Coordination between postural and movement controls: effect of changes in body mass distribution on postural and focal component characteristics

Effects of a lower limb muscular fatigue on posture-movement interaction during a lower limb pointing task

PURPOSE

The aim of the present study was to investigate the effects of muscular fatigue on the interaction between posture and movement during a lower limb pointing task.

METHODS

Participants (n = 16), aged 18-30 years, kicked a ball toward a target in four conditions of fatigue: No muscular fatigue (NF), fatigue in the kicking (FM) or postural limb (FP) alone, and fatigue in both limbs (FMP). The mean amplitude and speed of the centre of foot pressure (CoP) and centre of mass (CoM) displacements were estimated through a force platform and an optoelectronic system, respectively. In addition, surface electromyography (EMG) of the biceps femoris, rectus femoris, medial gastrocnemius, and peroneus longus was recorded to investigate the anticipatory postural adjustments (APAs).

RESULTS

Muscular fatigue yielded a decreased kicking accuracy (p < 0.001) and an increased time to perform the movement (p < 0.001), mainly during the backswing motion. In addition, significant increases in the mean amplitude and speed of the CoP and CoM displacement were found in the anteroposterior (AP) and mediolateral (ML) axes (ps < 0.001), especially when both limbs were fatigued. The EMG analysis confirmed that fatigue modified the way APAs were generated. During fatigue, postural muscle activity increased, but was delayed with respect to movement onset (ps < 0.001). This pattern of response was more consistent when both limbs were fatigued (p < 0.001).

CONCLUSION

The present results suggested an additive effect of fatigue and a functional adaptation and subsequent decrease in the overall variability of APAs, indicating that postural and motor processes are interdependent.

Influence of dual-task constraints on the interaction between posture and movement during a lower limb pointing task

One of the challenges regarding human motor control is making the movement fluid and at a limited cognitive cost. The coordination between posture and movement is a necessary requirement to perform daily life tasks. The present experiment investigated this interaction in 20 adult men, aged 18-30 years. The cognitive costs associated to postural and movement control when kicking towards a target was estimated using a dual-task paradigm (secondary auditory task). Results showed that addition of the attentional demanding cognitive task yielded a decreased kicking accuracy and an increased timing to perform the movement, mainly during the backswing motion. In addition, significant differences between conditions were found for COP and COM displacement (increased amplitude, mean speed) on the anteroposterior axis. However, no significant differences between conditions were found on the mediolateral axis. Finally, EMG analysis showed that dual-task condition modified the way anticipatory postural adjustments (APAs) were generated. More specifically, we observed an increase of the peroneus longus activity, whereas the temporal EMG showed a decrease of its latency with respect to movement onset. These results suggested a functional adaptation resulting in an invariance of overall APAs, emphasizing that cognitive, postural, and motor processes worked dependently.

Effects of Changing Body Weight Distribution on Mediolateral Stability Control during Gait Initiation

During gait initiation, anticipatory postural adjustments (APA) precede the execution of the first step. It is generally acknowledged that these APA contribute to forward progression but also serve to stabilize the whole body in the mediolateral direction during step execution. Although previous studies have shown that changes in the distribution of body weight between both legs influence motor performance during gait initiation, it is not known whether and how such changes affect a person's postural stability during this task. The aim of this study was to investigate the effects of changing initial body weight distribution between legs on mediolateral postural stability during gait initiation. Changes in body weight distribution were induced under experimental conditions by modifying the frontal plane distribution of an external load located at the participants' waists. Fifteen healthy adults performed a gait initiation series at a similar speed under three conditions: with the overload evenly distributed over both legs; with the overload strictly distributed over the swing-limb side; and with the overload strictly distributed over the stance-leg side. Our results showed that the mediolateral location of center-of-mass (CoM) during the initial upright posture differed between the experimental conditions, indicating modifications in the initial distribution of body weight between the legs according to the load distribution. While the parameters related to the forward progression remained unchanged, the alterations in body weight distribution elicited adaptive changes in the amplitude of APA in the mediolateral direction (i.e., maximal mediolateral shift of the center of pressure (CoP)), without variation in their duration. Specifically, it was observed that the amplitude of APA was modulated in such a way that mediolateral dynamic stability at swing foot-contact, quantified by the margin of stability (i.e., the distance between the base of support boundary and the extrapolated CoM position), did not vary between the conditions. These findings suggest that APA seem to be scaled as a function of the initial body weight distribution between both legs so as to maintain optimal conditions of stability during gait initiation.

