This pilot study aimed to show that information-free stimulation of the tongue can improve behavioral measures and induce sustained neuromodulation of the balance-processing network in individuals with balance dysfunction. Twelve balance-impaired subjects received one week of cranial nerve non-invasive neuromodulation (CN-NINM). Before and after the week of stimulation, postural sway and fMRI activation were measured to monitor susceptibility to optic flow. Nine normal controls also underwent the postural sway and fMRI tests but did not receive CN-NINM. Results showed that before CN-NINM balance-impaired subjects swayed more than normal controls as expected (p ≤ 0.05), and that overall sway and susceptibility to optic flow decreased after CN-NINM (p ≤ 0.005 & p ≤ 0.05). fMRI showed upregulation of visual sensitivity to optic flow in balance-impaired subjects that decreased after CN-NINM. A region of interest analysis indicated that CN-NINM may induce neuromodulation by increasing activity within the dorsal pons (p ≤ 0.01).
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http://dx.doi.org/10.1007/s11682-010-9099-7 | DOI Listing |
Gait Posture
March 2024
Radboud university medical center; Donders Institute for Brain, Cognition and Behavior, Department of Rehabilitation, Nijmegen, The Netherlands; Sint Maartenskliniek Research, Nijmegen, The Netherlands.
Background And Objective: Adequate reactive steps are critical for preventing falls following balance perturbations. Perturbation-based balance training was shown to improve reactive stepping in various clinical populations, but its delivery is labor-intensive and generally uses expensive equipment. Action observation of reactive steps with either motor imagery (AOMI) or motor simulation (AOMS) are potential alternative training modalities.
View Article and Find Full Text PDFJ Neuroeng Rehabil
June 2023
Department of Movement Sciences, KU Leuven, Leuven, Belgium.
Background: Balance control is important for mobility, yet exoskeleton research has mainly focused on improving metabolic energy efficiency. Here we present a biomimetic exoskeleton controller that supports walking balance and reduces muscle activity.
Methods: Humans restore balance after a perturbation by adjusting activity of the muscles actuating the ankle in proportion to deviations from steady-state center of mass kinematics.
Mol Psychiatry
June 2023
Washington University School of Medicine, Department of Psychiatry, St. Louis, MO, USA.
The human brain's resting-state functional connectivity (rsFC) provides stable trait-like measures of differences in the perceptual, cognitive, emotional, and social functioning of individuals. The rsFC of the prefrontal cortex is hypothesized to mediate a person's rational self-government, as is also measured by personality, so we tested whether its connectivity networks account for vulnerability to psychosis and related personality configurations. Young adults were recruited as outpatients or controls from the same communities around psychiatric clinics.
View Article and Find Full Text PDFJ Neuroeng Rehabil
March 2023
Rehabilitation Research Institute of Singapore, Nanyang Technological University, Singapore, Singapore.
Background: Aging degrades the balance and locomotion ability due to frailty and pathological conditions. This demands balance rehabilitation and assistive technologies that help the affected population to regain mobility, independence, and improve their quality of life. While many overground gait rehabilitation and assistive robots exist in the market, none are designed to be used at home or in community settings.
View Article and Find Full Text PDFGait Posture
February 2021
DEMAR-LIRMM, INRIA, Montpellier 34090, France. Electronic address:
Background: Tracking the whole body center of mass (CoM) trajectory of balance-impaired individuals with a personalized model is useful in the development of customized fall prevention strategies. A personalized CoM estimate can be obtained using the statically equivalent serial chain (SESC) method, but the subject has to perform an identification procedure to determine the set of subject-specific SESC parameters. During this identification, the subject must hold a series of static poses, some of which are unsuitable for balanced-impaired individuals.
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