Reorganised anticipatory postural adjustments due to experimental lower extremity muscle pain

Automated movements adjusting postural control may be hampered during musculoskeletal pain leaving a risk of incomplete control of balance. This study investigated the effect of experimental muscle pain on anticipatory postural adjustments by reaction task movements. While standing, nine healthy males performed two reaction time tasks (shoulder flexion of dominant side and bilateral heel lift) before, during and after experimental muscle pain. On two different days experimental pain was induced in the m. vastus medialis (VM) or the m. tibialis anterior (TA) of the dominant side by injections of hypertonic saline (1 ml, 5.8%). Isotonic saline (1 ml, 0.9%) was used as control injection. Electromyography (EMG) was recorded from 13 muscles. EMG onset, EMG amplitude, and kinematic parameters (shoulder and ankle joint) were extracted. During shoulder flexion and VM pain the onset of the ipsilateral biceps femoris was significantly faster than baseline and post injection sessions. During heels lift in the VM and TA pain conditions the onset of the contralateral TA was significantly faster than baseline and post injection sessions in bilateral side. VM pain significantly reduced m. quadriceps femoris activity and TA pain significantly reduced ipsilateral VM activity and TA activity during bilateral heel lift. The EMG reaction time was delayed in bilateral soleus muscles during heels lift with VM and TA pain. The faster onset of postural muscle activity during anticipatory postural adjustments may suggest a compensatory function to maintain postural control whereas the reduced postural muscle activity during APAs may indicate a pain adaptation strategy to avoid secondary damage.     

“Posture first”: Interaction between posture and locomotion in people with low back pain during unexpectedly cued modification of gait initiation motor command

The ability to adapt anticipatory postural adjustments (APAs) in response to perturbations during single-joint movements is altered in people with chronic low back pain (LBP), but a comprehensive analysis during functional motor tasks is still missing. This study aimed to compare APAs and stepping characteristics during gait initiation between people with LBP and healthy controls, both in normal (without cue occurrence) condition and when an unexpected visual cue required to switch the stepping limb. Fourteen individuals with LPB and 10 healthy controls performed gait initiation in normal and switch conditions. The postural responses were evaluated through the analysis of center of pressure, propulsive ground reaction forces, trunk and whole-body kinematics, and activation onsets of leg and back muscles. During normal gait initiation, participants with LBP exhibited similar APAs and stepping characteristics to healthy controls. In the switch condition, individuals with LBP were characterized by greater mediolateral postural stability but decreased forward body motion and propulsion before stepping. The thorax motion was associated with forward propulsion parameters in both task conditions in people with LBP but not healthy controls. No between-group differences were found in muscle activation onsets. The results suggest that postural stability is prioritized over forward locomotion in individuals with LBP. Furthermore, the condition-invariant coupling between thorax and whole-body forward propulsion in LBP suggests an adaptation in the functional use of the thorax within the postural strategy, even in poor balance conditions.     

Updating process of internal model of action as assessed from motor and postural strategies in young adults

Internal models are constantly updated based on the actions and experiences of a person in the world. In the present study, we proposed to assess the updating process of internal models of action by providing new environmental constraints for motor planning, postural control, and execution processes in daily tasks such as STS and BTS. STS and BTS tasks were performed with different inclinations of the support surface on which the participant and the chair were positioned: horizontal support, support tilted 10° to the right, or forward. Twelve healthy adults participated in this experiment. Kinematic characteristics were recorded using an optoelectronic motion analysis system. Movement duration and trunk inclination amplitudes were analyzed for STS and BTS as well as trunk orientation and strategies of head stabilization. Concerning the movement analysis our results showed (1) temporal asymmetry between STS and BTS, attributed mainly to the integration of the mechanical effects of gravity, and (2) a decrease of trunk movements when the support was tilted forward, attesting to an immediate adaptation process. Concerning the postural analysis our study revealed that adults adopted selective head stabilization on space strategy with respect to balance constraints. To conclude, young adults were able to immediately update their internal model of action in order to optimize motor control and vertical body orientation.     

