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Posture, head stability, and orientation recovery during vestibular regeneration in pigeons.

Compensatory behavior such as oculomotor, gaze, and postural responses that occur during movement largely depend upon a functioning vestibular system. In the present study, the initial loss and subsequent recovery of postural and head stability in pigeons undergoing vestibular regeneration were examined. Adult pigeons were trained to manipulate a straight run chamber to peck an illuminated key for fluid reward. Six behavioral measures assessing performance, posture, and head stability were quantified. These included run latency, steps (walking), path negotiation (lane changes), gaze saccades, head bobs, and head shakes. Once normative values were obtained for four birds, complete lesion of all receptor cells and denervation of the epithelia in the vestibular endorgans were produced using a single intralabyrinthine application of streptomycin sulfate. Each bird was then tested at specific times during regeneration and the same behavioral measures examined. At 7 days post-streptomycin treatment (PST), all birds exhibited severe postural and head instability, with tremors, head shakes, staggering, and circling predominating. No normal trial runs, walking, gaze saccades, or head bobs were present. Many of these dysfunctions persisted through 3-4 weeks PST. Gradually, tremor and head shakes diminished and were replaced with an increasing number of normal head bobs during steps and gaze saccades. Beginning at 4 weeks PST, but largely inaccurate, was the observed initiation of directed steps, less staggering, and some successful path negotiation. As regeneration progressed, spatial orientation and navigation ability increased and, by 49 days PST, most trials were successful. By 70 days PST, all birds had recovered to pretreatment levels. Thus, it was observed that ataxia must subside, coincident with normalized head and postural stability prior to the recovery of spatial orientation and path navigation recovery. Parallels in recovery were drawn to hair cell regeneration and afferent responsiveness, as inferred from present results and those in other investigations.

Animals↗

Effects of posture on gastric emptying, transpyloric flow, and hunger after a glucose drink in healthy humans.

Previous studies suggest that posture has relatively little effect on gastric emptying of high-nutrient liquids; these studies have, however, only assessed overall rates of gastric emptying, whereas gastric emptying is known to be predominantly a pulsatile phenomenon. In healthy subjects perceptions of appetite, such as hunger, are inversely related to antral area and content; hence, changes in intragastric meal distribution induced by posture may affect appetite. Gastric emptying is a major determinant of postprandial glycemia. The aims of this study were to evaluate the effects of posture on patterns of transpyloric flow (TF), gastric emptying (GE), antral area (AA), hunger, and the glycemic response to oral glucose. Eight healthy young subjects (five males, three females; mean age, 24.0 +/- 2.4 years; BMI, 21.2 +/- 0.6 kg/m2) were studied twice in random order, once in the sitting position and once in the lying (supine) position. After consuming 600 ml water with 75 g glucose, labeled with 20 MBq 99mTc-sulfur colloid, subjects had simultaneous measurements of (i) TF during consumption of the drink by Doppler ultrasonography, (ii) GE with scintigraphy, (iii) AA at t = -5 and t = 30 min by ultrasonography, and (iv) perceptions of appetite with a visual analogue scale. During drink ingestion TF was greater in the sitting, compared with the lying, position (586 +/- 170 vs. 177 +/- 65 [cm/sec] x sec; P < 0.05). Posture affected intragastric distribution; more of the drink was retained in the distal stomach in the sitting position (e.g., at 30 min: sitting, 29 +/- 3%, vs. lying, 12 +/- 3%; P < 0.0001) but had no effect on the overall rate of GE or the blood glucose response. AA at t = 30 min (P < 0.005) was greater in the sitting position; there was an inverse relationship between hunger and AA at 30 min (r = -0.53, P < 0.05). We conclude that posture influences initial TF and intragastric distribution, but not the overall rate of GE of, or the glycemic response to, a large-volume nutrient liquid. The increases in AA and content in the sitting position are associated with a reduction in hunger.

Administration, Oral↗

Brief report: perception of body posture--what individuals with autism spectrum disorder might be missing.

