scholarly journals Compression socks enhance sensory feedback to improve standing balance reactions and reflex control of walking

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Yao Sun ◽  
Bridget Munro ◽  
E. Paul Zehr
Keyword(s):  
Spinal Cord ◽  
Sensory Feedback ◽  
Dynamic Balance ◽  
Neuromuscular Control ◽  
Medial Gastrocnemius ◽  
Cutaneous Reflexes ◽  
Balance Performance ◽  
Compression Garments ◽  
Foot Placement ◽  
Calf Compression

Abstract Background Compression garments are generally used for their potential benefits in exercise performance and post-exercise recovery. Previous studies show that compression sleeves worn at the elbow change neuromuscular control and improve performance during reaching movement. Cutaneous stimulation of the foot skin produces location-specific reflexes in the lower limb that guide foot placement during locomotion. However, it is not clear whether enhancement of sensory feedback with compression socks can alter the neuromuscular excitability of muscles in the leg and amplify balance performance and walking. The current project aimed to determine whether enhanced sensory input from wearing compression socks could affect: 1) spinal cord excitability (as measured by cutaneous reflexes from stimulation at the top or bottom of the foot during locomotion); 2) static balance performance; and, 3) dynamic balance performance following virtual perturbations. Methods Twelve participants completed walking and balance tasks wearing four types of garments: 1) non-compression (control) socks; 2) ankle compression socks; 3) calf-compression socks; and, 4) customized ankle sleeves. During walking, electrical stimulations were delivered to three discrete locations on the dorsal (ankle crease, forefoot medial) and plantar (forefoot medial) surfaces of the foot in separate trials with each garment. Electromyography of ankle dorsiflexor tibialis anterior, plantarflexor medial gastrocnemius and evertor peroneus longus were measured bilaterally along with kinematic data from knee and ankle and kinetics under the right (stimulated) foot. Results Compared to control socks, altered cutaneous reflexes and biomechanical responses were observed in all the conditions during walking. In dynamic balance tests, time and integrated EMG for recovering from virtual perturbation were significantly reduced when wearing calf compression socks and the ankle sleeve. Conclusions Our findings suggest sensory enhancement from compression garments modifies spinal cord excitability during walking and improves performance in balance recovery after virtual perturbation.

Epidural Spinal Cord Stimulation Plus Quipazine Administration Enable Stepping in Complete Spinal Adult Rats

2007 ◽  
Vol 98 (5) ◽  
pp. 2525-2536 ◽  
Author(s):  
Yury P. Gerasimenko ◽  
Ronaldo M. Ichiyama ◽  
Igor A. Lavrov ◽  
Gregoire Courtine ◽  
Lance Cai ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Weight Bearing ◽  
Medial Gastrocnemius ◽  
Fast Fourier Transformation ◽  
Cycle Period ◽  
Foot Placement ◽  
Epidural Spinal Cord Stimulation ◽  
Partial Weight ◽  
40 Hz

We hypothesized that epidural spinal cord stimulation (ES) and quipazine (a serotonergic agonist) modulates the excitability of flexor and extensor related intraspinal neural networks in qualitatively unique, but complementary, ways to facilitate locomotion in spinal cord–injured rats. To test this hypothesis, we stimulated (40 Hz) the S1 spinal segment before and after quipazine administration (0.3 mg/kg, ip) in bipedally step-trained and nontrained, adult, complete spinal (mid-thoracic) rats. The stepping pattern of these rats was compared with control rats. At the stimulation levels used, stepping was elicited only when the hindlimbs were placed on a moving treadmill. In nontrained rats, the stepping induced by ES and quipazine administration was non–weight bearing, and the cycle period was shorter than in controls. In contrast, the stepping induced by ES and quipazine in step-trained rats was highly coordinated with clear plantar foot placement and partial weight bearing. The effect of ES and quipazine on EMG burst amplitude and duration was greater in flexor than extensor motor pools. Using fast Fourier transformation analysis of EMG bursts during ES, we observed one dominant peak at 40 Hz in the medial gastrocnemius (ankle extensor), whereas there was less of dominant spectral peak in the tibialis anterior (ankle flexor). We suggest that these frequency distributions reflect amplitude modulation of predominantly monosynaptic potentials in the extensor and predominantly polysynaptic pathways in the flexor muscle. Quipazine potentiated the amplitude of these responses. The data suggest that there are fundamental differences in the circuitry that generates flexion and extension during locomotion.

