The balance beam in the balance: reflections on rules, relational complexity, and developmental processes

The lead articles by Jansen and van der Maas (2002, this issue) and Halford, Andrews, Dalton, Boag, and Zielinski (2002, this issue) raise numerous questions concerning the development of rule use and how best to assess it. In this Reflection, we focus on the following: (a) When can one infer the use of a rule? (b) What are the mechanisms underlying the development of rule use? and (c) What is the relation between understanding and execution? In addressing these questions, we contrast relational complexity theory with cognitive complexity and control (CCC) theory.     

Being (un)moved by mental time travel

Mental imagery of events in the past or future, and of unpleasant or pleasant events, has been found to lead to spontaneous backward/forward bodily motions. Both time and emotion are represented along a spatial continuum, and activation of these representations seems to be simulated in spontaneous changes in body posture. We performed a conceptual replication and extension of an earlier study by Miles, Nind, and Macrae (2010) who reported clear postural effects when thinking of the past and the future. We additionally tested whether changes in posture appear when thinking of an emotional event. Volunteers engaged in mental imagery, involving combinations of time intervals and emotions. We simultaneously recorded center-of-pressure (COP) changes. Results revealed neither an effect of imagery of time nor of emotion on body posture. We conclude that embodied effects of imagery of abstract items on body posture may be less robust than suggested by previous literature.     

Embodied prosthetic arm stabilizes body posture,while unembodied one perturbs it

Senses of ownership (this arm belongs to me) and agency (I am controlling this arm) originate from sensorimotor system. External objects can be integrated into the sensorimotor system following long-term use, and recognized as one’s own body. We examined how an (un)embodied prosthetic arm modulates whole-body control, and assessed the components of prosthetic embodiment. Nine unilateral upper-limb amputees participated. Four frequently used their prosthetic arm, while the others rarely did. Their postural sway was measured during quiet standing with or without their prosthesis. The frequent users showed greater sway when they removed the prosthesis, while the rare users showed greater sway when they fitted the prosthesis. Frequent users reported greater everyday feelings of postural stabilization by prosthesis and a larger sense of agency over the prosthesis. We suggest that a prosthetic arm maintains or perturbs postural control, depending on the prosthetic embodiment, which involves sense of agency rather than ownership.     

Reducing postural sway by concurrently performing challenging cognitive tasks

The present experiment varied cognitive complexity and sensory modality on postural control in young adults. Seventeen participants (23.71 ± 1.99 years) were instructed to stand feet together on a force platform while concurrently performing cognitive tasks of varying degrees of difficulty (easy, moderate and difficult). The cognitive tasks were presented both, auditorily and visually. Auditory tasks consisted of counting the occurrence of one or two letters and repeating a string of words. Visual tasks consisted of counting the occurrence of one or two numbers. With increasing cognitive demand, area of 95% confidence ellipse and ML sway variability was significantly reduced. The visual tasks reduced ML sway variability, whereas the auditory tasks increased COP irregularity. We suggest that these findings are primarily due to an increase in sensorimotor integration as a result of a shift in attentional focus.     

The effects of dual-tasking on arm muscle responses in young and older adults

This study examined whether dual-tasking affects an individual’s ability to generate arm muscle responses following a loss of balance. Nineteen young and 16 older adults recovered their balance in response to a surface translation. This balance task was either completed on its own or while counting backwards by 2’s (easy counting difficulty) or 7’s (hard counting difficulty). With increasing counting difficulty, less attentional resources were assumed to be available for balance recovery. The ability to generate arm muscle responses was quantified through the measurement of electromyographic (EMG) onset latencies and amplitudes from three arm muscles. Results indicated that the attentional requirements of the counting task did not greatly affect EMG onset latencies or amplitudes for both young and older adults. Even when an effect was observed, the magnitude of change was small (e.g., ∼3 ms earlier EMG onset and ∼2.0%MVC smaller EMG amplitude during the dual- compared to the single-task conditions). Thus, the generation of arm muscle responses do not appear to require a significant amount of attentional resources and the decreased ability to cope with cognitive interference with ageing is unlikely to explain why older adults have difficulty in generating arm responses following a loss of balance.     

Effects of disease severity and medication state on postural control asymmetry during challenging postural tasks in individuals with Parkinson’s disease

The aim of this study was to investigate the effects of disease severity and medication state on postural control asymmetry during challenging tasks in individuals with Parkinson’s disease (PD). Nineteen people with PD and 11 neurologically healthy individuals performed three standing task conditions: bipedal standing, tandem and unipedal adapted standing; the individuals with PD performed the tasks in ON and OFF medication state. The participants with PD were distributed into 2 groups according to disease severity: unilateral group (n = 8) and bilateral group (n = 11). The two PD groups performed the evaluations both under and without the medication. Two force plates were used to analyze the posture. The symmetric index was calculated for various of center of pressure. ANOVA one-way (groups) and two-way (PD groups × medication), with repeated measures for medication, were calculated. For main effects of group, the bilateral group was more asymmetric than CG. For main effects of medication, only unipedal adapted standing presented effects of PD medication. There was PD groups × medication interaction. Under the effects of medication, the unilateral group presented lower asymmetry of RMS in anterior–posterior direction and area than the bilateral group in unipedal adapted standing. In addition, the unilateral group presented lower asymmetry of mean velocity, RMS in anterior–posterior direction and area in unipedal standing and area in tandem adapted standing after a medication dose. Postural control asymmetry during challenging postural tasks was dependent on disease severity and medication state in people with PD. The bilateral group presented higher postural control asymmetry than the control and unilateral groups in challenging postural tasks. Finally, the medication dose was able to reduce postural control asymmetry in the unilateral group during challenging postural tasks.     