Processes of anticipatory postural adjustment and step movement of gait initiation

The purpose of this study was to elucidate whether the anticipatory postural adjustment (APA) and focal step movement of gait initiation are produced as a single process or different processes and whether the APA receives an inhibitory drive from the ongoing stop process of gait initiation. Healthy humans initiated gait in response to a first visual cue that instructed the initial swing leg. In some trials, a switch or stop cue was also provided after the first cue. When the stop cue was provided, participants withheld gait initiation. When the switch cue was provided, participants immediately switched the initial swing leg. In both the stop and switch tasks, the APA in response to the first cue, represented by the S1 period of the displacement of the center of pressure, appeared in more than half of the trials in which the withholding of gait initiation or switching of the initial swing leg was successfully completed. These findings indicate that the APA and focal step movement of gait initiation are produced as a dual process. In trials in which the APA in response to the first cue appeared, the amplitude and duration of the APA were decreased when the participants switched the initial swing leg or withheld gait initiation. This finding indicates that the ongoing stop process of gait initiation produces an inhibitory drive over the APA. The decreases in the amplitude and duration of the APA during the switching of the initial swing leg were similar to those during the withholding of gait initiation; moreover, the decreases during the switching of the initial swing leg were positively correlated with the decreases during the withholding of gait initiation. Thus, the stop processes during switching the initial swing leg and withholding gait initiation likely share a common inhibitory mechanism over the APA.

Whole-Body Movements in Long-Term Weightlessness: Hierarchies of the Controlled Variables Are Gravity-Dependent

Switching between contexts affects the mechanisms underlying motion planning, in particular it may entail reranking the variables to be controlled in defining the motor solutions. Three astronauts performed multiple sessions of whole-body pointing, in normogravity before launch, in prolonged weightlessness onboard the International Space Station, and after return. The effect of gravity context on kinematic and dynamic components was evaluated. Hand trajectory was gravity independent; center-of-mass excursion was highly variable within and between subjects. The body-environment effort exchange, expressed as inertial ankle momentum, was systematically lower in weightlessness than in normogravity. After return on Earth, the system underwent a rapid 1-week readaptation. The study indicates that minimizing the control effort is given greater weight when optimizing the motor plan in weightlessness compared to normogravity: the hierarchies of the controlled variables are gravity dependent.

Directional specificity of postural threat on anticipatory postural adjustments during lateral leg raising

This study explored the directional specificity of fear of falling (FoF) effects on the stabilizing function of anticipatory postural adjustments (APA). Participants (N = 71) performed a series of lateral leg raises from an elevated surface in three conditions: in the "Control condition", participants stood at the middle of the surface; in the two test conditions, participants were positioned at the lateral edge of the surface so that the shift of the whole-body centre-of-mass during APA for leg raising was directed towards the edge ("Approach condition") or was directed away from the edge ("Avoidance condition"). Results showed that the amplitude of APA was lower in the "Approach condition" than in the "Control condition" (p < .01); this reduction was compensated for by an increase in APA duration (p < .05), so that both postural stability and motor performance (in terms of peak leg velocity, final leg posture and movement duration) remained unchanged. These changes in APA parameters were not present in the "Avoidance condition". Participants further self-reported a greater FoF (p < .001) and a lower ability to avoid a fall (p < .001) in the "Approach condition" (but not in the "Avoidance condition") than in the "Control condition". The results of this study show that the effects of FoF do not solely depend on initial environmental conditions, but also on the direction of APA relative to the location of the postural threat. These results support the so-called Motivational Direction Hypothesis, according to which approach and avoidance behaviours are primed by emotional state.

Differences of ballet turns (pirouette) performance between experienced and novice ballet dancers

PURPOSE

This study investigated the different postural control strategies exhibited by experienced and novice dancers in ballet turns (pirouettes).