Effects of varying load conditions on the organization of postural adjustments during voluntary arm flexion

One purpose of the experiments reported here was to further clarify the effect of varying loads on postural adjustments. Another was to reevaluate whether or not the timing of electromyographic (EMG) activity in the postural muscle is preprogrammed. To accomplish these goals, we compared the effect of the presence or absence of prior knowledge of a load on the timing of EMG activity in the postural muscle (biceps femoris [BF]) with that in the focal muscle (anterior deltoid [AD]). Although the sequence of EMG activation was similar under conditions with and without a load, the timing of postural EMG activities (BFi, ipsilateral BF; BFc, contralateral BF) in associated postural adjustments was dependent on the force of arm movement, and the latencies of postural EMG activities (BFi-BFc) were dependent on the speed of arm movement. This indicates that EMG changes in the upper (focal muscle) and lower limbs (postural muscle) were triggered by different motor programs. Moreover, similar EMG activities were observed in postural muscles when the subject had advance knowledge of the presence or the absence of a load. Thus, this suggests that BFi may be centrally preprogrammed (anticipatory regulation) and BFc may be feedback regulated. Furthermore, environmental information may be a critical source of influence on those postural responses.     

Slip and Trip Perturbations During an Object Transport Task Requiring a Lateral Change in Support

The ability to counteract destabilizing external forces while simultaneously executing a complex task presents a novel way to ascertain one's ability to generate adaptive postural control responses to avoid a potential fall. In this study, participants performed an upper limb object transport task requiring a lateral change in support on a robotic platform that could remain fixed in space or translated (mimicking a slip or trip perturbation). No significant stability differences were observed at initial recovery step between slip and trip perturbations. Variability measures were greatest during the trip perturbations; though stability was at its greatest level preceding these perturbations. These results will aid in the design of future studies that will investigate adaptive postural control responses generated by older adults when executing similar, ongoing complex upper body tasks interrupted by a destabilizing support surface perturbation.     

Effects of Varying Load Conditions on the Organization of Postural Adjustments during Voluntary Arm Flexion

One purpose of the experiments reported here was to further clarify the effect of varying loads on postural adjustments. Another was to reevaluate whether or not the timing of electromyographic (EMG) activity in the postural muscle is preprogrammed. To accomplish these goals, we compared the effect of the presence or absence of prior knowledge of a load on the timing of EMG activity in the postural muscle (biceps femoris [BF]) with that in the focal muscle (anterior deltoid [AD]). Although the sequence of EMG activation was similar under conditions with and without a load, the timing of postural EMG activities (BFi, ipsilateral BF; BFc, contralateral BF) in associated postural adjustments was dependent on the force of arm movement, and the latencies of postural EMG activities (BFi—BFc) were dependent on the speed of arm movement. This indicates that EMG changes in the upper (focal muscle) and lower limbs (postural muscle) were triggered by different motor programs. Moreover, similar EMG activities were observed in postural muscles when the subject had advance knowledge of the presence or the absence of a load. Thus, this suggests that BFi may be centrally preprogrammed (anticipatory regulation) and BFc may be feedback regulated. Furthermore, environmental information may be a critical source of influence on those postural responses.     

Sport Skill–Specific Expertise Biases Sensory Integration for Spatial Referencing and Postural Control

The authors asked how sport expertise modulates visual field dependence and sensory reweighting for controlling posture. Experienced soccer athletes, ballet dancers, and nonathletes performed (a) a Rod and Frame test and (b) a 100-s bipedal stance task during which vision and proprioception were successively or concurrently disrupted in 20-s blocks. Postural adaptation was assessed in the mean center of pressure displacement, root mean square of center of pressure velocity and ankle muscles integrated electromyography activity. Soccer athletes were more field dependent than were nonathletes. During standing, dancers were more destabilized by vibration and required more time to reweigh sensory information compared with the other 2 groups. These findings reveal a sport skill–specific bias in the reweighing of sensory inputs for spatial orientation and postural control.     

Exploring how arm movement moderates the effect of task difficulty on balance performance in young and older adults

Emerging evidence highlights that arm movements exert a substantial and functionally relevant contribution on quiet standing balance control in young adults. Ageing is associated with “non-functional” compensatory postural control strategies (i.e., lower limb co-contraction), which in turn, may increase the reliance on an upper body strategy to control upright stance. Thus, the primary purpose of this study was to compare the effects of free versus restricted arm movements on balance performance in young and older adults, during tasks of different difficulty. Fifteen young (mean ± SD age; 21.3 ± 4.2 years) and fifteen older (mean ± SD age; 73.3 ± 5.0 years) adults performed bipedal, semi-tandem and tandem balance tasks under two arm position conditions: restricted arm movements and free arm movements. Centre of pressure (COP) amplitude and frequency were calculated as indices of postural performance and strategy, respectively. Especially in older adults, restriction of arm movement resulted in increased sway amplitude and frequency, which was primarily observed for the mediolateral direction. Further, increasing balance task difficulty raised the arm restriction cost (ARC; a new measure to quantify free vs. restricted arm movement differences in postural control) that was more prominent in older adults. These findings indicate the ARC provides a measure of reliance on the upper body for balance control and that arm movement is important for postural control in older adults, especially during tasks of greater difficulty.     

