Are simultaneous postural adjustments (SPA) programmed as a function of pointing velocity?

This paper deals with the influence of velocity on the postural adjustments that occur during the course of a voluntary movement, that is to say, simultaneous postural adjustments (SPA). To this aim, a pointing task performed at different velocities (V) was considered. Upper limb kinematics and body kinetics were recorded. Using a 2-DOF model, the body was divided into two parts: the right upper limb (termed the "focal" chain) and the rest of the body (termed the "postural" chain). This model allowed us to calculate the kinetics of both subsystems (-F x and [Formula: see text]), with one corresponding to the resultant action on the shoulder (AoSh: -F x) and the other to the resultant reaction of the shoulder (RoSh: [Formula: see text]). The influence of pointing velocity on peak amplitudes and durations was evaluated, as was their instantaneous relationship ("Lissajous ellipse"). The results showed that RoSh and AoSh display similar diphasic profiles, whose amplitude and duration vary with movement velocity. In addition, RoSh is in phase advance of AoSh, the advance being all the shorter as the focal movement velocity becomes faster. Finally, SPA appears to play a dual role, which includes a propulsive action during upper limb acceleration and body stabilization during deceleration. These new findings strengthen the hypothesis that the postural chain is programmed according to task velocity in the same way as the focal chain and that both are coping in order to make the task more efficient.

Postural control in isometric ramp pushes: the role of Consecutive Postural Adjustments (CPAs).

Postural adjustments, which occur after the end of a voluntary movement (termed Consecutive Postural Adjustments: CPAs), were studied and compared to the corresponding Anticipatory Postural Adjustments (APAs). Seven right-handed male adults were asked to perform horizontal two-handed maximal ramp pushes as quickly as possible, while sitting. A dynamometric bar measured the reaction to push force (Fx) and a custom-designed device measured the resultant reaction forces along the antero-posterior axis (Rx). Two ischio-femoral contacts (100 BP: full ischio-femoral contact of the ischio-femoral length; and 30BP: one-third contact) were considered. Each session consisted of ten pushes. The reaction forces, as well as push force, increased continuously, displaying similar time course profiles. However, Rx continued to increase after the end of push rise, which ascertained CPAs. CPAs were showed to be consistent kinetic phenomena, using a biomechanical analysis, based on time courses of reaction forces and CoG kinematics. Their coherence was checked precisely, by comparing theoretical and experimental occurrences of remarkable points (extrema and zero crossings). CPA durations and peak amplitudes (dCPA and pCPA) were significantly greater than the corresponding APA values (dAPA and pAPA). Moreover, dAPAs and dCPAs increased (p < 0.001), as did pCPAs (p<0.001) and pAPAs (p < 0.05) when the peak push force was greater (30 BP), showing that the probability of finding a statistically significant difference is greater for APA duration than amplitude, unlike CPAs. Finally, the present results were discussed in relation to the hypothesis according to which the focal and the postural components are parts of the same motor program.

Consecutive postural adjustments (CPAs): A kinetic analysis of variable velocity during a pointing task.

AIM: This paper examines the postural adjustments that occur after the end of a voluntary movement (consecutive postural adjustments, CPAs). Its aim is to reinforce the theory that CPAs are necessary to counterbalance the destabilizing effect of a voluntary movement. In addition, we compared the main features of CPAs with those of anticipatory postural adjustments (APAs) in order to gather evidence that could afford new insights into postural programming. METHODS: Nine healthy adults were invited to adopt a sitting position to perform nine pointing movements at decreasing velocities. The antero-posterior component of the reaction forces was measured. Upper limb kinematics were recorded and the kinetics calculated. The main features under study included linear impulses, peak amplitudes and duration of CPAs and APAs. RESULTS: Two main results emerged from our study: the impulse produced after the end of a focal movement (CPAIx) was negative, while the impulse produced before its end (*ASPIx) was positive; their absolute values were not significantly different; when movement velocity increased, CPA impulse and peak amplitude (pCPA) increased significantly, contrary to duration (dCPA). Furthermore, APA impulse, peak amplitude and duration were all increased. CONCLUSIONS: These findings on pointing movements strengthen the hypothesis that CPAs play a role of body stabilization and that the postural chain kinetics is programmed according to focal movement velocity. Evidence on CPA obtained from healthy subjects may contribute to the further specification of the differences associated with motor impairment.

Does postural chain muscular stiffness reduce postural steadiness in a sitting posture?

