Minimal impact of proprioceptive loss on implicit sensorimotor adaptation and perceived movement outcome

Implicit sensorimotor adaptation keeps our movements well-calibrated amid changes in the body and environment. We have recently postulated that implicit adaptation is driven by a perceptual error: the difference between the desired and perceived movement outcome. According to this perceptual re-alignment model, implicit adaptation ceases when the perceived movement outcome - a multimodal percept determined by a prior belief conveying the intended action, the motor command, and feedback from proprioception and vision - is aligned with the desired movement outcome. Here, we examined the role of proprioception in implicit motor adaptation and perceived movement outcome by examining individuals who lack proprioception. We used a modified visuomotor rotation task designed to isolate implicit adaptation and probe perceived outcome throughout the experiment. Surprisingly, implicit adaptation and perceived outcome were minimally impacted by deafferentation, posing a challenge to the perceptual re-alignment model of implicit adaptation.

Spatial Response Discrimination May Elicit a Simon Effect on a Non-Complementary Task

When paired participants are each assigned a complementary half of the Simon task, a joint Simon effect (JSE) has been observed. Co-representation, a cognitive representation of not only one's own task but also that of the co-actor, has been one of several proposed mechanisms in the JSE. Using the response-discrimination hypothesis as a framework, we tested whether it was sufficient to highlight alternative task keys in a two-person setting in which a non-complementary task was completed to elicit a Simon effect (SE). In our design, the participant's role was to perform the Go/No-Go Simon task and the co-actor's role was to initiate each trial for the participant. In one two-person setting participant group (SK group), the same task key was assigned to both the participant and the co-actor; another group (OK) was assigned spatially opposite task keys. In a third group (joint setting, TS group), the standard joint Simon task was also completed to verify that a JSE could be replicated. We hypothesized that an SE would be elicited in the OK group, since opposite task keys would uniquely promote spatial coding. We found a weak but marginally significant SE in the OK group but not in the SK group. These results suggest that, on a non-complementary task, response discrimination may contribute to the emergence of a SE in a two-person setting, while it does not have the same impact as a complementary task completed in a joint setting (TS group) that may afford more robust response representations that reveal the enhanced so-called JSE.

The effects of periodic and noisy tendon vibration on a kinesthetic targeting task

Tendon vibration is used extensively to assess the role of peripheral mechanoreceptors in motor control, specifically, the muscle spindles. Periodic tendon vibration is known to activate muscle spindles and induce a kinesthetic illusion that the vibrated muscle is longer than it actually is. Noisy tendon vibration has been used to assess the frequency characteristics of proprioceptive reflex pathways during standing; however, it is unknown if it induces the same kinesthetic illusions as periodic vibration. The purpose of the current study was to assess the effects of both periodic and noisy tendon vibration in a kinesthetic targeting task. Participants (N = 15) made wrist extension movements to a series of visual targets without vision of the limb, while their wrist flexors were either vibrated with periodic vibration (20, 40, 60, 80, and 100 Hz), or with noisy vibration which consisted of filtered white noise with power between ~ 20 and 100 Hz. Overall, our results indicate that both periodic and noisy vibration can induce robust targeting errors during a wrist targeting task. Specifically, the vibration resulted in an undershooting error when moving to the target. The findings from this study have important implications for the use of noisy tendon vibration to assess proprioceptive reflex pathways and should be considered when designing future studies using noisy vibration.

The role of torque feedback in standing balance

It has been proposed that sensory force/pressure cues are integrated within a positive feedback mechanism, which accounts for the slow dynamics of human standing behavior and helps align the body with gravity. However, experimental evidence of this mechanism remains scarce. This study tested predictions of a positive torque feedback mechanism for standing balance, specifically that differences between a "reference" torque and actual torque are self-amplified, causing the system to generate additional torque. Seventeen healthy young adults were positioned in an apparatus that permitted normal sway at the ankle until a brake on the apparatus was applied, discreetly "locking" body movement during stance. Once locked, a platform positioned under the apparatus remained in place (0 mm) or slowly translated backward (3 mm or 6 mm), tilting subjects forward. Postural behavior was characterized by two distinct responses: the center of pressure (COP) offset (i.e., change in COP elicited by the surface translation) and the COP drift (i.e., change in COP during the sustained tilt). Model simulations were performed using a linear balance control model containing torque feedback to provide a conceptual basis for the interpretation of experimental results. Holding the body in sustained tilt positions resulted in COP drifting behavior, reflecting attempts of the balance control system to restore an upright position through increases in plantar flexor torque. In line with predictions of positive torque feedback, larger COP offsets led to faster increases in COP over time. These findings provide experimental support for a positive torque feedback mechanism involved in the control of standing balance.NEW & NOTEWORTHY Using model simulations and a novel experimental approach, we tested behavioral predictions of a sensory torque feedback mechanism involved in the control of upright standing. Torque feedback is thought to reduce the effort required to stand and play a functional role in slowly aligning the body with gravity. Our results provide experimental evidence of a torque feedback mechanism and offer new and valuable insights into the sensorimotor control of human balance.

Effects of postural threat on perceptions of lower leg somatosensory stimuli during standing

Height-induced postural threat affects emotional state and standing balance behaviour during static, voluntary, and dynamic tasks. Facing a threat to balance also affects sensory and cortical processes during balance tasks. As sensory and cognitive functions are crucial in forming perceptions of movement, balance-related changes during threatening conditions might be associated with changes in conscious perceptions. Therefore, the purpose of this study was to examine the changes and potential mechanisms underlying conscious perceptions of balance-relevant information during height-induced postural threat. A combination of three experimental procedures utilized height-induced postural threat to manipulate emotional state, balance behavior, and/or conscious perceptions of balance-related stimuli. Experiment 1 assessed conscious perception of foot position during stance. During continuous antero-posterior pseudorandom support surface rotations, perceived foot movement was larger while actual foot movement did not change in the High (3.2 m, at the edge) compared to Low (1.1 m, away from edge) height conditions. Experiment 2 and 3 assessed somatosensory perceptual thresholds during upright stance. Perceptual thresholds for ankle rotations were elevated while foot sole vibrations thresholds remained unchanged in the High compared to Low condition. This study furthers our understanding of the relationship between emotional state, sensory perception, and balance performance. While threat can influence the perceived amplitude of above threshold ankle rotations, there is a reduction in the sensitivity of an ankle rotation without any change to foot sole sensitivity. These results highlight the effect of postural threat on neurophysiological and cognitive components of balance control and provide insight into balance assessment and intervention.