scholarly journals Effects of white Gaussian noise on dynamic balance in healthy young adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ziyou Zhou ◽  
Can Wu ◽  
Zhen Hu ◽  
Yujuan Chai ◽  
Kai Chen ◽  
...  
Keyword(s):  
Young Adults ◽  
Gaussian Noise ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
White Gaussian Noise ◽  
Fluctuation Analysis ◽  
Balance Performance ◽  
Short Term ◽  
Crossover Point ◽  
Short Time

AbstractIt has been known that short-time auditory stimulation can contribute to the improvement of the balancing ability of the human body. The present study aims to explore the effects of white Gaussian noise (WGN) of different intensities and frequencies on dynamic balance performance in healthy young adults. A total of 20 healthy young participants were asked to stand at a dynamic balance force platform, which swung along the x-axis with an amplitude of ± 4° and frequency of 1 Hz. Their center of pressure (COP) trajectories were recorded when they were stimulated by WGN of different intensities (block 1) and different frequencies (block 2). A traditional method and detrended fluctuation analysis (DFA) were used for data preprocessing. The authors found that only with 75–85 dB WGN, the COP parameters improved. WGN frequency did not affect the dynamic balance performance of all the participants. The DFA results indicated stimulation with 75 dB WGN enhanced the short-term index and reduced the crossover point. Stimulation with 500 Hz and 2500 Hz WGN significantly enhanced the short-term index. These results suggest that 75 dB WGN and 500 Hz and 2500 Hz WGN improved the participants’ dynamic balance performance. The results of this study indicate that a certain intensity of WGN is indispensable to achieve a remarkable improvement in dynamic balance. The DFA results suggest that WGN only affected the short-term persistence, indicating the potential of WGN being considered as an adjuvant therapy in low-speed rehabilitation training.

scholarly journals Neurophysiological changes of brain and spinal cord in individuals with patellofemoral pain: a systematic review and meta-analysis protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049882
Author(s):  
Jing Nong Liang ◽  
Savanna Budge ◽  
Austin Madriaga ◽  
Kara Meske ◽  
Derrick Nguyenton ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Quality Assessment ◽  
Meta Analysis ◽  
Neuromuscular Control ◽  
Patellofemoral Pain ◽  
Randomised Control Trial ◽  
Cross Sectional ◽  
Prospective Longitudinal ◽  
Brain And Spinal Cord

IntroductionReduced neuromuscular control due to altered neurophysiological functions of the central nervous system has been suggested to cause movement deficits in individuals with patellofemoral pain (PFP). However, the underlying neurophysiological measures of brain and spinal cord in this population remain to be poorly understood. The purpose of this systematic review is to evaluate the evidence for altered cortical and spinal cord functions in individuals with PFP.Methods and analysisThe protocol for conducting the review was prepared using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. We will systematically search the literature that examines cortical and spinal cord functions in individuals with PFP, aged 18–45 years. The studies for cross-sectional, prospective, longitudinal, case–control and randomised control trial designs will be included from the following databases: PubMed (MEDLINE), EMBASE and Web of Science. Only studies published in English prior to 1 February 2021 will be included. The risk of bias and quality assessment will be performed using National Institutes of Health’s Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. We will conduct meta-analysis of the data where appropriate. Narrative synthesis will be taken if a meta-analysis is not possible.Ethics and disseminationThis is a systematic review from the existing literature and does not require ethical approval. The results of this study will be published in a peer-reviewed journal in the field of rehabilitation medicine, sports/orthopaedic medicine or neurology, regardless of the outcome.PROSPERO registration numberCRD42020212128.

