Anticipatory postural adjustments associated with lateral and rotational perturbations during standing

Perturbing reach elicits anticipatory responses in transport and grasp

Introduction

The purpose of this study was to investigate whether the anticipation of a mechanical perturbation applied to the arm during a reach-to-grasp movement elicits anticipatory adjustments in the reach and grasp components. Additionally, we aimed to evaluate whether anticipatory adjustments in the upper limb might be global or specific to the direction of the perturbation.

Methods

Thirteen healthy participants performed reach-to-grasp with perturbations randomly applied to their dominant limb. Participants were presented with three types of trials: unperturbed (control), trials perturbed in a predictable manner (either Up or Down), or perturbed in a partially predictable manner (knowledge about the perturbation but not its specific direction). EMG activity of 16 muscles, as well as the kinematics of wrist, thumb, and index finger, were acquired and analyzed.

Results and discussion

When the perturbation was expected, EMG activity of the triceps and pectoralis major muscles significantly increased about 50 - 200 ms before the perturbation onset. Peak acceleration of the reach was significantly higher and occurred earlier relative to control trials. Similar adjustments were observed in the grasp kinematics, reflected as significantly shorter time to peak aperture velocity and acceleration, as well as in increased activity of flexor and extensor digitorum 100-200 ms before perturbation onset. In summary, our data demonstrate that knowledge of an upcoming perturbation of reach during reach-to-grasp action triggers anticipatory adjustments not only in the muscles controlling the reach component, but also in those controlling grasp. Furthermore, our data revealed that the preparatory activations were generalized, rather than direction specific.

Postural adjustments preceding string release in trained archers

Optimal postural stability is required to perform in archery. Since the dynamic consequences of the string release may disturb postural equilibrium, they should be integrated into an archer motor programme to optimize postural stability. This study aimed to characterize the postural strategy archers use to limit the potentially detrimental impact of the bow release on their postural stability and identify characteristics that may explain a better performance. Six elite and seven sub-elite archers performed a series of 18 shots at 70 metres, standing on two force plates. Postural stability indicators were computed during the aiming and the shooting phase using the trajectory of the centre of pressure. Two postural strategies were defined, as whether they were triggered before (early) or after (late) the string release time. Both groups used anticipated postural adjustments, but elite archers triggered them before the string release more often and sooner. Scores differed between the two groups, but no differences were found between early and late shots. Trained archers seem to have finely integrated the dynamic consequences of their bow motion, triggering anticipated postural adjustments prior to the string release. However, it remains unclear whether this anticipation can positively influence the performance outcome.

Effects of Neuromuscular Training on Physical Performance in Older People: A Systematic Review

This systematic review aimed to assess the available evidence on the effects of neuromuscular training on physical performance in older adults. A literature search was conducted across four databases (Psychology and Behavioral (EBSCO), Scopus, Web of Science and PubMed). The PRISMA guidelines were followed. The PEDro scale and Cochrane risk of bias tool were used to assess the quality of and risk of bias in the studies, respectively. The protocol was registered in PROSPERO (code: CRD42022319239). The outcomes were muscle strength, cardiorespiratory fitness, postural balance and gait speed. From 610 records initially found, 10 were finally included in the systematic review, involving 354 older people with a mean age of 67.3 years. Nine of them reported significant changes in at least one variable related to physical performance in the intervention compared to the control groups. The neuromuscular training caused significant improvements in postural balance, flexibility, cardiorespiratory fitness, strength power of the upper and lower limbs and autonomy. The available evidence indicates that neuromuscular training has a positive effect on some variables of physical performance, especially in postural balance; however, the methodological quality and certainty of the evidence in the available literature are limited. Therefore, a greater number of high-quality studies are required to draw definitive conclusions.

