scholarly journals Head motion predictability explains activity-dependent suppression of vestibular balance control

2019 ◽  
Author(s):  
H Dietrich ◽  
F Heidger ◽  
R Schniepp ◽  
PR MacNeilage ◽  
S Glasauer ◽  
...  
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Vestibular Stimulation ◽  
Head Movements ◽  
Body Sway ◽  
Cycle Phase ◽  
Feed Forward ◽  
Time Frequency ◽  
Self Motion ◽  
Activity Dependent

AbstractVestibular balance control is dynamically weighted during locomotion. This might result from a selective suppression of vestibular inputs in favor of a feed-forward balance regulation based on locomotor efference copies. The feasibility of such a feed-forward mechanism should however critically depend on the predictability of head movements (PHM) during locomotion. To test this, we studied in healthy subjects the differential impact of a stochastic vestibular stimulation (SVS) on body sway (center-of-pressure, COP) during standing and walking at different speeds using time-frequency analyses and compared it to activity-dependent changes in PHM. SVS-COP coupling decreased from standing to walking and further dropped with faster locomotion. Correspondingly, PHM increased with faster locomotion. Furthermore, SVS-COP coupling depended on the gait-cycle-phase with peaks corresponding to periods of least PHM. These findings support the assumption that during stereotyped human self-motion, locomotor efference copies selectively replace vestibular cues, similar to what was previously observed in animal models.

scholarly journals Effect of Eye-Object Distance on Body Sway during Galvanic Vestibular Stimulation

2018 ◽  
Vol 8 (11) ◽  
pp. 191 ◽  
Author(s):  
Osamu Aoki ◽  
Yoshitaka Otani ◽  
Shinichiro Morishita
Keyword(s):  
Healthy Subjects ◽  
Center Of Pressure ◽  
Force Plate ◽  
Distance Effect ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Body Sway ◽  
Mean Square ◽  
Visual Condition ◽  
Object Distance

Gazing at objects at a near distance (small eye-object distance) can reduce body sway. However, whether body sway is regulated by movement in the mediolateral or anteroposterior direction remains unclear. Galvanic vestibular stimulation (GVS) can induce body tilting in the mediolateral or anteroposterior direction. This study examined the directionality of the eye-object distance effect, using body-tilting GVS manipulations. Ten healthy subjects (aged 21.1 ± 0.3 years) stood on a force plate covered with a piece of foamed rubber and either closed their eyes or gazed at a marker located 0.5 m, 1.0 m, or 1.5 m in front of them. The GVS polarities were set to evoke rightward, forward, and backward body tilts. To compare the effects of eye-object distance in the mediolateral and anteroposterior directions, the root mean square (RMS) of the center of pressure (COP) without GVS was subtracted from the COP RMS during GVS. For swaying in the mediolateral direction, significant visual condition-related differences were found during rightward and forward GVS (p < 0.05). Thus, reductions in mediolateral body sway are more evident for smaller eye-object distances during rightward GVS. It would be appropriate to use body-tilting GVS to detect the directionality of the eye-object distance effect.

Impairments of Postural Balance in Surgically Treated Lumbar Disc Herniation Patients

2020 ◽  
Vol 36 (4) ◽  
pp. 228-234
Author(s):  
Ziva M. Rosker ◽  
Jernej Rosker ◽  
Nejc Sarabon
Keyword(s):  
Postural Balance ◽  
Center Of Pressure ◽  
Balance Control ◽  
The Body ◽  
Surface Velocity ◽  
Body Sway ◽  
Support Surface ◽  
Balance Task ◽  
Lateral Body ◽  
Unstable Support

