nucleus reticularis pontis oralis (NRPo) and the rostral portion of the nucleus reticularis pontis caudalis (NRPc). The mean latency to the beginning of carbachol-induced postural atonia was about 90 s (92 +/- 28 s; n = 24).

Animals↗
PubMed2005

Post-lesion transcommissural olivocerebellar reinnervation improves motor function following unilateral pedunculotomy in the neonatal rat.

In the adult mammalian central nervous system, reinnervation and recovery from trauma are limited. During development, however, post-lesion plasticity may generate alternate paths providing models to investigate reinnervation and repair. Sometimes, these paths are maladaptive, although the relationship between dysfunction and anatomical abnormality remains unknown. After unilateral transection of the neonatal rat olivocerebellar path (pedunculotomy), axons from the remaining inferior olive reinnervate Purkinje cells in the denervated hemicerebellum with appropriate topography and synaptic function. However, whether this new pathway confers beneficial behavioural effects remains unknown. We studied the behavioural sequelae in rats with and without transcommissural reinnervation using righting and vestibular-drop reflexes, simple locomotion (bridge), complex locomotion (wire) and motor coordination (rotarod) tests. In animals pedunculotomised on day 3 (Px3), which develop olivocerebellar reinnervation, dynamic postural adjustments and complex motor skills develop normally, whereas simple gait is broad-based and slightly delayed. In contrast, Px11 animals, which do not develop reinnervation, have delayed maturation of postural reflexes, gait and complex locomotor skills. In addition, when compared to control animals, their performance in locomotory tasks was slower and the complex task impaired. On the rotarod, control and Px3 animals learned to coordinate their gait and walked for longer at 10 and 20 rpm than Px11 animals. These results show that transcommissural olivocerebellar reinnervation is associated with almost normal motor development and the ability to synchronise gait at slow and moderate speeds, i.e. this reinnervation confers significant behavioural function and is therefore truly compensatory.

Age Factors↗
PubMedDate not supplied

[Posture and gait disorders and the incidence of falling in patients with Parkinson].

INTRODUCTION: Although falls are one of the main causes of morbidity and mortality in patients with Parkinson's disease, studies about its incidence and predicting factors are scarce. PATIENTS AND METHODS: Our study involved 25 patients with PD (15 males and 10 females; age: 75.8 +/- 6.5 years). A closed survey was used to determine a retrospective record of falls during the last year. An analysis was performed to examine whether there was a relationship with Hoehn and Yahr staging, the score on the Up and Go scale or the Barthel index and with possible risk factors for falls. RESULTS: All the patients had suffered falls at some time over the last year (mean number of falls: 6.5 +/- 3.8). 56% of the falls happened during the phases of the day when patient mobility was at its highest. A significant correlation was found between the number of falls and the Hoehn and Yahr and the Up and Go scores. The number of falls was significantly higher in patients with loss of postural reflexes, the need for help in order to walk, and blockage and festination phenomena. No association was found with fear of falling, visual alterations or postural lateralisation. Association with the Barthel index and dependence for activities of daily living reached almost significant levels. CONCLUSIONS: Postural instability and disorders affecting gait appear to be the factors that give patients with PD a greater propensity to fall. Patients who present such alterations should be submitted to rehabilitation therapy aimed at preventing them from falling.

Accidental Falls↗
PubMed1980

Excitability of female rat central gray cells with medullary projections: changes produced by hypothalamic stimulation and estrogen treatment.