The Effect of Additional Leg Supports in Control of Posture in Sitting

The objective of the study was to investigate the effect of leg supports on the anticipatory and compensatory postural adjustments of sitting subjects exposed to external perturbations in the anterior-posterior direction. Ten young participants received perturbations applied to the upper body while sitting on a stool with an anterior or posterior leg support and when using a footrest. Electromyographic activities of the trunk and leg muscles and center of pressure displacements were recorded and analyzed during the anticipatory and compensatory phases of postural control. Anticipatory activities were observed in the tibialis anterior, biceps femoris, and erector spinae muscles in the anterior leg support condition. Early onset of muscle activity was observed in the tibialis anterior, biceps femoris, rectus femoris, and erector spinae muscles in the posterior leg support condition compared to the feet support condition. Moreover, to maintain balance participants utilized co-contraction of muscles as the main mechanism of balance control in sitting regardless of the availability of the anterior or posterior leg support. There was no effect of a leg support on center of pressure displacements. The outcome of the study provides a background for future investigations of the effect of leg supports on control of balance in sitting when perturbed.

Age-related asymmetry in anticipatory postural movements during unilateral arm movement and imagery

Reaching movements of the arms are accompanied by anticipatory (APM) and compensatory postural motion (CPM) that counteract the resulting perturbations to body stability. Recent research has shown that these postural actions are also observable in the context of imagined arm movements. As motor imagery (MI) shares many neurophysiological and behavioral characteristics with physical movements, and MI training can affect subsequent performance, MI tasks provide a good setting for studying the anticipatory aspects of postural control. This study investigated APMs and CPMs of the head and hip of healthy young and older adults in the temporal vicinity of physical and imagined forward raises of the dominant and non-dominant arm. When MI of the dominant arm was self-initiated, both age groups showed APM in the anteroposterior plane. When the self-initiated MI was of the non-dominant arm, only the older group showed anteroposterior APM. The older group did not show APM when an expected arm movement (or MI) was made to an external signal. This suggests an age-related deficit in coordinating postural preparation with external events. Only the older group showed mediolateral APM, and only for dominant arm MI, indicating sensitivity to potential perturbation to the weaker, non-dominant side of the body. Overall, the older group showed more anticipatory postural motion at the head. Systematic APM for manual MI suggests that MI training may be an effective intervention for anticipatory postural control. An integrated model of postural support for executed and imagined limb movements is suggested.

Effects of school-based neuromuscular training on fundamental movement skills and physical fitness in children: a systematic review

Objectives

The primary purpose of this review was to clarify the effects of school-based integrated neuromuscular training (INT) on fundamental movement skills and physical fitness in children. The secondary purpose was to examine whether school-based INT intervention is superior to physical education (PE) intervention in enhancing motor skills and fitness.

Methods

A systematic literature search was performed in four electronic databases: PubMed, Web of Science, MEDLINE (EBSCOhost), and Cochrane Central Register of Controlled Trials. The last search was performed on December 21, 2021, and was limited to the English language, human species, and peer reviewed journals. Randomized controlled trials and cluster randomized controlled trials that examine the effects of school-based INT on motor skills and/or fitness in healthy children who were aged up to 14 years old were included. Moreover, studies included in this study should compare school-based INT-induced adaptions with those generated by PE interventions. Studies that involve athletic children and additional exercise training were excluded. The Physiotherapy Evidence Database (PEDro) scale was used to assess the quality of the study.

Results

Of 1,026 studies identified, seven original trials that meet the inclusion criteria were included in this review. Based on the PEDro scale, the PEDro score of seven studies was between six and eight points with a mean score of 5.29. Among the seven studies included in this study, four studies assessed physical fitness including muscular fitness (n = 4), speed (n = 3), endurance (n = 2), and flexibility (n = 2). Three studies examined the effects of INT on postural control and three studies explored its effects on motor skills. Concerning movement competence, significant and greater improvements in postural control and fundamental motor skills were observed following school-based INT interventions compared to PE intervention in two and three studies, respectively. Regarding physical fitness, neuromuscular training significantly increased muscular fitness, speed, endurance, flexibility in three, two, one, and one studies, respectively. However, only greater improvements in muscle fitness were observed in school-based INT group compared to PE group. The main limitations of this review were the lack of descriptions of training intensity and volume and the low methodological quality of the included studies.

Conclusion

This review provides evidence that school-based neuromuscular training programs are superior to PE lessons in improving postural control, fundamental motor skills and muscular strength. Therefore, INT could be incorporated into traditional physical education classes in school. Trial registration number: CRD42022297349.