Cortical potentials time-locked to discrete postural events during quiet standing are facilitated during postural threat exposure

During unperturbed bipedal standing, postural control is governed primarily by subcortical and spinal networks. However, it is unclear if cortical networks begin to play a greater role when stability is threatened. This study investigated how initial and repeated exposure to a height-related postural threat modulates cortical potentials time-locked to discrete centre of pressure (COP) events during standing. Twenty-seven young adults completed a series of 90-s standing trials at LOW (0.8 m above ground, away from edge) and HIGH (3.2 m above ground, at edge) threat conditions. Three LOW trials were completed before and after fifteen consecutive HIGH trials. Participants stood on a force plate while electroencephalographic (EEG) activity was recorded. To examine changes in cortical activity in response to discrete postural events, prominent forward and backward peaks in the anterior-posterior COP time-series were identified. EEG data were waveform-averaged to these events and the amplitude of event-related cortical activity was calculated. At the LOW condition, event-related potentials (ERPs) were scarcely detectable. However, once individuals stood at the HIGH condition, clear ERPs were observed, with more prominent potentials being observed for forward (edge-directed), compared to backward COP events. Since forward COP peaks accelerate the centre of mass away from the platform edge, these results suggest there is intermittent recruitment of cortical networks that may be involved in the detection and minimization of postural sway toward a perceived threat. This altered cortical engagement appears resistant to habituation and may contribute to threat-related balance changes that persist following repeated threat exposure. KEY POINTS: While standing balance control is primarily regulated by subcortical and spinal processes, it is unclear if cortical networks play a greater role when stability is threatened. This study examined how cortical potentials time-locked to prominent peaks in the anterior-posterior centre of pressure (COP) time-series were modulated by exposure to a height-related postural threat. While cortical potentials recorded over the primary sensorimotor cortices were scarcely detectable under non-threatening conditions, clear cortical potentials were observed when individuals stood under conditions of height-related threat. Cortical potentials were larger in response to COP peaks directed toward, compared to away from, the platform edge, and showed limited habituation with repeated threat exposure. Since forward COP peaks accelerate the centre of mass away from the platform edge, these findings suggest that when balance is threatened, there is intermittent recruitment of cortical networks which may minimize the likelihood of falling in the direction of a perceived threat. Abstract figure legend Standing postural control is thought to be governed primarily by subcortical and spinal processes. However, cortical networks may play a greater role if stability is threatened. This study examined cortical-potentials time-locked to discrete postural events during exposure to a height-related postural threat. Postural events were identified from prominent peaks in the center of pressure (COP) time-series. Electroencephalographic (EEG) recordings from primary sensorimotor cortices were trigger-averaged to forward (magenta) and backward (green) COP peaks. While event-related potentials (ERPs) were scarcely observed at the LOW condition, clear ERPs were seen once individuals stood at the HIGH condition. These cortical potentials were larger for forward compared to backward events and for events that occurred closer to the platform edge, and demonstrated limited habituation with repeated threat exposure. These results suggest there is heightened intermittent recruitment of cortical networks when stability is threatened which may be important for the detection and minimization of instability. This article is protected by copyright. All rights reserved.

Tactile facilitation during actual and mere expectation of object reception

During reaching and grasping movements tactile processing is typically suppressed. However, during a reception or catching task, the object can still be acquired but without suppressive processes related to movement execution. Rather, tactile information may be facilitated as the object approaches in anticipation of object contact and the utilization of tactile feedback. Therefore, the current study investigated tactile processing during a reception task. Participants sat with their upper limb still as an object travelled to and contacted their fingers. At different points along the object's trajectory and prior to contact, participants were asked to detect tactile stimuli delivered to their index finger. To understand if the expectation of object contact contributed to any modulation in tactile processing, the object stopped prematurely on 20% of trials. Compared to a pre-object movement baseline, relative perceptual thresholds were decreased throughout the object's trajectory, and even when the object stopped prematurely. Further, there was no evidence for modulation when the stimulus was presented shortly before object contact. The former results suggest that tactile processing is facilitated as an object approaches an individual's hand. As well, we purport that the expectation of tactile feedback drives this modulation. Finally, the latter results suggest that peripheral masking may have reduced/abolished any facilitation.

The effects of eccentric exercise-induced fatigue on position sense during goal-directed movement

We investigated the impairment of position sense associated with muscle fatigue. In Exp. 1, participants performed learned eccentric extension (22 °/s) movements of the elbow as the arm was pulled through the horizontal plane without vision of the arm. They opened their closed right hand when they judged it to be passing through a target. Dynamic position sense was assessed via accuracy of limb position to the target at time of hand opening. Eccentric movements were performed against a flexion load (10% of flexion MVC). We investigated performance under conditions with and without biceps vibration, as well as before and after eccentric exercise. In Exp. 2, a motor was used to extend the participant's limb passively. We compared conditions with and without vibration of the lengthening but passive biceps, before and after exercise. In Exp. 1, vibration of the active biceps resulted in participants opening their hand earlier ( [95% CI] -5.52° [-7.40, -3.63]) compared to without vibration. Exercise reduced flexion MVCs by ~44%, and participants undershot the target more (-5.51° [-9.31, -1.70]) in the post-exercise block during control trials. Exercise did not influence the persistence of the vibratory illusion. In Exp. 2, vibration resulted in greater undershooting (-2.99° [-3.99, -1.98]) compared to without vibration, before and after exercise. Although exercise reduced MVCs by ~50%, the passive task showed no effects of exercise. We suggest that the CNS continues to rely on muscle spindles for limb position sense, even when they reside in a muscle exposed to fatiguing eccentric contractions.

The acute effects of periodic and noisy tendon vibration on wrist muscle stretch responses

Mechanical muscle tendon vibration activates multiple sensory receptors in the muscle and tendon. In particular, tendon vibration tends to activate the Ia afferents the strongest, but also will activate group II and Ib afferents. This activation can cause three main effects in the central nervous system: proprioceptive illusions, tonic vibration reflexes, and suppression of the stretch response. Noisy tendon vibration has been used to assess the frequency characteristics of proprioceptive reflexes and, interestingly there appeared to be no evidence for proprioceptive illusions or tonic vibration reflexes during standing [9]. However, it remains unknown if noisy vibration induces a suppression of the muscle stretch response. Therefore, the purpose of this study was to investigate the effects of noisy and periodic tendon vibration on the stretch response in the flexor carpi radialis muscle (FCR). We examined FCR stretch responses with and without periodic (20 and 100 Hz) and noisy (∼10-100 Hz) tendon vibration. We additionally had participants perform the task under the instruction set to either not respond to the perturbation or to respond as fast as possible. The key finding from this study was that both periodic and noisy vibration resulted in a reduced stretch response amplitude. Additionally, it was found that a participant's intent to respond did not modulate the amount of suppression observed. The findings from this study provide a more detailed understanding of the effects of tendon vibration on the muscle stretch response.

