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At least 1,027 records · Page 57Linked to original sources
PubMed1987

Effects of roll tilt of the animal and neck rotation on different size vestibulospinal neurons in decerebrate cats with the cerebellum intact.

In decerebrate cats with the cerebellum intact we recorded the activity of lateral vestibulospinal neurons projecting to lumbosacral segments of the spinal cord (IVS neurons) and related the resting discharge, as well as the response characteristics of these neurons to roll tilt of the animal and neck rotation, with the cell size inferred from the conduction velocity of the corresponding axons. A slight negative correlation was found between resting discharge rate and conduction velocity of the whole population of IVS neurons responsive and unresponsive to animal tilt and neck rotation, so that the faster the conduction velocity, the lower was the unit discharge at rest. This correlation, however, was found only for the dorsocaudal LVN neurons, which contributed to the majority of IVS units, but not for the rostroventral LVN neurons. Moreover, it affected the units unresponsive but not those responsive to vestibular stimulation; the opposite, however, occurred for the units tested to neck stimulation. These findings indicate that the static properties of the IVS neurons can only in part be related to cell size. If we consider the IVS neurons responsive to roll tilt of the animal (76 neurons) and neck rotation (75 neurons) at the standard parameters of 0.026 Hz, +/- 10 degrees, no significant correlation was found between gain (impulses X s-1 X deg-1) of the labyrinth or neck responses and conduction velocity of the axons. Thus, due to the presence of slight negative relation between resting discharge and conduction velocity of the axons, larger neurons exhibited a greater percentage modulation (sensitivity) to the labyrinth and neck inputs than smaller neurons; this correlation involved particularly the dcLVN neurons. These findings suggest that the afferent pathways driven during dynamic stimulation of labyrinth and neck receptors produce an higher number or density of synaptic contacts on IVS neurons of increasing size. No significant differences in the means of resting discharge, conduction velocity, gain and sensitivity were found between all the IVS units responding to labyrinth and neck inputs. These findings indicate that the effectiveness of the two inputs was almost comparable and did not vary in different units as a function of cell size. The IVS neurons were mainly excited during side-down animal tilt and side-up neck rotation. Although these neurons showed the same spectrum of conduction velocity as those displaying the opposite response patterns, the response gains of the predominant populations of units were on the average higher than those obtained from the remaining populations of units.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗
PubMed1989

Response of lower esophageal sphincter to alterations of intraabdominal pressure.

It is well documented that lower esophageal sphincter pressure increases significantly in response to increases in intraabdominal pressure in order to maintain the gastroesophageal barrier. The mechanism by which this response is elicited is controversial. It has been suggested that the response of the sphincter persists after the intraabdominal pressure stimulus is removed. The present study sought to define the response of the sphincter to increased intraabdominal pressure (achieved by straight leg raising) by continuously monitoring it with the Dent sleeve in a group of 10 normal volunteers. A reproducible pressure profile was observed in both the sphincter and the stomach, characterized by an initial peak, a sustained plateau, and a second peak. The pressure profiles of the stomach and the sphincter were closely approximated and peak and plateau pressures for both did not differ significantly. The onset and offset of the pressure increase were simultaneous in the stomach and the sphincter. No significant changes in sphincter pressure were noted when the rapid pull-through technique was used. This study defines the pressure profiles of the stomach and the lower esophageal sphincter zone during increased intraabdominal pressure in man. Our data suggest that the response of the sphincter is passively mediated.

Abdomen↗
PubMed1997

Ocular torsion induced by static and dynamic visual stimulation and static whole body roll.

By means of real-time infra-red video-oculography we studied eye torsion in 12 normal healthy subjects. Ocular torsion was induced by visual stimulation or static whole body roll with and without visual orientation ("head-fixed" or "earth-fixed"). Visual stimulation was achieved by a horizontal grating that oscillated sinusoidally in a frontal plane. The oscillation frequency varied from 0 to 0.6 Hz while amplitude varied from 6 degrees to 33 degrees. Visual orientation during whole body roll was established by mounting a 32 lx illuminated horizontal grating either on a tilting device (head-fixed) or on the wall in the frontal plane (earth-fixed). Maximum visual-induced eye torsion gain was reached at about 0.2 Hz. No eye torsion was observed in static (0 Hz) visual tilts of the grating. Maximum gain was about 0.36 at amplitudes between 6 degrees and 10 degrees. Eye torsion gain decreased with increasing amplitude and increasing frequency (> 0.2 Hz). Static whole body roll in the dark up to 180 degrees clockwise and counterclockwise induced static ocular counter rolling with a maximum amplitude of 12 degrees and a maximum gain of 0.22. Gain decreased with increasing roll down to zero at 180 degrees. Visual orientation with either head or earth fixed did not affect the amplitude or gain of the body roll induced ocular counter-rolling. The results are interpreted in terms of improving the reliability of clinical statolith testing and understanding the processes involved in motion sickness.