Autism has been associated with atypical face and configural processing, as indicated by the lack of a face inversion effect (better recognition of upright than inverted faces). We investigated whether such atypical processing was restricted to the face or extended to social information found in body postures. An inversion paradigm compared recognition of upright and inverted faces, body postures, and houses. Typical adults demonstrated inversion effects for both faces and body postures, but adults with autism demonstrated only a face inversion effect. Adults with autism may not have a configural processing deficit per se, but instead may have strategies for recognizing faces not used for body postures. Results have implications for therapies employing training in imitation and body posture perception.

Adult↗

The pathogenesis of hyperadrenergic postural hypotension in diabetic patients.

Patients with diabetes generally exhibit normal plasma catecholamine responses to standing. Some have blunted norepinephrine responses and postural hypotension-hypoadrenergic postural hypotension due to classic diabetic adrenergic neuropathy. Others, including some with postural hypotension, have exaggerated norepinephrine responses to standing. In order to clarify the pathogenesis of this hyperadrenergic state which occurs in a subset of diabetic patients, we studied aldosterone secretion, vascular and metabolic responsiveness to the administration of norepinephrine, and intravascular volumes in four diabetic patients who were selected for their exaggerated plasma norepinephrine responses to standing. Three of the four patients also exhibited (hyperadrenergic) postural hypotension. None of the hyperadrenergic diabetic patients had evidence of hypoaldosteronism or vascular resistance to norepinephrine, but all four patients had subnormal red blood cell masses and the mean (+/-SE) red blood cell mass (13.1 +/- 1.0 ml/kg) was approximately half of that of age- and sex-matched diabetic controls (26.5 +/- 2.7 ml/kg, p less than 0.01). Thus, intravascular volume contraction, specifically a reduction in the red blood cell mass, may play an important role in the pathogenesis of hyperadrenergic state observed in a subset of diabetic patients and in the pathogenesis of hyperadrenergic postural hypotension in affected diabetic patients.

Acetoacetates↗

Brain stem and cerebellar lesions in female rats. I. Tests of posture and movement.

Lesions were placed in a number of brain stem and cerebellar structures to determine their importance to the control of posture and movement in rats. Lesions of the lateral vestibular nucleus, superior vestibular nucleus, or inferior olive produced severe disturbances of posture and movement. Rats with such lesions had pronounced tremor, abnormal head posture and asymmetrical trunk posture, and failed in a balance beam test. Lesions of the medial medullary reticular formation and medial vestibular nucleus had less overall effect on posture and movement, while animals with lesions of the deep cerebellar nuclei were relatively unimpaired. All lesion groups showed some recovery of function during the course of postoperative testing.

Animals↗

Postural and kinetic coordination following cortical stimuli which induce flexion movements in the cat's limbs.

The relationship between movement and the postural adjustment associated with it has been studied following flexion movements of a limb induced by cortical stimulation in chronically implanted cats. Variations in the vertical force exerted by each limb, as well as the displacement of the centre of gravity (projected onto the plane of stance), were investigated. It was established that: The pattern of postural adjustment observed in these conditions is diagonal; that is to say, flexion of one limb is accompanied by diminution in the vertical force exerted by the diagonally opposite limb and an increase in the force exerted by the other two. The displacement of the projected centre of gravity is sterotyped during the first phase of variation in forces. Its extent may be considered as an index of the efficiency of postural adjustment. The study of the latencies of the changes in force indicates, at least in the case of hindlimb movements, that postural adjustment is an active phenomenon and does not arise passively from the interplay of purely mechanical forces. In the same conditions, an analysis of the time course and latency of recorded changes in force indicates that postural adjustment is not triggered reflexly by the disequilibrium brought about by movement but is a result of a central nervous command.

Animals↗

Influence of pyramidotomy on limb flexion movements induced by cortical stimulation and on associated postural adjustment in the cat.