1. Effects of estrogen on the excitability of 74 neurons in the central gray of the mesencephalon (CG) antidromically identified from the medulla were investigated extracellularly in female rats under urethan anesthesia. 2. The mean rate of spontaneous discharge of the identified CG cells was higher in estrogen-treated (2.9 Hz) than in untreated ovariectomized rats (0.3 Hz). In the estrogen-treated preparations, 18.5% of the identified cells had discharge rates exceeding 3.0 Hz, while none were found in this range in the untreated animals. 3. Two types of positive-negative biphasic antidromic spike potentials were distinguished. In one ("fast") the initial positive deflection was completed within 500-700 microseconds, while it took longer than 1 ms in the other ("slow" spikes). Slow spikes had a notch in the rising phase of their initial positive deflection, at which antidromic propagation was often blocked. Mean antidromic spike latency for the fast spikes was 6.8 ms, while the value for the slow spikes was 14.7 ms. 4. In slow spikes, the percentage of successful antidromic spike invasions into the somatodendritic complex remained constant for a long time when the response was elicited by repetitive antidromic stimuli at 0.5 Hz. Antidromic propagation into the somatodendritic complex occurred more frequently in the slow spikes recorded from estrogen-treated preparations (94.2%) than in those of ovariectomized untreated animals (55.7%). 5. Electrical stimulation of the preoptic area (POA) reduced the frequency of successful antidromic propagation into the somatodendritic complex. Stimulation of the ventromedial nucleus of the hypothalamus (VMN) increased it. Conversely, electrolytic lesion of the POA facilitated, while VMN lesion reduced antidromic spike invasion. 6. Thus, excitability of some neurons in the CG is facilitated by estrogen. Similar effects of VMN stimulation and POA lesion suggest that the estrogenic effect could be mediated by these structures. The pattern of effects on these CG neurons is that required for their control of lordosis behavior, an estrogen-dependent postural reflex in female rodents. These cells may modulate medullary reticulospinal cells, which in turn govern the reflex.

Animals↗
PubMedDate not supplied

[Lumbar hypermobility: where swimming becomes hydrotherapy].

In this paper the authors discuss the clinical problem of lumbar hypermobility. The therapeutical possibilities are resumed briefly. The philosophy of medical training therapy ("Heilgymnastik") is described. More extensive the extra-advantages of hydrotherapy (methodical back-stroke swimming) are searched for in a theoretical deductive way. The authors found that: 1. swimming is a low-impact sport so far as the articulations are concerned, 2. back-stroke is done mainly in a lumbar kyphosis, 3. swimming is also an excellent cardiopulmonary training, 4. when swimming the muscles of the shoulder girdle and pelvic girdle are trained in a nearly isokinetic way (power-endurance), 5. the short transverso-spinal muscles are indirectly trained in their tonic more than phasic stretch reflex (posture function), 6. the muscles of the trunk are trained in a nearly isometric way in the appropriate angles (erect position), 7. the position of the head in the water facilitates the abdominal muscles (tonic neck reflex), 8. the cool temperature of the water generates training-enhancing stress-responses, 9. endurance-training is ideal for the postural function of the lower back muscles (especially the deeper layers near the spine) which are anatomical and physiological suited for this purpose, 10. warming-up and cooling-down procedures prepare the neuromuscular, the cardiovascular and metabolic functions before the workout-session (a cold shower afterwards acts to tonicize the skin and muscles).

Adult↗
PubMed1992

Plasma norepinephrine responses to head-up tilt are misleading in autonomic failure.

The failure of plasma norepinephrine to rise during upright posture is accepted as a diagnostic sign of autonomic nervous failure in patients with postural hypotension. Our clinical experience has been that this test is misleading, with an increase in plasma norepinephrine commonly occurring. To test whether this might result from absent reflex postural venous constriction lowering cardiac output and plasma norepinephrine clearance, we measured norepinephrine plasma kinetics during recumbency and 30 degrees head-up tilting in six patients with pure autonomic failure and eight healthy subjects. Mean arterial pressure fell by 54 +/- 8 mm Hg with head-up tilt in the patients with pure autonomic failure. The plasma norepinephrine concentration (arterial sampling) increased 73 +/- 29 pg/ml (mean difference +/- SED, p less than 0.02), solely because of a 36% reduction in the clearance of norepinephrine from plasma (0.78 +/- 0.09 l/min, p less than 0.0001). In normal subjects, plasma norepinephrine concentration rose by 112 +/- 20 pg/ml (p less than 0.001), largely because of a 24% increase in norepinephrine spillover to plasma (190 +/- 20 ng/min, p less than 0.005). When the postural fall in blood pressure and cardiac output in the pure autonomic failure patients was prevented by the selective venoconstrictor dihydroergotamine (10 micrograms/kg i.v.), no fall in plasma clearance or rise in plasma concentration of norepinephrine occurred. Measurement of the change in plasma norepinephrine with postural stimulation in patients with orthostatic hypotension is not a reliable diagnostic test for autonomic failure because elevations can occur in the plasma concentration that are entirely attributable to reduced plasma norepinephrine clearance.

