Brain oscillatory correlates of visuomotor adaptive learning.

Sensorimotor adaptation involves the recalibration of the mapping between motor command and sensory feedback in response to movement errors. Although adaptation operates within individual movements on a trial-to-trial basis, it can also undergo learning when adaptive responses improve over the course of many trials. Brain oscillatory activities related to these "adaptation" and "learning" processes remain unclear. The main reason for this is that previous studies principally focused on the beta band, which confined the outcome message to trial-to-trial adaptation. To provide a wider understanding of adaptive learning, we decoded visuomotor tasks with constant, random or no perturbation from EEG recordings in different bandwidths and brain regions using a multiple kernel learning approach. These different experimental tasks were intended to separate trial-to-trial adaptation from the formation of the new visuomotor mapping across trials. We found changes in EEG power in the post-movement period during the course of the visuomotor-constant rotation task, in particular an increased (i) theta power in prefrontal region, (ii) beta power in supplementary motor area, and (iii) gamma power in motor regions. Classifying the visuomotor task with constant rotation versus those with random or no rotation, we were able to relate power changes in beta band mainly to trial-to-trial adaptation to error while changes in theta band would relate rather to the learning of the new mapping. Altogether, this suggested that there is a tight relationship between modulation of the synchronization of low (theta) and higher (essentially beta) frequency oscillations in prefrontal and sensorimotor regions, respectively, and adaptive learning.

Effects of a lower limb muscular fatigue on posture-movement interaction during a lower limb pointing task.

PURPOSE: The aim of the present study was to investigate the effects of muscular fatigue on the interaction between posture and movement during a lower limb pointing task. METHODS: Participants (n = 16), aged 18-30 years, kicked a ball toward a target in four conditions of fatigue: No muscular fatigue (NF), fatigue in the kicking (FM) or postural limb (FP) alone, and fatigue in both limbs (FMP). The mean amplitude and speed of the centre of foot pressure (CoP) and centre of mass (CoM) displacements were estimated through a force platform and an optoelectronic system, respectively. In addition, surface electromyography (EMG) of the biceps femoris, rectus femoris, medial gastrocnemius, and peroneus longus was recorded to investigate the anticipatory postural adjustments (APAs). RESULTS: Muscular fatigue yielded a decreased kicking accuracy (p < 0.001) and an increased time to perform the movement (p < 0.001), mainly during the backswing motion. In addition, significant increases in the mean amplitude and speed of the CoP and CoM displacement were found in the anteroposterior (AP) and mediolateral (ML) axes (ps < 0.001), especially when both limbs were fatigued. The EMG analysis confirmed that fatigue modified the way APAs were generated. During fatigue, postural muscle activity increased, but was delayed with respect to movement onset (ps < 0.001). This pattern of response was more consistent when both limbs were fatigued (p < 0.001). CONCLUSION: The present results suggested an additive effect of fatigue and a functional adaptation and subsequent decrease in the overall variability of APAs, indicating that postural and motor processes are interdependent.

Influence of dual-task constraints on the interaction between posture and movement during a lower limb pointing task.

One of the challenges regarding human motor control is making the movement fluid and at a limited cognitive cost. The coordination between posture and movement is a necessary requirement to perform daily life tasks. The present experiment investigated this interaction in 20 adult men, aged 18-30 years. The cognitive costs associated to postural and movement control when kicking towards a target was estimated using a dual-task paradigm (secondary auditory task). Results showed that addition of the attentional demanding cognitive task yielded a decreased kicking accuracy and an increased timing to perform the movement, mainly during the backswing motion. In addition, significant differences between conditions were found for COP and COM displacement (increased amplitude, mean speed) on the anteroposterior axis. However, no significant differences between conditions were found on the mediolateral axis. Finally, EMG analysis showed that dual-task condition modified the way anticipatory postural adjustments (APAs) were generated. More specifically, we observed an increase of the peroneus longus activity, whereas the temporal EMG showed a decrease of its latency with respect to movement onset. These results suggested a functional adaptation resulting in an invariance of overall APAs, emphasizing that cognitive, postural, and motor processes worked dependently.

Interference between oculomotor and postural tasks in 7-8-year-old children and adults.

Several studies in adults having observed the effect of eye movements on postural control provided contradictory results. In the present study, we explored the effect of various oculomotor tasks on postural control and the effect of different postural tasks on eye movements in eleven children (7.8 ± 0.5 years) and nine adults (30.4 ± 6.3 years). To vary the difficulty of the oculomotor task, three conditions were tested: fixation, prosaccades (reactive saccades made toward the target) and antisaccades (voluntary saccades made in the direction opposite to the visual target). To vary the difficulty of postural control, two postural tasks were tested: Standard Romberg (SR) and Tandem Romberg (TR). Postural difficulty did not affect oculomotor behavior, except by lengthening adults' latencies in the prosaccade task. For both groups, postural control was altered in the antisaccade task as compared to fixation and prosaccade tasks. Moreover, a ceiling effect was found in the more complex postural task. This study highlighted a cortical interference between oculomotor and postural control systems.

Comparison of Trunk Motion between Moderate AIS and Healthy Children.

Analysis of kinematic and postural data of adolescent idiopathic scoliosis (AIS) patients seems relevant for a better understanding of biomechanical aspects involved in AIS and its etiopathogenesis. The present project aimed at investigating kinematic differences and asymmetries in early AIS in a static task and in uniplanar trunk movements (rotations, lateral bending, and forward bending). Trunk kinematics and posture were assessed using a 3D motion analysis system and a force plate. A total of fifteen healthy girls, fifteen AIS girls with a left lumbar main curve, and seventeen AIS girls with a right thoracic main curve were compared. Statistical analyses were performed to investigate presumed differences between the three groups. This study showed kinematic and postural differences between mild AIS patients and controls such as static imbalance, a reduced range of motion in the frontal plane, and a different kinematic strategy in lateral bending. These differences mainly occurred in the same direction, whatever the type of scoliosis, and suggested that AIS patients behave similarly from a dynamic point of view.

