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PubMed1996

Coordination between posture and movement in a bimanual load-lifting task: is there a transfer?

The present experimental series was designed to test the possibility that an anticipatory postural adjustment learned during the performance of a bimanual load lifting task may be transferred between the upper extremities. Eight seated subjects were asked to maintain horizontally one forearm (postural arm) loaded with a 1-kg load, which was fixed to the arm by means of an electromagnet. The unloading was triggered either by the experimenter pressing a switch (control) or by the subjects making a voluntary movement with their other arm (moving arm). In the latter case, the subject lifted a 1-kg load resting on a force platform with the moving hand, and the switching off was triggered when the force level reached a threshold of 0.5 kg. The maximum amplitude (MA) and the maximum velocity (MV) of the postural forearm elbow joint rotation occurring after the unloading were measured at each trial. The learning process was estimated by performing a regression analysis on each series of trials, using an exponential model, and from the intercept of the regression curve with the ordinate. 1. During the original learning session (three series of 20 trials), a decrease in MA and MV was found to occur both within the series and between the series during a session. 2. After the initial learning session, the sides of the postural and moving arm were interchanged to test whether any transfer had occurred. The first series of trials in the second session (transfer) and the last series of trials in the original learning session were compared and found to be significantly different in terms of the intercept (seven subjects in the case of MA, five subjects in the case of MV) and the slope (five subjects), indicating a lack of transfer. 3. The data recorded during the second transfer learning session indicated that learning occurred in all eight subjects in the case of MA and in six subjects in the case of MV. It was observed that the original learning session did not facilitate the second one. 4. The lack of transfer of the anticipatory postural adjustment observed in this task is discussed with reference to the data in the literature.

Conditioning, Psychological↗

PubMed1984

Cat posture on a tilted platform.

The posture of cats trained to stand freely on a platform was studied during static tilts (up to +/- 30 degrees). Vertical projection of the center of mass on the support surface, as well as limb orientation in space and degree of limb flexion, varied minimally with platform tilt angle. The limbs' main axes were kept almost lined up with the vertical. This data indicates that postural control is simplified by strong internal constraints which limit the number of possible postural configurations. The mechanical advantages of this postural strategy are also considered. Finally, the data are discussed in the context of previously held views on the role of vestibular and neck reflex control of posture in intact animals.

Adaptation, Physiological↗

PubMed1976

Adapting reflexes controlling the human posture.

Doubt about the role of stretch reflexes in movement and posture control has remained in part because the questions of reflex "usefulness" and the postural "set" have not been adequately considered in the design of experimental paradigms. The intent of this study was to discover the stabilizing role of stretch reflexes acting upon the ankle musculature while human subjects performed stance tasks requiring several different postural "sets". Task specific differences of reflex function were investigated by experiments in which the role of stretch reflexes to stabilize sway doing stance could be altered to be useful, of no use, or inappropriate. Because the system has available a number of alternate inputs to posture (e.g., vestibular and visual), stretch reflex responses were in themselves not necessary to prevent a loss of balance. Nevertheless, 5 out of 12 subjects in this study used long-latency (120 msec) stretch reflexes to help reduce postural sway. Following an unexpected change in the usefulness of stretch reflexes, the 5 subjects progressively altered reflex gain during the succeeding 3-5 trials. Adaptive changes in gain were always in the sense to reduce sway, and therefore could be attenuating or facilitating the reflex response. Comparing subjects using the reflex with those not during so, stretch reflex control resulted in less swaying when the task conditions were unchanging. However, the 5 subjects using reflex controls oftentimes swayed more during the first 3-5 trials after a change, when inappropriate responses were elicited. Four patients with clinically diagnosed cerebellar deficits were studied briefly. Among the stance tasks, their performance was similar to normal in some and significantly poorer in others. Their most significant deficit appeared to be the inability to adapt long-latency reflex gain following changes in the stance task. The study concludes with a discussion of the role of stretch reflexes within a hierarchy of controls ranging from muscle stiffness up to centrally initiated responses.