Reports on body sway control following microdiscectomy lack reports on side-specific balance deficits as well as the effects of trunk balance control deficits on body sway during upright stances. About 3 weeks post microdiscectomy, the body sway of 27 patients and 25 controls was measured while standing in an upright quiet stance with feet positioned parallel on an unstable support surface, a tandem stance with the involved leg positioned in front or at the back, a single-leg stance with both legs, and sitting on an unstable surface. Velocity, average amplitude, and frequency-direction–specific parameters were analyzed from the center of pressure movement, measured by the force plate. Statistically significant differences between the 2 groups were observed for the medial–lateral body sway frequency in parallel stance on a stable and unstable support surface and for the sitting balance task in medial-lateral body sway parameters. Medium to high correlations were observed between body sway during sitting and the parallel stance, as well as between the tandem and single-legged stances. Following microdiscectomy, deficits in postural balance were side specific, as expected by the nature of the pathology. In addition, the results of this study confirmed the connection between proximal balance control deficits and balance during upright quiet balance tasks.

scholarly journals The Effects of Stochastic Galvanic Vestibular Stimulation on Body Sway and Muscle Activity

2020 ◽  
Vol 14 ◽  
Author(s):  
Akiyoshi Matsugi ◽  
Kosuke Oku ◽  
Nobuhiko Mori
Keyword(s):  
Soleus Muscle ◽  
Muscle Activity ◽  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
The Body ◽  
Lower Limbs ◽  
Body Sway ◽  
Eyes Open ◽  
Significant Increment

Objective: This study aimed to investigate whether galvanic vestibular stimulation with stochastic noise (nGVS) modulates the body sway and muscle activity of the lower limbs, depending on visual and somatosensory information from the foot using rubber-foam.Methods: Seventeen healthy young adults participated in the study. Each subject maintained an upright standing position on a force plate with/without rubber-foam, with their eyes open/closed, to measure the position of their foot center of pressure. Thirty minutes after baseline measurements under four possible conditions (eyes open/closed with/without rubber-foam) performed without nGVS (intensity: 1 mA, duration: 40 s), the stimulation trials (sham-nGVS/real-nGVS) were conducted under the same conditions in random order, which were then repeated a week or more later. The total center of pressure (COP) path length movement (COP-TL) and COP movement velocity in the mediolateral (Vel-ML) and anteroposterior (Vel-AP) directions were recorded for 30 s during nGVS. Furthermore, electromyography activity of the right tibial anterior muscle and soleus muscle was recorded for the same time and analyzed.Results: Three-way analysis of variance and post-hoc multiple comparison revealed a significant increment in COP-related parameters by nGVS, and a significant increment in soleus muscle activity on rubber. There was no significant effect of eye condition on any parameter.Conclusions: During nGVS (1 mA), body sway and muscle activity in the lower limb may be increased depending not on the visual condition, but on the foot somatosensory condition.

scholarly journals Greater exposure to repetitive subconcussive head impacts is associated with vestibular dysfunction and balance impairments during walking

Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S27.2-S27
Author(s):  
Fernando Santos ◽  
Jaclyn B Caccese ◽  
Mariana Gongora ◽  
Ian Sotnek ◽  
Elizabeth Kaye ◽  
...  
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Center Of Mass ◽  
Vestibular Stimulation ◽  
Vestibular Dysfunction ◽  
Foot Placement ◽  
Head Impacts ◽  
Eyes Closed ◽  
Balance Deficits ◽  
Soccer Heading

Exposure to repetitive subconcussive head impacts (RSHI), specifically soccer heading, is associated with white matter microstructural changes and cognitive performance impairments. However, the effect of soccer heading exposure on vestibular processing and balance control during walking has not been studied. Galvanic vestibular stimulation (GVS) is a tool that can be used to probe the vestibular system during standing and walking. The purpose of this study was to investigate the association of soccer heading with subclinical balance deficits during walking. Twenty adult amateur soccer players (10 males and 10 females, 22.3 ± 4.5 years, 170.5 ± 9.8 cm, 70.0 ± 10.5 kg) walked along a foam walkway with the eyes closed under 2 conditions: with GVS (∼40 trials) and without GVS (∼40 trials). Outcome measures included mediolateral center-of-mass (COM), center-of-pressure (COP) separation, foot placement, mediolateral ankle modulation, hip adduction, and ankle push off. For each balance mechanism, a GVS response was calculated (GVS, mean [without GVS]). In addition, participants completed a questionnaire, reporting soccer heading exposure over the past year. A linear regression model was used to determine if vestibular processing and balance during walking were related to RSHI exposure. Both foot placement (R2 = 0.324, p = 0.009) and hip adduction (R2 = 0.183, p = 0.50) were predicted by RSHI; whereby, greater exposure to RSHI was associated with greater foot placement and hip adduction responses. However, COM-COP separation (R2 < 0.001, p = 0.927), ankle modulation (R2 = 0.037, p = 0.417), and push off (R2 < 0.001, p = 0.968) were not related to RSHI exposure. Individuals who were exposed to greater RSHI were more perturbed by vestibular stimulation during walking, suggesting that there may be vestibular dysfunction and balance impairments with frequent heading; specifically, individuals with greater exposure to RSHI responded with larger foot placement and hip adduction responses to GVS.

