Abstract:In standing, there are small sways of the body. Our interest is to use an artificial task to illuminate the mechanisms underlying the sways and to account for changes in their size. Using the ankle musculature, subjects balanced a large inverted pendulum. The equilibrium of the pendulum is unstable and quasi‐regular sway was observed like that in quiet standing. By giving full attention to minimising sway subjects could systematically reduce pendulum movement. The pendulum position, the torque generated at eac… Show more
“…Thus, for a subject standing in neutral alignment, the feedback at the ankle is positive and not negative. A second surprising observation is that the muscle controlling movements for balance control are not continuous but are intermittent and pulsatile (Loram & Lakie 2002;Loram et al 2006). Similar conclusions concerning positive feedback and intermittent control have been obtained from studies of a closely related experimental paradigm, namely stick balancing at the fingertip Hosaka et al 2006).…”
Experimental observations indicate that positive feedback plays an important role for maintaining human balance in the upright position. This observation is used to motivate an investigation of a simple switch-like controller for postural sway in which corrective movements are made only when the vertical displacement angle exceeds a certain threshold. This mechanism is shown to be consistent with the experimentally observed variations in the two-point correlation for human postural sway. Analysis of first-passage times for this model suggests that this control strategy may slow escape by taking advantage of two intrinsic properties of a stochastic unstable first-order delay differential equation: (i) time delay and (ii) the possibility that the dynamics can be 'temporarily confined' near the origin.
“…Thus, for a subject standing in neutral alignment, the feedback at the ankle is positive and not negative. A second surprising observation is that the muscle controlling movements for balance control are not continuous but are intermittent and pulsatile (Loram & Lakie 2002;Loram et al 2006). Similar conclusions concerning positive feedback and intermittent control have been obtained from studies of a closely related experimental paradigm, namely stick balancing at the fingertip Hosaka et al 2006).…”
Experimental observations indicate that positive feedback plays an important role for maintaining human balance in the upright position. This observation is used to motivate an investigation of a simple switch-like controller for postural sway in which corrective movements are made only when the vertical displacement angle exceeds a certain threshold. This mechanism is shown to be consistent with the experimentally observed variations in the two-point correlation for human postural sway. Analysis of first-passage times for this model suggests that this control strategy may slow escape by taking advantage of two intrinsic properties of a stochastic unstable first-order delay differential equation: (i) time delay and (ii) the possibility that the dynamics can be 'temporarily confined' near the origin.
“…The inverted pendulum model may be valid for a restricted number of movements in a single plane, including those induced by small and slow horizontal support surface translations. Recently, however, this concept has been challenged for motion occurring during quiet stance (Aramaki et al 2001;Loram and Lakie 2002). Indeed, as body motion increases in amplitude and direction from that of quiet standing (Fitzpatrick et al 1992(Fitzpatrick et al , 1994Winter et al 1996Winter et al , 1998Gatev et al 1999;Accorneo et al 1997), to that induced by a support surface perturbation in the pitch plane alone (Cordo and Nashner 1982;Allum et al 1993;Horak et al 1997), and finally to that induced by combined roll and pitch plane perturbations (Moore et al 1988;Maki et al 1994aMaki et al , 1994bHenry et al 1998b;Carpenter et al 1999;Allum et al 2002), the multi-link nature of human postural corrections becomes increasingly prominent.…”
Section: Introductionmentioning
confidence: 99%
“…The inverted pendulum or multi-link concepts of human postural control can be tested directly by splinting various joints, but such experiments are rare and were restricted to the pitch plane (Loram and Lakie et al 2002;Peterka 2002). Here we tested the hypothesis that normal balance control is highly dependent on a multi-link mode of movement by stiffening the hips and trunk (but not the ankles and knees) with two different rigid corsets.…”