Learning to stand with unexpected sensorimotor delays

Human standing balance relies on self-motion estimates that are used by the nervous system to detect unexpected movements and enable corrective responses and adaptations in control. These estimates must accommodate for inherent delays in sensory and motor pathways. Here, we used a robotic system to simulate human standing about the ankles in the anteroposterior direction and impose sensorimotor delays into the control of balance. Imposed delays destabilized standing, but through training, participants adapted and re-learned to balance with the delays. Before training, imposed delays attenuated vestibular contributions to balance and triggered perceptions of unexpected standing motion, suggesting increased uncertainty in the internal self-motion estimates. After training, vestibular contributions partially returned to baseline levels and larger delays were needed to evoke perceptions of unexpected standing motion. Through learning, the nervous system accommodates balance sensorimotor delays by causally linking whole-body sensory feedback (initially interpreted as imposed motion) to self-generated balance motor commands.

When standing, neurons in the brain send signals to skeletal muscles so we can adjust our movements to stay upright based on the requirements from the surrounding environment. The long nerves needed to connect our brain, muscles and sensors lead to considerable time delays (up to 160 milliseconds) between sensing the environment and the generation of balance-correcting motor signals. Such delays must be accounted for by the brain so it can adjust how it regulates balance and compensates for unexpected movements.

Aging and neurological disorders can lead to lengthened neural delays, which may result in poorer balance. Computer modeling suggests that we cannot maintain upright balance if delays are longer than 300-340 milliseconds. Directly assessing the destabilizing effects of increased delays in human volunteers can reveal how capable the brain is at adapting to this neurological change.

Using a custom-designed robotic balance simulator, Rasman et al. tested whether healthy volunteers could learn to balance with delays longer than the predicted 300-340 millisecond limit. In a series of experiments, 46 healthy participants stood on the balance simulator which recreates the physical sensations and neural signals for balancing upright based on a computer-driven virtual reality. This unique device enabled Rasman et al. to artificially impose delays by increasing the time between the generation of motor signals and resulting whole-body motion.

The experiments showed that lengthening the delay between motor signals and whole-body motion destabilized upright standing, decreased sensory contributions to balance and led to perceptions of unexpected movements. Over five days of training on the robotic balance simulator, participants regained their ability to balance, which was accompanied by recovered sensory contributions and perceptions of expected standing, despite the imposed delays. When a subset of participants was tested three months later, they were still able to compensate for the increased delay.

The experiments show that the human brain can learn to overcome delays up to 560 milliseconds in the control of balance. This discovery may have important implications for people who develop balance problems because of older age or neurologic diseases like multiple sclerosis. It is possible that robot-assisted training therapies, like the one in this study, could help people overcome their balance impairments.

Changes in Movement Control Processes Following Visuomotor Adaptation

Goal-directed reaches are modified based on previous errors experienced (i.e., offline control) and current errors experienced during movement execution (i.e., online control). It is well documented that the control processes (i.e., offline and online control) underlying well learned movements change based on the time available to complete an action, such that offline control processes are engaged to a greater extent when movements are completed in a faster movement time (MT). Here, we asked if the underlying movement control processes governing newly acquired movements also change under varying MT constraints. Sixteen participants adapted their movements to a visuomotor distortion. Following reach training trials, participants reached under Long (800-1000 ms) and Short (400-500 ms) MT constraints. Results indicate that movement errors when reaching with the rotated cursor were reduced online under the Long MT constraint compared to the Short MT constraint. Thus, the contributions of offline and online movement control processes engaged in newly acquired movements can be adjusted with changes in temporal demands.

Investigating information processing of the bimanual asymmetric cost with the response priming technique

Constraining the degrees of freedom simplifies the coordinative challenge of bimanual asymmetric movements. This, however, comes at the cost of increased processing demands during movement preparation, referred to as the bimanual asymmetric cost. The goal of the present study was to further investigate information processing of the bimanual asymmetric cost with the response priming technique. This technique involved precuing a movement to encourage it to be preprogrammed. A different movement is occasionally cued by the go signal, which required the preprogrammed movement to be reprogrammed. In Experiment 1, 2 preprogrammed unimanual movements were reprogrammed, or integrated, into a bimanual movement. In Experiment 2, a preprogrammed bimanual movement was reprogrammed, or de-integrated, into a unimanual movement. Both experiments revealed 2 costs when integrating or de-integrating bimanual movements. One cost was likely related to aborting 1 movement and preparing another, which is the typical reprogramming cost found in response priming experiments. The second cost was likely related to constraining the degrees of freedom of bimanual asymmetric movements, which is a bimanual asymmetric cost. Integrating 2 unimanual movements into a bimanual asymmetric movement involves constraining the degrees of freedom, and de-integrating a bimanual asymmetric movement into a unimanual movement involves unconstraining the degrees of freedom. Both reprogramming and bimanual asymmetric costs occurred in 1 of the experimental conditions, and the interesting finding was that their effects were additive. Additive costs suggest that each cost affects a different stage of movement preparation. We suggest that the bimanual asymmetric cost occurs during response selection. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Influence of kinesthetic motor imagery and effector specificity on the long-latency stretch response

The long-latency "reflexive" response (LLR) following an upper limb mechanical perturbation is generated by neural circuitry shared with voluntary control. This feedback response supports many task-dependent behaviors and permits the expression of goal-directed corrections at latencies shorter than voluntary reaction time. An extensive body of literature has demonstrated that the LLR shows flexibility akin to voluntary control, but it has not yet been tested whether instruction-dependent LLR changes can also occur in the absence of an overt voluntary response. The present study used kinesthetic motor imagery (experiment 1) and instructed participants to execute movement with the unperturbed contralateral limb (experiment 2) to explore the relationship between the overt production of a voluntary response and LLR facilitation. Activity in stretched right wrist flexors were compared with standard "do not-intervene" and "compensate" conditions. Our findings revealed that on ~40% of imagery and ~50% of contralateral trials, a response occurred during the voluntary epoch in the stretched right wrist flexors. On these "leaked" trials, the early portion of the LLR (R2) was facilitated and displayed a similar increase to compensate trials. The latter half of the LLR (R3) showed further modulation, mirroring the patterns of voluntary epoch activity. By contrast, the LLR on "non-leaked" imagery and contralateral trials did not modulate. We suggest that even though a hastened voluntary response cannot account for all instruction-dependent LLR modulation, the overt execution of a response during the voluntary epoch in the same muscle(s) as the LLR is a prerequisite for instruction-dependent facilitation of this feedback response.NEW & NOTEWORTHY Using motor imagery and contralateral responses, we provide novel evidence that facilitation of the long-latency reflex (LLR) requires the execution of a response during the voluntary epoch. A high proportion of overt response "leaks" were found where the mentally simulated or mirrored response appeared in stretched muscle. The first half of the LLR was categorically sensitive to the appearance of leaks, whereas the latter half displayed characteristics closely resembling activity in the ensuing voluntary period.