Adult↗
PubMed1984

Influence of continuous subcutaneous insulin infusion (CSII) treatment on diabetic somatic and autonomic neuropathy.

Near-normal plasma daily glucose profile was induced by Continuous Subcutaneous Insulin Infusion (CSII) treatment in order to evaluate its influence on diabetic somatic and autonomic neuropathy. Twelve insulin-dependent diabetic subjects with somatic neuropathy were studied before and after a short term CSII treatment of 10 days. Four out of these subjects, all affected by autonomic neuropathy, were followed for 1 yr with controls every four months. Metabolic equilibrium was monitored by mean daily plasma glucose (MPDG) profile and by Glycosylated Hemoglobin (GHb) evaluation. Somatic neuropathy was studied assessing conduction velocity at peroneal motor (PMCV) nerve, ulnar motor (UMCV), ulnar sensory (USCV) and sural sensory (SSCV) nerves. Autonomic neuropathy was assessed by means of a battery of five cardiovascular autonomic tests: Valsalva Manoeuvre (VR), Deep Breathing (DB), Lying-to-Standing (LS), Sustained HandGrip (SHG) and Postural Hypotension (PH). Short-term CSII treatment induced a near normalization of metabolic parameters, a significant improvement in VR (p less than 0.05) and DB (p less than 0.01) values, but no changes in NCV. The prolongation of CSII treatment in 4 subjects induced a significant (p less than 0.05) improvement in VR, DB and LS values and in PMCV and UMCV after 4 months. This improvement did not increase with the longer CSII treatment (1 yr).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed2006

A cognitive intersensory interaction mechanism in human postural control.

Human control of upright body posture involves inputs from several senses (visual, vestibular, proprioceptive, somatosensory) and their central interactions. We recently studied visual effects on posture control and their intersensory interactions and found evidence for the existence of an indirect and presumably cognitive mode of interaction, in addition to a direct interaction (we found, e.g., that a 'virtual reality' visual stimulus has a weaker postural effect than a 'real world' scene, because of its illusory character). Here we focus on the presumed cognitive interaction mechanism. We report experiments in healthy subjects and vestibular loss patients. We investigated to what extent a postural response to lateral platform tilt is modulated by tilt of a visual scene in an orthogonal rotational plane (anterior-posterior, a-p, direction). The a-p visual stimulus did not evoke a lateral postural response on its own. But it enhanced the response to the lateral platform tilt (i.e., it increased the evoked body excursion). The effect was related to the velocity of the visual stimulus, showed a threshold at 0.31 degrees /s, and increased monotonically with increasing velocity. These characteristics were similar in normals and patients, but body excursions were larger in patients. In conclusion, the orthogonal stimulus arrangement in our experiments allowed us to selectively assess a cognitive intersensory interaction that upon co-planar stimulation tends to be merged with direct interaction. The observed threshold corresponds to the conscious perceptual detection threshold of the visual motion, which is clearly higher than the visual postural response threshold. This finding is in line with our notion of a cognitive phenomenon. We postulate that the cognitive mechanism in normals interferes with a central visual-vestibular interaction mechanism. This appears to be similar in vestibular loss patients, but patients use less effective somatosensory instead of vestibular anti-gravity mechanisms.

Adult↗
PubMed2006

Localization of the subjective vertical during roll, pitch, and recumbent yaw body tilt.