Autonomic Nervous System Diseases↗
PubMed2001

Effects of electrical stimulation of the sciatic nerve on background electromyography and static stretch reflex activity of the trunk muscles in rats: possible implications of neuronal mechanisms in the development of sciatic scoliosis.

STUDY DESIGN: The effects of electrical stimulation of the sciatic nerve on background electromyographic and static stretch reflex activity of the trunk muscles were studied. OBJECTIVES: To verify the hypotheses that sciatic scoliosis is induced reflexively by radiculopathic pain, and that scoliosis might be maintained by prolonged asymmetric alteration of the trunk muscle tonus caused by central sensitization of the spinal neurons that constitute the postural reflex pathways. SUMMARY OF BACKGROUND DATA: Sciatic scoliosis usually occurs with convexity to the side of the herniated disc. The neuronal mechanism of sciatic scoliosis has not been well clarified. Recently, prolonged alteration of motor function in the hindlimbs of animals caused by central sensitization has been reported. METHODS: In spinalized rats (transection of the spinal cord), the sciatic nerve was stimulated electrically as a conditioning stimulus. Muscle stretch elicited by bending of the lumbar spine was applied as a test stimulus. Background and stretch reflex activities of the bilateral oblique abdominal, psoas, and quadratus lumborum muscles were recorded. Rats in which MK-801, an N-methyl-d-aspartate antagonist, was preadministered also were used. RESULTS: The conditioning stimulus enhanced background electromyographic activity in bilateral oblique abdominal, contralateral psoas, and quadratus lumborum muscles. Furthermore, the conditioning stimulus induced prolonged facilitation and depression of stretch reflex activity of the contralateral psoas and quadratus lumborum, and ipsilateral psoas and quadratus lumborum muscles, respectively. Preadministration of MK-801 reduced these excitatory and inhibitory effects. CONCLUSION: It was found that the pattern of electromyographic activity of the trunk muscles evoked by sciatic nerve stimulation coincided with the typical direction of sciatic scoliosis in patients with lumbar disc herniation. It was supposed that the prolonged asymmetric alteration of the trunk muscle tonus was caused by central sensitization, and that central sensitization of spinal neurons may underlie the neuronal mechanism of sciatic scoliosis.

Animals↗
PubMed1996

Functional outcome in rats transferred to an enriched environment 15 days after focal brain ischemia.

BACKGROUND AND PURPOSE: The aim was to determine whether a delayed transfer to an enriched environment improves outcome after focal brain ischemia. METHODS: Performance on a rotating pole, prehensile traction, limb placement, and postural reflexes were tested in 15 spontaneously hypertensive rats housed in standard laboratory cages for 2 weeks after middle cerebral artery ligation. Seven of the 15 rats were then transferred to an enriched environment, and the two groups were tested 1, 3, and 5 weeks later. RESULTS: The enriched environment significantly improved pole performance, prehensile traction, and limb placement. CONCLUSIONS: Delayed postoperative environmental enrichment improves outcome in experimental stroke.

Animals↗
PubMed2005

Primary neurologic screening and motor coordination of Dstdt-J mutant mice (dystonia musculorum) with spinocerebellar atrophy.