Going offline: differences in the contributions of movement control processes when reaching in a typical versus novel environment

Human movements are remarkably adaptive. We are capable of completing movements in a novel visuomotor environment with similar accuracy to those performed in a typical environment. In the current study, we examined if the control processes underlying movements under typical conditions were different from those underlying novel visuomotor conditions. 16 participants were divided into two groups, one receiving continuous visual feedback during all reaches (CF), and the other receiving terminal feedback regarding movement endpoint (TF). Participants trained in a virtual environment by completing 150 reaches to three targets when (1) a cursor accurately represented their hand motion (i.e., typical environment) and (2) a cursor was rotated 45° clockwise relative to their hand motion (i.e., novel environment). Analyses of within-trial measures across 150 reaching trials revealed that participants were able to demonstrate similar movement outcomes (i.e., movement time and angular errors) regardless of visual feedback or reaching environment by the end of reach training. Furthermore, a reduction in variability across several measures (i.e., reaction time, movement time, time after peak velocity, and jerk score) over time showed that participants improved the consistency of their movements in both reaching environments. However, participants took more time and were less consistent in the timing of initiating their movements when reaching in a novel environment compared to reaching in a typical environment, even at the end of training. As well, angular error variability at different proportions of the movement trajectory was consistently greater when reaching in a novel environment across trials and within a trial. Together, the results suggest a greater contribution of offline control processes and less effective online corrective processes when reaching in a novel environment compared to when reaching in a typical environment.

Attention and awareness: Representation of visuomotor space in split-brain patients

Each cerebral hemisphere primarily controls and receives sensory input with regard to the contralateral hand. In the disconnected brain (split-brain), when the hands are uncrossed, direct visual access to each hand is available to the controlling (contralateral) hemisphere. However, when a hand crosses the midline, visual and tactile information regarding the hand are presented to different hemispheres. It is unknown how a contralateral hemisphere codes the position and orientation of a visually inaccessible hand in the disconnected brain. The present work addresses this issue. We ask how each hemisphere represents "its" hand across hand positions that span the midline in the absence of cortical input from the contralateral hemisphere. In other words, when a hand is placed across the midline and is visually inaccessible, is it represented by the controlling hemisphere: (1) in accordance with its new position with respect to the body (e.g., a left hand "becomes" a right effector when it crosses the midline), (2) with left/right position information unaltered (e.g., the left hand is represented as "left" regardless of its location), or (3) stripped of its location information altogether? The relationship between hand position and the spatial codes assigned to potential responses (an index of hand representation) was investigated in two split-brain patients using direct (Experiment 1) and orthogonal (Experiment 2) S-R compatibility paradigms. S-R compatibility effects in split-brain patients were consistent with those displayed by typical individuals. These findings suggest that position-based compatibility effects do not rely on cross-cortical connections. Rather, each hemisphere can accurately represent the full visuomotor space, a process that appears to be subserved by subcortical connections between the hemispheres.

Mechanical perturbations can elicit triggered reactions in the absence of a startle response

Perturbations delivered to the upper limbs elicit reflexive responses in stretched muscle at short- (M1: 25-50 ms) and long- (M2: 50-100 ms) latencies. When presented in a simple reaction time (RT) task, the perturbation can also elicit a preprogrammed voluntary response at a latency (< 100 ms) that overlaps the M2 response. This early appearance of the voluntary response following a proprioceptive stimulus causing muscle stretch is called a triggered reaction. Recent work has demonstrated that a perturbation also elicits activity in sternocleidomastoid (SCM) over a time-course consistent with the startle response and it was, therefore, proposed that the StartReact effect underlies triggered reactions (Ravichandran et al., Exp Brain Res 230:59-69, 2013). The present work investigated whether perturbation-evoked SCM activity results from startle or postural control and whether triggered reactions can also occur in the absence of startle. In Experiment 1, participants "compensated" against a wrist extension perturbation. A prepulse inhibition (PPI) stimulus (known to attenuate startle) was randomly presented before the perturbation. Rather than attenuating SCM activity, the responses in SCM were advanced by the PPI stimulus. In Experiment 2, participants "assisted" a wrist extension perturbation. The perturbation did not reliably elicit startle but despite this, two-thirds of trials had RTs of less than 100 ms and the earliest responses began at ~ 70 ms. These findings suggest that SCM activity following a perturbation is the result of postural control and is not related to startle. Moreover, an overt startle response is not a prerequisite for the elicitation of a triggered reaction.

Response Selection Contributes to the Preparation Cost for Bimanual Asymmetric Movements

Movement preparation of bimanual asymmetric movements takes more time than bimanual symmetric movements in choice reaction-time conditions. This bimanual asymmetric cost may be caused by increased processing demands on any stage of movement preparation. The authors tested the contributions of each stage of movement preparation to the asymmetric cost by using the additive factors method. This involved altering the stimulus contrast, response compatibility, and response complexity. These manipulations changed the processing demands on stimulus identification, response selection, and response programming, respectively. Any manipulation with a larger reaction time cost than control suggests that stage contributes to the bimanual asymmetric cost. The bimanual asymmetric cost was larger for incompatible stimuli, which supports that response selection contributes to the bimanual asymmetric cost.

Whose turn is it anyway? The moderating role of response-execution certainty on the joint Simon effect

When a two-choice "Simon task" is distributed between two people, performance in the shared go/no-go task resembles performance in the whole task alone. This finding has been described as the joint Simon effect (JSE). Unlike the individual go/no-go task, not only is the typical joint Simon task shared with another person, but also the imperative stimuli dictate whose turn it is to respond. Therefore, in the current study, we asked whether removing the agent discrimination component of the joint Simon task influences co-representation. Participants performed the typical joint Simon task, which was compared to two turn-taking versions of the task. For these turn-taking tasks, pairs predictably alternated turns on consecutive trials, with their respective imperative stimulus presented either on 100% of their turns (fully predictable group) or on 83% of their turns (response-uncertainty group, 17% no-go catch trials). The JSE was absent in the fully predictable, turn-taking task, but emerged similarly under the response-uncertainty condition and the typical joint Simon task condition where there is both turn and response-execution-related uncertainty. These results demonstrate that conflict related to agent discrimination is likely not a critical factor driving the JSE, whereas conflict surrounding the need to execute a response (and hence the degree of preparation) appears fundamental to co-representation.