Effects of neuromuscular training on psychomotor development and active joint position sense in school children

As psychomotor development occurs in a specific social context, the environment in which a child is reared is important. The randomized study involved forty-five school children between 8 and 10 years. They were assigned to a control group (n = 23) and a neuromuscular training group (n = 22). A neuromuscular intervention for six weeks, on two nonconsecutive days, and in a circuit with 30-second stations was performed. The psychomotor development was evaluated through a psychomotor battery and the active joint position sense through the positional error. In the control group, the positional error decreased significantly in the shoulder (p < 0.001) and hip (p < 0.001), while the scores of motor function increased significantly which included balance (p < 0.001), spatio-temporal structuring (p = 0.022), global praxia (p = 0.002), and fine praxia (p = 0.003). In the neuromuscular training group, the positional error decreased significantly in the shoulder (p = 0.015), elbow (p = 0.015), wrist (p < 0.001), hip (p < 0.001), knee (p < 0.001), and ankle (p < 0.001), while the motor function scores increased significantly which included tonicity (p < 0.001), balance (p < 0.001), notion of the body (p < 0.001), spatio-temporal structuring (p < 0.001), global praxia (p < 0.001), and fine praxia (p < 0.001). A six-week neuromuscular training improved active joint position sense and psychomotor development in children.

Early and late components of feed-forward postural adjustments to predictable perturbations

OBJECTIVES

The purpose was to investigate two types of feed-forward postural adjustments associated with preparation to predictable external perturbations.

METHODS

Nine subjects stood on a wedge, toes-up or toes-down while a pendulum impacted their shoulders. EMGs of leg and trunk muscles were analyzed within the framework of the uncontrolled manifold hypothesis.

RESULTS

Early postural adjustments (EPAs) were seen 400-500 ms and anticipatory postural adjustments (APAs), 100-150 ms prior to the impact. EPAs and APAs were also seen in the time profiles of muscle modes representing muscle groups with linear scaling of the activation levels. Center of pressure shifts were stabilized by co-varied adjustments in muscle mode magnitudes across trials. The index of these multi-muscle synergies showed two drops (anticipatory synergy adjustments, ASAs), prior to EPA and APA in each subject. The findings were consistent between the two conditions.

CONCLUSIONS

The results show that feed-forward postural adjustments represent a sequence of two phenomena, EPAs and APAs. Each of those is preceded by ASAs that reduce stability of a variable that is to be adjusted during the EPAs and APAs. The findings fit a hierarchical scheme with synergic few-to-many mappings at each level of the hierarchy based on the referent body configuration hypothesis.

SIGNIFICANCE

The results show the complexity of the postural preparation to action. Potentially, they have implications for the current strategies of rehabilitation of patients with neuro-motor disorders characterized by impaired postural control.

Anticipatory postural adjustments in children with typical motor development

Anticipatory postural adjustments (APAs) play an important role in the performance of many activities requiring the maintenance of vertical posture. However, little is known about how children utilize APAs during self-induced postural perturbations. A group of children, aged 7-16 years, with typical motor development, performed various arm movements while standing on a force platform. APAs were measured by recording the electromyographic activity of six trunk and leg muscles on both sides of the body and displacement of center of pressure (COP). Anticipatory bursts of activity in the dorsal muscle groups of the trunk and legs and suppression in the ventral muscle groups as well as posterior COP displacement were found during the performance of bilateral shoulder flexion. Conversely, during bilateral shoulder extension, the COP displacement was anterior, and APAs were reversed showing bursts of activity in the ventral muscle groups and suppression in the dorsal muscles. During right and left reciprocal arm movements, COP displacement was minimal and APAs were generated in the dorsal muscle groups on the side of the forward moving arm and in the ventral muscle groups on the side of the arm moving into extension. However this pattern reversed for lower leg muscles, where APAs were generated in the ventral muscles on the side of forward moving arm and in the dorsal muscle on the side of the arm moving into extension. The results of this study indicate that children with typical motor development are able to generate APAs, produce task-specific sequencing of muscle activity and differentiate between perturbations in the sagittal and transverse planes. The results of this study indicate that by at least age 7, children who are typically developing demonstrate the ability to generate patterns of anticipatory muscle activation and suppression, along with center of pressure changes, similar to those reported in healthy adults.