Adaptation, Physiological↗

PubMed1995

The role of motor action in anticipatory postural adjustments studied with self-induced and externally triggered perturbations.

This study investigated the relation between the magnitude of a motor action triggering a postural perturbation and the magnitude of anticipatory postural adjustments. Subjects stood on a force platform and held, in extended arms, a balloon with a 2.2-kg load suspended on a rigid cord. In different series, unloadings were induced by fast bilateral shoulder abduction movements, by popping the balloon with a tack taped to the subject's right middle finger, or by the experimenter popping the balloon. Anticipatory postural adjustments were seen during all self-initiated unloadings as changes in the level of activation of postural muscles and in displacements of the center of pressure. However, absolute values of these changes were significantly smaller in the series with balloon popping as compared to the series with shoulder abductions. Such reactions were absent when the unloading was triggered by the experimenter. We conclude that a self-triggered perturbation is always associated with anticipatory postural adjustments, while the magnitude of the adjustments may be scaled with respect to the magnitude of a motor action used to induce the perturbation.

Adult↗

PubMed1996

Differential relation of discharge in primary motor cortex and premotor cortex to movements versus actively maintained postures during a reaching task.

The activity of cells in primary motor cortex (MI) and dorsal premotor cortex (PMd) were compared during reaching movements in a reaction-time (RT) task, without prior instructions, which required precise control of limb posture before and after movement. MI neurons typically showed strong, directionally tuned activity prior to and during movement as well as large gradations of tonic activity while holding the limb over different targets. The directionality of their movement- and posture-related activity was generally similar. Proximal-arm muscles behaved similarly. This is consistent with a role for MI in the moment-to-moment control of motor output, including both movement and actively maintained postures, and suggests a common functional relation for MI cells to both aspects of motor behavior. In contrast, PMd cells were generally more phasic, frequently emitting only strong bursts of activity confined mainly to the behavioral reaction time before movement onset. PMd tonic activity during different postures was generally weaker than in MI, and showed a much more variable relation with their movement-related directional tuning. These results imply that the major contribution of PMd to this RT task occurred prior to the onset of movement itself, consistent with a role for PMd in the selection and planning of visually guided movements. Furthermore, the nature of the relative contribution of PMd to movement versus actively maintained postures appears to be fundamentally different from that in MI. Finally, there was a continuous gradient of changes in responses across the rostrocaudal extent of the precentral gyrus, with no abrupt transition in response properties between PMd and MI.

Animals↗

PubMed1994

The importance of somatosensory information in triggering and scaling automatic postural responses in humans.

To clarify the role of somatosensory information from the lower limbs of humans in triggering and scaling the magnitude of automatic postural responses, patients with diabetic peripheral neuropathy and age-matched normal controls were exposed to posterior horizontal translations of their support surface. Translation velocity and amplitude were varied to test the patients' ability to scale their postural responses to the magnitude of the translation. Postural response timing was quantified by measuring the onset latencies of three shank, thigh, and trunk muscles and response magnitude was quantified by measuring torque at the support surface. Neuropathy patients showed the same distal-to-proximal muscle activation pattern as normal subjects, but the electromyogram (EMG) onsets in patients were delayed by 20-30 ms at all segments, suggesting an important role for somatosensory information from the lower limb in triggering centrally organized postural synergies. Patients showed an impaired ability to scale torque magnitude to both the velocity and amplitude of surface translations, suggesting that somatosensory information from the legs may be utilized for both direct sensory feedback and use of prior experience in scaling the magnitude of automatic postural responses.

Aged↗

PubMed1988

Adaptive modifications of postural attitude in conditions of weightlessness.

Adaptation of static posture was studied before, during, and after a 7-day space flight. Body segment orientations, body stability, and muscle activity underlying the reproduction of several postural attitudes were examined in various visual situations either with the shoes attached to the floor or during free floating. In standing or relaxed subjects whose shoes were attached to the floor, the tonic activity of the ankle flexor was enhanced relative to that in the same posture on earth, whereas the extensor activity disappeared. Errors in attempting to reproduce the normal terrestrial upright posture and a forward-leaning posture were accompanied by major changes in the synergies between neck, hip, knee, and ankle joints. These changes are mainly attributed to cumulative adjustments in response to nonvestibular signals such as tactile, articular, and proprioceptive cues.