METHOD

Thirteen novice and 13 experienced dancers performed ballet turns with dominant-leg support. The peak push force was measured in the double-leg support phase. The inclination angles of rotation axis with respect to vertical axis were calculated in the early single-leg support phase as well as the initiation sequence of ankle, knee, and hip joints on the supporting leg. Moreover, the anchoring index of the head was computed in the transverse plane during turning.

RESULTS

The novice dancers applied a greater push force, an increased inclination angle of rotation axis, and an insufficient proximal-to-distal extension sequence pattern. The novice dancers also had a smaller head-anchoring index compared with experienced dancers, which meant novice dancers were not using a space target as a stability reference.

CONCLUSIONS

A poorer performance in novice dancers could result from higher push force in propulsion, lack of a "proximal-to-distal extension sequence" pattern, and lack of visual spotting for postural stability. Training on sequential initiation of lower-extremity joints and rehearsal of visual spotting are essential for novice dancers to obtain better performance on ballet turns.

Influence of ankle loading on the relationship between temporal pressure and motor coordination during a whole-body paired task

We investigated whether ankle loading modifies the relationship between temporal pressure and motor coordination during a whole-body paired task. Eight young healthy adults standing in an erect posture performed multiple series of simultaneous rapid leg flexions paired with ipsilateral index finger extensions. They repeated the task ten times in three load conditions: unloaded, loaded (where additional 5-kg inertia was attached to the ankles), and post-loaded (immediately following the loaded condition). These conditions were conducted in two blocks of temporal pressure: self-initiated (SI) versus reaction time (RT). When participants were unloaded, the results showed that index finger extension preceded swing heel-off in RT, and conversely in SI. By contrast, when the participants were loaded, swing heel-off preceded index finger extension in both SI and RT, showing that loading modified the relationship between temporal pressure and movement synchronization in RT only. However, loading did not induce any increase in the error of synchronization. Furthermore, in both the unloaded and loaded conditions, the duration of "anticipatory postural adjustments" (APA) was shorter when the temporal pressure was increased. Interestingly, the shorter APA duration was compensated by an increase in APA amplitude. Thus, loading did not modify the relationship between temporal pressure and anticipatory postural dynamics. Post-loaded and unloaded conditions produced the same results. These results show that the central nervous system optimally adapts the relationship between temporal pressure and motor coordination to transitory changes in the mechanical properties of the lower limbs, here due to ankle loading.

Does postural stability affect grasping?

We examined whether challenging upright stance influences the execution of a grasping task. Participants reached to grasp a small sphere while standing either on a stable surface or on foam. Before reaching for the sphere, participants exhibited more body sway and greater fluctuations in the centre of pressure when standing on foam. While reaching for the sphere, the overall body posture changed less when standing on foam than when standing on the stable surface. The digits' and wrist's movements towards the sphere were no different when standing on foam than when standing on the stable surface. Presumably, the redundancy in the way movements can be performed is exploited to choose the most suitable changes in joint angles to achieve the desired movements of the digits under the prevailing conditions.

Reaching while standing in microgravity: a new postural solution to oversimplify movement control

Many studies showed that both arm movements and postural control are characterized by strong invariants. Besides, when a movement requires simultaneous control of the hand trajectory and balance maintenance, these two movement components are highly coordinated. It is well known that the focal and postural invariants are individually tightly linked to gravity, much less is known about the role of gravity in their coordination. It is not clear whether the effect of gravity on different movement components is such as to keep a strong movement-posture coordination even in different gravitational conditions or whether gravitational information is necessary for maintaining motor synergism. We thus set out to analyze the movements of eleven standing subjects reaching for a target in front of them beyond arm's length in normal conditions and in microgravity. The results showed that subjects quickly adapted to microgravity and were able to successfully accomplish the task. In contrast to the hand trajectory, the postural strategy was strongly affected by microgravity, so to become incompatible with normo-gravity balance constraints. The distinct effects of gravity on the focal and postural components determined a significant decrease in their reciprocal coordination. This finding suggests that movement-posture coupling is affected by gravity, and thus, it does not represent a unique hardwired and invariant mode of control. Additional kinematic and dynamic analyses suggest that the new motor strategy corresponds to a global oversimplification of movement control, fulfilling the mechanical and sensory constraints of the microgravity environment.