Postural control during upper body locomotor-like movements: similar synergies based on dissimilar muscle modes

We studied the organization of leg and trunk muscles into groups (M-modes) and co-variation of M-mode involvement (M-mode synergies) during whole-body tasks associated with large variations of the moment of force about the vertical body axis. Our major questions were: (1) can muscle activation patterns during such tasks be described with a few M-modes common across tasks and subjects? (2) do these modes form the basis for synergies stabilizing M(z) time pattern? (3) will this organization differ between an explicit body-rotation task and a task associated with locomotor-like alternating arm movements? Healthy subjects stood barefoot on the force platform and performed two motor tasks while paced by the metronome at 0.7, 1.0, and 1.4 Hz: cyclic rotation of the upper body about the vertical body axis (body-rotation task), and alternating rhythmic arm movements imitating those during running or quick walking (arm-movement task). Principal component analysis was used to identify three M-modes within the space of integrated indices of muscle activity. The M-mode vectors showed clustering neither across subjects nor across frequencies. Variance in the M-mode space across sway cycles was partitioned into two components, one that did not affect the average value of M(z) shift ("good variance") and the other that did. An index was computed reflecting the relative amount of the "good variance"; positive values of this index have been interpreted as reflecting a multi-M-mode synergy stabilizing the M(z) trajectory. On average, the index was positive for both tasks and across all frequencies studied. However, the magnitude of the index was smaller for the intermediate frequency (1 Hz). The results show that the organization of muscles into groups during relatively complex whole-body tasks can differ significantly across both task variations and subjects. Nevertheless, the central nervous system seems to be able to build M(z) stabilizing synergies based on different sets of M-modes, within the approach accepted in this study. The drop in the synergy index at the frequency of 1 Hz, which was close to the preferred movement frequency, may be interpreted as corroborating the neural origin of the M-mode co-variation.

Feedforward responses of transversus abdominis are directionally specific and act asymmetrically: implications for core stability theories

STUDY DESIGN

Experimental laboratory study supplemented with a repeated case study.

OBJECTIVE

To examine bilateral muscle activity of the deep abdominals in response to rapid arm raising, specifically to examine the laterality and directional specificity of feedforward responses of the transversus abdominis (TrA).

BACKGROUND

Based on the feedforward responses of trunk muscles during rapid arm movements, authors have concluded that the deep trunk muscles have different control mechanisms compared to the more superficial muscles. It has been proposed that deep trunk muscles such as TrA contribute substantially to the stability of the lumbar spine and that this is achieved through simultaneous bilateral feedforward activation. These inferences are based on unilateral fine-wire electromyographic (EMG) data and there are limited investigations of bilateral responses of the TrA during unilateral arm raising.

METHODS AND MEASURES

Bilateral fine-wire and surface EMG data from the anterior deltoid, TrA, obliquus internus (OI), obliquus externus, biceps femoris, erector spinae, and rectus abdominis during repeated arm raises were recorded at 2 kHz. EMG signal linear envelopes were synchronized to the onset of the anterior deltoid. A feedforward window was defined as the period up to 50 ms after the onset of the anterior deltoid, and paired onsets for bilateral muscles were plotted for both left and right arm movements.

RESULTS

Trunk muscles from the group data demonstrated differences between sides (laterality), which were systematically altered when alternate arms were raised (directional specificity). This was clearly evident for the TrA but less obvious for the erector spinae. The ipsilateral biceps femoris and obliquus externus, and contralateral OI and TrA, were activated earlier than the alternate side for both right and left arm movements. This was a consistent pattern over a 7-year period for the case study. Data for the rectus abdominis derived from the case study demonstrated little laterality or directionally specific response.