Biomechanical Phenomena↗

PubMed1985

The mechanics of multi-joint posture and movement control.

The dependence of muscle force on muscle length gives rise to a "spring-like" behavior which has been shown to play a role in the execution of single-joint posture and movement. This paper extends this concept and considers the influence of the apparent mechanical behavior of the neural, muscular and skeletal system on the control and coordination of multiple degree of freedom posture and movement. A rigorous definition of "spring-like" behavior is presented. From it a numerically quantifiable, experimental test of spring-like behavior is formulated. It is shown that if the steady-state force-displacement behavior of a limb is not spring-like, this can only be due to the action of inter-muscular feedback, and can not be due to intrinsic muscle properties. The directional character of the spring-like behavior of a multiple degree of freedom system is described. The unique way in which synergistic coactivation of polyarticular muscles may modulate the directional properties of the spring-like behavior of a multiple degree of freedom system is explained. Dynamic aspects of postural behavior are also considered. The concept of mechanical impedance is presented as a rigorous dynamic generalisation of the postural stiffness of the limb. The inertial behavior of the system is characterised by its mobility. As with the stiffness or impedance, in the multiple degree of freedom case it has a directional property. The way in which the apparent kinematic redundancy of the musculo-skeletal system may be used to modify its dynamic behavior is explained. Whereas the inertial behavior of a single limb segment is not modifiable, it is shown that the apparent inertial behavior of a multiple degree of freedom system may be modulated by repositioning the joints. A unified description of the posture and movement of a multi-joint system is presented by defining a "virtual trajectory" of equilibrium positions for the limb which may be specified by the neuro-muscular system. The way in which this approach may lead to a simplification of some the apparent computational difficulties associated with the control of multi-joint motion is discussed.

Arm↗

PubMed1988

Human automatic postural responses: responses to horizontal perturbations of stance in multiple directions.

The effect of the direction of unexpected horizontal perturbations of stance on the organization of automatic postural responses was studied in human subjects. We recorded EMG activity from eight proximal and distal muscles acting on joints of the legs and hip known to be involved in postural corrections, while subjects stood on an hydraulic platform. Postural responses to horizontal motion of the platform in 16 different directions were recorded. The amplitude of the EMG responses of each muscle studied varied continuously as perturbation direction was changed. The directions for which an individual muscle showed measurable EMG activity were termed the muscle's "angular range of activation". There were several differences in the response characteristics of the proximo-axial muscles as opposed to the distal ones. Angular ranges of activity of the distal muscles were unipolar and encompassed a range of less than 180 degrees. These muscles responded with relatively constant onset latencies when they were active. Proximo-axial muscles, acting on the upper leg and hip showed larger angular ranges of activation with bimodal amplitude distributions and/or onset latency shifts as perturbation direction changed. While there were indications of constant temporal relationships between muscles involved in responses to perturbations around the sagittal plane, the onset latency relationships for other directions and the response amplitude relationships for all directions varied continuously as perturbation direction was changed. Responses were discrete in that for any particular perturbation direction there appeared to be a single unique response. Thus, while the present results do not refute the hypothesis that automatic postural responses may be composed of mixtures of a few elemental synergies, they suggest that composition of postural responses is a complex process that includes perturbation direction as a continuous variable.

Adult↗

PubMed1982

Electromyographic analysis of relaxed postures.

Six male volunteers assumed either "relaxed" or "unrelaxed" postures, as defined by a Behavioral Relaxation Scale, in seven areas of the body. Electromyographic (EMG) levels in the muscle groups associated with each area were determined for both categories of postures. In all instances, the "relaxed" postures produced significantly lower EMG levels than the "unrelaxed" postures. This indicates that the Behavioral Relaxation Scale is a valid behavioral measure of relaxation. Also, it supports other studies which have shown that direct training in emitting relaxed postures is an effective means of achieving relaxation.

