Imagined paralysis alters somatosensory evoked-potentials.

Recent studies employing body illusions have shown that multisensory conflict can alter body representations and modulate low-level sensory processing. One defining feature of these body illusions is that they are sensory driven and thus passive on behalf of the participant. Thus, it remained to establish whether explicit alteration of own-body representations modulates low-level sensory processing. We investigated whether tibial nerve somatosensory-evoked potentials were modulated when participants imagined paralysis of their legs and arms. Imagined paralysis of the legs decreased P40 amplitude, but not imagined paralysis of the arms. These results show modulation of early somatosensory processing via explicit, top-down alteration to the internal representation of the body. Interestingly, P40 suppression positively correlated with bodily awareness scores whereas it negatively correlated with body dissociation scores. This suggests that the ability to actively alter own-body representation and its corresponding sensory processing depends upon dispositions to attend to and focus on bodily sensations.

Effects of dual tasking on postural and gait performances in children with cerebral palsy and healthy children.

Simultaneous execution of motor and cognitive tasks is embedded in the daily life of children. 53 children of 7-12 years and 22 adults (study 1), 20 healthy children and 20 children of 7-12 years with cerebral palsy (study 2) performed a Stroop-animal task simultaneously with a standing or a walking task in order to determine the attentional demand of postural control and locomotion. Dual-task cost decreased with advancing age in healthy children during balance. CP and healthy children were similarly affected by dual-task constraints during standing and walking. Children with diplegia were more affected by the DT during the postural task than children with hemiplegia. We found that adults could benefit from dual-tasking for standing. The integrated model of task prioritization might explain our results regarding postural reserve of each population.

Virtual reality improves embodiment and neuropathic pain caused by spinal cord injury.

OBJECTIVE: To investigate changes in body ownership and chronic neuropathic pain in patients with spinal cord injury (SCI) using multisensory own body illusions and virtual reality (VR). METHODS: Twenty patients with SCI with paraplegia and 20 healthy control participants (HC) participated in 2 factorial, randomized, repeated-measures design studies. In the virtual leg illusion (VLI), we applied asynchronous or synchronous visuotactile stimulation to the participant's back (either immediately above the lesion level or at the shoulder) and to the virtual legs as seen on a VR head-mounted display. We tested the effect of the VLI on the sense of leg ownership (questionnaires) and on perceived neuropathic pain (visual analogue scale pain ratings). We compared illusory leg ownership with illusory global body ownership (induced in the full body illusion [FBI]), by applying asynchronous or synchronous visuotactile stimulation to the participant's back and the back of a virtual body as seen on a head-mounted display. RESULTS: Our data show that patients with SCI are less sensitive to multisensory stimulations inducing illusory leg ownership (as compared to HC) and that leg ownership decreased with time since SCI. In contrast, we found no differences between groups in global body ownership as tested in the FBI. VLI and FBI were both associated with mild analgesia that was only during the VLI specific for synchronous visuotactile stimulation and the lower back position. CONCLUSIONS: The present findings show that VR exposure using multisensory stimulation differently affected leg vs body ownership, and is associated with mild analgesia with potential for SCI neurorehabilitation protocols.

Attentional load of walking in children aged 7-12 and in adults.

The amount of attentional resources necessary to walk in children, and how they evolve during childhood remains unclear. This study examined children's gait parameters in different dual-task conditions. 53 children, divided into two age groups (7-9 and 10-12 years old), and 18 adults walked on a mat in three different cognitive conditions: watching a video (video condition), listening its soundtrack (audio condition), and without any additional task (control condition). Questions were asked at the end of the video and audio conditions to make sure that participants were paying attention to the stimuli. A GAITRite® system was used for recording the gait data. Results showed an increase of velocity and step duration, and a decrease of cadence and percentage of double limb support duration from 7 years of age to adulthood during dual-task walking compared with single-task walking. This improvement seemed to be linear from 7 years to adults' age. The interference of dual-task on gait was larger for the video than for the auditory task and decreased with age. We concluded that walking requires a significant amount of attentional resources in children and that children rely more than adults on visual processes for walking.

Effects of emotional videos on postural control in children.

The link between emotions and postural control has been rather unexplored in children. The objective of the present study was to establish whether the projection of pleasant and unpleasant videos with similar arousal would lead to specific postural responses such as postural freezing, aversive or appetitive behaviours as a function of age. We hypothesized that postural sway would similarly increase with the viewing of high arousal videos in children and adults, whatever the emotional context. 40 children participated in the study and were divided into two groups of age: group 7-9 years (n=23; mean age=8 years ± 0.7) and group 10-12 years (n=17; mean age=11 years ± 0.7). 19 adults (mean age=25.8 years ± 4.4) also took part in the experiment. They viewed emotional videos while standing still on a force platform. Centre of foot pressure (CoP) displacements were analysed. Antero-posterior, medio-lateral mean speed and sway path length increased similarly with the viewing of high arousal movies in the younger, older children, and adults. Our findings suggest that the development of postural control is not influenced by the maturation of the emotional processing.