This study investigated the effect of postural chain muscular stiffening on postural steadiness when it is rhythmically perturbed by respiration. It consisted of an analysis of centre of pressure (CP) displacements when constant sub-maximum pushing efforts were performed in a sitting posture. Muscular stiffness, assessed by surface electromyography (iEMG), was imposed at two controlled levels, using two intensities of pushing effort (20% and 40% of the maximum voluntary contraction: 20MVC and 40MVC). Lumbo-pelvic mobility was varied using two different support areas at the seat contact (100% and 30% of the ischio-femoral length: 100BP and 30BP). Respiratory disturbance to posture was varied using two respiratory rate conditions (quiet breathing (QB), which is the spontaneous rate, and fast breathing (FB) at a rate imposed by a metronome). The results demonstrated that an increased push effort was associated to a higher iEMG level, and induced greater mean deviation (X (p)) and sway path (SP) of antero-posterior CP displacements. It was concluded that postural muscle stiffness reduces postural steadiness. It was suggested that it could be related to a weaker compensation of respiratory disturbance to body posture.

Do bimanual isometric push efforts in humans stop as a consequence of postural muscle exhaustion?

The purpose of this study was to explore whether global efforts stop as a consequence of postural muscle exhaustion. To this end, seated adults were asked to exert 75% maximal voluntary contractions bimanual push efforts until exhaustion. A dynamometer was used to measure the horizontal force exerted on a bar (Fx) and a custom-designed force plate measured the antero-posterior displacement of the centre of pressure (Xp). Electromyograms were picked up by bipolar surface electrodes from the primum movens (serratus anterior) and four postural muscles (trapezius superior, erectores spinae, rectus abdominis, rectus femoris). Root mean square and mean power frequency were calculated over 2-s intervals and compared to corresponding Fx and Xp values. It was shown that the effort stops as a consequence of exhaustion of postural muscles (rectus abdominis and rectus femoris), and not of the primum movens. It is concluded that postural muscles make a major contribution to global efforts, in that they allow compliance to biomechanical requirements, that is, to preserve the distance between the centre of pressure and the centre of gravity, which must be proportional to the external force.

Particular adaptations to potentially slippery surfaces: the effects of friction on consecutive postural adjustments (CPA).

This research deals with the postural adjustments that occur after the end of voluntary movement ("consecutive postural adjustments": CPAs). The influence of a potentially slippery surface on CPA characteristics was considered, with the aim of exploring more deeply the postural component of the task-movement. Seven male adults were asked to perform a single step, as quickly as possible, to their own footprint marked on the ground. A force plate measured the resultant reaction forces along the antero-posterior axis (R(x)) and the centre of pressure (COP) displacements along the antero-posterior and lateral axes (Xp and Yp). The velocity of the centre of gravity (COG) along the antero-posterior axis and the corresponding impulse (∫R(x)dt) were calculated; the peak velocity (termed "progression velocity": V(xG)) was measured. The required coefficient of friction (RCOF) along the progression axis (pµ(x)) was determined. Two materials, differing by their COF, were laid at foot contact (FC), providing a rough foot contact (RoFC), and a smooth foot contact (SmFC) considered to be potentially slippery. Two step lengths were also performed: a short step (SS) and a long step (LS). Finally, the subjects completed four series of ten steps each. These were preceded by preliminary trials, to allow them to acquire the necessary adaptation to experimental conditions. The antero-posterior force time course presented a positive phase, that included APAs ("anticipatory postural adjustments") and step execution (STEP), followed by a negative one, corresponding to CPAs. The backward impulse (CPI) was equal to the forward one (BPI), independently of friction and progression velocity. Moreover, V(xG) did not differ according to friction, but was faster when the step length was greater. Last CPA peak amplitudes (pCPA) were significantly greater and CPA durations (dCPA) shorter for RoFC and conversely for SmFC, contrary to APA. Finally, the results show a particular adaptation to the potentially slippery surface (SmFC). They suggest that adherence modulation at foot contact could be one of the rules for controlling COG displacement in single stepping. Consequently, the actual coefficient of friction value might be implemented in the motor programme at a higher level than the voluntary movement specific parameters.

Simultaneous Postural Adjustments (SPA) scrutinized using the Lissajous method.