视觉预期和注意指向对姿势和动作肌肉预期和补偿姿势调节的影响

采用经典落球试验研究范式,同步观察视觉预期和注意指向对腰部姿势肌肉和上肢运动肌肉预期和补偿姿势调节的影响,探索视觉预期和注意指向影响姿势控制的早期心理生理机制。24名青年志愿者(10名男性,14名女性)参与完成本实验,分别在有、无视觉预期以及注意指向"托盘稳定"或者"重心稳定"的实验条件下观察外部姿势干扰对腰部姿势肌肉(L5~S1腰部多裂肌)和上肢动作肌肉(肱二头肌)预期姿势调节(anticipatory postural adjustments,APAs)和补偿姿势调节(compensatory postural adjustments,CPAs)相关时间和强度参数的影响。APAs和CPAs的时间和强度参数通过获取被检肌肉s EMG信号并参照相关检测规范进行。结果显示:(1)视觉预期对多裂肌的APAs启动时间,对肱二头肌的APAs启动时间、APAs强度和CPAs强度有显著影响;(2)注意指向对多裂肌的CPAs启动时间和肱二头肌APAs启动时间有显著影响;(3)视觉预期和注意指向对肱二头肌的APAs启动时间和APAs强度有交互作用。研究认为,突发外部姿势干扰条件下姿势肌肉和动作肌肉的姿势调节策略具有一定的差异,视觉预期和注意指向仅对姿势肌肉的时间参数有影响,对动作肌肉APAs和CPAs时间和强度参数都产生调节作用,表明在中枢神经系统的姿势控制中,人体姿势策略的调节是通过对姿势肌肉和动作肌肉的双重控制来完成的,视觉预期效应和心理指向效应反映在对不同功能肌肉前馈控制和反馈控制相应参数的调节。     

Review of first trial responses in balance control: influence of vestibular loss and Parkinson's disease

The reaction to an unexpected balance disturbance is unpractised, often startling and frequently associated with falls. This everyday situation can be reproduced in an experimental setting by exposing standing humans to sudden, unexpected and controlled movements of a support surface. In this review, we focus on the responses to the very first balance perturbation, the so-called first trial reactions (FTRs). Detailed analysis of FTRs may have important implications, both for clinical practice (providing new insights into the pathophysiological mechanisms underlying accidental falls in real life) and for understanding human physiology (what triggers and mediates these FTRs, and what is the relation to startle responses?). Several aspects of the FTRs have become clear. FTRs are characterized by an exaggerated postural reaction, with large EMG responses and co-contracting muscles in multiple body segments. This balance reaction is associated with marked postural instability (greater body sway to the perturbation). When the same perturbation is repeated, the size of the postural response habituates and the instability disappears. Other issues about FTRs remain largely unresolved, and these are addressed here. First, the functional role of FTRs is discussed. It appears that FTRs produce primarily increased trunk flexion during the multi-segmental response to postural perturbations, thus producing instability. Second, we consider which sensory signals trigger and modulate FTRs, placing specific emphasis on the role of vestibular signals. Surprisingly, vestibular signals appear to have no triggering role, but vestibular loss leads to excessive upper body FTRs due to loss of the normal modulatory influence. Third, we address the question whether startle-like responses are contributing to FTRs triggered by proprioceptive signals. We explain why this issue is still unresolved, mainly because of methodological difficulties involved in separating FTRs from ‘pure’ startle responses. Fourth, we review new work about the influence of perturbation direction on FTRs. Recent work from our group shows that the largest FTRs are obtained for toe-up support surface rotations which perturb the COM in the posterior direction. This direction corresponds to the directional preponderance for falls seen both in the balance laboratory and in daily life. Finally, we briefly touch upon clinical diagnostic issues, addressing whether FTRs (as opposed to habituated responses) could provide a more ecologically valid perspective of postural instability in patients compared to healthy subjects. We conclude that FTRs are an important source of information about human balance performance, both in health and disease. Future studies should no longer discard FTRs, but routinely include these in their analyses. Particular emphasis should be placed on the link between FTRs and everyday balance performance (including falls), and on the possible role played by startle reactions in triggering or modulating FTRs.     