Keeping still doesn't "make sense": examining a role for movement variability by stabilizing the arm during a postural control task

Small-amplitude, higher frequency oscillations of the body or limb are typically observed when humans attempt to maintain the position of a body or limb in space. Recent investigations have suggested that these involuntary movements of the body during stance could be used as an exploratory means of acquiring sensory information. In the present study, we wanted to determine whether a similar phenomenon would be observed in an upper limb postural task that does not involve whole body postural control. Participants were placed in a supine position with the arm pointing vertically and were asked to maintain the position of the limb in space with and without visual feedback. The wrist was attached to an apparatus that allowed the experimenter to stabilize or "lock" movements of the arm without the participants' awareness. When participants were "locked," the forces recorded predicted greater accelerations than those observed when the arm was freely moving with and without visual feedback. From unlocked to locked, angular accelerations increased in the eyes-closed condition and when participants were provided visual feedback of arm angular displacements. Irrespective of their origin, small displacements of the limb may be used as an exploratory means of acquiring sensory information from the surrounding environment.NEW & NOTEWORTHY The role of movement variability during a static limb position task is currently unknown. We tested whether variability remains in the absence of sensory-based error with an apparatus that stabilized the limb without the participant's knowledge during a static postural task. Increased forces observed during arm stabilization predicted movements greater than those observed when not externally stabilized. These results suggest movement variability during static postures could facilitate the gathering of sensory information from the surrounding environment.

Influence of virtual height exposure on postural reactions to support surface translations

As fear of falling is related to the increased likelihood of falls, it is important to understand the effects of threat-related factors (fear, anxiety and confidence) on dynamic postural reactions. Previous studies designed to examine threat effects on dynamic postural reactions have methodological limitations and lack a comprehensive analysis of simultaneous kinetic, kinematic and electromyographical recordings. The current study addressed these limitations by examining postural reactions of 26 healthy young adults to unpredictable anterior-posterior support-surface translations (acceleration=0.6m/s(2), constant velocity=0.25m/s, total displacement=0.75m) while standing on a narrow virtual surface at Low (0.4cm) and High (3.2m) virtual heights. Standing at virtual height increased fear and anxiety, and decreased confidence. Prior to perturbations, threat led to increased tonic muscle activity in tibialis anterior, resulting in a higher co-contraction index between lower leg muscles. For backward perturbations, muscle activity in the lower leg and arm, and center of pressure peak displacements, were earlier and larger when standing at virtual height. In addition, arm flexion significantly increased while leg, trunk and center of mass displacements remained unchanged across heights. When controlling for leaning, threat-related factors can influence the neuro-mechanical responses to an unpredictable perturbation, causing specific characteristics of postural reactions to be facilitated in young adults when their balance is threatened.

The rapid-chase theory does not extend to movement execution

It is assumed that the processing of a prime followed by a mask occurs sequentially in a feedforward manner when the three (initiation, takeover, and independence) criteria outlined by the rapid-chase theory are met. The purpose of the current study was to determine if the processing of the prime and mask fit the predictions of the rapid-chase theory when the prime and mask are presented during an ongoing movement. In two experiments, participants made rapid pointing movements to a target indicated by the mask. In Experiment 1, the prime was presented at movement onset and the prime-mask stimulus onset asynchrony (SOA) was manipulated. In Experiment 2, the prime-mask SOA was constant but the delay between movement and prime onset was manipulated. Although the results support the initiation and takeover criteria, the data did not support the independence criterion. Consequently, the rapid-chase theory does not appear to extend to movement execution.

Voluntary reaction time and long-latency reflex modulation

Stretching a muscle of the upper limb elicits short (M1) and long-latency (M2) reflexes. When the participant is instructed to actively compensate for a perturbation, M1 is usually unaffected and M2 increases in size and is followed by the voluntary response. It remains unclear if the observed increase in M2 is due to instruction-dependent gain modulation of the contributing reflex mechanism(s) or results from voluntary response superposition. The difficulty in delineating between these alternatives is due to the overlap between the voluntary response and the end of M2. The present study manipulated response accuracy and complexity to delay onset of the voluntary response and observed the corresponding influence on electromyographic activity during the M2 period. In all active conditions, M2 was larger compared with a passive condition where participants did not respond to the perturbation; moreover, these changes in M2 began early in the appearance of the response (∼ 50 ms), too early to be accounted for by voluntary overlap. Voluntary response latency influenced the latter portion of M2, with the largest activity seen when accuracy of limb position was not specified. However, when participants aimed for targets of different sizes or performed movements of various complexities, reaction time differences did not influence M2 period activity, suggesting voluntary activity was sufficiently delayed. Collectively, our results show that while a perturbation applied to the upper limbs can trigger a voluntary response at short latency (<100 ms), instruction-dependent reflex gain modulation remains an important contributor to EMG changes during the M2 period.

A startling acoustic stimulus interferes with upcoming motor preparation: Evidence for a startle refractory period

When a startling acoustic stimulus (SAS) is presented in a simple reaction time (RT) task, response latency is significantly shortened. The present study used a SAS in a psychological refractory period (PRP) paradigm to determine if a shortened RT1 latency would be propagated to RT2. Participants performed a simple RT task with an auditory stimulus (S1) requiring a vocal response (R1), followed by a visual stimulus (S2) requiring a key-lift response (R2). The two stimuli were separated by a variable stimulus onset asynchrony (SOA), and a typical PRP effect was found. When S1 was replaced with a 124dB SAS, R1 onset was decreased by 40-50ms; however, rather than the predicted propagation of a shortened RT, significantly longer responses were found for RT2 on startle trials at short SOAs. Furthermore, the 100ms SOA condition exhibited reduced peak EMG for R2 on startle trials, as compared to non-startle trials. These results are attributed to the startling stimulus temporarily interfering with cognitive processing, delaying and altering the execution of the second response. In addition to this "startle refractory period," results also indicated that RT1 latencies were significantly lengthened for trials that immediately followed a startle trial, providing evidence for longer-term effects of the startling stimulus.