CONCLUSION

This is the first study to show that the feedforward activity of the TrA is specific to the direction of arm movement and not bilaterally symmetrical. The asymmetry of TrA activity during arm raising suggests that the interpretation of the role of TrA as a bilateral stabilizer during anticipatory postural adjustments needs to be revised. Future research needs to examine muscle synergies associated with the asymmetrical function of the TrA and the underlying mechanism associated with low-load stability training.

LEVEL OF EVIDENCE

Therapy, level 5.

Role of lateral muscles and body orientation in feedforward postural control

The study investigates the role of lateral muscles and body orientation in anticipatory postural adjustments (APAs). Subjects stood in front of an aluminum pendulum and were required to stop it with their right or left hand. An experimenter released the pendulum inducing similar body perturbations in all experimental series. The perturbation directions were manipulated by having the subjects standing on the force platform with different body orientations in relation to the pendulum movements. Consequently, perturbations were induced in sagittal, oblique, and frontal planes. Ground reaction forces and bilateral EMG activity of dorsal, ventral, and lateral trunk and leg muscles were recorded and quantified within the time intervals typical of APAs. Anticipatory postural adjustments were seen in all experimental conditions; their magnitudes depended on the body orientation in relation to the direction of perturbation. When the perturbation was produced in the lateral and oblique planes, APAs in the gluteus medius muscles were greater on the side opposite to the side of perturbation. Conversely, simultaneous anticipatory activation of the external obliques, rectus abdominis, and erector spinae muscles was observed on the side of perturbation when it was induced in the lateral plane. The results of the present study provide additional information on the directional specificity of anticipatory activation of ventral and dorsal muscles. The findings provide new data on the role of lateral muscles in feedforward postural control and stress the importance of taking into consideration their role in the control of upright posture.

The effect of voluntary arm abduction on balance recovery following multidirectional stance perturbations

The goal of this study was to investigate how voluntarily abducting one arm, 90 degrees at onset of a rotational perturbation of the support surface, influences the recovery of upright stance. Young adults were tested under four stance conditions: abducting one arm to the horizontal only (AO); perturbation of stance using a support surface rotation only (PO); combined support surface rotation and abduction of the downhill arm, ipsilateral to tilt (IPS); and fourth abduction of the uphill, contralateral arm (CON). Simultaneous auditory and visual trigger cues were used for arm raising. Perturbations consisted of six directions of combined support surface roll and pitch rotation (7.5 degrees and 60 degrees/s). Outcome measures were whole body centre of mass (COM) movements and body segment angular displacements recorded with a motion analysis system, as well as leg, trunk, and arm EMG responses. Arm raises contralateral and ipsilateral to the direction of support surface roll were more rapid than in the AO condition and significantly reduced or increased, respectively, COM lateral displacements relative to the PO condition. The changes in COM displacements and velocities during combined CON arm raise and perturbation were greater than expected from the sum of displacements for AO and PO conditions alone, but less for the IPS condition. Arm raising increased trunk roll in a direction opposite arm raising was more than for the AO and PO conditions. Robust effects were also observed for hip abduction but not for leg flexion. Early balance correcting activity was enhanced on the side opposite arm raising and later stabilising activity reduced bilaterally in lower trunk muscles compared to summed activity for the AO and PO conditions. Similar effects were observed in gluteus medius muscles but effects were weak in ankle muscles. EMG onsets in muscles of the raised arm were earlier than in the AO conditions. We conclude that triggered arm abduction, contralateral to the direction of support surface rotation, had significant stabilization benefits for young adults and ipsilateral arm movements had destabilizing effects. The arm raises could be simultaneously executed with balance corrections. These results provide insights into the integration of balance corrections and voluntary commands into one automatic reaction that may be useful in training fall avoidance.

The effect of asymmetry of posture on anticipatory postural adjustments

The study investigates the effect of body asymmetry on anticipatory postural adjustments (APAs). Subjects performed a task involving a standard load release induced by a shoulder abduction movement while standing symmetrically or in an asymmetrical stance with either their right or left leg in 45 degrees of external rotation. EMG activities of trunk and leg muscles were recorded during the postural perturbation and were quantified within the time intervals typical of APAs. Anticipatory postural adjustments were observed in all experimental conditions. It was found that asymmetrical body positioning was associated with significant asymmetrical patterns of APAs seen in the right and left distal muscles. These APA asymmetries were dependant upon the side in which the body asymmetry was induced: reduced APAs were observed in the leg muscles on the side of leg rotation, while increased APAs were seen in the muscles on the contralateral side. These findings stress the important role that body asymmetries play in the control of upright posture.