The effect of force-controlled biting on human posture control

Several studies have confirmed the neuromuscular effects of jaw motor activity on the postural stability of humans, but the mechanisms of functional coupling of the craniomandibular system (CMS) with human posture are not yet fully understood. The purpose of our study was, therefore, to investigate whether submaximum biting affects the kinematics of the ankle, knee, and hip joints and the electromyographic (EMG) activity of the leg muscles during bipedal narrow stance and single-leg stance. Twelve healthy young subjects performed force-controlled biting (FB) and non-biting (NB) during bipedal narrow stance and single-leg stance. To investigate the effects of FB on the angles of the hip, knee, and ankle joints, a 3D motion-capture system (Vicon MX) was used. EMG activity was recorded to enable analysis of the coefficient of variation of the muscle co-contraction ratios (CVR) of six pairs of postural muscles. Between FB and NB, no significant differences were found for the mean values of the angles of the ankle, knee, and hip joints, but the standard deviations were significantly reduced during FB. The values of the ranges of motion and the mean angular velocities for the three joints studied revealed significant reduction during FB also. CVR was also significantly reduced during FB for five of the six muscle pairs studied. Although submaximum biting does not change the basic strategy of posture control, it affects neuromuscular co-contraction patterns, resulting in increased kinematic precision.     

Harnessing the Power of a Novel Program for Dynamic Balance Perturbation with Supported Body Weight

Abstract

Self-initiated postural adjustments commonly occur in daily life. To accessibly measure this type of dynamic balance, we developed a simple computer program to induce virtual perturbations and combined it with a commercially available balance board and portable EMG system to measure resulting self-initiated postural adjustments. When performing perturbed balance tests, safety harness with body weight support (BWS) is often used. However, influences of these harnesses on postural reactions are not well known. This study investigated the sensitivity of our assessment tool under different BWS conditions and muscle responses during postural adjustments following perturbation at different directions. Fifteen neurologically intact participants performed self-initiated postural adjustments under conditions with: (1) no harness; (2) harness with no BWS; and (3) harness with 10% BWS. Postural adjustment time and muscle activities of the lower leg were measured. We observed significant increases in postural adjustment time in the harness with no BWS condition and differneces in lower leg muscles response to virtual perturbation. Our findings suggest that the combination of our customized program with EMG is a sensitive and convenient tool to measure postural adjustments that approximate real-world scenarios. This method can be used with light body weight support to ensure safety without influencing muscle synergies.     

Older adults exhibit variable responses in stepping behaviour following unexpected forward perturbations during gait initiation

With the socioeconomic burden associated with falls expected to rise as the average age of the Canadian population increases, research is needed to elucidate the nature of postural responses generated by older adults (OA) following a posture-destabilizing event. This knowledge is even more imperative for novel and difficult tasks, such as gait initiation (GI), a task known to pose a postural threat to stability for OA. A common technique to regain stability following an unexpected perturbation is reactive stepping. A deficiency in the execution of a reactive control strategy following a destabilizing event may be the cause of many unexpected falls in OA. The purpose of this study is to explore age related changes in the nature of these responses during a challenging GI task combined with an unexpected forward perturbation of the support surface. A total of 18 young adults (YA) and 16 OA performed 36 trials containing 20 unexpected perturbations. We calculated step width, length, time and COM velocity in the first unperturbed step and the second perturbed step. Results revealed that, during unperturbed GI, OA had a reduced forward velocity and took shorter, faster steps. Following forward perturbations, OA altered stepping patterns, perhaps to reduce single support duration, via reduced base of support and shorter step length compared to YA. Additionally, OA executed both forward and backwards directed steps however YA only generated forward steps. Regression analyses revealed that reduced forward velocity was predictive of step direction; which is possibly an unfavorable motor control strategy as OA who walk slower generated a posterior directed step immediately following the perturbation. This strategy is of concern as rapid responses by the trail limb are required to recover successfully, and these alterations may be associated with an elevated risk of falls.     

How do visual and postural cues combine for self-tilt perception during slow pitch rotations?