scholarly journals Polymorphism of the PPARD Gene and Dynamic Balance Performance in Han Chinese Children

Hereditas ◽  
2019 ◽  
Vol 156 (1) ◽  
Author(s):  
Yixuan Cao ◽  
Qiyue Zhang ◽  
Jianhua Chen ◽  
Zhiqiang Li ◽  
Zhaowei Zhou ◽  
...  
Keyword(s):  
Dynamic Balance ◽  
Han Chinese ◽  
Chinese Children ◽  
Balance Performance

scholarly journals Concussion History and Balance Performance in Adolescent Rugby Union Players

2021 ◽  
pp. 036354652199870
Author(s):  
Mark Matthews ◽  
William Johnston ◽  
Chris M. Bleakley ◽  
Richard J. Davies ◽  
Alan T. Rankin ◽  
...  
Keyword(s):  
Dual Task ◽  
Inertial Sensor ◽  
Dynamic Balance ◽  
Rugby Union ◽  
Static Balance ◽  
Balance Performance ◽  
Eyes Closed ◽  
History Of ◽  
Concussion History ◽  
Rugby Players

Background: Sports-related concussion is a worldwide problem. There is a concern that an initial concussion can cause prolonged subclinical disturbances to sensorimotor function that increase the risk of subsequent injury. The primary aim of this study was to examine whether a history of sports-related concussion has effects on static and dynamic balance performance in adolescent rugby players. Hypothesis: Dynamic balance would be worse in players with a history of concussion compared with those with no history of concussion. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Male adolescent rugby players aged 14 to 18 years from 5 schools were recruited before the start of the 2018-2019 playing season. Participants completed questionnaires and physical tests, including dynamic Y balance and single-leg static balance (eyes closed) tests, while performing single and dual tasks. Dynamic balance was assessed using inertial sensor instrumentation. Dependent variables were normalized reach distance and the sample entropy (SEn) of the 3 axes ( x, y, and z). Results: Of the 195 participants, 100 reported a history of concussion. Those with a history of concussion demonstrated higher SEn in all directions, with highest values during anterior (standardized mean difference [SMD], 0.4; 95% CI, 0.0-0.7; P = .027) and posteromedial (SMD, 0.5; 95% CI, 0.2-0.9; P = .004) reach directions compared with those with no history. There was no difference between groups (concussion history vs control) in traditional Y balance reach distances in the anterior or posteromedial directions or single-leg static balance during both single- ( P = .47) and dual-task ( P = .67) conditions. Conclusion: Adolescent rugby union athletes with a history of concussion had poorer dynamic balance during performance tasks compared with healthy controls. Static single-leg balance tests, either single or dual task, may not be sensitive enough to detect sensorimotor deficits in those with a history of concussion.

scholarly journals Cutaneous inputs from perineal region facilitates and modulates spinal locomotor activity and reduces cutaneous reflexes from the foot in spinal cats

2020 ◽  
Author(s):  
Angèle N Merlet ◽  
Jonathan Harnie ◽  
Madalina Macovei ◽  
Adam Doelman ◽  
Nathaly Gaudreault ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Nerve Stimulation ◽  
Rhythmic Activity ◽  
Short Latency ◽  
Cutaneous Reflexes ◽  
Excitatory Effect ◽  
Reflex Responses ◽  
Cutaneous Reflex ◽  
Weight Support ◽  
Perineal Region