scholarly journals Balance Control and Muscles Activity of An Elderly Retired Man During Different Focus of Attention Instructions

2020 ◽  
Vol 13 (1) ◽  
pp. 129-136
Author(s):  
Amin Amini ◽  
Hossein Shirvani ◽  
Behzad Bazgir
Keyword(s):  
Muscle Activity ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Biceps Brachii ◽  
Center Of Pressure ◽  
Balance Control ◽  
Focus Of Attention ◽  
Body Sway ◽  
Triceps Brachii ◽  
External Focus

Background: Good balance and muscle activity are essential to do daily activities. Recent studies have focused on the relations between balance and attention patterns. The study of the balance and muscle activity of people in different patterns of attention can clarify the nature of the effect of attention instructions. Purpose: The present study aims to evaluate the changes in different focus of attention instructions and quality of balance control and muscle activity in the elderly retired. Methods: Thirty elderly retired men [mean age: 51.6 ± 6.4 years] were recruited for this study. Subjects were selected through the berg balance test. Balance control ability [Biodex Balance System] and muscle activity [electromyography system] were assessed in two conditions, internal attention and external attention task. The data obtained were analyzed using repeated-measures ANOVA at a significant level of P<0.05. Results: Body sway and muscle activity parameters were correlated with different patterns of attention. During external focus condition, [1] Center of Pressure [CoP] total two-leg balance, CoP medio-lateral and CoP anterior-posterior for external-focus were lowered [P<0.05] and [2] Tibialis anterior and soleus for the leg, biceps brachii and triceps brachii for the arm, sternocleidomastoid and semispinalis capitis for external-focus were lowered [P<0.05]. Conclusion: Improved static balance responses and alterations in postural control were observed under external focus conditions. An external focus of attention may be the preferred method for facilitating balance control and muscle activation in an elderly retired man.

scholarly journals Galvanic vestibular stimulation with low intensity improves dynamic balance

2021 ◽  
Vol 12 (1) ◽  
pp. 512-521
Author(s):  
Hongmei Chen ◽  
Zhen Hu ◽  
Yujuan Chai ◽  
Enxiang Tao ◽  
Kai Chen ◽  
...  
Keyword(s):  
Healthy Subjects ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Balance Performance ◽  
Improvement Rate ◽  
Average Speed ◽  
Low Intensity

Abstract Background Dynamic balance is associated with fall risk. The aim of this study is to explore the effects of galvanic vestibular stimulation with very low intensity direct current (dcGVS) on dynamic balance. Methodology We used a rocker force platform for assessing the dynamic balance performance. Center-of-pressure (COP) coordinates were acquired and decomposed to rambling (RA) and trembling (TR). We measured sway parameters, including length, average speed, and average range, affected by dcGVS at 0.01 mA with eyes open (EO) and eyes closed (EC). Results We assessed 33 young healthy subjects and found that all sway parameters were shorter in the EO condition, indicating a better dynamic balance performance. dcGVS significantly improved the dynamic balance performance both in EO and EC conditions. All the sway parameters in COP in EO were significantly shorter than those in EC, indicating a better dynamic balance performance in EO. In EO, RA had greater improvement rates than TR. In EC, only average speed had a greater improvement rate in RA, whereas length and average range had greater improvement rates in TR. These results indicate a different modulation model between EO and EC. Conclusion These findings indicate that very low intensity dcGVS improved the sway parameters of dynamic balance in young healthy subjects. Moreover, our results suggest different dynamic balance control models between having EO and EC. The mechanisms of these phenomena caused by very low intensity dcGVS require further investigation.

