[Posturographic and otoneurological recording: outline of new symptomatology based on the study of the vestibulospinal reflex].
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Chronic experiments on six dogs using a model of an operant defensive reflex associated with maintenance of flexion of the hindlimb of specified amplitude were performed to compare the characteristics of the postural and movement components during the learning process. Dogs were placed standing on four tension platforms. Signals were activated and data were recorded and stored using original PC programs. Original programs running on another PC were used to analyze the data. All dogs showed a series of characteristics for the appearance of a diagonal pattern of conditioned reflex posture rearrangement. During the period of complete formation of the "coordinated" program of the operant reflex (indicated by high performance criteria for execution of the operant task), the diagonal pattern of posture rearrangement was seen extremely rarely, in only occasional performances in calm dogs. It was only during the period of complete automatization of the movement habit that the diagonal pattern of postural rearrangement was seen consistently in all performances. By this time, there was a sharp increase in the tensogram amplitudes for all four limbs, which sharp increases in the correlation coefficients between individual tensogram performances. These results suggest that in the experimental conditions used here, the diagonal pattern of postural rearrangement appeared significantly later than the movement pattern needed for resolving the operant task. These data also lead to the conclusion that dogs can complete operant defensive limb movements associated with maintaining a specified flexor posture in the absence of preliminary rearrangement of the posture having the diagonal pattern.
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BACKGROUND: Previous investigations indicate that spinal manipulation leads to short-term attenuation of alpha-motoneuron excitability, when assessed by means of the Hoffmann reflex. Past studies, however, are limited to regional effects, such as lumbar manipulation effects on lumbar alpha-motoneuron activity. OBJECTIVE: This study compared and contrasted the effects of cervical and lumbar spine manipulation on the excitability of the lumbar alpha-motoneuronal pool in human subjects without low back pain, and compared the effects of cervical (nonregional) and lumbar (regional) spinal manipulation on lumbar alpha-motoneuron pool excitability in healthy subjects. The specific aim of this study was to determine if the inhibitory effects on the lumbar alpha-motoneuron pool associated with spinal manipulation are limited to the specific region in which the manipulative procedure is applied, or if rostral (cervical) manipulation can also influence caudal (lumbar) motoneuron excitability. METHOD: Thirty-six nonpatient human subjects were used to study the effect of cervical and lumbar spinal manipulation on the amplitude of the tibial nerve Hoffmann reflex, recorded from the gastrocnemius muscle. The Hoffmann reflex (H-reflex) technique allows for an indirect index of motoneuron pool excitability by means of peripheral nerve Ia-afferent fiber stimulation. Reflexes were recorded before and after spinal manipulative procedures. RESULTS: Lumbar spinal manipulation, as measured by amplitude changes of the tibial nerve H-reflex, attenuated lumbar alpha-motoneuronal activity. Suppression of motoneuronal excitability was significant (P <.05) but transient, with a return to baseline within 60 seconds after manipulation. Cervical spinal manipulation had no significant effect on lumbar motoneuron activity. CONCLUSION: These data indicate that the inhibitory effects of spinal manipulation on motoneuronal excitability are regional, rather than global.
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Upper limb motor control was evaluated in a series of patients with a large-fiber sensory neuropathy associated with impaired position, vibration and cutaneous sensation and absence of deep tendon reflexes. Muscular strength was normal or only minimally affected. In studies of wrist movement it was found that both postural maintenance and accuracy of wrist displacement were heavily dependent on visual guidance. Without vision the limb would drift in almost random directions, and during intended movements both the trajectory and movement end-point were abnormal. The defects in posture and voluntary movement control were reflected in the inability of patients to maintain consistent levels or emit consistent patterns of muscle activity. It is concluded that whereas central motor commands are sufficient to initiate movements proprioceptive afferent inputs are important for accurate postural maintenance and the fine control of movement.
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