Flexion movements induced by cortical stimulation and the associated postural adjustments in bilaterally pyramidotomised cats have been studied by means of an apparatus which measures separately the changes of force under each limb in the upright position of the animal. The results show: (1) The general motor behaviour of the animal is not affected by the lesion. The principal deficit is loss of tactile placing reaction in the forelimbs; there also appears a state akin to a vestibular syndrome when a light restraining harness is placed around the back and chest. (2) Stimulation of the motor cortex continues to evoke flexion movements of the contralateral limbs together with associated postural adjustment. Coordination between movement and postural adjustment is generally similar to that observed before pyramidal section, and response thresholds are unchanged. (3) Measurements reveal great quantitative modification both of the movement and the postural adjustment after the lesion. Weight shift latencies are increased and more dispersed in time, while the weight shifts themselves are reduced in amplitude and speed. (4) All these changes are more marked in the case of forelimb, rather than hindlimb, flexion, emphasising the greater degree of pyramidal influence on forelimb activity in the normal animal. (5) The results as a whole underline the ability of non-pyramidal systems, under the control of the motor cortex, to bring about both limb flexion and the associated postural adjustments in the absence of the corticospinal pathway.

Animals↗

Changes in canine postural control after injury to anterior vermal cerebellum.

For a preliminary exploration of cerebellar influences on postural control, dogs were trained to stand quietly erect. Posture was perturbed by sinusoidal movement of the supporting table while the dogs were sighted and while they were blindfolded or stimulated by sinusoidal optokinetic stimuli. Postural responses were evaluated by measuring the relative amplitude of pelvis movement over a series of perturbing frequencies; frequency response descriptions were derived. Lesions of the cerebellar vermis in 3 dogs involved the cortex of lobules V and VI, of lobules IV, V and VI, and of lobules IV--VII plus damage to the medial portion of nucleus fastigius. The two smaller lesions degraded the animal's tracking ability under all three conditions temporarily with extensive but incomplete compensation in 14--21 days. The larger lesion effectively and permanently eliminated the animal's ability to track table or visual field motion. Elimination of visual cues by blindfolding or perturbing the posture with optokinetic stimuli significantly exaggerated the control deficiencies produced by the lesions. It is concluded that the visual input to the cerebellar vermis finds expression through postural control channels.

Animals↗

[Effect of ablation of the motor cortex or the cerebellum on postural-kinetic coordination in the cat].

1. A cat, restrained in a hammock, stands with its feet on supporting trays each furnished with strain gauges to measure the isometric upthrust. Placing reactions are elicited by contact of the left or right forelimb with a moving tray. The placing movement is preceded and accompanied by a postural adjustment characterized by an increase of the upthrust exerted by the opposite forelimb. 2. After ablation of the motor cortex on one side, the placing movement of the contralateral forelimb is abolished for the first few days after the operation and thereafter is delayed. However, the postural adjustment of the ipsilateral forelimb persists, with the same range of latencies as before the operation. 3. After unilateral motor cortical ablation, the contralateral forelimb still takes part in the postural adjustment associated with the placing movement of the other forelimb. 4. In two cats which had 2 years earlier undergone a total cerebellectomy, the placing movement was lacking or appeared with a long delay, whereas a postural adjustment of the other forelimb could be observed, although reduced. 5. The results indicate that the nervous structures responsible for the movement and for the associated postural adjustment are separate but partially linked.

Animals↗

Posture-correlated responses to vestibular polarization in vermal versus intermediate posterior cerebellar cortex.

Cerebellar lesion experiments have led to the concept that the medial longitudinal zone controls postural tone while the intermediate zone controls discrete movement. This study is a test of the hypothesis that, of the two zones, the medial zone is more closely linked to the resting discharge of vestibular afferent fibers, a prime source of neural tonus underlying the tonus of posture. Unilateral polarizations of the vestibular apparatus via the round window in awake, unrestrained guinea pigs caused step changes of postural attitude, the direction of which was polarity dependent. In anesthetized animals, these currents caused nonadapting step changes, or posture-correlated responses in the level of resting discharge in vestibular primary afferent fibers. In the medial and the intermediate cerebellar cortices of the posterior lobe, the proportion of step-like responses was similar, in contradiction to the hypothesis. This suggests that the cerebellar computations for controlling both postural tonus and discrete movements require information about vestibular tonus in terms of simple spike activity.

Action Potentials↗

A simulation study of vertical jumping from different starting postures.

