scholarly journals Postural responses of galvanic vestibular stimulation: comparison between groups of older adults and young people

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Regiane Luz Carvalho ◽  
Matheus Machado Gomes ◽  
Laura Ferreira de Rezende Franco ◽  
Daniela Cristina Carvalho de Abreu
Keyword(s):  
Older Adults ◽  
Muscle Activity ◽  
Muscle Activation ◽  
Center Of Pressure ◽  
Sensory Information ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Intensity Level ◽  
Motor Strategy ◽  
Postural Responses

Abstract Objective: To evaluate the effect of vestibular manipulation on the postural sway and muscle activation of younger and older adults. Methods: The study analyzed the effects of three intensity levels of galvanic vestibular stimulation (GVS) (0.3; 0.6 and 1m) on the pattern of muscle activity and center of pressure (CP) displacements of 12 older adults (EG) and 12 young adults (CG) while maintaining their balance on a stable surface, with no vision. Results: The EG showed a positive correlation between CP displacement and muscle activity and GVS intensity. On the other hand, the magnitude of postural response in the EG was not modulated in accordance with GVS intensities. Additionally, during the highest GVS intensity level (1 mA) greater muscle activity was used to increase stiffness, decrease the amplitude of oscillation and ensure stability. This unusual response characterizes a pattern of co-activation and is perhaps a safety mechanism to ensure stability. Conclusion: The EG individuals were not able to select the appropriate motor strategy to efficiently compensate the effects of GVS. This unusual strategy reflects deficits in the vestibular system of older adults, a fact which negatively interferes with their ability to reevaluate sensory information.

Assessing head acceleration to identify a motor threshold to galvanic vestibular stimulation

2021 ◽  
Author(s):  
Youstina Mikhail ◽  
Jonathan Charron ◽  
Jean-Marc Mac Thiong ◽  
Dorothy Barthélemy
Keyword(s):  
Center Of Pressure ◽  
Vestibular Function ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Head Acceleration ◽  
Motor Threshold ◽  
Recruitment Curve ◽  
Eyes Closed ◽  
Postural Responses ◽  
Significant Difference

Galvanic vestibular stimulation (GVS) is used to assess vestibular function, but vestibular responses can exhibit variability depending on protocols or intensities used. We measured head acceleration in healthy subjects to identify an objective motor threshold on which to base GVS intensity when assessing postural responses. Thirteen healthy right-handed subjects stood on a force platform, eyes closed, head facing forward. An accelerometer was placed on the vertex to detect head acceleration, and electromyography activity of the right soleus was recorded. GVS (200 ms; current steps 0.5;1-4mA) was applied in a binaural and bipolar configuration. 1) GVS induced a biphasic accelerometer response at a latency of 15 ms. Based on response amplitude, we constructed a recruitment curve for all participants and determined the motor threshold. In parallel, the method of limits was used to devise a more rapid approach to determine motor threshold. 2) We observed significant differences between motor threshold based on therecruitment curve and perceptual thresholds (sensation/perception of movement). No significant difference was observed between the motor threshold based on the method of limits and perceptual thresholds . 3) Using orthogonal polynomial contrasts, we observed a linear progression between multiples of the objective motor threshold (0.5, 0.75, 1, 1.5x motor threshold) and the 95% confidence ellipse area, the first peak of center of pressure velocity, and the short and medium latency responses in the soleus. Hence, an objective motor threshold and a recruitment curve for GVS were determined based on head acceleration, which could increase understanding of the vestibular system.

scholarly journals The Effects of Stochastic Galvanic Vestibular Stimulation on Body Sway and Muscle Activity

2020 ◽  
Vol 14 ◽  
Author(s):  
Akiyoshi Matsugi ◽  
Kosuke Oku ◽  
Nobuhiko Mori
Keyword(s):  
Soleus Muscle ◽  
Muscle Activity ◽  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
The Body ◽  
Lower Limbs ◽  
Body Sway ◽  
Eyes Open ◽  
Significant Increment

