Variations in Linear and Nonlinear Postural Measurements under Achilles Tendon Vibration and Unstable Support-Surface Conditions

Reduced support-surface stability has been shown to attenuate the effect of Achilles tendon vibration on backward body displacement. In the present study, 20 participants performed a quiet, upright standing task on a stable and sway-referenced support, with and without vibration. The authors calculated equilibrium scores (ES), approximate entropy (ApEn), and mean and peak power spectral density frequencies of center-of-pressure variations. It was found that ES values decreased with the addition of vibration and in the sway-referenced support condition. ApEn values decreased with the addition of vibration but only with a stable support. Conversely, mean and peak frequencies increased with the addition of vibration, independent of support stability. These results suggest that the role of ankle proprioceptive input changes depending on support-surface characteristics and demonstrate the value of using both linear and nonlinear measures of postural sway.     

Influence of Destabilization on the Temporal Characteristics of “Volitional” Stepping

Previous work suggests that there may be fundamental differences between compensatory stepping responses evoked by postural perturbation and visually cued “volitional” stepping (e.g., gait initiation). In contrast to visual cueing, postural destabilization evokes an array of sensory inputs that are intrinsically linked to the mobilization of rapid compensatory responses. The hypothesis examined in this study was that this fundamental difference would lead to distinct changes in the temporal characteristics of the stepping response. Six healthy young adults were instructed to step quickly in response to either visual cueing or anterioposterior platform motion. Both forward and backward stepping responses were characterized, using measures of vertical ground reaction force. A stereotypical temporal patterning of the stepping response occurred in both stimulus conditions and both directions of stepping, and anticipatory postural adjustments were evident in all trials. However, postural destabilization led to a more rapid initiation and execution of the temporal pattern, in comparison with visually cued responses. The most pronounced effect was seen in the duration of the response, which was reduced by a factor of two, with approximately proportional foreshortening of both the preparatory and swing phases. The results suggest that sensory information conveying a state of instability has a distinct influence on the characteristics of a subsequent stepping reaction. The persistence of the anticipatory postural adjustments suggests that the failure to see this element of the response in previous studies may reflect fundamental differences between volitional and unplanned compensatory stepping.     

Oscillations in Motor Priming: Positive Rebound Follows the Inhibitory Phase in the Masked Prime Paradigm

From among the diverse meanings of stability, the one the author adopts here is that the effects of a perturbation are opposed, and therefore small effects remain small. Except in linear systems, however, instability need not lead to unbounded motion and may actually be desirable when maneuverability is important. Moreover, properties of nerves, muscles, and tendons present serious challenges to stabilization. A review of observations from the motor control literature reveals that responses to perturbations in many common situations assist rather than resist the perturbation and are therefore presumably destabilizing. The observations encompass situations of position maintenance as well as impending or ongoing movement. The author proposes that the motor control system responds to a sudden perturbation by a pattern of muscle activity that mimics an accustomed voluntary movement, oblivious of stability considerations. What prevents runaway motion in the face of short-term instability appears to be voluntary intervention.     

How do Motor Systems Deal with the Problems of Controlling Three-Dimensional Rotations?

Rotations are fundamental to motor control, not only for orienting to stimuli but also in the joint articulations that underlie translational movements. Studying three-dimensional (3-D) rotations of the simplest joint system, the eye, has provided general insights into the neural control of movement. First, in selecting one 3-D eye orientation for each two-dimensional (2-D) gaze direction, the oculomotor system generates a behavior called Listing's law that constrains eye position to a 2-D plane, Listing's plane. This selection is made internally by an inverse kinematic transformation called the Listing's law operator. Second, the oculomotor system incorporates the inherent multiplicative relationship between rotational velocity and position to generate the 3-D movement and position commands required by Listing's law. Finally, the coordinate systems for these commands appear to align with Listing's plane rather than with anatomic structures. Recent investigations have revealed similar behavioral constraints in the orientations of the head and arm, suggesting that the neural mechanisms for Listing's law may have analogues in many motor systems.     

Postural Requirements and Progression Velocity in Young Walkers

This article describes developmental changes in gait velocity and relates these changes to gait parameters that index postural stability (step width and lateral acceleration) and two components of velocity (cadence and step length).

