Biomechanical Study of Tandem Stance in Healthy Young Adults: Effects of Weight-Bearing and Limb Dominance

Postural strategies of healthy young adults to control tandem stance were investigated through the calculation of the relative contribution of the two loading-unloading (LU) and pressure-distribution (PD) mechanisms and the two legs for controlling the resultant center-of-pressure (CP_Res) displacements. Weight-bearing asymmetry and limb dominance were also studied. For antero-posterior and medio-lateral CP_Res displacements, LU and PD mechanisms mainly contribute, respectively. A significant LU contribution is nonetheless observed for medio-lateral control, due to a lateral gap between the CP positions under each foot despite a strict sagittal alignment for the two feet. Moreover, for medio-lateral control, the respective involvement of the two legs is related to the level of weight-bearing asymmetry, whereas the front leg mainly controls the antero-posterior sway. By specifying potential effects of body-weight asymmetry and limb dominance, to a better testing of patients with deficiencies in lateral sway control.     

Sudden gains as a long-term predictor of treatment improvement among children in community mental health organizations

ObjectiveSudden gains have been described as rapid, sizeable changes observed between treatment sessions and have been associated with improved treatment outcome in adults. The current study examined weekly sudden gains among children seeking treatment in the community mental health setting.MethodParticipants were 161 children (age M = 10.58, SD = 1.73; 69.6% male; 47.8% Caucasian) and their parents who were randomized to one of three treatment modalities and were administered weekly and quarterly assessments throughout treatment.ResultsWhen idiographic (youth- and parent-identified “top problems”) and nomothetic measures (standardized checklists) were used to calculate sudden gains (i.e., gain must be large: in absolute terms, relative to prior session, and relative to changes in prior and subsequent sessions), 20–42% of participants experienced at least one sudden gain during treatment. Most sudden gains occurred early in treatment, and session content of relaxation was associated with sudden gain presence. Using a modified Bonferonni correction, sudden gains predicted overall symptom levels at final assessment (i.e., last assessment obtained following post-treatment) even after controlling for pre-treatment symptom levels and magnitude of the overall gain from pre- to post-treatment.ConclusionsSuddenness of gains may have a direct effect on long-term treatment outcome among children in the community.     

Changes in Limb Stiffness Under Conditions of Mental Stress

In 2 experiments, the effects of mental stress on limb stiffness were investigated. The relative contribution to arm stiffness of individual muscle activity, co-contraction, muscle reflexes, and postural adjustments were examined. In each experiment, participants (N = 24, Experiment 1; N = 16, Experiment 2) held their supinated hand under a tray that they were required to return to horizontal after it had been suddenly released. Electromyographic activity in the biceps and triceps muscles was recorded, as were elbow and wrist angles and tray displacement. In Experiment 1, mental arithmetic stress was shown to lead to decreased tray displacement (i.e., increased resistance) compared with displacements under the control, unstressed condition, as well as to increased elbow flexion before tray release. In Experiment 2, the increased resistance to perturbation caused by mental stress was found to be independent of initial elbow angle, but to vary as a function of the amount of upward force exerted before tray release. The authors conclude that stress-induced increases in limb stiffness result from changes in the initial position of the elbow, specified by its angle, together with the initial force exerted by participants to counteract the mechanical perturbations.     

Memory Drum Theory

Two experiments investigated the memory drum theory’s prediction (Henry & Rogers, 1960) that simple reaction time (SRT) increased with the complexity of the response to be initiated. Experiment 1 (N = 9) matched the Experiment 1, Group 1, SRT condition described by Henry and Rogers. Results of Experiment 1 replicated those of Henry and Rogers and indicated that the memory drum theory’s prediction of increased SRT as a function of increased complexity of response was tenable. Experiment 2 (N = 11) tested the effects of anatomical unit, extent, and target size on SRT, premotor time, and motor time. The results supported the contention that alternative explanations for SRT were possible. With complexity constant, increases in anatomical unit lead to increases in SRT, but only in the motor time component which indicated electromechanical rather than neuromotor program delays. It is proposed that the increased motor time could be explained by peripheral events such as the duration maximum torque must be applied by the agonist muscle(s) to generate the angular acceleration required to initiate rapid movement. SRT, premotor time, and motor time increased when target size was reduced from 6.35 cm to .79 cm. The increased premotor time could be a function of the determining of new equilibrium points for the elbow joint during response initiation. No effects on SRT were observed for extent.     