Objective: This study aimed to investigate whether galvanic vestibular stimulation with stochastic noise (nGVS) modulates the body sway and muscle activity of the lower limbs, depending on visual and somatosensory information from the foot using rubber-foam.Methods: Seventeen healthy young adults participated in the study. Each subject maintained an upright standing position on a force plate with/without rubber-foam, with their eyes open/closed, to measure the position of their foot center of pressure. Thirty minutes after baseline measurements under four possible conditions (eyes open/closed with/without rubber-foam) performed without nGVS (intensity: 1 mA, duration: 40 s), the stimulation trials (sham-nGVS/real-nGVS) were conducted under the same conditions in random order, which were then repeated a week or more later. The total center of pressure (COP) path length movement (COP-TL) and COP movement velocity in the mediolateral (Vel-ML) and anteroposterior (Vel-AP) directions were recorded for 30 s during nGVS. Furthermore, electromyography activity of the right tibial anterior muscle and soleus muscle was recorded for the same time and analyzed.Results: Three-way analysis of variance and post-hoc multiple comparison revealed a significant increment in COP-related parameters by nGVS, and a significant increment in soleus muscle activity on rubber. There was no significant effect of eye condition on any parameter.Conclusions: During nGVS (1 mA), body sway and muscle activity in the lower limb may be increased depending not on the visual condition, but on the foot somatosensory condition.

Aging and Posture Control: Changes in Sensory Organization and Muscular Coordination

1986 ◽  
Vol 23 (2) ◽  
pp. 97-114 ◽  
Author(s):  
Marjorie H. Woollacott ◽  
Anne Shumway-Cook ◽  
Lewis M. Nashner
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Muscle Activity ◽  
Balance Control ◽  
Sensory Information ◽  
Electromyographic Activity ◽  
Distal Muscle ◽  
Postural Responses ◽  
Postural Perturbations ◽  
Muscle Responses

The following study examined two aspects of balance control in the older adult: 1) the coordination of the timing and the amplitude of muscle responses to postural perturbations, and 2) the ability of the participant to reorganize sensory inputs and subsequently modify postural responses as a consequence of changing environmental conditions. Coordination of muscle activity in postural responses of twelve elderly (sixty-one to seventy-eight years) participants were compared to those of young (nineteen to thirty-eight years) adults using a movable platform and recording the electromyographic activity of muscles of the legs. The following changes were noted in the timing and amplitude of muscle activity within a postural response synergy: 1) increases in the absolute latency of distal muscle responses were observed in all older adults; 2) in five of the twelve older adults temporal reversals of proximal and distal muscle response onset were observed; and 3) there was a breakdown in the correlation of the amplitude of responses within a synergy. The ability of the older adult to balance under conditions of reduced or conflicting sensory information was also impaired. When confronted with functionally inappropriate visual and/or somatosensory inputs, half of the older group lost balance. In most instances, however, the older participants were able to maintain stability during subsequent responses to conflicting stimuli.

Postural sway with earth-fixed and body-referenced finger contact in young and older adults

1999 ◽  
Vol 9 (2) ◽  
pp. 103-109
Author(s):  
Reginald L. Reginella ◽  
Mark S. Redfern ◽  
Joseph M. Furman
Keyword(s):  
Older Adults ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Sensory Information ◽  
Body Sway ◽  
Support Surface ◽  
Proprioceptive Information ◽  
Postural Control System ◽  
Fixed Reference ◽  
Older Subjects

Sensory information from lightly touching a reference with the hand is known to influence postural sway in young adults. The primary aim of this study was to compare the influence of finger contact (FC) with an earth-fixed reference to the influence of FC with a body-fixed reference. A second goal of this study was to determine if FC is used differently by older adults compared to younger adults. Using a force plate, center of pressure at the feet was recorded from blindfolded young and older subjects during several conditions. Subjects either did or did not lightly touch a force-sensitive plate that was either earth-fixed or moved forward and backward in synchrony with body sway (that is, sway-referenced). In addition, support surface conditions were also varied, including a fixed floor and a sway-referenced floor using an EquitestTM. Results showed that the type of FC, floor condition, and age each had an effect on postural sway. Touching an earth-fixed plate decreased postural sway as compared to no touching, while touching a sway-referenced plate incresased sway. This influence of FC was enhanced when the floor was sway-referenced. Although older subjects swayed more than young subjects overall, no age-FC interactions occurred, indicating that FC was not utilized differently between the age groups. This study suggests that FC cannot be disregarded as erroneous, especially when proprioceptive information from the legs is distorted. Further, FC is integrated with other sensory information by the postural control system similarly in young and older persons.