Motor abundance supports multitasking while standing

Many activities require simultaneous performance of multiple tasks. Motor redundancy may provide a key mechanism for multitasking, ensuring minimal inter-task interference. This study investigated the effect of performing two supra-postural tasks on postural stability. The component of joint configuration variance (JCV) reflecting flexible joint combinations (V(UCM)) that stabilize the center of mass (CoM) position and the component of JCV leading to variability (V(ORT)) of the CoM were determined using the Uncontrolled Manifold (UCM) approach. Subjects executed a targeting task alone or in combination with a ball-balancing task. UCM analysis revealed that the joints were coordinated such that their combined variance reflected primarily V(UCM), without a substantial effect on CoM position stability. Evidence for this flexible control strategy increased when the ball-balancing task was added to targeting, or when the index of difficulty of targeting increased, both without leading to substantial increases in V(ORT) or CoM position variance. The increase in joint variance when performing additional tasks without affecting adversely CoM position stability supports the hypothesis that the nervous system takes advantage of available motor redundancy for the successful performance of multiple tasks concurrently. Future work is needed to investigate the limits of this control scheme.

Postural and focal inhibition of voluntary movements prepared under various temporal constraints

Large disturbances arising from the moving segments (focal movement) are commonly counteracted by anticipatory postural adjustments (APAs). The aim of this study was to investigate how APAs - focal movement coordination changes under temporal constraint. Ten subjects were instructed to perform an arm raising movement in the reactive (simple reaction time) and predictive (anticipation-coincidence) tasks. A stop paradigm was applied to reveal the coordination. On some unexpected trials, a stop signal indicated to inhibit the movement; it occurred randomly at different delays (SOA) relative to the go signal in the reactive task, and at different delays prior to the focal response initiation in the predictive task. Focal movement was measured using contact switch, accelerometer and EMG from the anterior deltoid. APAs were quantified using centre of pressure displacement and EMG from three postural muscles. The inhibition rates as a function of the SOA produce psychometric functions where the bi-serial points allow the moment of the motor "command release" to be estimated. Repeated measures ANOVAs showed that APAs and focal movement were closely timed in the reactive task but distinct in a predictive task. Data were discussed according to two different models of coordination: (1) hierarchical model where APAs and focal movement are the results of a single motor command; (2) parallel model implying two independent motor commands. The data clearly favor the parallel model when the temporal constraint is low. The stop paradigm appears as a promising technique to explore APAs - focal movement coordination.

Modulation of proprioceptive inflow when initiating a step influences postural adjustments

A synergistic inclination of the whole body towards the supporting leg is required when producing a stepping movement. It serves to shift the centre of mass towards the stance foot. While the importance of sensory information in the setting of this postural adjustment is undisputed, it is currently unknown the extent to which proprioceptive afferences (Ia) give rise to postural regulation during stepping movement when the availability of other sensory information relying on static linear acceleration (gravity) is no longer sensed in microgravity. We tested this possibility asking subjects to step forward with their eyes closed in normo- and microgravity environments. At the onset of the stepping movement, we vibrated the ankle muscles acting in the lateral direction to induce modification of the afferent inflow (Ia fibres). Vibration-evoked movement (perceived movement) was in the same direction as the forthcoming body shift towards the supporting side (current movement). A control condition was performed without vibration. In both environments, when vibration was applied, the hip shift towards the supporting side decreased. These postural modifications occurred, however, earlier in normogravity before initiating the stepping movement than in microgravity (i.e. during the completion of the stepping movement). Our results suggest that proprioceptive information induced by vibration and afferent inflow related to body movement exaggerated sense of movement. This biased perception led to the postural adjustment decrease. We propose that in both environments, proprioceptive inflow enables the subject to scale the postural adjustments, provided that body motion-induced afferences are present to activate this postural control.