Self-orientation perception relies on the integration of multiple sensory inputs which convey spatially-related visual and postural cues. In the present study, an experimental set-up was used to tilt the body and/or the visual scene to investigate how these postural and visual cues are integrated for self-tilt perception (the subjective sensation of being tilted). Participants were required to repeatedly rate a confidence level for self-tilt perception during slow (0.05°·s^− 1) body and/or visual scene pitch tilts up to 19° relative to vertical. Concurrently, subjects also had to perform arm reaching movements toward a body-fixed target at certain specific angles of tilt. While performance of a concurrent motor task did not influence the main perceptual task, self-tilt detection did vary according to the visuo-postural stimuli. Slow forward or backward tilts of the visual scene alone did not induce a marked sensation of self-tilt contrary to actual body tilt. However, combined body and visual scene tilt influenced self-tilt perception more strongly, although this effect was dependent on the direction of visual scene tilt: only a forward visual scene tilt combined with a forward body tilt facilitated self-tilt detection. In such a case, visual scene tilt did not seem to induce vection but rather may have produced a deviation of the perceived orientation of the longitudinal body axis in the forward direction, which may have lowered the self-tilt detection threshold during actual forward body tilt.     

Adaptation to continuous perturbation of balance: progressive reduction of postural muscle activity with invariant or increasing oscillations of the center of mass depending on perturbation frequency and vision conditions

We investigated the adaptation of balancing behavior during a continuous, predictable perturbation of stance consisting of 3-min backward and forward horizontal sinusoidal oscillations of the support base. Two visual conditions (eyes-open, EO; eyes-closed, EC) and two oscillation frequencies (LF, 0.2 Hz; HF, 0.6 Hz) were used. Center of Mass (CoM) and Center of Pressure (CoP) oscillations and EMG of Soleus (Sol) and Tibialis Anterior (TA) were recorded. The time course of each variable was estimated through an exponential model. An adaptation index allowed comparison of the degree of adaptation of different variables. Muscle activity pattern was initially prominent under the more challenging conditions (HF, EC and EO; LF, EC) and diminished progressively to reach a steady state. At HF, the behavior of CoM and CoP was almost invariant. The time-constant of EMG adaptation was shorter for TA than for Sol. With EC, the adaptation index showed a larger decay in the TA than Sol activity at the end of the balancing trial, pointing to a different role of the two muscles in the adaptation process. At LF, CoM and CoP oscillations increased during the balancing trial to match the platform translations. This occurred regardless of the different EMG patterns under EO and EC. Contrary to CoM and CoP, the adaptation of the muscle activities had a similar time-course at both HF and LF, in spite of the two frequencies implying a different number of oscillation cycles. During adaptation, under critical balancing conditions (HF), postural muscle activity is tuned to that sufficient for keeping CoM within narrow limits. On the contrary, at LF, when vision permits, a similar decreasing pattern of muscle activity parallels a progressive increase in CoM oscillation amplitude, and the adaptive balancing behavior shifts from the initially reactive behavior to one of passive riding the platform. Adaptive balance control would rely on on-line computation of risk of falling and sensory inflow, while minimizing balance challenge and muscle effort. The results from this study contribute to the understanding of plasticity of the balance control mechanisms under posture-challenging conditions.     

Simple lower extremity two-joint synergy

The purpose of this study was to describe the existence of a simple synergy in the lower extremity. Subjects performed discrete knee flexion or extension movements or ankle plantar or dorsiflexion movements in a sagittal plane, moving one of the joints "as fast as possible." Joint angles and electromyographic (EMG) signals from the biceps femoris, rectus femoris, soleus, and tibialis anterior were recorded. Typically, EMG patterns in both muscle pairs acting at the joints demonstrated the "triphasic" pattern. The knee flexor (biceps femoris) and ankle plantar flexor (soleus) tended to show simultaneous EMG bursts, while the knee extensor (rectus femoris) and ankle dorsiflexor (tibialis anterior) had similar patterns of activation. A two-joint simple synergy previously established for upper extremities seems pertinent for lower extremities as well. Such a synergy is used by the central nervous system to simplify control of the postural component of a motor task.     