This paper addresses the question of whether maximal vertical jump height depends on initial jumping posture. A direct dynamics computer simulation approach was used to avoid subject preference and practice effects. The human body was modeled as four rigid segments connected by ideal hinge joints, with movement constrained to the sagittal plane and driven by three single-joint torque actuators. Maximal height jumps were found for each of 125 different initial postures. For each initial posture, the optimal pattern of joint torque actuator onset times was found using a multidimensional simplex algorithm searching for maximal jump height. The model results revealed that maximal jump height is relatively insensitive to initial posture, but that the pattern of joint torque onset times necessary to effect these optimal heights varies considerably. Model kinematics indicate that the variability in onset times is necessary to allow the body to re-orient itself in different ways during the downward countermovement phase. This variable re-orientation strategy is followed by a more stereotyped upward thrust phase that is similar despite the differences in starting postures. Model center of mass, joint and segmental kinematics show many features found in experimental studies of jumping, despite the exclusive use of single torque actuators. However, a proximal-to-distal sequence of joint coordination was not found, possibly because of the omission of antagonist and bi-articular muscles. The results suggest that similar vertical jump heights should be obtained using a wide range of initial starting positions.

Computer Simulation↗

The development of writing posture in left-handed children and its relation to sex and reading skills.

Recordings of handwriting posture were taken on left-handed children at grades 1, 3 and 5. The main findings were that most young boys eventually change from a parallel to an inverted posture, while most girls show an early preference for the non-inverted writing posture. The data are discussed in terms of current notions about why the inverted posture develops. Discussion also centers on the finding that for grade 5 boys, the parallel posture is associated with poor reading scores.

Age Factors↗

Ventilatory compensation for changes in posture after human heart-lung transplantation.

We have studied the contribution of vagal pulmonary receptors to the stability of breathing during postural changes in humans. Quiet breathing was quantified in the seated and the supine postures in 10 patients with chronic pulmonary denervation due to heart-lung transplantation and 10 age and sex matched normal controls. In the vast majority of patients and normal subjects frequency histograms for tidal volume and mean inspiratory flow rate were virtually superimposed seated and supine. There were no significant differences in the mean levels of respiratory variables between postures in either group (except for mean inspiratory flow rate in the patients which was slightly greater seated than supine). Experiments performed on a tilt table in two additional patients showed that the ventilatory response to postural changes was immediate. In addition, the response was maintained after blockade of intact tracheal stretch receptors with aerosolized lidocaine. These results indicate that adequate ventilatory compensation during postural changes does not depend on vagal afferent information arising in intrapulmonary or tracheal airway stretch receptors. The appropriate receptors may be diaphragmatic Golgi tendon organs.

Adolescent↗

Extreme posture elevates corticosterone in a forced ambulation model of chronic stress in rats.

The adrenocorticotropin (ACTH), corticosterone, and corticosterone-binding-globulin (CBG) levels in rats stressed chronically by a method designed to induce biomechanical stress were investigated in order to determine the relationship between degree of behavioral stress and evoked change in posture during forced ambulation and pituitary-adrenocortical hormone secretion. The method consists of forcing rats to ambulate and compares rats forced to ambulate in a normal (control group) and extreme (experimental) posture. In this method an extreme posture of relative extension was assumed by rats forced to ambulate inside a rotating cylinder. The numbers of faecal boli produced during forced ambulation were determined as a behavioral measure of stress. Rats forced to ambulate in cylinders produced more faecal boli while they ambulated than rats forced to ambulate on a flat surface. Rats forced to ambulate in cylinders had higher resting levels of corticosterone and lower levels of CBG than rats forced to ambulate on a flat surface. The higher corticosterone levels were not associated with increased ACTH levels. Because adaptation to forced ambulation resulted in higher corticosterone and lower CBG levels when exercise is performed in an extreme posture, it is suggested that extreme posture is stressful.

Adrenocorticotropic Hormone↗

Craniocervical postural relations and craniofacial morphology in 30 blind subjects.