Unified nature of bimanual movements revealed by separating the preparation of each arm

Movement preparation of bimanual asymmetric movements is longer than bimanual symmetric movements in choice reaction time conditions, even when movements are cued directly by illuminating the targets (Blinch et al. in Exp Brain Res 232(3):947-955, 2014). This bimanual asymmetric cost may be caused by increased processing demands on response programming, but this requires further investigation. The present experiment tested the demands on response programming for bimanual movements by temporally separating the preparation of each arm. This was achieved by precuing the target of one arm before the imperative stimulus. We asked: What was prepared in advance when one arm was precued? The answer to this question would suggest which process causes the bimanual asymmetric cost. Advance movement preparation was examined by comparing reaction times with and without a precue for the left target and by occasionally replacing the imperative stimulus with a loud, startling tone (120 dB). A startle tone releases whatever movement is prepared in advance with a much shorter reaction time than control trials (Carlsen et al. in Clin Neurophysiol 123(1):21-33, 2012). Participants made bimanual symmetric and asymmetric reaching movements in simple and 2-choice reaction time conditions and a condition with a precue for the left target. We found a bimanual asymmetric cost in 2-choice conditions, and the asymmetric cost was significantly smaller when the left target was precued. These results, and the results from startle trials, suggest (1) that the precued movement was not fully programmed but partially programmed before the imperative stimulus and (2) that the asymmetric cost was caused by increased processing demands on response programming. Overall, the results support the notion that bimanual movements are not the sum of two unimanual movements; instead, the two arms of a bimanual movement are unified into a functional unit. When one target is precued, this critical unification likely occurs during response programming.

From adaptive licensing to adaptive pathways: delivering a flexible life-span approach to bring new drugs to patients

The concept of adaptive licensing (AL) has met with considerable interest. Yet some remain skeptical about its feasibility. Others argue that the focus and name of AL should be broadened. Against this background of ongoing debate, we examine the environmental changes that will likely make adaptive pathways the preferred approach in the future. The key drivers include: growing patient demand for timely access to promising therapies, emerging science leading to fragmentation of treatment populations, rising payer influence on product accessibility, and pressure on pharma/investors to ensure sustainability of drug development. We also discuss a number of environmental changes that will enable an adaptive paradigm. A life‐span approach to bringing innovation to patients is expected to help address the perceived access vs. evidence trade‐off, help de‐risk drug development, and lead to better outcomes for patients.

Cortical contributions to control of posture during unrestricted and restricted stance

There is very little consensus regarding the mechanisms underlying postural control. Whereas some theories suggest that posture is controlled at lower levels (i.e., brain stem and spinal cord), other theories have proposed that upright stance is controlled using higher centers, including the motor cortex. In the current investigation, we used corticomuscular coherence (CMC) to investigate the relationship between cortical and shank muscle activity during conditions of unrestricted and restricted postural sway. Participants were instructed to stand as still as possible in an apparatus that allowed the center of mass to move freely (“Unlocked”) or to be stabilized (“Locked”) without subject awareness. EEG (Cz) and electromyography (soleus and lateral/medial gastrocnemii) were collected and used to estimate CMC over the Unlocked and Locked periods. Confirming our previous results, increases in center of pressure (COP) displacements were observed in 9 of 12 participants in the Locked compared with Unlocked condition. Across these 9 participants, CMC was low or absent in both the Unlocked and Locked conditions. The results from the current study suggest that this increase is not associated with an increase in the relationship between cortical and shank muscle activities. Rather, it may be that increases in COP displacement with locking are mediated by subcortical structures as a means of increasing sway to provide the central nervous system with a critical level of sensory information.

Cortical involvement in the StartReact effect

The rapid release of prepared movements by a loud acoustic stimulus capable of eliciting a startle response has been termed the StartReact effect (Valls-Solé et al., 1999), and premotor reaction times (PMTs) of <70 ms are often observed. Two explanations have been given for these short latency responses. The subcortical storage and triggering hypothesis suggests movements that can be prepared in advance of a "go" signal are stored and triggered from subcortical areas by a startling acoustic stimulus (SAS) without cortical involvement. Alternatively, it has been hypothesized that the SAS can trigger movements from cortical areas through a faster pathway ascending from subcortical structures. Two experiments were designed to examine the possible role of the primary motor cortex in the StartReact effect. In Experiment 1, we used suprathreshold transcranial magnetic stimulation (TMS) during the reaction time (RT) interval to induce a cortical silent period in the contralateral primary motor cortex (M1). Thirteen participants performed 20° wrist extension movements as fast as possible in response to either a control stimulus (82 dB) or SAS (124 dB). PMTs for startle trials were faster than for control trials, while TMS significantly delayed movement onset compared to No TMS or Sham TMS conditions. In Experiment 2, we examined the StartReact effect in a highly cortically represented action involving speech of a consonant-vowel (CV) syllable. Similar to previous work examining limb movements, a robust StartReact effect was found. Collectively, these experiments provide evidence for cortical (M1) involvement in the StartReact effect.

Comparing movement preparation of unimanual, bimanual symmetric, and bimanual asymmetric movements

The goal of this study was to determine the process or processes most likely to be involved in reaction-time costs for spatially cued bimanual reaching. We used reaction time to measure the cost of bimanual symmetric movements compared to unimanual movements (a bimanual symmetric cost) and the cost for bimanual asymmetric movements compared to symmetric movements (a bimanual asymmetric cost). The results showed that reaction times were comparable for all types of movements in simple reaction time; that is, there was neither a bimanual symmetric cost nor an asymmetric cost. Therefore, unimanual, bimanual symmetric, and bimanual asymmetric movements have comparable complexity during response initiation. In choice conditions, there was no bimanual symmetric cost but there was a bimanual asymmetric cost, indicating that the preparation of asymmetric movements is more complex than symmetric movements. This asymmetric cost is likely the result of interference during response programming.

Are increases in COP variability observed when participants are provided explicit verbal cues prior to COM stabilization?

Previous research has shown that when the COM is stabilized without participant awareness, COP displacements increase. This finding suggests that postural sway under normal conditions may be exploratory and used as a means of acquiring sensory information. However, based on the theory that posture is controlled using internal models, it could be argued that increases in COP displacement reflect errors that arise as the central nervous system attempts to adapt the internal model used to control posture to the new conditions. The current study provided an explicit verbal cue to the participants indicating how and when COM stabilization would occur. Based on evidence suggesting that explicit verbal cues can reduce errors when the dynamics of the task are altered, we hypothesized that when participants were aware of COM stabilization, COP displacements would be reduced. However, we found that anterior-posterior COP displacements increased independent of cueing, suggesting that increases in COP displacements with locking were not the result of an attempt to adapt the internal model of postural control. The results provide further support for an exploratory role of postural sway.