Expectation and the Vestibular Control of Balance

2005 ◽  
Vol 17 (3) ◽  
pp. 463-469 ◽  
Author(s):  
Michel Guerraz ◽  
Brian L. Day
Keyword(s):  
Visual Information ◽  
Balance Control ◽  
Vestibular Stimulation ◽  
Visual Disturbance ◽  
Object Motion ◽  
Whole Body ◽  
Visual Channel ◽  
Eye Motion ◽  
Self Motion ◽  
Body Response

Recent experiments have shown that the visual channel of balance control is susceptible to cognitive influence. When a subject is aware that an upcoming visual disturbance is likely to arise from an external agent, that is, movement of the visual environment, rather than from self-motion, the whole-body response is suppressed. Here we ask whether this is a principle that generalizes to the vestibular channel of balance control. We studied the whole-body response to a pure vestibular perturbation produced by galvanic vestibular stimulation (GVS; 0.5 mA for 3 sec). In the first experiment, subjects stood with vision occluded while stimuli were delivered either by the subject himself (self-triggered) or by the experimenter. For the latter, the stimulus was delivered either without warning (unpredictable) or at a fixed interval following an auditory cue (predictable). Results showed that GVS evoked a whole-body response that was not affected by whether the stimulus was self-triggered, predictable, or unpredictable. The same results were obtained in a second experiment in which subjects had access to visual information during vestibular stimulation. We conclude that the vestibular-evoked balance response is automatic and immune to knowledge of the source of the perturbation and its timing. We suggest the reason for this difference between visual and vestibular channels stems from a difference in their natural abilities to signal self-motion. The vestibular system responds to acceleration of the head in space and therefore always signals self-motion. Visual flow, on the other hand, is ambiguous in that it signals object motion and eye motion, as well as self-motion.

scholarly journals Use of galvanic vestibular feedback to control postural orientation in decerebrate rabbits

2012 ◽  
Vol 107 (11) ◽  
pp. 3020-3026 ◽  
Author(s):  
P. V. Zelenin ◽  
L.-J. Hsu ◽  
G. N. Orlovsky ◽  
T. G. Deliagina
Keyword(s):  
Balance Control ◽  
Simple Algorithm ◽  
Vestibular Stimulation ◽  
Dorsal Side ◽  
The Body ◽  
Body Sway ◽  
Lateral Stability ◽  
Postural Perturbation ◽  
Lateral Body ◽  
Postural System

In quadrupeds, the dorsal-side-up body orientation during standing is maintained due to a postural system that is driven by feedback signals coming mainly from limb mechanoreceptors. In caudally decerebrated (postmammillary) rabbits, the efficacy of this system is considerably reduced. In this paper, we report that the efficacy of postural control in these animals can be restored with galvanic vestibular stimulation (GVS) applied transcutaneously to the labyrinths. In standing intact rabbits, GVS causes a lateral body sway towards the positive electrode. We used this GVS-caused sway to counteract the lateral body sway resulting from a mechanical perturbation of posture. Experiments were performed on postmammillary rabbits that stood on the tilting platform with their hindlimbs. To make the GVS value dependent on the postural perturbation (i.e., on the lateral body sway caused by tilt of the platform), an artificial feedback loop was formed in the following ways: 1) Information about the body sway was provided by a mechanical sensor; 2) The GVS current was applied when the sway exceeded a threshold value; the polarity of the current was determined by the sway direction. This simple algorithm allowed the “hybrid” postural system to maintain the dorsal-side-up orientation of the hindquarters when the platform was tilted by ± 20°. Thus, an important postural function, i.e., securing lateral stability during standing, can be restored in decerebrate rabbits with the GVS-based artificial feedback. We suggest that such a control system can compensate for the loss of lateral stability of various etiologies, and can be used for restoration of balance control in patients with impaired postural functions.

scholarly journals Distracting attention in phobic postural vertigo normalizes leg muscle activity and balance

