Variation between individuals in sensorimotor feedback control of standing balance.

We examined intersubject variation in human balance, focusing on sensorimotor feedback. Our central hypothesis was that intersubject variation in balance characteristics arises from differences in central sensorimotor processing. Our second hypothesis was that similar sensorimotor feedback mechanisms are used for sagittal and frontal balance. Twenty-one adults stood on a continuously rotating platform with their eyes closed in the sagittal or frontal plane. Plant dynamics (mass, height, and inertia) and feedback control were included in a model of sensory weight, neural time delays, and sensory-to-motor scaling (stiffness, damping, and integral gains). Sway metrics [root-mean-square (RMS) sway and velocity] were moderately correlated between planes of motion (RMS: R = 0.66-0.69 and RMS velocity: R = 0.53-0.58). Sensory weight and integral gain exhibited the highest correlations between the plane of motion (R = 0.59 for sensory weight and R = 0.75 for integral gain during large stimuli). Compared with other subjects, people who adopted a high vestibular weight or large integral gain in one condition did so across all tests. Intersubject variation in sensory weight, stiffness, and integral gain were significantly associated with intersubject variation in RMS sway whereas sensory weight and time delay were the strongest significant predictors of RMS velocity. Multiple linear regression showed that intersubject variation in sway metrics was predicted better by intersubject variation in central feedback mechanisms vs. plant dynamics. Together, results supported the first hypothesis and partially supported the second hypothesis because only a subset of feedback processes was moderately or strongly correlated (mostly during large surface tilts) between planes of motion.NEW & NOTEWORTHY This study details naturally occurring intersubject variation in healthy adults' balance control. Experimental surface tilts evoked postural sway and sensorimotor modeling defined feedback control parameters. We determined the relation between intersubject variation in feedback control (vestibular and proprioceptive reliance, neural time delay, sensory-to-motor scaling) and intersubject variation in postural sway between planes of motion and between stimulus amplitudes.

A Trunk Support System to Identify Posture Control Mechanisms in Populations Lacking Independent Sitting.

Populations with moderate-to-severe motor control impairments often exhibit degraded trunk control and/or lack the ability to sit unassisted. These populations need more research, yet their underdeveloped trunk control complicates identification of neural mechanisms behind their movements. The purpose of this study was to overcome this barrier by developing the first multi-articulated trunk support system to identify visual, vestibular, and proprioception contributions to posture in populations lacking independent sitting. The system provided external stability at a user-specific level on the trunk, so that body segments above the level of support required active posture control. The system included a tilting surface (controlled via servomotor) as a stimulus to investigate sensory contributions to postural responses. Frequency response and coherence functions between the surface tilt and trunk support were used to characterize system dynamics and indicated that surface tilts were accurately transmitted up to 5 Hz. Feasibility of collecting kinematic data in participants lacking independent sitting was demonstrated in two populations: two typically developing infants, [Formula: see text] months, in a longitudinal study (eight sessions each) and four children with moderate-to-severe cerebral palsy (GMFCS III-V). Adaptability in the system was assessed by testing 16 adults (ages 18-63). Kinematic responses to continuous pseudorandom surface tilts were evaluated across 0.046-2 Hz and qualitative feedback indicated that the trunk support and stimulus were comfortable for all subjects. Concepts underlying the system enable both research for, and rehabilitation in, populations lacking independent sitting.