Sensori-motor integration during stance: Time adaptation of control mechanisms on adding or removing vision

Sudden addition or removal of visual information can be particularly critical to balance control. The promptness of adaptation of stance control mechanisms is quantified by the latency at which body oscillation and postural muscle activity vary after a shift in visual condition. In the present study, volunteers stood on a force platform with feet parallel or in tandem. Shifts in visual condition were produced by electronic spectacles. Ground reaction force (center of foot pressure, CoP) and EMG of leg postural muscles were acquired, and latency of CoP and EMG changes estimated by t-tests on the averaged traces. Time-to-reach steady-state was estimated by means of an exponential model. On allowing or occluding vision, decrements and increments in CoP position and oscillation occurred within about 2 s. These were preceded by changes in muscle activity, regardless of visual-shift direction, foot position or front or rear leg in tandem. These time intervals were longer than simple reaction-time responses. The time course of recovery to steady-state was about 3 s, shorter for oscillation than position. The capacity of modifying balance control at very short intervals both during quiet standing and under more critical balance conditions speaks in favor of a necessary coupling between vision, postural reference, and postural muscle activity, and of the swiftness of this sensory reweighing process.     

Higher order balance control: Distinct effects between cognitive task and manual steadiness constraint on automatic postural responses

In the present experiment, we aimed to evaluate the interactive effect of performing a cognitive task simultaneously with a manual task requiring either high or low steadiness on APRs. Young volunteers performed the task of recovering upright balance following a mechanical perturbation provoked by unanticipatedly releasing a load pulling the participant’s body backwards. The postural task was performed while holding a cylinder steadily on a tray. One group performed that task under high (cylinder’ round side down) and another one under low (cylinder’ flat side down) manual steadiness constraint. Those tasks were evaluated in the conditions of performing concurrently a cognitive numeric subtraction task and under no cognitive task. Analysis showed that performance of the cognitive task led to increased body and tray displacement, associated with higher displacement at the hip and upper trunk, and lower magnitude of activation of the GM muscle in response to the perturbation. Conversely, high manual steadiness constraint led to reduced tray velocity in association with lower values of trunk displacement, and decreased rotation amplitude at the ankle and hip joints. We found no interactions between the effects of the cognitive and manual tasks on APRs, suggesting that they were processed in parallel in the generation of responses for balance recovery. Modulation of postural responses from the manual and cognitive tasks indicates participation of higher order neural structures in the generation of APRs, with postural responses being affected by multiple mental processes occurring in parallel.     

The Influence of Motor Imagery on Postural Sway: Differential Effects of Type of Body Movement and Person Perspective

The present study examined the differential effects of kinesthetic imagery (first person perspective) and visual imagery (third person perspective) on postural sway during quiet standing. Based on an embodied cognition perspective, the authors predicted that kinesthetic imagery would lead to activations in movement-relevant motor systems to a greater degree than visual imagery. This prediction was tested among 30 participants who imagined various motor activities from different visual perspectives while standing on a strain gauge plate. The results showed that kinesthetic imagery of lower body movements, but not of upper body movements, had clear effects on postural parameters (sway path length and frequency contents of sway). Visual imagery, in contrast, had no reliable effects on postural activity. We also found that postural effects were not affected by the vividness of imagery. The results suggest that during kinesthetic motor imagery participants partially simulated (re-activated) the imagined movements, leading to unintentional postural adjustments. These findings are consistent with an embodied cognition perspective on motor imagery.     

神经肌肉下意识前馈与反馈控制的知觉线索效应

为研究视觉和时间知觉线索对突发外部姿势干扰下中枢神经系统对动作肌肉和姿势肌肉预期姿势调节(APAs)和补偿姿势调节(CPAs)的影响, 本研究被试分别在视觉和时间线索引导下完成经典落球试验, 同步采集右侧动作肌肉肱二头肌和姿势肌肉腰部竖脊肌和腰部多裂肌的sEMG信号, 计算被检肌肉APAs发生率、预激活时间和CPAs反应强度。结果发现, 视觉线索可以引发动作肌肉和姿势肌肉APAs发生率明显增加, 预激活时间明显提前, 以及动作肌肉CPAs反应强度明显减小; 而时间线索主要引发动作肌肉预激活提前, 对姿势肌肉APAs和CPAs无明显影响。该结果表明, 视觉和时间引导线索对突发外部姿势干扰条件下人体姿势肌肉和动作肌肉的中枢运动控制具有不同的作用。视觉引导线索能够明显增加姿势肌肉和动作肌肉预激活发生率和提早预激活时间, 表现出明显的“视觉线索预激活优势现象”; 而时间引导线索主要引发动作肌肉预激活提前, 对姿势肌肉APAs和CPAs无明显影响。