Experimental changes in bodily self-consciousness are tuned to the frequency sensitivity of proprioceptive fibres.

Several lines of evidence suggest an important implication of proprioceptive signals in bodily self-consciousness. By manipulating proprioceptive signals using muscle vibration, here, we investigated whether such effects depend on the vibration frequency by testing three different vibratory stimuli applied at the lower limbs (20, 40 and 80 Hz). We thus explored whether frequency-specific proprioceptive interference that has been reported in postural or motor tasks will also be found for measures of bodily self-consciousness. Self-identification (questionnaires) and visuotactile integration (asking participants to make tactile discriminations) were quantified during synchronous and asynchronous stroking conditions that are known to manipulate bodily self-consciousness. We found that even though muscle vibrations were applied at the same body location in all cases, 20 Hz vibrations did not alter the magnitude of self-identification and visuotactile integration, whereas 40 and 80 Hz vibrations did. These frequency-specific effects extend earlier vibration effects on motor and postural tasks to bodily self-consciousness. We suggest that the observed changes in bodily self-consciousness are due to altered proprioceptive signals from the lower limbs and that these changes depend on the tuning of Ia fibres to muscle vibration.

Leg muscle vibration modulates bodily self-consciousness: integration of proprioceptive, visual, and tactile signals.

Behavioral studies have used visuo-tactile conflicts between a participant's body and a visually presented fake or virtual body to investigate the importance of bodily perception for self-consciousness (bodily self-consciousness). Illusory self-identification with a fake body and changes in tactile processing--modulation of visuo-tactile cross-modal congruency effects (CCEs)--were reported in previous findings. Although proprioceptive signals are deemed important for bodily self-consciousness, their contribution to the representation of the full body has not been studied. Here we investigated whether and how self-identification and tactile processing (CCE magnitude) could be modified by altering proprioceptive signals with 80-Hz vibrations at the legs. Participants made elevation judgments of tactile cues (while ignoring nearby lights) during synchronous and asynchronous stroking of a seen fake body. We found that proprioceptive signals during vibrations altered the magnitude of self-identification and mislocalization of touch (CCE) in a synchrony-dependent fashion: we observed an increase of self-identification and CCE magnitude during asynchronous stroking. In a second control experiment we studied whether proprioceptive signals per se, or those from the lower limbs in particular, were essential for these changes. We applied vibrations at the upper limbs (which provide no information about the position of the participant's body in space) and in this case observed no modulation of bodily self-consciousness or tactile perception. These data link proprioceptive signals from the legs that are conveyed through the dorsal column-medial lemniscal pathway to bodily self-consciousness. We discuss their integration with bodily signals from vision and touch for full-body representations.

Postural control and attentional demand during adolescence.

In the present study we aimed to determine the attentional cost of postural control during adolescence by studying the influence of a cognitive task on concurrent postural control. 38 teenagers aged 12 to 17years and 13 young adults (mean age=26.1) stood barefoot on a force platform in a semi-tandem position. A dual-task paradigm consisted of performing a Stroop or a COUNTING BACKWARD task while simultaneously standing quietly on a firm or foam support surface. Different centre of pressure (CoP) measures were calculated (90% confidence ellipse area, mean velocity, root mean square on the antero-posterior (AP) and medio-lateral (ML) axes). The number and percentage of correct responses in the cognitive tasks were also recorded. Our results indicate (1) higher values of surface, ML mean velocity and ML RMS in the COUNTING BACKWARD task in adolescents aged 12 to 15 than in teenagers aged 16 to 17 and in adults, regardless of the complexity of the postural task and, (2) better cognitive performances in the Stroop than in the COUNTING BACKWARD task. The difference in the dual-task performance between the different age groups and particularly the existence of a turning point around 14-15years of age might be due to 1) difficulties in properly allocating attentional resources to two simultaneous tasks and/or, 2) the inability to manage increased cognitive requests because of a limited information processing capacity in adolescents aged 14-15years.

The lasting effects of spike insoles on postural control in the elderly.

The purpose of the present study was to explore the lasting effects of a tactile sensitivity enhancement induced by spike insoles on the control of stance in the elderly. Healthy elderly subjects (n = 19, mean age = 68.8) and young adults (n = 17, mean age = 24.3) were instructed to stand or to walk for 5 minutes with sandals equipped with spike insoles. Postural control was evaluated four times during unperturbed stance: (1) before putting on the sandals equipped with spike insoles, (2) 5 minutes after standing or walking with them, (3) immediately after placing thin, smooth, and flexible insoles (no spike insoles) into the sandals to avoid the cutaneous contact with the spikes, and (4) after a sitting rest of 5 minutes with the no spike insoles. Sway parameters such as surface area, mean speed and root mean square were recorded. The present results suggest that (1) whatever the session (i.e. standing or walking) and the population, the artificial sensory message elicited by the spikes improved postural sway and, (2) the elderly were particularly perturbed when the tactile sensitivity enhancement device was removed. Whatever the age, the enriched sensory context provided by this tactile sensitivity enhancement device led to a better postural control; its suppression entailed a reweighting of the plantar cutaneous information. The difficulty that the elderly had to adjust the relative contribution of the different inputs probably reflected their poorer central integrative mechanisms for the reconfiguration of the postural set. A reduced peripheral sensitivity may also explain these postural deficits.