Anticipatory Postural Adjustments for Altering Direction During Walking

The authors examined how individuals adapt their gait and regulate their body configuration before altering direction during walking. Eight young adults were asked to change direction during walking with different turning angles (0 degree, 45 degree, 90 degree), pivot foot (left, right), and walking speeds (normal and fast). The authors used video and force platform systems to determine participants' whole-body center of mass and the center of pressure during the step before they changed direction. The results showed that anticipatory postural adjustments occurred during the prior step and occurred earlier for the fast walking speed. Anticipatory postural adjustments were affected by all 3 variables (turn angle, pivot foot, and speed). Participants leaned backward and sideward on the prior step in anticipation of the turn. Those findings indicate that the motor system uses central control mechanisms to predict the required anticipatory adjustments and organizes the body configuration on the basis of the movement goal.

Less is more: high pass filtering, to remove up to 99% of the surface EMG signal power, improves EMG-based biceps brachii muscle force estimates

It is generally assumed that raw surface EMG (sEMG) should be high pass filtered with cutoffs of 10-30 Hz to remove motion artifact before subsequent processing to estimate muscle force. The purpose of the current study was to explore the benefits of filtering out much of the raw sEMG signal when attempting to estimate accurate muscle forces. Twenty-five subjects were studied as they performed rapid static, anisotonic contractions of the biceps brachii. Biceps force was estimated (as a percentage of maximum) based on forces recorded at the wrist. An iterative approach was used to process the sEMG from the biceps brachii, using progressively greater high pass cutoff frequencies (20-440 Hz in steps of 30 Hz) with first and sixth order filters, as well as signal whitening, to determine the effects on the accuracy of EMG-based biceps force estimates. The results indicate that removing up to 99% of the raw sEMG signal power resulted in significant and substantial improvements in biceps force estimates. These findings challenge previous assumptions that the raw sEMG signal power between about 20 and 500 Hz should used when estimating muscle force. For the purposes of force prediction, it appears that a much smaller, high band of sEMG frequencies may be associated with force and the remainder of the spectrum has little relevance for force estimation.

Anticipatory postural adjustments associated with rotational perturbations while standing on fixed and free-rotating supports

OBJECTIVE

The role of anticipatory postural adjustments (APAs) has been commonly hypothesized to stabilize the body's center of mass (COM) from reaction forces and torques induced by voluntary movements in a feed-forward manner. This hypothesis was developed from studies which investigated movements that induced anterior-posterior or medial-lateral perturbation to body posture. However, the role of APAs in tasks that induce perturbations about the vertical axis, which are associated with minimal COM displacements, is unclear. The purpose of this study was to examine APAs associated with upper arm movements that induce perturbation about the body's vertical axis.

METHODS

Eight healthy subjects performed bilateral or unilateral shoulder movements in the sagittal or frontal plane that induced rotational perturbation about the body's vertical axis, while standing on a support which was either fixed or free to rotate about the body's vertical axis. Changes in the background activity of trunk and leg muscles on both sides of the body, as well as reaction moment about the vertical axis were quantified within the time interval typical of APAs.

RESULTS

On the fixed support, clear asymmetry between right and left muscle activity was observed in biceps femoris and soleus during APAs across all tasks. These asymmetries were specific to the movement direction. When the same tasks were performed on a free-rotating support, the asymmetry that was observed on fixed support decreased.

CONCLUSIONS

We suggest that the CNS uses asymmetric activity of right and left muscles during APAs to rotate the body segments in the direction opposite to the perturbation. When ground reaction moments did not aid in counteracting the forthcoming perturbation while standing on a free-rotating support, the asymmetric muscle activity decreased to minimize further inter-segmental rotations.