Localization of the subjective vertical during body tilt in pitch and in roll has been extensively studied because of the relevance of these axes for aviation and control of posture. Studies of yaw orientation relative to gravity are lacking. Our goal was to perform the first thorough evaluation of static orientation in recumbent yaw and to collect as efficiently as possible roll and pitch orientation data which would be consistent with the literature, using the same technique as our yaw tests. This would create the first comprehensive, coherent data set for all three axes suitable for quantitative tri-dimensional modeling of spatial orientation. We tested localization of the vertical for subjects tilted in pitch (-100 degrees to +130 degrees ), in roll (-90 degrees to +90 degrees ), and in yaw while recumbent (-80 degrees to +80 degrees ). We had subjects point a gravity-neutral probe to the gravitational vertical (haptically indicated vertical) and report verbally their perceived tilt. Subjects underestimated their body tilts in recumbent yaw and pitch and overestimated their tilts in roll. The haptic settings for pitch and roll were consistent with data in the literature obtained with haptic and visual indications. Our data constitute the first tri-dimensional assessment of the subjective vertical using a common measurement procedure and provide the basis for the tri-axial modeling of vestibular function presented in the companion paper.

Adult↗
PubMed2001

Voluntary head stabilisation in space during oscillatory trunk movements in the frontal plane performed before, during and after a prolonged period of weightlessness.

The ability to voluntarily stabilise the head in space exhibited by two subjects during lateral rhythmic oscillations of the trunk has been investigated before, during and after a prolonged period of microgravity (microG) exposure. In flight acquisitions were performed onboard the Core Module of the Russian Space Station MIR as part of the T4 "Human Posture in Microgravity" experiment of the 179-days ESA-RKA mission EUROMIR-95. Data collection and kinematic analysis were performed by means of a space-qualified version of the automatic motion analyser ELITE. Head stabilisation in space strategy was estimated by means of the head anchoring index and cross-correlation analysis. Results show that head orientation may be well stabilised about the roll axis both with and without the presence of visual information. This was true despite the expected reduction in vestibular efficiency and muscular proprioception occurring in-flight. In one subject, however, vision was found to improve head stabilisation in space post-flight, presumably to recover from the postural deficiency induced by the long-term microG exposure. Head stability during trunk movements was achieved with either over-compensatory (out-of-phase), under-compensatory (in-phase) or mixed movement strategies, as was attested by the analysis of cross-correlation functions between head and shoulder movements. In weightlessness, vision occlusion seemed to influence the choice of the strategies to be used as well as the reduction of movement variability. The feedforward nature of compensatory head movements suggests that head stabilisation could be based in weightlessness on the internal postural body scheme, supposed to be adapted to the weightless environment within 5 months of microG exposure.

Adaptation, Biological↗
PubMed2006

Localization of a remembered target under the influence of different head and body positions.

Previous investigations analyzed the effect of semicircular canal stimulation on the localization of a remembered target and found additional indications that different head positions affect the test results. Therefore, the aim of the present study was to analyze the influence of different head and body positions on the localization performance towards a remembered target. The pointing error (PE) towards a remembered target was investigated in 24 right-handed volunteers (12 females, 12 males; mean age 23 years) under six different head and body positions (sitting upright with the head tilted forward/backward by 45 degrees ; sitting upright with a head displacement of 90 degrees to the right/left relative to the body; lying on the right/left side of the body). Evaluation parameters were the horizontal and vertical PE (in degrees). Head displacement to the left relative to the body led to a PE to the right side and head displacement to the right led to a PE to the left (ANOVA P<0.001; df=5; F=16.92). An upward PE occurred when the head was tilted forward by 45 degrees and a downward PE could be proved when the head was tilted backward by 45 degrees (ANOVA P<0.001; df=5; F=35.78). In summary, any change in the relation between head and body position led to a systematic PE towards the frontal plane of the body (i.e. the plane located in the axis between both shoulders). Taken together, the systematic PE in direction to the frontal body plane suggests that the location of the remembered target is coded and remembered in a frame linked to the body and not transformed into a head-centered frame of reference.

Adult↗
PubMed2004

Balance control and adaptation during vibratory perturbations in middle-aged and elderly humans.