Five children were observed longitudinally over a 2-year period after onset of independent walking. Their range of speed increased threefold in the first 6 months of independent walking and then remained constant. In contrast, step width decreased approximately twofold. Whereas in adults, cadence and step length contribute approximately equally to speed, when infants first begin to walk independently, increase in velocity is due mostly to increased step length. After 5 months of independent walking, the pattern reverses, and increase in velocity is due primarly to increased cadence. The pattern remains constant over the next 18 months. From a developmental point of view, the data lead us to interpret early walking (the first 5 months) as a process of integration of postural constraints into the dynamic necessities of gait movement. A second phase, beginning after 4 to 5 months of independent walking, is considered to be a tuning phase characterized by a more precise adjustment of the gait parameters.     

Differences in Rapid Initiation and Termination of Voluntary Postural Sway Associated with Ageing and Falls-Risk

The authors examined differences between young adults (n = 25) and healthy older adults (n = 48) in reaction time and the relations between center of pressure (COP) and center of mass (COM) motions during rapid initiation and termination of voluntary postural sway. Older adults were divided into low and high falls-risk groups based on Physiological Profile Assessment scores of sensorimotor function. Low falls-risk older adults had slower reaction times during anteroposterior sway initiation and decreased COP–COM separation during anteroposterior and medialateral sway initiation and anteroposterior continuous voluntary sway compared with young adults. High falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during sway initiation and continuous voluntary sway in the anteroposterior and medialateral directions compared with young adults. Compared with low falls-risk older adults, high falls-risk older adults had slower initiation and termination reaction times in all response directions and decreased COP–COM separation during medialateral continuous voluntary sway. Reaction time and COP–COM measures significantly predicted group status in discriminant models with sensitivities and specificities of 72–100%. Overall, these findings highlight important associations of age-related declines in sensorimotor function related to an increased risk of falling with slower postural reaction time and reduced postural stability.     

Attentional biases using the body in the crowd task: Are angry body postures detected more rapidly?

Research using schematic faces has consistently demonstrated attentional biases towards threatening information (angry faces), which are accentuated for individuals with higher levels of anxiety. However, research has yet to reveal whether this is the case for other nonverbal channels of communication. In the research reported here, ninety-five undergraduates completed a body in the crowd task analogous to the face in the crowd task, to examine whether attentional biases for threat existed for schematic body postures. Participants demonstrated faster detection of threat. A discrepant angry posture in a neutral crowd was identified quicker than a discrepant happy posture in a neutral crowd. This effect was pronounced for individuals with higher self-reported levels of trait anxiety. Results also demonstrated evidence of delayed disengagement from threat. Individuals were slower (i.e., more distracted) by identical crowds of angry postures rather than happy or neutral crowds and were slower to detect a discrepant neutral posture among an angry crowd than neutral among a happy crowd. These findings are the first to establish threat biases using body postures in a visual search paradigm. The results are in accordance with previous research using schematic face stimuli. Theoretical and practical implications are discussed.     

A survey of smoking status and cancer risk perceptions among participants attending a hospital-based head and neck screening program

Abstract

Screening for head and neck cancer is underutilized. Given that lack of knowledge of the risk factors may partially account for screening underutilization. we surveyed subjective risk and knowledge of risk factors for head and neck cancer among 124 individuals who attended a free. hospital-based head and neck cancer screening. Few participants were current smokers. Most attendees perceived their risk as similar to others of their age and sex. Personal health habits comprised almost all of the risk-decreasing factors, yet less than half of the risk-increasing factors. generated. Personal habits were less frequently endorsed than factors such as pollution and heredity. Those who mentioned a risk behavior, or a family cancer history, reported higher subjective risk. Those who mentioned a personal health habit reported lower subjective risk. Results highlight needed efforts to increase screening among high-risk individuals through targeted education messages.     

Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

To reach or not to reach? Perception of body effectivities by young infants

Two experiments compared 6‐month‐old infants as they reach for an object. All were proficient reachers but with different levels of sitting ability. The object was presented at various distances, within and beyond reach of the infant. In the first experiment, the scaling of perceived reachability in infants with different postural abilities (i.e. non‐sitter, near‐sitter, and sitter infants) was explored. The second experiment investigated the role of proprioception in the scaling of perceived reachability by non‐sitter and sitter infants. In general, results suggest that perceived reachability is calibrated in relation to the degree of postural control achieved by the infant. Infants demonstrate a sense of their own situation in the environment as well as a sense of their own body effectivities. Both determine the execution, or non‐execution, of reaching for a distal object by young infants. Copyright © 1999 John Wiley & Sons, Ltd.