The effect of changes in the body configuration on anticipatory postural adjustments

A number of factors are likely to play a major role in the process of generation of anticipatory postural adjustments (APAs). Among them are the magnitude and direction of an expected perturbation, properties of a voluntary action associated with the perturbation, and features of the postural task such as a body's configuration prior to the action. The aim of this study was to analyze the effect of body configuration on APAs. Experiments were performed on 8 healthy subjects performing fast bilateral shoulder extension movements while standing. Body configuration was modified by instructions to the subjects to stand vertically or with a forward upper body bend varying from 15 to 60 degrees. The electrical activity of postural muscles and displacements of the center of pressure were recorded. Results indicated that APAs were modified with changes in the angular position of the upper body. Decreased anticipatory activation was seen in rectus abdominis and rectus femoris, while increased anticipatory inhibition was observed in erecteor spinae and biceps femoris across conditions with forward bend. As a result, the total anticipatory activity of muscles in a muscle pair in series with a forward bend showed only slight modulation as compared to vertical posture. These results suggest that the CNS uses reorganization of the anticipatory activity of postural muscles by compensating for the changes in APAs of individual muscles in a muscle pair in such a way that the overall anticipatory activity of the muscle pair stays unchanged. Such compensation in counteracting the expected mechanical effects of the perturbation is used to accommodate both changes in the length of postural muscles and diminished stability of the body due to forward bend.

Task-specific modulation of anticipatory postural adjustments in individuals with hemiparesis

OBJECTIVES

To study adaptation of anticipatory postural adjustments (APAs) in paretic and non-paretic muscles of individuals with hemiparesis to changes in the direction of the self-initiated perturbation and additional manual support.

METHODS

Electrical activity of leg and trunk muscles on both sides of the body and ground reaction forces were recorded in 10 patients with hemiparesis and a group of matched control subjects. Subjects released a standard load, held in the hand of the extended relatively unimpaired arm. The load was released either in front of the body or to the side, with or without the impaired arm touching an external stable surface.

RESULTS

APAs were reduced in individuals with hemiparesis, especially on the paretic side. In paretic muscles, the modulation of APAs with the direction of the perturbation was decreased or showed atypical patterns. Also the effects of touch were decreased in patients. Center of pressure displacements shortly after load release were similar in control subjects and patients.

CONCLUSIONS

The results suggest that the ability of individuals with hemiparesis to prepare for a self-initiated predictable perturbation is reduced and that they may use alternative strategies of postural stabilization.

Anticipatory postural adjustments under simple and choice reaction time conditions

Two different schemes of the central organization of anticipatory postural adjustments (APAs) have been proposed: one of them assumes that postural and focal components of an action are results of a single control process (single-process hypothesis) while the other one suggests that these two components result from two relatively independent control processes (dual-process hypothesis). To distinguish between the two hypotheses, we investigated changes in the relative timing of the postural and focal components under self-paced, simple reaction time (SRT) and choice reaction conditions (CRT). Standing subjects performed one of four small arm movements resulting in a standard postural perturbation (dropping a load). APAs were quantified as changes in the background muscle activity as well as shifts of the center of pressure. APAs occurred at a larger delay prior to the focal movement under the self-paced condition than under the SRT condition. Under the CRT condition, actual RTs were longer than under SRT, but APAs were more similar to those under self-paced conditions. A negative correlation between the reaction time and APA onset was found. The findings demonstrate that the focal and APA components of an action can be decoupled, thus supporting the dual-process hypothesis. Changes in APAs with action suggest a possibility of modifications of a function that transforms two parallel control signals into a single command to the focal and postural muscles, based on postural requirements and behavioral constraints.

The organization of anticipatory postural adjustments

Central control of posture is expressed through anticipatory and compensatory postural adjustments. Anticipatory postural adjustments (APAs) precede planned postural perturbations and minimize them with anticipatory corrections, while compensatory postural adjustments deal with actual perturbations of balance that occur as a result of suboptimal efficiency of anticipatory corrections. The process of generation of APAs is affected by three major factors: expected magnitude and direction of the perturbation voluntary action associated with the perturbation, and postural task. The results of studies investigating the effect of each of these three major factors on APAs while standing, as well as differences in organization of APAs in individuals with pathology, are discussed.