Adult↗

PubMed1989

Electromyography of lumbar erector spinae muscles--influence of posture, interelectrode distance, strength, and fatigue.

The aims of the study were to obtain information (1) on surface electromyograms (SEMG) from the lumbar erector spinae muscles at different interelectrode distances and postures during short isometric contractions with constant force, (2) on the relationships between SEMG and extension force at different postures, and (3) on changes in SEMG during fatiguing isometric contractions at different postures and strengths. Six male subjects developed target forces in prone postures without gravity confounding the measurement of the extension torque. The angles between the constantly horizontal upper trunk and thighs were 90 degrees (P1), 135 degrees (P2), 170 degrees (P3), and 190 degrees (P4). Standard deviations of the distribution of SEMG amplitudes (RMS values), autoregressive (AR) time series models of the 15th order and spectral densities, including mean power frequency (MPF), were computed. Smaller interelectrode distances accompanied smaller RMS values and higher MPF. At a constant extension torque of about 110 Nm, RMS values and MPF increased from P1 to P4. Changes of interelectrode distance were of relatively minor importance, compared with the variation in the posture. With increasing torque, the increase in RMS values was steeper at P3 than at P2. The AR structure and MPF did not exhibit distinct effects of force. During sustained contractions at P2 and P3, only the highest force (mean = 140 Nm) at P3 caused a significant decrease of the MPF at the very beginning of the contraction. Endurance at P2 was greater than at P3. Higher forces and/or shorter muscles (P3) induced more pronounced and earlier relative decreases of the MPF and residual variance of AR models. Up to the "failure point", RMS values increased slightly, but without significant differences.

Adult↗

PubMed2001

Postpartum postural headache due to superior sagittal sinus thrombosis mistaken for spontaneous intracranial hypotension.

PURPOSE: To describe a case of superior sagittal sinus thrombosis in the puerperal period and the difficulties encountered in the diagnosis and management. CLINICAL FEATURES: A 29-yr-old multiparous woman presented with a postural headache four weeks after a normal pregnancy and vigorous delivery. Initial presentation suggested spontaneous intracranial hypotension (SIH) since there was no history of epidural or spinal anesthesia, or trauma or surgery to her back or neck. Conservative therapy was initially offered and then a lumbar epidural blood patch (LEBP) was performed, although it failed to relieve the postural headache. A dural leak could not be demonstrated but an MRV (magnetic resonance venography) revealed a superior sagittal sinus thrombosis (SSST). Although anticoagulant therapy was immediately initiated, the neurologist remained convinced that the postural headache was secondary to SIH, and, consequently, a second epidural blood patch was requested. Anesthesia was reluctant to perform an LEBP at this point and suggested continuing anticoagulation until a subsequent MRV demonstrated recannalization of the SSST. This advice was followed and the postural headache resolved spontaneously with intravenous anticoagulation. CONCLUSION: The present case illustrates the importance of a multidisciplinary approach to the management of this rare complication of pregnancy. This case also highlights the importance of reviewing the differential diagnosis when considering treatment of a postural headache in the puerperium.

Adult↗

PubMed1990

The influence of aging and attentional demands on recovery from postural instability.

It is well known that the risk of a debilitating injury from a fall is much higher for elderly than for young individuals. In addition, it is well documented that healthy elderly subjects exhibit increased postural sway during normal stance tasks. In the present experiment, we explored the notion that control of minor postural instability in elderly subjects is attention demanding. Postural sway of eight elderly (mean age = 70.0 years) and eight young (mean age = 20.0 years) subjects was measured under two different secondary demands during stable and mildly unstable upright stance. There were two types of work loads. Either a cognitive (math task) or motor (hand-squeeze) task was performed during the second segment of a 50-second standing trial. The effect of these work loads on mean velocity, range, and variability of range of center of foot pressure was measured during the destabilizing activity of arm swinging and subsequent recovery period. Following seven seconds of 1 Hz arm-swinging activity, elderly subjects showed a marked increase in recovery time to normal stance when concurrently performing an arithmetic task. This result suggests that recovery from a posturally destabilizing activity, involving proprioceptive and vestibular information, places increased attentional demands on the postural support system of the elderly.

