The purpose of this study was to determine whether the type and direction of postural perturbation threat differentially affect anticipatory postural control. Healthy young adults stood on a force plate fixed to a translating platform and completed a series of rise-to-toes movements without (No Threat) and with (Threat) the potential of receiving a postural perturbation to either their feet (15 participants) or torso (16 participants). Each type of perturbation threat was presented along the anteroposterior (A-P) or mediolateral (M-L) axis. For each condition, the A-P center of pressure (COP) signal and tibialis anterior (TA) and soleus (SOL) electromyographical (EMG) recordings were used to quantify the anticipatory postural adjustment (APA). Results indicated that across both threat types and directions, postural threat induced a 40.2% greater TA activation (p < 0.001), a 18.5% greater backward COP displacement (p < 0.001) and a 23.9% greater backward COP velocity (p < 0.001), leading to larger and faster APAs than the No Threat condition. Subsequently, a 7.7% larger forward COP displacement (p = 0.001), a 20.4% greater forward COP velocity (p < 0.001) and 43.2% greater SOL activation (p = 0.009) were observed during the execution phase of the rise-to-toes for the Threat compared to the No Threat condition. Despite these threat effects, there were no differences in the magnitude or velocity of APAs between the threat directsion conditions. Since the type and direction of perturbation-induced postural threat had minimal differential effects on anticipatory postural control, these factors are unlikely to explain the discrepancy of previous findings.
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http://dx.doi.org/10.1016/j.humov.2020.102674 | DOI Listing |
Gait initiation is a fundamental human task, requiring one or more anticipatory postural adjustments (APA) prior to stepping. Deviations in amplitude and timing of APAs exist in Parkinson's disease (PD), causing dysfunctional postural control which increases the risk of falls. The motor cortex and basal ganglia have been implicated in the regulation of postural control, however, their dynamics during gait initiation, relationship to APA metrics, and response to pharmacotherapy such as levodopa are unknown.
View Article and Find Full Text PDFGait Posture
December 2024
Life and Medical Sciences Area, Health Sciences Discipline, Kobe University, Tomogaoka 7-10-2, Suma-ku, Kobe, Hyogo 654-0142, Japan. Electronic address:
Background: Freezing of gait (FOG) during gait initiation in patients with Parkinson's disease (PD) is associated with anticipatory postural adjustments (APAs) with diminishing amplitude, leading to a risk of falls. Assistance with ankle dorsiflexion function by external devices improve APAs during gait initiation, however, the effect of training to improve ankle dorsiflexion function on APAs during gait initiation is unclear.
Research Question: Does ankle dorsiflexion training improve APAs and FOG during gait initiation in patients with PD?
Method: This 4-week prospective controlled trial included 30 patients with PD, who were divided into two groups: the control group, which received only conventional inpatient rehabilitation, and the intervention group, which received ankle dorsiflexion training in addition to inpatient rehabilitation.
J Bodyw Mov Ther
October 2024
Department of Applied Physiotherapy Federal University of Triangulo Mineiro, Brazil. Electronic address:
Background And Aims: Peripheral Diabetic Neuropathy (PDN) is the major complication of diabetes, and sensory-motor impairments can compromise balance, increasing the risk of falls and consequently can lead to functional disability. Thus, this study aims to evaluate the sensory and motor aspects of balance in individuals with type 2 diabetes mellitus with and without PDN.
Methods: This is a cross-sectional study which analyzed balance in 51 individuals, divided into three groups: G1 - individuals with Peripheral Diabetic Neuropathy; G2 - individuals with diabetics and without PDN; and G3 - individuals without Diabetes Mellitus.
Sci Rep
November 2024
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genova, Genova, Italy.
Freezing of gait (FOG) in Parkinson's disease (PD) can be triggered by sensomotor, cognitive or limbic factors. The limbic system's impact on FOG is attributed to elevated limbic load, characterized by aversive stimuli, potentially depleting cognitive resources for movement control, resulting in FOG episodes. However, to date, PD patients with and without FOG have not shown alterations of anticipatory postural adjustments during gait initiation after exposure to emotional images, possibly because visual stimuli are less immediately disruptive than auditory stimuli, which can more directly affect attention and the limbic system.
View Article and Find Full Text PDFCureus
November 2024
Acute Medicine, Peterborough City Hospital, Peterborough, GBR.
Creutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disorder that leads to rapid cognitive decline, dementia, and neurological deterioration. CJD has several forms, including sporadic CJD (sCJD), which accounts for most cases, and variant CJD (vCJD), linked to exposure to bovine spongiform encephalopathy (BSE or mad cow disease). The disease is caused by abnormal prion proteins, which damage the brain and lead to death.
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