First trial and StartReact effects induced by balance perturbations to upright stance

Postural responses (PR) to a balance perturbation differ between the first and subsequent perturbations. One explanation for this first trial effect is that perturbations act as startling stimuli that initiate a generalized startle response (GSR) as well as the PR. Startling stimuli, such as startling acoustic stimuli (SAS), are known to elicit GSRs, as well as a StartReact effect, in which prepared movements are initiated earlier by a startling stimulus. In this study, a StartReact effect paradigm was used to determine if balance perturbations can also act as startle stimuli. Subjects completed two blocks of simple reaction time trials involving wrist extension to a visual imperative stimulus (IS). Each block included 15 CONTROL trials that involved a warning cue and subsequent IS, followed by 10 repeated TEST trials, where either a SAS (TESTSAS) or a toes-up support-surface rotation (TESTPERT) was presented coincident with the IS. StartReact effects were observed during the first trial in both TESTSAS and TESTPERT conditions as evidenced by significantly earlier wrist movement and muscle onsets compared with CONTROL. Likewise, StartReact effects were observed in all repeated TESTSAS and TESTPERT trials. In contrast, GSRs in sternocleidomastoid and PRs were large in the first trial, but significantly attenuated over repeated presentation of the TESTPERT trials. Results suggest that balance perturbations can act as startling stimuli. Thus first trial effects are likely PRs which are superimposed with a GSR that is initially large, but habituates over time with repeated exposure to the startling influence of the balance perturbation.

Startle reveals independent preparation and initiation of triphasic EMG burst components in targeted ballistic movements

Muscles involved in rapid, targeted movements about a single joint often display a triphasic [agonist (AG1)-antagonist (ANT)-agonist (AG2)] electromyographic (EMG) pattern. Early work using movement perturbations suggested that for short movements, the entire EMG pattern was prepared and initiated in advance (Wadman WJ, Dernier van der Gon JJ, Geuze RH, Mol CR. J Hum Mov Stud 5: 3-17, 1979), whereas more recent transcranial magnetic stimulation evidence indicates that the ANT may be programmed separately (MacKinnon CD, Rothwell JC. J Physiol 528: 633-645, 2000) with execution of the bursts occurring serially (Irlbacher K, Voss M, Meyer BU, Rothwell JC. J Physiol 574: 917-928, 2006). The purpose of the current study was to investigate the generation of triphasic EMG bursts for movements of different amplitudes. In experiment 1, participants performed rapid elbow extension movements to 20° and 60° targets, and on some trials, a startling acoustic stimulus (SAS), which is thought to trigger prepared motor commands at short latency, was delivered at the onset of AG1. For short movements, this perturbation elicited ANT and AG2 early, suggesting the agonist and antagonist bursts may have been programmed independently. In contrast, the same manipulation did not disrupt EMG timing parameters for the long movements, raising the possibility that ANT and AG2 were not fully programmed in advance of movement onset. In experiment 2, an SAS was delivered later in the movement, which produced early onset of both ANT and AG2. We propose that the triphasic pattern is executed serially but believe the trigger signal for initiating the ANT burst occurs not in relation to the AG1 burst, but rather in close temporal proximity to the expected onset of ANT.

Muscle-specific modulation of vestibular reflexes with increased locomotor velocity and cadence

Vestibular information is one of the many sensory signals used to stabilize the body during locomotion. When locomotor velocity increases, the influence of these signals appears to wane. It is unclear whether vestibular signals are globally attenuated with velocity or are influenced by factors such as whether a muscle is contributing to balance control. Here we investigate how vestibular sensory signals influence muscles of the leg during locomotion and what causes their attenuation with increasing locomotor velocity. We hypothesized that 1) vestibular signals influence the activity of all muscles engaged in the maintenance of medio-lateral stability during locomotion and 2) increases in both cadence and velocity would be associated with attenuation of these signals. We used a stochastic vestibular stimulus and recorded electromyographic signals from muscles of the ankle, knee, and hip. Participants walked using two cadences (52 and 78 steps/min) and two walking velocities (0.4 and 0.8 m/s). We observed phase-dependent modulation of vestibular influence over ongoing muscle activity in all recorded muscles. Within a stride, reversals of the muscle responses were observed in the biceps femoris, tibialis anterior, and rectus femoris. Vestibular-muscle coupling decreases with increases in both cadence and walking velocity. These results show that the observed vestibular suppression is muscle- and phase dependent. We suggest that the phase- and muscle-specific influence of vestibular signals on locomotor activity is organized according to each muscle's functional role in body stabilization during locomotion.

Effects of postural threat on spinal stretch reflexes: evidence for increased muscle spindle sensitivity?

Standing balance is often threatened in everyday life. These threats typically involve scenarios in which either the likelihood or the consequence of falling is higher than normal. When cats are placed in these scenarios they respond by increasing the sensitivity of muscle spindles imbedded in the leg muscles, presumably to increase balance-relevant afferent information available to the nervous system. At present, it is unknown whether humans also respond to such postural threats by altering muscle spindle sensitivity. Here we present two studies that probed the effects of postural threat on spinal stretch reflexes. In study 1 we manipulated the threat associated with an increased consequence of a fall by having subjects stand at the edge of an elevated surface (3.2 m). In study 2 we manipulated the threat by increasing the likelihood of a fall by occasionally tilting the support surface on which subjects stood. In both scenarios we used Hoffmann (H) and tendon stretch (T) reflexes to probe the spinal stretch reflex circuit of the soleus muscle. We observed increased T-reflex amplitudes and unchanged H-reflex amplitudes in both threat scenarios. These results suggest that the synaptic state of the spinal stretch reflex is unaffected by postural threat and that therefore the muscle spindles activated in the T-reflexes must be more sensitive in the threatening conditions. We propose that this increase in sensitivity may function to satisfy the conflicting needs to restrict movement with threat, while maintaining a certain amount of sensory information related to postural control.

Adapting to target error without visual feedback

What information is necessary for the motor system to adapt its behaviour? Visual hand-to-target error provides salient information about reach performance, but can learning proceed without this information? We investigated adaptation to an unperceived target perturbation under visual open-loop conditions. Participants looked and reached, without any vision of their hand, to a target that jumped rightward at saccade onset (Perturbation condition) or remained stationary throughout the trial (Stationary condition). The target jump in the Perturbation condition was tied to the saccade, such that participants were unaware that it had occurred. Each type of exposure was followed by a posttest, in which participants reached to a target that disappeared at saccade onset. In the posttest, participants reached farther following exposure to the perturbation than they did following exposure to the stationary target, indicating that participants had learned from systematic exposure to the jump. These findings imply that online error induces motor learning, even when participants receive no visual information about their performance.