Accidental Falls↗

PubMed1994

Age-related differences in temporal scaling of postural EMG activity.

Electromyographical (EMG) burst onset times for postural muscles were compared in young and elderly male and female subjects performing a forceful abrupt pull with the right arm against a load cell apparatus while standing. EMG activity was collected via surface electrodes from the posterior deltoid, and right and left hamstring and quadriceps muscles. Pulls were performed at varying force levels from 100% to approximately 50% of a maximum effort. Regression equations were developed for each postural muscle for each group, using force production values as the independent variable, and postural muscle onset latencies (relative to deltoid onset) as the dependent variable. Regression slopes for postural muscles of elderly subjects ranged from 0.59 to 0.33, while slopes for the young subjects ranged from 0.72 to 0.63. Less elevated slopes for the elderly may indicate a reduced ability to temporally scale postural muscle onset latencies to variations in the force of the upper-limb task; a reduction in this ability may constitute a possible contributing factor to instability in the elderly.

Adult↗

PubMed2004

Effects of a physical activity program on postural stability in older people.

BACKGROUND AND AIMS: The objective of this non-randomized study was to determine the influence of a specific physical activity program on the postural stability of older people. METHODS: Seventy-four subjects (72.4 +/- 0.7 yrs) participated in an individualized three-month physical activity program designed to improve posture, balance and mobility--the PBM program. Sessions were held twice weekly. Postural stability was assessed using a force platform, subjects being in static and dynamic conditions, and with open and closed eyes. Changes in stabilometric parameters (Sway area, ML mean, AP mean, Total length, ML length and AP length) of the intervention group were compared to those of 14 control subjects (71.8 +/- 1.5 years). RESULTS: A two-way analysis of variance with repeated measures did not show any significant post-program change in postural stability in the hard floor condition. In contrast, Sway area (p < 0.0005), Total length (p < 0.001) and AP length (p < 0.01) were significantly reduced after the training program in the foam floor condition, with open and closed eyes. In addition, in the medio-lateral axis condition and with closed eyes, AP length in the intervention group was significantly reduced (p < 0.01), and in the antero-posterior axis condition with both open and closed eyes, Sway area (p < 0.0005), Total length (p < 0.0005) and AP length (p < 0.05) decreased significantly. CONCLUSIONS: As shown by the results in the foam floor and dynamic conditions, our individualized physical activity program improved the postural stability of older people when the standing position was challenged. However, the lack of significant results for the hard floor condition suggests that three months is not sufficient to improve static balance. The PBM physical activity program can be used for balance training in older people, but further studies are required to determine the time needed to effect improvements in static balance in this population.

Aged↗

PubMed2004

Postural response in older adults with different levels of functional balance capacity.

BACKGROUND AND AIMS: Aging is frequently accompanied by a deterioration in postural control, but it is not clear whether the primary contributor is increasing age or a progressive loss of functional balance capacity. The purpose of this study was to test the hypothesis that functional balance capacity contributes more than age to changes in postural response in the elderly. METHODS: The study considered 3 groups of healthy young, and functionally-stable and functionally-unstable older adults (N = 16 each group). Postural responses, including behavioral response patterns, joint angular displacement, displacement of the center of mass and center of pressure, and ground reaction forces, were induced and examined by submitting standing subjects to unexpected backward displacements in the surface supporting them. RESULTS: Functionally-stable older adults showed similar postural response patterns to those of young adults, whereas functionally-unstable older adults differed from young adults in the control of hip, trunk, shear force, and center of pressure trajectory during balance recovery. CONCLUSIONS: These findings support the hypothesis that changes in postural control in the elderly correlate with their functional balance capacity and are not just a matter of age.

Accidental Falls↗

PubMed1997

Selection of spatial frame of reference and postural control variability.