Evaluating feedback time delay during perturbed and unperturbed balance in handstand

Feedback delays in balance are often assessed using muscle activity onset latencies in response to discrete perturbations. The purpose of the study was to calculate EMG latencies in perturbed handstand, and determine if delays are different to unperturbed handstand. Twelve national level gymnasts completed 12 perturbed and 10 unperturbed (five eyes open and five closed) handstands. Forearm EMG latencies during perturbed handstands were assessed against delay estimates calculated via: cross correlations of wrist torque and COM displacement, a proportional and derivative model of wrist torque and COM displacement and velocity (PD model), and a PD model incorporating a passive stiffness component (PS-PD model). Delays from the PD model (161 ± 14 ms) and PS-PD model (188 ± 14 ms) were in agreement with EMG latencies (165 ± 14 ms). Cross correlations of COM displacement and wrist torque provided unrealistically low estimates (5 ± 9 ms). Delays were significantly lower during perturbed (188 ± 14 ms) compared to unperturbed handstand (eyes open: 207 ± 12 ms; eyes closed: 220 ± 19 ms). Significant differences in delays and model parameters between perturbed and unperturbed handstand support the view that balance measures in perturbed testing should not be generalised to unperturbed balance.     

Cycling strategies of young and older cyclists

This study concentrates on the cycling strategies of older cyclists (54–62 year olds) in comparison to young cyclists (20–30 year olds). While cycling in a safe laboratory set-up, controlled lateral perturbations are applied to the rear of the bicycle. Three possible strategies to keep balance are analysed for a young and older aged group: steering, lateral trunk movement and outward knee movement. Older subjects appear to rely more on knee movement as a control mechanism than young subjects. Furthermore, the frequency domain analysis revealed that the older adults need more effort to counteract high frequency perturbations. Increased inter-individual variation for the older adults subject group suggests that this group can be seen as a transition group in terms of physical fitness. This explains their increased risk in single-sided bicycle accidents (i.e. accidents involving the cyclist only). Therefore, older cyclists could benefit from improving the stability of cycling at lower speeds.     

The relative importance of different perceptual-cognitive skills during anticipation

We examined whether anticipation is underpinned by perceiving structured patterns or postural cues and whether the relative importance of these processes varied as a function of task constraints. Skilled and less-skilled soccer players completed anticipation paradigms in video-film and point light display (PLD) format. Skilled players anticipated more accurately regardless of display condition, indicating that both perception of structured patterns between players and postural cues contribute to anticipation. However, the Skill × Display interaction showed skilled players’ advantage was enhanced in the video-film condition, suggesting that they make better use of postural cues when available during anticipation. We also examined anticipation as a function of proximity to the ball. When participants were near the ball, anticipation was more accurate for video-film than PLD clips, whereas when the ball was far away there was no difference between viewing conditions. Perceiving advance postural cues appears more important than structured patterns when the ball is closer to the observer, whereas the reverse is true when the ball is far away. Various perceptual-cognitive skills contribute to anticipation with the relative importance of perceiving structured patterns and advance postural cues being determined by task constraints and the availability of perceptual information.     

Head and Trunk Control While Walking in Older Adults with Diabetes: Effects of Balance Confidence

Investigations of gait in older adults with diabetes mellitus (DM) have been primarily focused on lower limb biomechanical parameters. Yet, the upper body accounts for two thirds of the body's mass, and head and trunk control are critical for balance. The authors examined head and trunk control during self-selected comfortable, fast, and dual-task walking and the relationship between balance confidence and potential head-trunk stiffening strategies in older adults with DM without diagnosed diabetic peripheral neuropathy (DPN). Twelve older adults with DM without diagnosed DPN (DM group) and 12 without DM (no-DM group) were recruited. Walking speed, peak-to-peak head and trunk roll displacement, head and trunk roll velocity, and head-trunk correlation were measured while walking at a self-selected comfortable or fastest possible speed with or without a secondary cognitive task. The Activities-specific Balance Confidence scale measured balance confidence. Subtle group differences in axial segmental control (lower trunk roll velocity; higher head-trunk correlation) were apparent in older adults with DM even in the absence of DPN. Balance confidence was 19% lower in the DM group than in the no-DM group, and partially explained (34%) the group difference in head-trunk stiffening. These results emphasize the need for proactive monitoring of postural control and balance confidence before the onset of DPN.