AbstractIt is well known that mechanically stimulating the perineal region potently facilitates hindlimb locomotion and weight support in mammals with a spinal transection (spinal mammals). However, how perineal stimulation mediates this excitatory effect is poorly understood. We evaluated the effect of mechanically stimulating (vibration or pinch) the perineal region on ipsilateral (9-14 ms onset) and contralateral (14-18 ms onset) short-latency cutaneous reflex responses evoked by electrically stimulating the superficial peroneal or distal tibial nerve in seven adult spinal cats where hindlimb movement was restrained. Cutaneous reflexes were evoked before, during, and after mechanical stimulation of the perineal region. We found that vibration or pinch of the perineal region effectively triggered rhythmic activity, unilateral and bilateral to nerve stimulation. When electrically stimulating nerves, adding perineal stimulation modulated rhythmic activity by decreasing cycle and burst durations and by increasing the amplitude of flexors and extensors. Perineal stimulation also disrupted the timing of the ipsilateral rhythm, which had been entrained by nerve stimulation. Mechanically stimulating the perineal region decreased ipsilateral and contralateral short-latency reflex responses evoked by cutaneous inputs, a phenomenon we observed in muscles crossing different joints and located in different limbs. The results suggest that the excitatory effect of perineal stimulation on locomotion and weight support is not mediated by increasing cutaneous reflex gain and instead points to an excitation of central pattern-generating circuitry. Our results are consistent with a state-dependent modulation of reflexes by spinal interneuronal circuits.Significance StatementMechanically stimulating the skin of the perineal region strongly facilitates hindlimb locomotion in mammals following a complete spinal cord injury (SCI). Despite its remarkable effectiveness in promoting hindlimb locomotion in spinal cord-injured mammals, we do not know how this is mediated. The present study provides data on how inputs from the perineal region interact with neuronal circuits that generate locomotor-like activity and reflexes from the foot. A better understanding of how inputs from the perineal region interact with neuronal circuits of the spinal cord could lead to non-invasive approaches to restore walking in people with SCI.

scholarly journals Acute Effect of Mini-Trampoline Jumping on Vertical Jump and Balance Performance

2019 ◽  
Vol 7 (2) ◽  
pp. 1
Author(s):  
Nada Rhouni ◽  
Nicole C. Dabbs ◽  
Trevor Gillum ◽  
Jared W. Coburn
Keyword(s):  
Significant Interaction ◽  
Peak Power ◽  
Dynamic Balance ◽  
Vertical Jump ◽  
Rest Period ◽  
Acute Effect ◽  
Control Group ◽  
Balance Performance ◽  
Jump Performance ◽  
Warm Up

Jumping and balance are necessary skills for most athletes, and mini-trampoline training has been shown to improve them. Little is known about the acute effect of mini-trampoline jumping on jump performance and dynamic balance. Objectives: The purpose of this study is to investigate the effect of 6 maximal jumps on a mini-trampoline on countermovement vertical jump (CMVJ) variables and on balance parameters. Methods: Twenty one recreationally trained individuals participated in three testing sessions and were either allocated to a control group (N=10) or a trampoline group (N=11). All the participants performed a dynamic warm up prior to their assessments. Baseline CMVJ and balance assessments were measured. For the jump performance tests, the control group rested for 30s, and the trampoline group performed 6 maximal CMVJs on a mini-trampoline. Immediately following the trampoline jumps or the rest period, participants performed three jump trials. The jumping protocol was repeated every minute up to 5 minutes and balance was reassessed immediately after only. Results: There was no significant interaction of time by group and no group effects in all the jumping parameters, however, there was a significant increase in jump height (p <0.001) post-condition, and a significant decrease in peak power (p= 0.01) at the 4th minute for both groups. There was no significant interaction of time by condition, no time effect and no group effect (p>0.05) on the balance variables. Conclusion: These results do not support our hypothesis and show that trampoline jumping does not improve jump and balance performance acutely.

scholarly journals Neuromuscular Control of the Knee during a Resisted Single-Limb Squat Exercise