The effects of stochastic monopolar galvanic vestibular stimulation on human postural sway

2003 ◽  
Vol 12 (2-3) ◽  
pp. 77-85
Author(s):  
Anthony P. Scinicariello ◽  
J. Timothy Inglis ◽  
J.J. Collins
Keyword(s):  
Vestibular System ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Lower Sensitivity ◽  
Input Stimulus ◽  
Vestibular Perception ◽  
Afferent Nerve Endings ◽  
Young Subjects

Galvanic vestibular stimulation (GVS) is a technique in which small currents are delivered transcutaneously to the afferent nerve endings of the vestibular system through electrodes placed over the mastoid bones. The applied current alters the firing rates of the peripheral vestibular afferents, causing a shift in a standing subject's vestibular perception and a corresponding postural sway. Previously, we showed that in subjects who are facing forward, stochastic bipolar binaural GVS leads to coherent stochastic mediolateral postural sway. The goal of this pilot study was to extend that work and to test the hypothesis that in subjects who are facing forward, stochastic monopolar binaural GVS leads to coherent stochastic anteroposterior postural sway. Stochastic monopolar binaural GVS was applied to ten healthy young subjects. Twenty-four trials, each containing a different galvanic input stimulus from among eight different frequency ranges, were conducted on each subject. Postural sway was evaluated through analysis of the center-of-pressure (COP) displacements under each subject's feet. Spectral analysis was performed on the galvanic stimuli and the COP displacement time series to calculate the coherence spectra. Significant coherence was found between the galvanic input signal and the anteroposterior COP displacement in some of the trials (i.e., at least one) in nine of the ten subjects. In general, the coherence values were highest for the mid-range frequencies that were tested, and lowest for the low- and high-range frequencies. However, the coherence values we obtained were lower than those we previously reported for stochastic bipolar binaural GVS and mediolateral sway. These differences may be due to fundamental characteristics of the vestibular system such as lower sensitivity to symmetric changes in afferent firing dynamics, and/or differences between the biomechanics of anteroposterior and mediolateral sway.

scholarly journals Effect of Eye-Object Distance on Body Sway during Galvanic Vestibular Stimulation

2018 ◽  
Vol 8 (11) ◽  
pp. 191 ◽  
Author(s):  
Osamu Aoki ◽  
Yoshitaka Otani ◽  
Shinichiro Morishita
Keyword(s):  
Healthy Subjects ◽  
Center Of Pressure ◽  
Force Plate ◽  
Distance Effect ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Body Sway ◽  
Mean Square ◽  
Visual Condition ◽  
Object Distance

Gazing at objects at a near distance (small eye-object distance) can reduce body sway. However, whether body sway is regulated by movement in the mediolateral or anteroposterior direction remains unclear. Galvanic vestibular stimulation (GVS) can induce body tilting in the mediolateral or anteroposterior direction. This study examined the directionality of the eye-object distance effect, using body-tilting GVS manipulations. Ten healthy subjects (aged 21.1 ± 0.3 years) stood on a force plate covered with a piece of foamed rubber and either closed their eyes or gazed at a marker located 0.5 m, 1.0 m, or 1.5 m in front of them. The GVS polarities were set to evoke rightward, forward, and backward body tilts. To compare the effects of eye-object distance in the mediolateral and anteroposterior directions, the root mean square (RMS) of the center of pressure (COP) without GVS was subtracted from the COP RMS during GVS. For swaying in the mediolateral direction, significant visual condition-related differences were found during rightward and forward GVS (p < 0.05). Thus, reductions in mediolateral body sway are more evident for smaller eye-object distances during rightward GVS. It would be appropriate to use body-tilting GVS to detect the directionality of the eye-object distance effect.

