Postural Control during Downward Head Movements in Young Subjects

Trunk and head displacements stabilized to perform both horizontal and vertical saccadic eye movements

Vision is crucial for humans to interact with their surrounding environment, and postural sway is reduced to allow short eye movements. However, the extent of subtle changes in postural control for horizontal and vertical eye movements remains unclear. The goal of this study was to investigate the effects of vertical and horizontal eye movements on head and trunk control in young adults. Fifteen healthy adults (23.4 ± 4.7 years) stood upright in three conditions for 60 s: fixation, horizontal, and vertical guided eye movements. In fixation, participants had to fixate on a stationary target. In both the horizontal and vertical eye movements, the target was presented with a frequency of 0.5 Hz and a visual angle of 11°. Eye displacement was monitored using a SMI eye tracker (ETG2.0) and trunk and head sway were monitored using infrared markers (Optotrak 3020, NDI). The mean sway amplitude was lower in both directions for eye movements and lowest in the vertical direction compared to the fixation condition. The sway area was also lower in vertical eye movement than in the fixation condition. We also found that the sway reduction was greater at head than at trunk level. The median frequency sway in the anterior-posterior direction was higher in both eye movements than in fixation. Based upon these results, we suggest that to perform short eye movements, postural sway is more strongly controlled at the head level than at the trunk and in vertical eye movements than in horizontal movements.

Smooth-pursuit eye movements without head movement disrupt the static body balance

[Purpose] To investigate the changes of body balance in static posture in smooth-pursuit eye movements (SPEMs) without head movement. [Subjects and Methods] Forty subjects (24 males, 16 females) aged 23.24 ± 2.58 years participated. SPEMs were activated in three directions (horizontal, vertical, and diagonal movements); the target speed was set at three conditions (10°/s, 20°/s, and 30°/s); and the binocular visual field was limited to 50°. To compare the body balance changes, the general stability (ST) and the fall risk index (FI) were measured with TETRAX. The subjects wore a head-neck collar and stood on a balance plate for 32 s during each measurement in three directions. SPEMs were induced to each subject with nine target speeds and directions. All measured values were compared with those in stationary fixation. [Results] The ST and FI increased significantly in all SPEMs directions, with an increased target speed than that in stationary fixation. In the same condition of the target speed, the FI had the highest value relative to diagonal SPEMs. [Conclusion] SPEMs without head movement disrupt the stability of body balance in a static posture, and diagonal SPEMs may have a more negative effect in maintaining body balance than horizontal or vertical SPEMs.

Postural changes during eye-head movements

We investigated postural sway in young subjects during eye-head movements. Subjects stood on the force plate wearing a helmet on which a laser spot was attached. Visual targets were presented stepwise at 60 degrees to right and left or 50 degrees to upward and downward of the straight-ahead position. Subjects were asked to look at the targets quickly by directing the laser spot to the target. The anterior-posterior component of centre of pressures (COPs) exhibited the largest changes and shortest latencies during downward movements. Most of the subjects showed COP changes preceding the onset of downward head movements, and these changes were associated with EMG activity of biceps femoris and gastrocnemius. When subjects were asked to look at the target only by eyes, no consistent change was detected in ground reaction forces. These results indicate that the eye-head movements elicited the COP changes that preceded the onset of head movements.