2005 ◽  
Vol 33 (10) ◽  
pp. 1520-1526 ◽  
Author(s):  
Richard K. Shields ◽  
Sangeetha Madhavan ◽  
Emy Gregg ◽  
Jennifer Leitch ◽  
Ben Petersen ◽  
...  
Keyword(s):  
Body Weight ◽  
Knee Joint ◽  
Knee Flexion ◽  
Neuromuscular Control ◽  
Biceps Femoris ◽  
Medial Gastrocnemius ◽  
Isometric Contractions ◽  
Low Resistance ◽  
Squat Exercise ◽  
Flexion And Extension

Background Closed kinetic chain exercises such as single-limb squats are preferred for knee rehabilitation. A complete understanding of the neuromuscular control of the knee during the single-limb squat is essential to increase the efficiency of rehabilitation programs. Hypothesis Performing a controlled single-limb squat with resistance to knee flexion and extension will increase the coactivation of the hamstring muscle group, thus reducing the quadriceps/hamstrings ratio. Study Design Descriptive laboratory study. Methods A total of 15 healthy human subjects (7 women, 8 men) performed controlled single-limb squats in a custom mechanical device that provided resistance to both flexion and extension. Subjects performed the task at 3 levels of resistance, set as a percentage of body weight. Surface electromyographic recordings from 7 muscles (gluteus medius, rectus femoris, vastus medialis oblique, vastus lateralis, biceps femoris, semitendinosus, and medial gastrocnemius) were collected during the task. Results Biceps femoris activity during knee flexion increased from approximately 12% maximum voluntary isometric contractions during low resistance (0% body weight) to approximately 27% maximum voluntary isometric contractions during high resistance (8% body weight). Although the quadriceps had greater activity than the hamstrings at all levels of resistance, the quadriceps/hamstrings ratio declined significantly with resistance (F2,27 = 29.05; P=. 012) from 3.0 at low resistance to 2.32 at the highest resistance. Conclusions Performing controlled resisted single-limb squats may help to simultaneously strengthen the quadriceps and facilitate coactivation of the hamstrings, thus reducing anterior tibial shear forces. The coactivation may also increase the dynamic control of the knee joint. Clinical Relevance The typical single-limb squat exercise performed in the clinic does not usually control for bidirectional resistance and knee joint excursion. As seen in this study, controlled single-limb squats at increased levels of resistance help to increase the coactivation of the hamstring muscles, which is essential to optimize neuromuscular control of the knee.

scholarly journals Adolescents’ Postural Control Learning According to the Frequency of Knowledge of Process

2019 ◽  
Vol 7 (2) ◽  
pp. 204-214
Author(s):  
Julián Gandía ◽  
Xavier García-Massó ◽  
Adrián Marco-Ahulló ◽  
Isaac Estevan
Keyword(s):  
Postural Control ◽  
Motor Skills ◽  
Dynamic Balance ◽  
Influential Factors ◽  
Physical Education Teachers ◽  
Balance Performance ◽  
Mean Velocity ◽  
Post Test ◽  
Control Learning ◽  
Skills Learning

Feedback is one of the most influential factors for motor skills learning. Physical Education teachers commonly use verbal cues to provide knowledge of process (KP) when teaching motor skills, but the ideal presentation frequency for KP in adolescents is unclear. The aim of this study was to compare the effectiveness of the frequency of KP (i.e., 100%, 67%, 0%) on dynamic balance. Thirty adolescents, age 14–15 years, participated in the study. Performance on a stabilometer platform was used to assess dynamic balance. Participants received feedback after each trial (100%), in two out of three trials (67%), or no feedback during 12 30-s trials of practice. Adolescents who received feedback (67% or 100%) required lower mean velocity to maintain similar dynamic balance performance (i.e., root mean square). Moreover, adolescents receiving 100% feedback had a higher α-scaling than those who did not received it. During the post-test and the retention, both 67% and 100% KP frequencies were effective at improving postural control, compared to the no feedback control.

Sign in / Sign up

Export Citation Format

Share Document