The present paper addresses the question of the possible links between perceptive visual field dependence-independence and the visual contribution to postural control. In our differential approach, visual field dependent (FD) and independent (FI) subjects were selected on the basis of their score in the Rod and Frame Test (subjective vertical). The hypothesis that we have tested is that the FD subjects use mainly visual cues for estimating not only their subjective vertical but also their body orientation and stability. Moreover, we have postulated that these subjects use mainly dynamic visual cues to control their postural stability. In the postural test, the selected subjects were instructed to stand in the sharpened Romberg position in darkness and under normal or stroboscopic illumination, in front of either a vertical or a tilted frame. Lateral head and body orientation and stability were measured. We found that: (1) all subjects leaned slightly towards the tilted frame (postural frame effect), and this was obtained on the basis of the static visual cues alone; (2) FD subjects were less stable than FI subjects, and their stability required the use of dynamic visual cues, mainly extracted from the vertical frame. In FI subjects, static visual cues may act as a complementary regulation, enhancing stability even with a strobe tilted frame. We thus demonstrate that visual field dependence interacts with the visual contribution to postural control.

Adult↗

PubMed1997

Sensory strategies in human postural control before and after unilateral vestibular neurotomy.

Vestibular inputs tonically activate the anti-gravitative leg muscles during normal standing in humans, and visual information and proprioceptive inputs from the legs are very sensitive sensory loops for body sway control. This study investigated the postural control in a homogeneous population of 50 unilateral vestibular-deficient patients (Ménière's disease patients). It analyzed the postural deficits of the patients before and after surgical treatment (unilateral vestibular neurotomy) of their diseases and it focused on the visual contribution to the fine regulation of body sway. Static posturographic recordings on a stable force-plate were done with patients with eyes open (EO) and eyes closed (EC). Body sway and visual stabilization of posture were evaluated by computing sway area with and without vision and by calculating the percentage difference of sway between EC and EO conditions. Ménière's patients were examined when asymptomatic, 1 day before unilateral vestibular neurotomy, and during the time-course of recovery (1 week, 2 weeks, 1 month, 3 months, and 1 year). Data from the patients were compared with those recorded in 26 healthy, age- and sex-matched participants. Patients before neurotomy exhibited significantly greater sway area than controls with both EO (+52%) and EC (+93%). Healthy participants and Ménière's patients, however, displayed two different behaviors with EC. In both populations, 54% of the subjects significantly increased their body sway upon eye closure, whereas 46% exhibited no change or significantly swayed less without vision. This was statistically confirmed by the cluster analysis, which clearly split the controls and the patients into two well-identified subgroups, relying heavily on vision (visual strategy, V) or not (non-visual strategy, NV). The percentage difference of sway averaged +36.7%+/-10.9% and -6.2%+/-16.5% for the V and NV controls, respectively; +45.9%+/-16.8% and -4.2%+/-14.9% for the V and NV patients, respectively. These two distinct V and NV strategies seemed consistent over time in individual subjects. Body sway area was strongly increased in all patients with EO early after neurotomy (1 and 2 weeks) and regained preoperative values later on. In contrast, sway area as well as the percentage difference of sway were differently modified in the two subgroups of patients with EC during the early stage of recovery. The NV patients swayed more, whereas the V patients swayed less without vision. This surprising finding, indicating that patients switched strategies with respect to their preoperative behavior, was consistently observed in 45 out of the 50 Ménière's patients during the whole postoperative period, up to 1 year. We concluded that there is a differential weighting of visual inputs for the fine regulation of posture in both healthy participants and Ménière's patients before surgical treatment. This differential weighting was correlated neither with age or sex factors, nor with the clinical variables at our disposal in the patients. It can be accounted for by a different selection of sensory orientation references depending on the personal experience of the subjects, leading to a more or less heavy dependence on vision. The change of sensory strategy in the patients who had undergone neurotomy might reflect a reweighting of the visual and somatosensory cues controlling balance. Switching strategy by means of a new sensory selection of orientation references may be a fast adaptive response to the lesion-induced postural instability.

Adult↗