The Use of Location and Distance in Reproducing Different Amplitudes of Movement

Experiments have demonstrated that in order to reproduce a standard movement, subjects can move for a certain distance or move to a certain location. Available evidence tentatively suggests the use of distance for short movements and location for long movements. However, this evidence is in conflict with the motor short-term memory characteristics of short and long movements. An experiment is reported which demonstrates that subjects spontaneously use distance for short movements and location for long movements, the procedure adopted being to shift by small amounts the starting-point of the estimation movements and test for a consequent shift in the end-point of the estimation. The experiment also revealed that using distance or location to reproduce a 40° movement resulted in equal accuracy, suggesting that the use of large amplitudes of movement has caused previous investigators to find that distance is less accurate than location.     

Comparing Online Adjustments to Distance and Direction in Fast Pointing Movements

It has been suggested that movements are planned in terms of direction and distance. If so, online adjustments to changes in the direction and distance of the movements may also differ. The authors therefore investigated whether fast online movement adjustments are the same for perturbations of the direction and of the distance. While subjects made fast pointing movements, the authors perturbed either target direction or distance or both shortly after movement initiation. Both kinds of perturbations resulted in accurate online adjustments. The latency and intensity of corrections for distance and direction perturbations were quite similar. This suggests that there might be one mechanism controlling both distance and direction perturbations.     

The Dynamics of Visual Reweighting in Healthy and Fall-Prone Older Adults

Multisensory reweighting (MSR) is an adaptive process that prioritizes the visual, vestibular, and somatosensory inputs to provide the most reliable information for postural stability when environmental conditions change. This process is thought to degrade with increasing age and to be particularly deficient in fall-prone versus healthy older adults. In the present study, the authors investigate the dynamics of sensory reweighting, which is not well-understood at any age. Postural sway of young, healthy, and fall-prone older adults was measured in response to large changes in the visual motion stimulus amplitude within a trial. Absolute levels of gain, and the rate of adaptive gain change were examined when visual stimulus amplitude changed from high to low and from low to high. Compared with young adults, gains in both older adult groups were higher when the stimulus amplitude was high. Gains in the fall-prone elderly were higher than both other groups when the stimulus amplitude was low. Both older groups demonstrated slowed sensory reweighting over prolonged time periods when the stimulus amplitude was high. The combination of higher vision gains and slower down weighting in older adults suggest deficits that may contribute to postural instability.     

Undisturbed Upright Stance Control in the Elderly: Part 2. Postural-Control Impairments of Elderly Fallers

A common way of predicting falling risks in elderly people can be to study center of pressure (CP) trajectories during undisturbed upright stance maintenance. By estimating the difference between CP and center of gravity (CG) motions (CP - CG_v), one can estimate the neuromuscular activity. The results of this study, which included 34 sedentary elderly persons aged over 75 years (21 fallers and 13 nonfallers), demonstrated significantly increased CG_h and CP - CG_v motions in both axes for the fallers. In addition, the fallers presented larger CG_h motions in the mediolateral axis, suggesting an enlarged loading—unloading mechanism, which could have reflected the adoption of a step-initiating strategy. As highlighted by fractional Brownian motion modeling, the distance covered by the CP - CG_v motions before the successive control mechanisms switched was enhanced for the fallers in both axes, therefore increasing the risk that the CG would be outside of the base of support.     

Examining the Effects of Postural Constraints on Estimating Reach

The tendency to overestimate has consistently been reported in studies of reachability estimation. According to one of the more prominent explanations, the postural stability hypothesis, the perceived reaching limit depends on the individual's perceived postural constraints. To test that proposition, the authors compared estimates of reachability of 38 adults (a) in the seated posture (P1) and (b) in the more demanding posture of standing on one foot and leaning forward (P2). Although there was no difference between conditions for total error, results for the distribution and direction of error indicated that participants overestimated in the P1 condition and underestimated in the P2 condition. It therefore appears that perceived postural constraints could be a factor in judgments of reachability. When participants in the present study perceived greater postural demands, they may have elected to program a more conservative strategy that resulted in underestimation.     

Effects of the Central Executive on Postural Control

The authors focused on individual working memory (WM) capacity and examined its effect on postural control. Participants were 79 young volunteers split into two groups of low- and high WM span, based on scores from the Reading Span Test. The length of unrest was measured in the following conditions: double-leg standing as a single (D-S) task, single-leg standing as a single (S-S) task, double-leg standing as a dual (D-D) task, and single-leg standing as a dual (S-D) task. Regarding inte-group comparisons, total length was prolonged significantly between the low- and the high-span groups but only on the S-D task. The present results revealed that dual-task interference emerged in the low-span group when in a more unstable posture.