The goal of this research was to study the postural adjustments that occur during the course of a voluntary movement (Simultaneous Postural Adjustments: SPA). A pointing task performed at maximal velocity was considered and upper limb kinematics and body kinetics were recorded. A 2-DOF model was elaborated that distinguishes between the body segments that are mobilized in order to perform the pointing movement. These segments are the right upper limb (termed the "focal" component) and the rest of the body (termed the "postural" component). This model allowed for the calculation of both sub-systems׳ kinetics and a comparison of the resultant reaction (RoSh) with the corresponding action (AoSh) at the shoulder level. The analysis was based on the ellipsoidal shape of their relationship. The ellipse computation ("Lissajous ellipse") allowed the time lag to be estimated. The results showed that the kinetics of the postural component preceded that of the focal ones and that the time lag during the SPA was not statistically different from the APA duration (dAPA). In addition, the kinetics of the postural component were found to be opposed to the perturbation induced by the pointing movement, but only during part of the SPA time interval. It was concluded that the postural component plays a dual role during the movement, which consists of postural stabilization and propulsive action, with one prevailing over the other depending on the time-instant of movement evolution. This new evidence in healthy subjects is helpful to further specify differences associated with motor impairments.

The Consecutive Postural Adjustments (CPAs) that follow foot placement in single stepping.

This research deals with the postural adjustments that occur after the end of a voluntary movement ("Consecutive Postural Adjustments": CPAs). With the aim of more fully characterizing the postural component of motor tasks, they are compared with those occurring before movement onset ("anticipatory postural adjustments": APAs). Ten male adults were asked to perform a single step as quickly as possible to a target marked on the ground (STEP). A force plate measured the resultant reaction forces along the antero-posterior axis (Rx) and the Centre of Pressure (CoP) displacements along the antero-posterior and lateral axes (Xp and Yp). The velocity of the Centre of Gravity (COG) along the antero-posterior axis was calculated and the peak velocity (termed "progression velocity": VxG) was measured. Antero-posterior linear impulses (∫Rxdt) were also calculated. Two step lengths were considered: a short and a long one (SS and LS conditions). Each session consisted of ten steps. The antero-posterior force time course presented two phases: a positive one that included the APA and the STEP periods, then a negative one corresponding to CPA. The corresponding backward impulse (CPIx) was equal to the forward one (BPIx), which identifies CPA as a counter-perturbation, that is, a process by which the central nervous system controls and stops a forward impulse. CPA durations and peak amplitudes (dCPA and pCPA) were significantly greater than the corresponding APA values (dAPA and pAPA). Moreover, when the step length was greater, that is, when the progression velocity was faster, pCPAs, like pAPAs, increased, suggesting that CPAs and APAs are parts of the same motor program. In addition, CPA duration and time to peak amplitude do not vary with progression velocity, which could be explained by the movement braking constraints. Finally, CPA can be viewed as a means of achieving a new "static" postural equilibrium as soon as possible after foot contact, and to prevent the risk of falling. The outcome provides additional knowledge on how a stable posture is achieved at the end of a task movement, and is discussed from a postural control perspective.

Contribution of seat and foot reaction forces to anticipatory postural adjustments (APAs) in sitting isometric ramp pushes.

The aim of this paper was to examine the role of the upper and lower body on the dynamic phenomena, which precede the voluntary movement (anticipatory postural adjustments: APAs), and the way in which they contribute to postural control. In this view, sitting subjects were asked to perform horizontal two-handed ramp pushes as quickly as possible. A dynamometric bar was used to provide the push force (F(x)). Local reaction forces along the antero-posterior and vertical axes, at the seat and foot-rests (R(Sx), R(Sz), and R(fx), R(fz), respectively), as well as global ones (R(x) and R(z)), were measured. Two postural conditions were considered: full (100 BP) and one-third ischio-femoral contact (30 BP). Anticipatory postural adjustments durations (dAPAs) were measured between the onset of global or local (that is, at the seat and foot level) reaction forces, and the onset of push force increase. Firstly, the dAPAs were longer at the foot than at the seat level, that is, the APA sequence starts at the foot level: it is suggested that a "posturo-focal" sequence is followed, whose progression order is precisely dependent on the postural conditions. Moreover, the APA peak amplitudes (pAPA), measured at the seat contact were significantly greater than the corresponding ones measured at the foot contact: the upper body dynamics are larger than the lower body dynamics. Secondly, a greater peak push force (pF(x)) entailed significant dAPA increases, in preference to pAPA increases. As APAs are dynamic phenomena, they can perturb balance, suggesting that, in order to avoid unnecessary perturbation, APAs are increased in terms of duration rather than amplitude. Lastly, the impulses corresponding to the push force increase ("BPI(x)") and to the APA periods ("ACPI(x)") were calculated. As ACPI(x) was very low as compared to BPI(x), it was suggested that the APA action was limited to the period of the voluntary movement onset.

Does postural chain mobility influence muscular control in sitting ramp pushes?