Effects of Parkinson's disease on proprioceptive control of posture and reaching while standing

Although previous studies have shown pointing errors and abnormal multijoint coordination in seated subjects with Parkinson's disease (PD) who cannot view their arm, the extent to which subjects with PD have problems using proprioception to coordinate equilibrium maintenance and goal-oriented task execution has not been adequately investigated. If a common motor program controls voluntary arm pointing movements and the accompanying postural adjustments, then impairments of proprioceptive integration in subjects with PD should have similar effects on pointing and body center of mass (CoM) control with eyes closed. Ten standing subjects with PD (OFF-medication) and 10 age-matched control (CTR) subjects pointed to a target with their eyes closed and open. Although pointing accuracy was not significantly different between groups, body CoM displacements were reduced in subjects with PD, but not in CTR, when eyes were closed. In addition, with eyes closed, PD subjects showed reduced temporal coupling between pointing and CoM velocity profiles and reduced spatial coupling between pointing and CoM endpoints. This poor coupling with eyes closed could be related to the PD subjects' increased jerkiness of CoM displacements. The different effects of eye closure between CTR and PD subjects on the CoM displacements, but not pointing accuracy, are consistent with separate motor programs for the pointing and postural components of this task. Furthermore, the decoupling between the two movement components in subjects with PD when they could not use vision, suggests that the basal ganglia are involved in the integration of proprioceptive information for posture-movement coordination.

Effects of trunk deformation on trunk center of mass mechanical energy estimates in the moving horse, Equus caballus

The estimation of the position of the center of mass (CM) is essential in a wide range of biomechanical analyses. In horses, the majority of the body mass is contained in the trunk and in most studies, the trunk is assumed to be rigid. However, this rigidity assumption has not been tested. We quantified changes in the position of the trunk CM due to external shape changes by measuring the kinematics of a mesh encompassing the trunk. Using a frame of reference fixed to the horse's spine, we described the shape deformation of the trunk during walking. In addition, we tested for speed and individual differences. The significance of any trunk deformation was illustrated by calculating mechanical energy profiles. Errors in the estimation of the trunk CM due to a rigid body approach were always small in the vertical direction, but can be significant in the transverse direction and in the longitudinal direction at high walking speeds. This is enough to change the mechanical energy expenditure estimates up to 25%. When extrapolating the position of the trunk CM from cadaver data, one should be aware of this extra source of error, separated from the measurement error of the cadaver CM. We also found considerable inter-individual variation, which complicates theoretical correction routines. We suggest using extra markers on the trunk during gait analysis to correct this CM shift experimentally.

The effect of short-term changes in body mass distribution on feed-forward postural control

It was recently shown that short-term changes in the whole body mass and associated changes in the vertical position of the center of mass (COM) modify anticipatory postural adjustments (APAs) [Li X, Aruin AS. The effect of short-term changes in the body mass on anticipatory postural adjustments. Exp Brain Res 2007;181:333-46]. In this study, we investigated whether changes in the body mass distribution and related changes in the anterior-posterior COM position affect APA generation. Fourteen subjects were instructed to catch a 2.2 kg load with their arms extended while standing with no additional weight or while carrying a 9.08 kg weight. Adding weight to a backpack, front pack or belly pocket was associated with an increase of the whole body mass, but it also involved changes in the anterior-posterior (A/P) and vertical positions of the COM. Electromyographic activity of leg and trunk muscles, body kinematics, and ground reaction forces were recorded and quantified within the typical time intervals of APAs. APAs were modified in conditions with changed body mass distribution: increased magnitude of anticipatory EMG activity in leg and trunk muscles, as well as co-activation of leg muscles and decreased anticipatory displacement of the COM in the vertical direction, were seen in conditions with increased body mass. Changes in the COM position induced in both A/P and vertical directions were associated with increased anticipatory EMG activity. In addition, they were linked to a co-activation of muscles at the ankle joints and significant changes in the center of pressure (COP) position. Modifications of the COM position induced in the A/P direction were related to increased anticipatory EMG activity in the leg and trunk muscles. At the same time, no significant differences in anticipatory EMG activity or displacement of COP were observed when changes of COM position were induced in the vertical direction. The study outcome suggests that the CNS uses different strategies while generating APAs in conditions with changes in the COM position induced in the anterior-posterior and vertical directions.