Effects of plantar cutaneo-muscular and tendon vibration on posture and balance during quiet and perturbed stance

Modulation of lower limb somatosensory information by tendon or plantar vibration produces directionally specific, vibration-induced falling reactions that depend on the tendon or the region of the sole that is vibrated. This study characterized the effects of different patterns of plantar cutaneo-muscular vibration and bilateral Achilles tendon vibration (ATV) on the postural strategies observed during quiet and perturbed stance. Twelve healthy young participants stood barefooted, with their vision blocked, on two sets of plantar vibrators placed on two AMTI force plates embedded in a moveable support surface. Two other vibrators were positioned over the Achilles tendons. Participants were randomly exposed to different patterns of plantar cutaneo-muscular and ATV. Tilts of the support surface in the toes-up (TU) and toes-down (TD) directions were given 5-8 s after the beginning of vibration. Body kinematics in 3D and ground reaction forces were recorded. Bilateral ATV applied with or without rearfoot vibration (RFV) during quiet stance resulted in a whole-body backward leaning accompanied by an increase in trunk extension and hip and knee flexion. RFV alone produced a forward whole-body tilt with increased flexion in trunk, hip, and ankle. When stance was perturbed by TU tilts, the center of mass (CoM) and center of pressure (CoP) displacements were larger in the presence of RFV or ATV and associated with increased peak trunk flexion. TD tilts with or without ATV resulted in no significant difference in CoM and CoP displacements, while larger trunk extension and smaller distal angular displacements were observed during ATV. RFV altered the magnitude of the balance reactions, as observed by an increase in CoP displacements and variable response in trunk displacement. Significant interactions between ATV and RFV were obtained for the peak angular excursions for both directions of perturbations, where ATV either enhanced (for TU tilts) or attenuated (for TD tilts) the influence of RFV. Manipulating somatosensory information from the plantar cutaneo-muscular and muscle spindle Ia afferents thus results in altered and widespread postural responses, as shown by profound changes in body kinematics and CoM and CoP displacements. This suggests that the CNS uses plantar cutaneo-muscular and ankle spindle afferent inputs to build an appropriate reference of verticality that influences the control of equilibrium during quiet and perturbed stance.     

Tactile sensitivity of children: effects of frequency, masking, and the non-Pacinian I psychophysical channel

Tactile perception depends on the contributions of four psychophysical tactile channels mediated by four corresponding receptor systems. The sensitivity of the tactile channels is determined by detection thresholds that vary as a function of the stimulus frequency. It has been widely reported that tactile thresholds increase (i.e., sensitivity decreases) as a function of age. However, there is controversial evidence with regard to the progressive loss of sensitivity starting from childhood. In this study, the tactile thresholds of children (n=9, ages 7-11 years) were measured and compared with the thresholds of young adults (n=11, ages 21-27 years). The stimuli consisted of sinusoidal bursts of mechanical displacements, which were applied to the left index fingertips of the participants by using a cylindrical probe (base area=0.126 cm2) without a contactor surround. Absolute thresholds were measured at frequencies of 2, 10, 40, 100, 250, and 500 Hz without masking. The absolute thresholds decreased at high frequencies and were similar to data from the literature except for some discrepancy because of methodological differences. In addition, the threshold of the non-Pacinian I channel was measured at 40 Hz by elevating the thresholds of the Pacinian channel by forward masking. The effects of forward masking in children were similar to results in young adults. In conclusion, there were no significant differences between the tactile thresholds of children and those of young adults at key frequencies: 40 Hz for the Pacinian and non-Pacinian I channels and 250 Hz for the Pacinian channel. These findings contradict the hypothesis that there is gradual loss of tactile sensitivity starting from childhood to early adulthood. The loss of sensitivity due to aging probably is more abrupt and occurs at a later age.     

Short-term effect of whole-body vibration training on balance,flexibility and lower limb explosive strength in elite rhythmic gymnasts

The purpose of this study was to examine whether whole-body vibration (WBV) training results in short-term performance improvements in flexibility, strength and balance tests in comparison to an equivalent exercise program performed without vibration. Eleven elite rhythmic gymnasts completed a WBV trial, and a control, resistance training trial without vibration (NWBV). The vibration trial consisted of eccentric and concentric squatting exercises on a vibration platform that was turned on, whereas the NWBV involved the same training protocol with the platform turned off. Balance was assessed using the Rhythmic Weight Shift (RWS) based on the EquiTest Dynamic Posturography system; flexibility was measured using the sit & reach test, and lower limb explosive strength was evaluated using standard exercises (squat jump, counter movement jump, single leg squat). All measurements were performed before (pre) immediately after the training program (post 1), and 15 minutes after the end of the program (post 15). Data were analyzed using repeated measures ANOVA was used with condition (WBV-NWBV) as the primary factor and time (pre, post 1, post 15) as the nested within subjects factor, followed by post-hoc pairwise comparison with Bonferroni corrections. Results confirmed the hypothesis of the superiority of WBV training, especially in the post 15 measurement, in all flexibility and strength measures, as well as in a number of balance tests.