Startle induces early initiation of classically conditioned postural responses

Startling acoustic stimuli (SAS) induce the early release of prepared motor responses. The current study used SAS, in conjunction with a classical conditioning paradigm, to examine advanced motor preparation of conditioned postural responses (PRs). After generalized startle responses were induced, standing posture was perturbed in 2 blocks of 15 Conditioning trials, where in each trial the onset of a nonstartling auditory cue [i.e., a conditioned stimulus (CS)] preceded a leftward support-surface translation. Upon completion of each block, a single trial was conducted. After block 1, a CS-Only trial was used to induce conditioned PRs in the absence of balance perturbations. After block 2, a post-Conditioning Startle trial that involved a CS subsequently followed by a SAS was used to examine motor preparation of conditioned PRs. PRs were quantified in terms of center of pressure displacements, ankle and hip kinematics, as well as surface electromyography of proximal and distal bilateral muscle pairs. Results indicated that repeated experience with cued balance perturbations led to PR conditioning and, more importantly, motor preparation of PRs. Conditioning was evidenced in biomechanical and electromyographic responses observed in CS-Only trials, as well as the progressive changes to evoked response parameters during repeated Conditioning trials. SAS presented in post-Conditioning Startle trials evoked early onsets of biomechanical and electromyographic responses, while preserving relative response parameters that were each distinct from generalized startle responses. These results provide important insight into both the consequences of using cues in dynamic postural control studies and the neural mechanisms governing PRs.

Limited interlimb transfer of locomotor adaptations to a velocity-dependent force field during unipedal walking

Several studies have demonstrated that motor adaptations to a novel task environment can be transferred between limbs. Such interlimb transfer of motor commands is consistent with the notion of centrally driven strategies that can be generalized across different frames of reference. So far, studies of interlimb transfer of locomotor adaptations have yielded disparate results. Here we sought to determine whether locomotor adaptations in one (trained) leg show transfer to the other (test) leg during a unipedal walking task. We hypothesized that adaptation in the test leg to a velocity-dependent force field previously experienced by the trained leg will be faster, as revealed by faster recovery of kinematic errors and earlier onset of aftereffects. Twenty able-bodied adults walked unipedally in the Lokomat robotic gait orthosis, which applied velocity-dependent resistance to the legs. The amount of resistance was scaled to 10% of each individual's maximum voluntary contraction of the hip flexors. Electromyography and kinematics of the lower limb were recorded. All subjects were right-leg dominant and were tested for transfer of motor adaptations from the right leg to the left leg. Catch trials, consisting of unexpected removal of resistance, were presented after the first step with resistance and after a period of adaptation to test for aftereffects. We found no significant differences in the sizes of the aftereffects between the two legs, except for peak hip flexion during swing, or in the rate at which peak hip flexion adapted during steps against resistance between the two legs. Our results indicate that interlimb transfer of these types of locomotor adaptation is not a robust phenomenon. These findings add to our current understanding of motor adaptations and provide further evidence that generalization of adaptations may be dependent on the movement task.

Motor preparation and the effects of practice: evidence from startle

To examine sequential movement preparation, participants practiced unimanual movements that differed in amplitude and number of elements for 4 days in either a simple (Experiment 1) or choice (Experiment 2) reaction time (RT) paradigm. On Day 1 and 4, a startling stimulus was used to probe the preparation process. For simple RT, we found increased premotor RT for the two component movement during control trials on Day 1, which was minimized with practice. During startle trials, all movements were triggered at a short latency with similar consistency to control trials, suggesting full advance preparation of all movements. For choice RT, we also found increased premotor RT for control trials for the two component movement. As advance preparation could not occur, the startling stimulus did not trigger any of the movements. We hypothesized that complexity may relate to the neural commands needed to produce the movement, rather than a sequencing requirement.

The effects of prepulse inhibition timing on the startle reflex and reaction time

A loud acoustic stimulus has been shown to provoke a reflexive startle response and accelerate simple reaction times. However, an auditory prepulse presented in advance of a startling stimulus can reduce the effect of the startling stimulus. The current study examined the effect of the timing of the prepulse on startle-induced reaction times and the startle reflex. The task was to perform a 30° arm extension movement in response to a visual "go" stimulus. On selected trials, an auditory prepulse (80dB) was presented either 100ms, 500ms or 1000ms prior to the "go" signal. In addition, an auditory startling stimulus (124dB) was presented in conjunction with the "go" signal on some trials. Our results indicated that an auditory prepulse presented 100ms, and to a lesser extent 500ms, significantly decreased the amplitude of the startle reflex; however, the reaction time acceleration associated with the startling acoustic stimulus (SAS) was unaffected. The differential effect of the prepulse on the startle reflex and reaction time acceleration confirm different neural pathways for these effects while the differential effect of the prepulse on the control and startle RTs suggest different mechanisms for movement initiation.

Human proprioceptive adaptations during states of height-induced fear and anxiety

Clinical and experimental research has demonstrated that the emotional experience of fear and anxiety impairs postural stability in humans. The current study investigated whether changes in fear and anxiety can also modulate spinal stretch reflexes and the gain of afferent inputs to the primary somatosensory cortex. To do so, two separate experiments were performed on two separate groups of participants while they stood under conditions of low and high postural threat. In experiment 1, the proprioceptive system was probed using phasic mechanical stimulation of the Achilles tendon while simultaneously recording the ensuing tendon reflexes in the soleus muscle and cortical-evoked potentials over the somatosensory cortex during low and high threat conditions. In experiment 2, phasic electrical stimulation of the tibial nerve was used to examine the effect of postural threat on somatosensory evoked potentials. Results from experiment 1 demonstrated that soleus tendon reflex excitability was facilitated during states of height-induced fear and anxiety while the magnitude of the tendon-tap-evoked cortical potential was not significantly different between threat conditions. Results from experiment 2 demonstrated that the amplitudes of somatosensory-evoked potentials were also unchanged between threat conditions. The results support the hypothesis that muscle spindle sensitivity in the triceps surae muscles may be facilitated when humans stand under conditions of elevated postural threat, although the presumed increase in spindle sensitivity does not result in higher afferent feedback gain at the level of the somatosensory cortex.