Neurology ◽  
2016 ◽  
Vol 88 (3) ◽  
pp. 284-288 ◽  
Author(s):  
Max Wuehr ◽  
Thomas Brandt ◽  
Roman Schniepp
Keyword(s):  
Dual Task ◽  
Closed Loop ◽  
Center Of Pressure ◽  
Balance Control ◽  
Open Loop ◽  
Body Sway ◽  
Healthy Controls ◽  
Phobic Postural Vertigo ◽  
Eyes Open ◽  
Postural Performance

Objective:To examine the triggering causes of inadequate neuromuscular regulation of posture and subjective imbalance in patients with phobic postural vertigo (PPV), a subtype of functional dizziness.Methods:Postural performance was assessed by center-of-pressure displacements and surface EMG of lower-limb muscles (the tibialis anterior and soleus) in 10 patients with PPV and 10 healthy controls under 4 stance conditions: standing with eyes open or closed and with or without an additional cognitive dual task. The level of muscle cocontraction and the characteristics of open- and closed-loop postural control were analyzed.Results:At baseline (i.e., standing with eyes open without dual task), patients exhibited increased muscle cocontractions (p = 0.003), which were further associated with increased open-loop diffusion activity (p = 0.022) and a lowering of the primary feedback threshold for closed-loop control (p = 0.003). However, postural performance of patients improved considerably and normalized to that of healthy controls when performing an additional dual task.Conclusions:PPV is characterized by a dissociation of subjective postural instability and objectively maintained balance capabilities. The dual-task effects on balance in patients with PPV indicate that this dissociation might result from an increased attention to postural adjustments at baseline, which is normally required only during demanding balance situations. This internal focus on balance control promotes an inappropriate neuromuscular regulation of posture, with increased muscle cocontractions, higher short-term body sway, and an oversensitivity to external stimuli. However, if patients are distracted, muscle cocontractions and balance control normalize. Such distraction may therefore be an effective coping strategy for preventing PPV attacks in susceptible patients.

scholarly journals Postural Behavior in Medicated Parkinson Disease Patients: A Preliminary Study Searching for Indicators to Track Progress

2020 ◽  
Vol 12 ◽  
pp. 117957352092264
Author(s):  
Adriana Menezes Degani ◽  
Vinicius Saura Cardoso ◽  
Alessandra Tanuri Magalhães ◽  
Ana Larissa Sousa Assunção ◽  
Erica de Carvalho Soares ◽  
...  
Keyword(s):  
Parkinson Disease ◽  
Center Of Pressure ◽  
Balance Control ◽  
Postural Instability ◽  
Diagnostic Methods ◽  
Body Sway ◽  
Yahr Stage ◽  
Visual Inputs ◽  
Advanced Stages ◽  
Preliminary Study

Purpose: The establishment of early diagnostic methods for Parkinson disease (PD) is one of the key features to clinically control the rate of PD progression. This study aimed to give a first step toward recognizing the efficacy of multiple postural indices of balance control in differentiating medicated PD patients from health participants. Methods: Nine individuals with PD (Hoehn and Yahr Stage up to 2), 9 staged 2.5 and up, and 9 healthy age-matched Controls performed bipedal stances for 120 seconds with eyes either open or closed on a stable force platform. All participants with PD were under anti-Parkinsonian medication. Non-parametric tests investigated the effects of PD and visual input on postural indices extracted from the center of pressure coordinates. Results: Independent of the stage of the disease, individuals with PD presented faster and shakier body sway compared with Controls. Advanced stages of PD also revealed increased body sway length and variability. In addition, medio-lateral postural instability was more pronounced in all stages of PD when visual inputs were not allowed. Conclusion and Significance: Body sway velocity, jerkiness, length, and its variability revealed to be potential markers for subclinical signs of adjustments in the neuromechanisms of balance control and postural instability even at early stages of disease and under anti-Parkinsonian medication. Results produced here will direct future studies aiming to investigate the efficacy of these same indices on recognizing subclinical development of PD as well as those individuals susceptible to faster rates of progression.

Sign in / Sign up

Export Citation Format

Share Document