This study was conducted under the hypothesis that voluntary movement involves a perturbation of body balance and that a counter-perturbation has to be developed to limit the perturbation effects, which is a condition necessary to perform the movement efficiently. The stabilising action is produced in body segments that constitute the "postural" chain, and the voluntary movement by the segments said to constitute the "focal" chain. In order to deepen the understanding of how the postural chain contributes to the motor act, isometric transient efforts were considered. Seven adults in a sitting posture were instructed to exert bilateral horizontal pushes on a dynamometric bar, as rapidly as possible, up to their maximal force (Fx). Two sitting conditions were considered: full ischio-femoral contact (100 BP) and one-third ischio-femoral contact (30 BP), the latter being known to yield greater pelvis and spine mobility, that is greater postural mobility. Each session consisted of ten maximal pushes for each sitting condition. In order to explore the influence of postural mobility on muscular control and push force, surface EMGs of 14 postural and focal muscles were recorded. In addition, reaction forces (Rx) and displacement (Xp) of the centre of pressure (along the anteroposterior axis) were measured, as well as iliac crest acceleration (xh and zh, along the anteroposterior and vertical axes, respectively). The results showed that push force varied abruptly during the task ramp effort. When the ischio-femoral contact was limited, push force was enhanced, as well as the rate of push force rise (Fx/Deltat, Deltat being the force rise duration), suggesting a greater perturbation to balance. Also, there were significant increases in the Rx reaction forces, indicating body segment acceleration: "dynamic" phenomena occurred in the articulated body chain in response to increases in Fx. In addition, even though muscular contraction was isometric, postural EMGs, as well as focal EMGs, were phasic, a feature which characterises transient force exertion. The Rx reaction forces were associated with backward displacement of the centre of pressure, Xp. The centre of pressure displacement was interpreted as a backward pelvis rotation, an interpretation which was confirmed by backward and upward iliac crest accelerations. When ischio-femoral contact was reduced, the backward pelvis rotation was significantly increased, resulting from an increased pelvis and spine mobility. Distinct focal and postural EMG sequences were found to be associated with the effort. Two different sets of muscles were observed when considering recruitment order, the focal and the postural muscles. The ankle muscles were activated before the pelvis, the back and the scapular girdle, with the upper limb muscles activated only after the onset of the primum movens of push action (serratus anterior): the activation process followed a distal to proximal progression order. Moreover, the postural EMG sequence was anticipatory, that is there were anticipatory postural adjustments (APAs). Modifying the ischio-femoral contact did not induce a change in either the postural muscle set or in the recruitment order. There were significant increases in the level of activation (integrated EMG) of the postural muscles when ischio-femoral contact was reduced. They did not result from an increase in EMG duration but only from a modulation of EMG amplitude, suggesting that postural control for different ischio-femoral contacts involves adapting the motor program according to the postural requirements, rather than changing the postural strategy. Moreover, as APA amplitude was increased when ischio-femoral contact was reduced, it could be assumed that the postural chain is programmed in relation to postural chain mobility. In addition, the increase in postural EMGs was interpreted as an increased counter-perturbation opposed to an increased push force. It is concluded that greater mobility of the postural chain favours a greater dynamic counter-perturbat chain favours a greater dynamic counter-perturbation, which, in turn, allows the development of a greater push force; the ability to develop such a counter-perturbation (termed PKC: posturo-kinetic capacity) is enhanced when postural chain mobility is greater. Postural chain mobility appears to be a task parameter, and postural control appears to involve adapting the motor program according to the postural requirements, rather than changing the postural strategy.

Postural dynamics in maximal isometric ramp efforts.

Aglobal biomechanical model of transient push efforts is proposed where transient efforts are taken into consideration, with the aim to examine in greater depth the postural adjustments associated with voluntary efforts. In this context, the push effort is considered as a perturbation of balance, and the other reaction forces as a counter-perturbation which is necessary for the task to be performed efficiently. The subjects were asked to exert maximal horizontal two-handed isometric pushes on a dynamometric bar, as rapidly as possible. They were seated on a custom-designed device which measured global and partitive dynamic quantities. The results showed that the horizontal reaction forces and the horizontal displacement of the centre of pressure increased quasi-proportionally with the perturbation. In addition, it was established that vertical reaction forces increased at seat level whereas they decreased at foot level, resulting in minor vertical acceleration and displacement of the centre of gravity. On the contrary, the anteroposterior reaction forces increased both at foot and at seat levels. Based on a detailed examination of the various terms of the model, it is concluded that transient muscular effort induces dynamics of the postural chain. These observations support the view that there is a postural counter-perturbation which is associated with motor activity. More generally, the model helped to specify the effect of postural dynamic phenomena. It makes it possible to stress the importance of adherence at the contact level between the subject and the seat in the course of transient efforts.