Noisy galvanic vestibular stimulation effect on center of pressure sway during one-legged standing

2020 ◽  
Vol 82 ◽  
pp. 173-178
Author(s):  
Yasuto Inukai ◽  
Shota Miyaguchi ◽  
Natsuki Kobayashi ◽  
Naofumi Otsuru ◽  
Hideaki Onishi
Keyword(s):  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation

scholarly journals The influence of scopolamine on motor control and attentional processes

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2008 ◽  
Author(s):  
Emma Bestaven ◽  
Charline Kambrun ◽  
Dominique Guehl ◽  
Jean-René Cazalets ◽  
Etienne Guillaud
Keyword(s):  
Motor Control ◽  
Motion Sickness ◽  
Center Of Pressure ◽  
Vestibular Nucleus ◽  
Parabolic Flight ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Balance Test ◽  
Attentional Processes ◽  
Perception Of Verticality

Background:Motion sickness may be caused by a sensory conflict between the visual and the vestibular systems. Scopolamine, known to be the most effective therapy to control the vegetative symptoms of motion sickness, acts on the vestibular nucleus and potentially the vestibulospinal pathway, which may affect balance and motor tasks requiring both attentional process and motor balance. The aim of this study was to explore the effect of scopolamine on motor control and attentional processes.Methods:Seven subjects were evaluated on four different tasks before and after a subcutaneous injection of scopolamine (0.2 mg): a one-minute balance test, a subjective visual vertical test, a pointing task and a galvanic vestibular stimulation with EMG recordings.Results:The results showed that the reaction time and the movement duration were not modified after the injection of scopolamine. However, there was an increase in the center of pressure displacement during the balance test, a decrease in EMG muscle response after galvanic vestibular stimulation and an alteration in the perception of verticality.Discussion:These results confirm that low doses of scopolamine such as those prescribed to avoid motion sickness have no effect on attentional processes, but that it is essential to consider the responsiveness of each subject. However, scopolamine did affect postural control and the perception of verticality. In conclusion, the use of scopolamine to prevent motion sickness must be considered carefully because it could increase imbalances in situations when individuals are already at risk of falling (e.g., sailing, parabolic flight).

A Feedback Model Reproduces Muscle Activity During Human Postural Responses to Support-Surface Translations

2008 ◽  
Vol 99 (2) ◽  
pp. 1032-1038 ◽  
Author(s):  
Torrence D. J. Welch ◽  
Lena H. Ting
Keyword(s):  
Postural Control ◽  
Muscle Activity ◽  
Muscle Activation ◽  
Control Process ◽  
Temporal Patterns ◽  
Human Dimensions ◽  
Support Surface ◽  
Level Control ◽  
Muscle Activation Patterns ◽  
Postural Responses

Although feedback models have been used to simulate body motions in human postural control, it is not known whether muscle activation patterns generated by the nervous system during postural responses can also be explained by a feedback control process. We investigated whether a simple feedback law could explain temporal patterns of muscle activation in response to support-surface translations in human subjects. Previously, we used a single-link inverted-pendulum model with a delayed feedback controller to reproduce temporal patterns of muscle activity during postural responses in cats. We scaled this model to human dimensions and determined whether it could reproduce human muscle activity during forward and backward support-surface perturbations. Through optimization, we found three feedback gains (on pendulum acceleration, velocity, and displacement) and a common time delay that allowed the model to best match measured electromyographic (EMG) signals. For each muscle and each subject, the entire time courses of EMG signals during postural responses were well reconstructed in muscles throughout the lower body and resembled the solution derived from an optimal control model. In ankle muscles, >75% of the EMG variability was accounted for by model reconstructions. Surprisingly, >67% of the EMG variability was also accounted for in knee, hip, and pelvis muscles, even though motion at these joints was minimal. Although not explicitly required by our optimization, pendulum kinematics were well matched to subject center-of-mass (CoM) kinematics. Together, these results suggest that a common set of feedback signals related to task-level control of CoM motion is used in the temporal formation of muscle activity during postural control.

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