The autosomal recessive dystonia musculorum (Dst(dt-J)) mutation causes degenerative lesions of peripheral and central sensory pathways. A test battery of motor, sensory, postural, and autonomic functions was used to compare young control and homozygous Dst(dt-J) mice. The Dst(dt-J) mutants were severely impaired for muscle strength, limb coordination, and postural reflexes. As a result of a loss in motor control, the mutants were hypoactive in the open-field and fell quickly from the stationary beam. In sensory tests, the acoustic startle response was impaired, but not tactile reflexes and contact righting, attesting to preserved labyrinthine function and non-lemniscal pathways. Dst(dt-J) mutants were also distinguishable from controls on the basis of tremor, a paler skin, piloerection, and half-open eyes, as well as low body weight and fecal boli. Grooming episodes were less frequent in the mutants but without any reduction in grooming time. The neurologic screening battery delineated the functional integrity of some sensorimotor pathways in a spinocerebellar mutant whose severe phenotype prevents a more elaborate evaluation.

Analysis of Variance↗
PubMed1998

Proprioceptive information processing in weightlessness.

The "illusions" experiment carried out on five astronauts during the last two French-Russian flights (Antarès in 1992 and Altaïr in 1993) and in the Russian Post-Antarès mission (1993) was designed to investigate the adaptive changes in human proprioceptive functions occurring in weightlessness at both the sensorimotor and cognitive levels, focusing on two kinds of responses: (1) whole-body postural reflexes, and (2) whole-body movement perception. These kinesthetic and motor responses were induced using the tendon-vibration method, which is known to selectively activate the proprioceptive muscular sensory channel and to elicit either motor reactions or illusory movement sensations. Vibration (70 Hz) was therefore applied to ankle (soleus or tibialis) and neck (splenii) muscles. The subject's whole-body motor responses were analyzed from EMG and goniometric recordings. The perceived vibration-induced kinesthetic sensations were mimicked by the subjects with a joystick. The main results show that a parallel in-flight attenuation of the vibration-induced postural responses and kinesthetic illusions occurred, which seems to indicate that the proprioceptive system adapts to the microgravity context, where standing posture and conscious coding of anteroposterior body movements are no longer relevant. The same sensory messages are used at the same time in different sensory motor loops and in the coding of newly developed behavioral movements under microgravity. These results suggest that the human proprioceptive system has a high degree of adaptive functional plasticity, at least as far as the perceptual and motor aspects are concerned.

Adaptation, Physiological↗
PubMed2004

Coupling sensory inputs to the appropriate motor responses: new aspects of cerebellar function.

It is known that proprioceptive signals modify the spatial organization of the postural reflexes, thus leading to body stability. The neurophysiological basis of this phenomenon are at present unknown. The present report documents that, in decerebrate cat, body-to-head rotation in the horizontal plane modified the preferred response direction to labyrinthine stimulation of the forelimb extensor triceps brachii. Such direction resulted always perpendicular to the longitudinal body axis of the animal, whatever its relative position with respect to the head could be. The rotation of the preferred response direction of the triceps was greatly reduced by functional inactivation of the ipsilateral cerebellar vermis. On the other hand, following body-to-head displacement, the preferred response directions of the corresponding P-cells tended, on the average, to rotate in the same direction and by the same angle as the body. We propose that the neck input finely tunes parallel vestibular channels, endowed with different spatial and temporal properties, impinging upon P-cells, thus modifying their responses to animal tilt and, as a consequence, the spatial properties of VS reflexes. It is possible that, by a similar mechanism, the cerebellum may contribute to the changes in reference frame occurring in sensorimotor transformations of reflex and voluntary nature.

Afferent Pathways↗
PubMed2005

Parkinsonism following bilateral lesions of the globus pallidus: performance on a variety of motor tasks shows similarities with Parkinson's disease.