Anticipatory postural adjustments associated with a forward leg raising in children: effects of age, segmental acceleration and sensory context.

OBJECTIVE: The purpose of this study was to determine the influence of age, segmental acceleration and sensory context on anticipatory postural adjustments (APAs) in a forward leg raising task. METHODS: Three groups of 11 children, aged 8, 10 and 12, and 12 adults, aged 20 to 26, were instructed to perform this movement at maximal (MAXIMAL) and sub-maximal segmental accelerations and in normal (CONTROL), no vision (NV) and perturbed proprioception conditions (VIB). The generation and calibration of APAs were examined through the centre of foot pressure displacements: The onset, duration and amplitude of APAs were particularly explored. The EMG activity of the tibialis anterior (TA(stance)) and gastrocnemius medialis (G(stance)) of the stance leg was also recorded. RESULTS: Two phases were clearly identified on the ML axis: A thrust and an unloading phase. Effect of age: At 8 and 10, (1) the unloading duration was shorter, and (2) the onset of APAs on the ML axis appeared later than in 12-year-old children and in adults. Effect of the segmental acceleration: (1) a greater amplitude of the thrust and unloading phases, (2) a shorter unloading duration, and (3) a later onset of ML APAs and of the TA(stance) activity were observed at maximal acceleration in all groups. Effect of the sensory context: No difference was found between the CONTROL and NV conditions. When the proprioceptive feedback was altered, (1) the thrust and unloading durations increased, and (2) the onset of the APAs on the ML axis occurred earlier. CONCLUSION: All children exhibited an anticipatory behaviour, but the adults' behaviour was reached at 12 only. Our results also indicated a change in the generation and calibration of APAs in the VIB condition, suggesting that proprioceptive information is essential for both dimensions of the APAs. SIGNIFICANCE: The development of the APAs was not related to the segmental acceleration and to the sensory context of the forthcoming movement in children aged 8-12. It is very likely that the participants built up an internal representation of this movement.

Effects of attentional focus on postural sway in children and adults.

The present study examined, in children aged 4-11 and in adults, the postural control modifications when attention was oriented voluntary on postural sway. Since (1) there are less attentional resources in children than in adults, (2) the selective attention processing improves with age, i.e., children use a different strategy to focus their attention than adults, and (3) adults' postural stability decreases when attention is focused on postural sway, we hypothesized that postural stability was less affected in children than in adults when attention was focused on postural sway. Fourty four children aged 4- to 11-year-old and 11 adults participated in the experiments. The postural control task was executed in a Romberg position. Two experimental conditions were presented to the subjects, (1) to look at a video on a TV screen without instruction about the posture, and (2) to fixate a cross placed at the center of the TV screen with the instruction to remain as stable as possible. Postural performance was measured by means of a force platform. Results from this study (1) confirmed a non-monotonic improvement of postural stability during the ontogenetic period without reaching the adults' level at the age of 11, (2) suggested that children, aged 4-11, are able to focus their attention on the control of posture, and (3) showed that the automatic control of posture increases postural stability since the age of 4.

Do spike insoles enhance postural stability and plantar-surface cutaneous sensitivity in the elderly?

Balance problems are often related to a loss of plantar-sensitivity in elderly people. The purpose of this study was to explore the contribution of plantar cutaneous inputs induced by a spike support surface to the control of stance. Nineteen elderly (mean age 69.0 years, range 62-80) and 19 young adults (mean age 25.9 years, range 21-32) were instructed to stand (standing session) or to walk (walking session) for 5 min with sandals equipped with spike insoles (spike condition). Both sessions also involved a no spike condition in which participants stood or walked for 5 min without these insoles (no spike condition). In all conditions, postural responses were assessed during unperturbed stance and were performed (1) immediately after putting the spike or the no spike insoles, and (2) 5 min after standing or walking with them. Sway parameters, such as centre of foot pressure mean location, surface area, mean speed, root mean square and median frequency on the antero-posterior and medio-lateral axes, were calculated. As postural performances are often related to plantar-surface sensitivity, cutaneous sensitivity threshold was also evaluated with Semmes-Weinstein monofilaments. Although no immediate effect of the spike insoles was found, results indicated that standing or walking for 5 min with sandals equipped with spike insoles led to a significant improvement of quiet standing in the elderly. Balance improvement was also observed in young adults. The results provided evidence that wearing sandals with spike insoles can contribute, at least temporarily, to the improvement of unperturbed stance in elderly people with relatively intact plantar cutaneous sensation. Further research is needed to assess the effects of longer and discontinuous stimulations with spike insoles on postural control.