Lightweight corsets were used to produce midbody stiffening, rendering the hip and trunk joints practically inflexible. To examine the effect of this artificially increased stiffness on balance control, we perturbed the upright stance of young subjects (20-34 years of age) while they wore one of two types of corset or no corset at all. One type, the "half-corset", only increased hip stiffness, and the other, the "full-corset", increased stiffness of the hips and trunk. The perturbations consisted of combined roll and pitch rotations of the support surface (7.5 deg, 60 deg/s) in one of six different directions. Outcome measures were biomechanical responses of the legs, trunk, arms and head, and electromyographic (EMG) responses from leg, trunk, and upper arm muscles. With the full-corset, a decrease in forward stabilising trunk pitch rotation compared to the no-corset condition occurred for backward pitch tilts of the support surface. In contrast, the half-corset condition yielded increased forward trunk motion. Trunk backward pitch motion after forwards support-surface perturbations was the same for all corset conditions. Ankle torques and lower leg angle changes in the pitch direction were decreased for both corset conditions for forward pitch tilts of the support-surface but unaltered for backward tilts. Changes in trunk roll motion with increased stiffness were profound. After onset of a roll support-surface perturbation, the trunk rolled in the opposite direction to the support-surface tilt for the no-corset and half-corset conditions, but in the same direction as the tilt for the full-corset condition. Initial head roll angular accelerations (at 100 ms) were larger for the full-corset condition but in the same direction (opposite platform tilt) for all conditions. Arm roll movements were initially in the same direction as trunk movements, and were followed by large compensatory arm movements only for the full-corset condition. Leg muscle (soleus, peroneus longus, but not tibialis anterior) balance-correcting responses were reduced for roll and pitch tilts under both corset conditions. Responses in paraspinals were also reduced. These results indicate that young healthy normals cannot rapidly modify movement strategies sufficiently to account for changes in link flexibility following increases in hip and trunk stiffness. The changes in leg and trunk muscle responses failed to achieve a normal roll or pitch trunk end position at 700 ms (except for forward tilt rotations), even though head accelerations and trunk joint proprioception seemed to provide information on changed trunk movement profiles over the first 300 ms following the perturbation. The major adaptation to stiffness involved increased use of arm movements to regain stability. The major differences in trunk motion for the no-corset, half-corset and fullcorset conditions support the concept of a multi-link pendulum with different control dynamics in the pitch and roll planes as a model of human stance. Stiffening of the hip and trunk incre...
“…12 A proposed explanation for this finding is related to the tendon's primary function of force transmission. Stiffer tendon structures enable more rapid force transfers than compliant systems and thus increase the speed at which the muscle tendon complex corrects the ''catch and throw'' actions involved in maintaining balance 13 and consequently improves balance performance. 14 Tendon properties also have the capacity to affect muscle force output and function, as muscle follows a hyperbolic force-velocity relationship.…”
Elderly women are reportedly at higher risk of falling than their male counterparts. Postural balance is highly associated with fall risk and is also correlated with tendon structural and mechanical properties. Gender differences in tendon properties could partly explain the discrepancy in fall risk. Thus the purpose of this study was to investigate the possible gender difference in tendon properties in the elderly. The properties of the patellar tendon of 55 elderly (men n ¼ 27, aged 72 AE 1 years, women n ¼ 28, aged 70 AE 1 years) participants were tested. Tendon stiffness (K), length (L), and cross-sectional area (CSA) were measured using B-mode ultrasonography, dynamometry, and electromyography during ramped isometric knee extensions. There were no significant differences ( p > 0.05) between men and women in tendon stiffness (elderly men 550.9 AE 29.2 vs. women 502.9 AE 44.9 Nmm À1 ) or in Young's modulus (elderly men 0.32 AE 0.02 vs. women 0.36 AE 0.04 GPa). This elderly group had similar tendon structural and mechanical properties. The comparable characteristics in genderspecific tendon properties in an elderly population exhibiting similar lifestyle characteristics to the current sample may not explain the reports in the literature regarding increased fall risk in elderly women relative to that seen in men of a similar age. Keywords: aging; gender differences; patellar tendon; stiffness; Young's modulusIn the last 30 years the proportion of the population aged 65 years or more has increased to 16% in the UK and this increase is set to continue (The Office for National Statistics, 2006). Approximately one-third of people aged over 65 fall at least once a year, and about half of these do so recurrently, leading to injury and subsequent decrease in quality of life, and in many cases death. 1 Elderly women exhibit a higher risk of falling than their male counterparts, 2,3 and most falls occur after a loss of stability in a forward direction such as tripping while walking. 2 In order to maintain balance individuals require information concerning the orientation of the body in space and the geometry of the body. In humans this information is obtained via the complex interactions of sensory systems (primarily the somatosensory, visual, and vestibular systems) and motor systems. 4 Aging results in a decline in the function of these systems and their interaction, which has been related to reduced balance ability and thus increased fall risk. [5][6][7]
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