The aim of the study was to investigate age-related changes in postural responses to platform translation with 3 various velocities. We focused on the influence of linear velocity using the smoothed profile of platform acceleration (till 100 cm.s−2 ). Eleven healthy young (20-31 years) and eleven healthy elderly (65-76 years) subjects were examined. The subjects stood on the force platform with their eyes closed. Each trial (lasting for 8 sec) with different velocity (10, 15, 20 cm.s−1 ) of 20 cm backward platform translation was repeated 4 times. We have recorded displacements of the centre of pressure (CoP) and the EMG activity of gastrocnemius muscle (GS) and tibialis anterior muscle (TA). The results showed increased maximal values of CoP responses to the platform translation. There was also observed a scaling delay of CoP responses to platform translation with different velocities in elderly. The EMG activity of GS muscle during backward platform translation was of about similar shape in both groups during the slowest platform velocity, but it increased depending on rising velocity. EMG activity of TA was not related to the platform velocity. Early parts of postural responses showed significant co-activation of TA and GS muscles of elderly. It is likely that elderly increased body stiffening in order to help their further balance control., Z. Halická ... [et al.]., and Obsahuje seznam literatury
The influence of monopolar binaural galvanic stimulation of the vestibular system was studied on body sway. Subjects, with eyes closed, were standing on a hard support or on foam rubber. Their body sway was registered on a force platform at intervals of 50 s. Both polarities of direct current with intensity 1 mA were used as a galvanic stimulus during the whole recording interval. Changes of body sway amplitude and velocity were analyzed in situations with and without galvanic stimulation on two different support surfaces. In stance on the hard support, the cathodal polarization of labyrinths (in most subjects) reduced body sway velocity and decreased body sway slightly in the anteroposterior direction. Anodal polarization of labyrinths during 50 s did not affect the body sway parameters. The results on the foam rubber platform exhibited a significant reduction of body sway velocity induced by both anodal and cathodal polarization of the labyrinths. The decrease of body sway in the anteroposterior direction was also observed during cathodal polarization. The stabilizing effect of vestibular binaural monopolar stimulation on the upright stance was mainly observed in the postural control situation where the leg proprioceptive input was changed (stance on soft surface) and the role of vestibular input was more important.
The study is aimed to examine balance control of slightly obese young adults during quiet stance and during gait initiation with and without crossing an obstacle. Forty-four young subjects were divided in two groups: control (BMI<25 kg/m2 ) and slightly obese (BMI from 25 to 35 kg/m2 ). Center of foot pressure (CoP) and kinematics of fifth lumbar vertebra (L5) were evaluated using a force plate and a motion capture system. During quiet stance with eyes open slightly obese group showed increased mean amplitude and velocity of CoP in anterior-posterior direction compared to normal weight subjects. During unloading phase of gait initiation significantly greater and faster lateral CoP shift was observed in slightly obese group compared to normal weight peers. Presence of an obstacle increased amplitude and velocity of the lateral CoP shift similarly in both groups. No BMI-related differences were found on L5 segment during gait initiation, which may indicate that postural control was already successfully performed in feet (CoP). We have shown that increased CoP parameters values and thus increased postural instability during quiet stance and during unloading phase of gait initiation is present not only in morbidly obese, but already in slightly obese subjects.
The aim of the study was to evaluate the effect of surgical reconstruction of anterior cruciate ligament (ACL) on postural stability and responses to lower limb (LL) muscles vibrations.Centre of pressure (CoP) was measured in 17 subjects during stance on firm/foam surface with eyes open/closed and during unilateral vibrations of LL muscles (
m. triceps surae – TS, m. quadriceps femoris – Q, m. quadriceps femoris and hamstrings simultaneously – QH). The measurements were performed: 1) preoperatively, 2) six weeks and 3) three months
after the reconstruction. Decreased postural stability was documented six weeks after the reconstruction compared to preoperative measurement. Three months after the reconstruction significant improvement was observed during stance on foam surface with eyes closed. Preoperatively, altered reactions of LL with ACL lesion compar
ed to intact LL were manifested by slower response in first 3 s of TS vibration and by increased CoP shift in last 5 s of QH vibration. After the reconstruction, we observed slower CoP reaction and decreased
CoP shift during TS vibration of LL with ACL lesion compared to
preoperative level. Posturography during quiet stance and during TS vibration reliably detect postural changes due to ACL reconstruction and can be potentially useful in clinical practice.
We investigated how postural responses to galvanic vestibular stimulation were affected by standing on a translating support surface and by somatosensory loss due to diabetic neuropathy. We tested the hypothesis that an unstable surface and somatosensory loss can result in an increase of vestibulospinal sensitivity. Bipolar galvanic vestibular stimulation was applied to subjects who were standing on a force platform, either on a hard, stationary surface or during a backward platform translation (9 cm, 4.2 cm/s). The intensity of the galvanic stimulus was varied from 0.25 to 1mA. The amplitude of the peak body CoP displacement in response to the galvanic stimulus was plotted as a function of stimulus intensity for each individual. A larger increase in CoP displacement to a given increase in galvanic current was interpreted as an increase of vestibulospinal sensitivity. Subjects with somatosensory loss in the feet due to diabetes showed higher vestibulospinal sensitivity than healthy subjects when tested on a stationary support surface. Control subjects and patients with somatosensory loss standing on translating surface also showed increased galvanic response gains compared to stance on a stationary surface. The severity of the somatosensory loss in the feet correlated with the increased postural sensitivity to galvanic vestibular stimulation. These results showed that postural responses to galvanic vestibular stimulus were modified by somatosensory information from the surface. Somatosensory loss due to
diabetic neuropathy and alteration of somatosensory input during stance on translating support surface resulted in increased vestibulospinal sensitivity.
The influence of additional visual feedback (VF) on stance control was studied under conditions of changed afferent information from the foot sole and ankle joint due to different support surfaces. The changes of body sway amplitudes were analyzed and their frequency spectrum was established. The effect of visual feedback on the amplitude and frequency characteristics of human stance was manifested as: a) a decrease of the mean amplitude of body sway during visual feedback, corresponding to the decrease of power spectrum density (PSD) of stabilograms in the frequency range below 0.05 Hz, b) an increase of mean velocity of body sway corresponding to the increase of PSD of stabilograms in the frequency range of 0.4-1.5 Hz. The results showed that the improvement of the upright stance by additional visual feedback is mainly mediated through activation of postural muscles at the ankle level, or ankle strategy. The stabilization effect of VF on stance control is slight or negligible if the performance part in ankle joint (narrow support) was reduced.