OBJECTIVES: The authors report the results of detailed investigations into the motor function of a patient who, after a heavy drinking binge and subsequent unconsciousness, respiratory acidosis, and initial recovery, developed parkinsonism characterised by hypophonic speech and palilalia, "fast micrographia", impaired postural reflexes, and brady/akinesia in proximal (but not distal) alternating upper limb movements. METHODS: In addition to brain magnetic resonance imaging (MRI), different aspects of motor function were investigated using reaction time (RT) tasks, pegboard and finger tapping tasks, flex and squeeze tasks, movement related cortical potentials (MRCPs), and contingent negative variation (CNV). Cognitive function was also assessed. The results were compared to those previously reported in patients with Parkinson's disease (PD). RESULTS: Brain MRI showed isolated and bilateral globus pallidus (GP) lesions covering mainly the external parts (GPe). These lesions were most probably secondary to respiratory acidosis, as other investigations failed to reveal an alternative cause. The results of the RT tasks showed that the patient had difficulties in preparing and maintaining preparation for a forthcoming movement. MRCP and CNV studies were in line with this, as the early component of the MRCP and CNV were absent prior to movement. The patient's performance on pegboard and finger tapping, and flex and squeeze tasks was normal when performed with one hand, but clearly deteriorated when using both hands simultaneously or sequentially. CONCLUSIONS: In general, the present results were similar to those reported previously in patients with PD. This provides further indirect evidence that the output of globus pallidus is of major importance in abnormal motor function in PD. The possible similarities of the functional status of GP in PD and our case are discussed.

Acidosis, Respiratory↗
PubMed1996

Effect of forward lean on postural ankle dynamics.

Previous studies investigating postural control using platform perturbations demonstrated that forward leaning occurs under certain experimental conditions. This study examined a potential benefit of forward leaning, investigating the hypothesis that forward lean acts to increase the effective stiffness of the postural ankle dynamics. A systems modeling approach was used to evaluate the effect of forward lean (4 degrees ankle flexion beyond normal stance) on dynamic postural responses to continuous random antero-posterior platform acceleration in four healthy young adults. Motion was limited to the ankle joint using a restraint device and responses were characterized in terms of center-of-pressure displacement. Also, EMG and kinematic data were used to partition measured ankle torque into impedance and activation (postural "reflex") components. The results failed to show a consistent effect, due to lean, on the ankle dynamics. A significant increase in phasic ankle torque due to increased muscle impedance during forward lean was counterbalanced by a comparable decrease in net "reflex" ankle torque. The change in "reflex" torque was apparently due to decreased phasic dorsiflexor activity in forward lean, since phasic plantarflexor activity did not change significantly. Functionally, the results suggest that forward lean occurs for reasons other than stiffening of the overall postural ankle dynamics.

Adult↗
PubMed1992

Sensorimotor and cognitive consequences of middle cerebral artery occlusion in rats.

Rats were subjected to either right proximal middle cerebral artery (MCA) occlusion or sham operation, and examined for an extended period on a battery of tests designed to measure simple motor function, sensorimotor integration and cognitive function. Rats with MCA occlusion showed extensive neuronal loss in the dorsolateral striatum and variable neuron loss in the parietal, temporal and frontolateral neocortex. MCA occluded animals exhibited significant impairments in tests of postural reflex, visual and tactile forelimb placing, locomotor coordination, and a test of simultaneous bilateral tactile extinction. The reflex and sensorimotor function deficits recovered to pre-operative levels by Day 30 post-ischemia. Five weeks following surgery, rats were tested in 2 versions of the Morris water task. Rats with MCA occlusion demonstrated significant impairments in their ability to navigate to a hidden platform, but were not significantly impaired on the visible (cued) version of the task. This general pattern of transient sensorimotor and reflex deficits, but with more persistent cognitive impairments, is similar to that seen in humans following MCA infarcts.

Animals↗