The objective was to investigate if healthy elderly people respond and adapt differently to postural disturbances compared to middle-aged people. Thirty middle-aged (mean age 37.8 years, range 24-56 years) and forty healthy elderly subjects (mean age 74.6 years, range 66-88 years) were tested with posturography. Body sway was evoked by applying pseudorandom vibratory stimulation to the belly of the gastrocnemius muscles of both legs simultaneously. The tests were performed both with eyes open and eyes closed. The anteroposterior body sway was measured with a force platform and analyzed with a method that considers the adaptive changes of posture and stimulation responses. The results showed that middle-aged people generally used a different postural control strategy as compared to the elderly. The elderly responded more rapidly to vibratory perturbation, used more high-frequency (>0.1 Hz) motions and the motion dynamics had a higher degree of complexity. Moreover, the elderly had diminished ability to use visual information to improve balance control. Altogether, despite having an effective postural control adaptation similar to that of middle-aged people, the elderly had more difficulty in withstanding balance perturbations. These findings suggest that the balance control deterioration associated with aging cannot be fully compensated for by postural control adaptation.

Adaptation, Physiological↗
PubMed2006

Involvement of the motor cortex in the bimanual unloading reaction: a transcranial magnetic stimulation study.

The responses of the biceps brachii muscle of the upper arm to magnetic stimulation of the motor cortex during the postural pretuning and forearm unloading tasks were studied in humans. On active unloading, the amplitude of the evoked response decreased in parallel with a decrease in muscle activity. During stationary holding of the load, the muscle response changed in proportion to the load. When, on the background of stationary holding of the load, the other arm took on the same load, the amplitude of the evoked response in the biceps muscle of the arm holding the load decreased without any change in the muscle activity. Passive unloading was accompanied by similar changes in the response evoked by magnetic stimulation as seen with active unloading. The question of whether the decrease in muscle activity (postural pretuning) in active unloading may be associated with both direct corticospinal influences and influences mediated via subcortical structures is discussed.

Evoked Potentials, Motor↗
PubMed1978

Resistance to endogenous norepinephrine in Bartter's syndrome: reversion during indomethacin administration.

In five patients with Bartter's syndrome, mean (+/-SE) plasma norepinephrine concentrations increased from 324 +/- 75 pg/ml with the patients in the supine position to 550 +/- 100 pg/ml, 753 +/- 104 pg/ml and 808 +/- 116 pg/ml after 2,5 and 10 minutes, respectively, in the standing position, levels significantly higher than normal. Plasma epinephrine concentrations were indistinguishable from normal. One patient was shown to resistant the pressor (but not the metabolic) effects of intravenously administered norepinephrine prior to treatment with reversion to normal pressor responsiveness during indomethacin administration. Similarly, that patient's exaggerated endogenous norepinephrine response to standing (10 minute plasma value of 1,110 pg/ml) reverted to normal (10 minute value of 462 pg/ml) during indomethacin administration. Thus, patients with Bartter's syndrome exhibit a hyperadrenergic state consisten with resistance to endogenous, as well as exogenous, norepinephrine. Since the metabolic responses to intravenously administered norepinephrine were normal in the patient studied, norepinephrine resistance would appear to be limited to the vasculare system. Reversion of norepinephrine resistance during administration of an inhibitor of prostaglandin synthesis suggests that this hyperadrenergic state is not a primary pathogenetic abnormality in Bartter's syndrome.

Adult↗
PubMed1983

Pharmacologic and physiologic considerations of adrenoceptor blockade.

The beta-adrenergic receptor blocking drugs have been in use for the treatment of hypertension for almost two decades. Although the mechanism of their antihypertensive action still is not precisely known, they have become an established major class of therapy for the disease. Most agents produce an immediate reduction in heart rate and cardiac output, later followed by a reduction in pressure. The exceptions include: those agents that possess intrinsic sympathomimetic activity and produce little reduction in heart rate and output; and labetalol, an agent that reduces pressure immediately (associated with the cardiac effects) because it possesses alpha- as well as beta-adrenoceptor blocking effects. Just because a beta-blocking drug reduces cardiac output significantly, it does not follow that renal blood flow will decrease; this depends upon the number and affinity of receptors in the renal circulation. Most beta blockers (including labetalol) reduce renal vascular resistance in patients with uncomplicated hypertension. Other actions of this class of adrenoceptor blocking agents are discussed. As we learn more of the physiologic effects of adrenoceptor blocking agents, there is no doubt that we shall gain more insight into the underlying mechanisms of hypertensive diseases as well as their pharmacologic properties.

Adrenergic beta-Antagonists↗