Previous studies have shown that head posture is dependent on vision. The head posture of blind persons therefore can be expected to differ from that of normal subjects. This is of interest in the current analyses of the relation between head posture and craniofacial morphology. The purpose of the present investigation was to describe the posture of the head and cervical column and the craniofacial morphology in a group of blind subjects, and to compare the findings with those previously found in male and female groups of normal subjects. The sample comprised 30 blind subjects--18 men and 12 women, aged 15 to 35 years, all of whom had been without perception of light since birth. The control group comprised 120 male dental students in the age range 22 to 30 years and 51 female dental students in the age range 22 to 27 years. The analysis of head posture showed that the intra-and interindividual variabilities of the craniovertical angles were significantly larger than those of the craniocervical angles in the blind group. The interindividual variabilities of the craniovertical angles were significantly larger in the blind than in the control group, but the variabilities of the craniocervical angles were similar in both groups. Craniovertical relations thus were more variable in the blind subjects, whereas craniocervical relations showed the same variability as normal subjects. On the average, the head was carried in a 4.3 degrees lower position in the neck was 4.5 degrees more forward inclined in the blind group. No differences were found in the position of the head in relation to the cervical column between the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Effects of Trendelenburg and reverse Trendelenburg postures on lung and chest wall mechanics.

STUDY OBJECTIVE: To test whether the Trendelenburg ("head-down") or reverse Trendelenburg ("head-up") postures change lung and chest wall mechanical properties in a clinical condition. DESIGN: Unblinded study, each patient serving as own control. SETTING: University of Maryland at Baltimore Hospital, Baltimore, Maryland. PATIENTS: 15 patients scheduled for laparoscopic surgery. INTERVENTIONS: Patients were anesthetized and paralyzed, tracheally intubated and mechanically ventilated at 10 to 30 per minute and at a tidal volume of 250 to 800 ml. Measurements were made before surgery in supine, head-up (10 degrees from horizontal) and head-down (15 degrees from horizontal) postures. MEASUREMENTS AND MAIN RESULTS: Airway flow and airway and esophageal pressures were measured. From these measurements, discrete Fourier transformation was used to calculate elastances and resistances of the total respiratory system, lungs, and chest wall. Total respiratory elastance and resistance increased in the head-down posture compared with supine due to increases in lung elastance and resistance (p < 0.05); but chest wall elastance and resistance did not change (p > 0.05). Lung elastance also exhibited a negative dependence on tidal volume while head-down that was not observed in the supine posture. The change in lung elastance compared with supine was positively correlated to body mass index (weight/height2) and negatively correlated to tidal volume. Lung and chest wall elastance and resistance were not affected by shifting from supine to head-up (p > 0.05). CONCLUSIONS: The Trendelenburg posture increases the mechanical impedance of the lung to inflation, probably due to decreases in lung volume. This effect may become clinically relevant in patients predisposed with lung disease and in obese patients.

Adult↗

Self-inflicted splenic injury in snowboarders: postural analysis of forward falls of 10 consecutive patients.

Splenic injuries are often caused when snowboarders thrust their abdomens with their own left elbows after falling and hitting the ground. We report 10 snowboarders who suffered a splenic injury by accidentally thrusting their own elbow against their abdomen upon falling to the ground. Clinical presentation, postural analysis, and treatment are described. In an attempt to break the force while falling, snowboarders assumed 1 of 2 defensive postures that subsequently induced splenic injury: falling with an outstretched hand or falling with folded arms placed closely to the chest, that is, the fetal tuck posture. Snowboarders who fell in the outstretched hand posture developed more severe symptoms than those who fell in the fetal tuck posture. Herein, we discuss the mechanisms of such snowboarding-related splenic injury in detail and provide a review of the literature.

Accidental Falls↗

The postural basis of malocclusion: a philosophical overview.

Over the last 100 years, many theories have attempted to explain the cause of malocclusion. Most have stated that it is inherited, but, more recently, greater emphasis has been placed on the influence of the environment, especially the activity and the posture of the oral soft tissues. Unfortunately, it is not possible to measure long-term posture with any precision, and this has reduced its perceived importance. When some evidence is missing and much of the rest conflicting, there is merit in moving from the traditional "prove-it" attitude to philosophical reasoning to separate the probable from the improbable. We do not know to what extent posture and parafunction might be inherited, but there can be no doubt that facial and dental structures are, at times, strongly influenced by the soft tissues and that some malocclusions appear to have a postural basis. This article undertakes a philosophical examination of the conflicting strands of evidence that link oral posture with malocclusion, hoping to create a theory based solely on the restricted evidence that is broadly accepted by all sides in this age-old debate.

Environment↗