Postural challenge and adaptation to vibration-induced disturbances.

The described experiment investigated whether adaptation to successive Achilles tendon vibration depends on the postural challenge. In phase 1, thirty-six participants were divided into three groups, each with a different postural challenge. After being blindfolded, participants received 15 trials of Achilles tendon vibration (10 s-90 Hz) while standing upright in either a free-standing condition (FS group), a light finger touch condition (LFT group), or a restrained-standing condition (RS group) in which a dorsal stand prevented body displacement. In phase 2, all participants were freely standing and received 15 additional trials of vibration. Antero-posterior trunk tilt was measured at the level of the trunk (C7). Although there were limited postural readjustments in LFT, adaptation was observed in phase 1 in both FS and LFT groups. In phase 2, the evoked postural displacement was greater in the RS group than in the other two groups. We concluded that although the absence of any postural challenge concomitant to the sensory stimulation prevented adaptation to occur, a minimal challenge was sufficient.

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.

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.

Effect of manipulation of the feet and ankles on postural control in elderly adults.

The purpose of the present experiment was to investigate the effect of a therapeutic manipulation of the feet and ankles on postural control during quiet standing in elderly adults. Seventeen elderly adults stood barefeet on a force platform and were asked to sway as little as possible. Within a trial, vision was suppressed by eyes closure. The task was executed in two experimental sessions: before and after a therapeutic manipulation of the feet and ankles. Centre of feet pressure (COP) displacements along the mediolateral (ML) and anteroposterior (AP) axes were recorded. For the two experimental sessions, subjects exhibited comparable COP displacements when vision was available and were similarly affected by the suppression of vision. However, when subjects had to adapt to the absence of vision within a 10s temporal frame, postural behaviour became different in the two experimental sessions: the sum of the ML and AP COP displacements increased within the 10s temporal frame before the therapeutic manipulation of the feet and ankles, whereas it remained unchanged after it. These results suggested that the therapeutic manipulation of the feet and ankles allows the elderly adults to partially compensate for the destabilising effect induced by the suppression of vision.

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.

Dual-task study of cognitive and postural interference in 7-year-olds and adults.

The study examined, in children aged 7 and adults, the postural control when a cognitive task (modified Stroop) of varying level of difficulty is executed simultaneously. Postural difficulty also varied (with or without vibrations of the ankle joint). We hypothesized that children's performance was more affected than adults', when the difficulty of the cognitive and postural tasks increased. Results (i) demonstrated that the presence of a concurrent cognitive task affected postural sway at all ages; (ii) confirmed that the interference between mental activity and postural control can be attributed mainly to general capacity limitations and (iii) showed a degradation of the postural criteria in children but not of the cognitive ones, when the postural condition was constraining.

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.

Attentional demands associated with the use of a light fingertip touch for postural control during quiet standing.

The purpose of the present experiment was to investigate whether and how using a light fingertip touch for postural control during quiet standing requires additional attentional demands. Nine young healthy university students were asked to respond as rapidly as possible to an unpredictable auditory stimulus while maintaining stable seated and upright postures in three sensory conditions: vision, no-vision and no-vision/touch. Touch condition involved a gentle light touch with the right index finger on a nearby surface at waist height. Center of foot pressure (CoP) displacements were recorded using a force platform. Reaction times (RTs) values were used as an index of the attentional demand necessary for calibrating the postural system. Results showed decreased CoP displacements in both the vision and no-vision/touch conditions relative to the no-vision condition. More interestingly, a longer RT in the no-vision/touch than in the vision and no-vision conditions was observed. The present findings suggest that the ability to use a light fingertip touch as a source of sensory information to improve postural control during quiet standing is attention demanding.

Balance, aging, and osteoporosis: effects of cognitive exercises combined with physiotherapy.

OBJECTIVE: To evaluate whether performing cognitive tasks while exercising influenced the effects of an exercise program designed to reduce the risk of falling in elderly women with osteoporosis. METHODS: We included 68 osteoporotic women older than 70 years of age (mean age, 73.5 years+/-1.6) who followed a program of 12 sessions of balance, coordination, and ambulation exercises designed to lessen the risk of falling. The patients were divided into two groups based on proximity to the study centers. The groups were randomly allocated to the exercise program alone (N=31, single-task group) or to the same program combined with cognitive tasks performed while exercising (N=37, dual-task group). Timed up-and-go tests and one-leg balance (OLB) tests were done at baseline, at the end of the exercise program, and 3 months after the end of the exercise program. RESULTS: In both groups, the exercise program produced significant improvements in up-and-go and OLB times. Additional improvements occurred over the first 3 months following the program. Adding cognitive exercises did not provide added efficacy. CONCLUSIONS: Balance was improved after the exercise sessions. The improvements were clinically significant and increased over time.

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.

Effects of foreperiod duration on anticipatory postural adjustments: determination of an optimal preparation in standing and sitting for a raising arm movement.

The purpose of the present experiment was to examine the motor and postural preparation processes evolving during the foreperiod (known to be optimal at 500 ms in sitting) in a voluntary upper limb movement executed while standing. The foreperiod duration (300, 500, 700 and 900 ms) and the postural conditions (sitting versus standing) were manipulated using a priming procedure. Two types of prime were provided: (1) a prime giving valid information on the side of the raising arm movement to execute, and (2) a prime giving non-valid information (prime opposite to the required side). In a sitting and standing condition, eight normal subjects performed a raising arm movement with a 1 kg load at the level of the wrist. Premotor time and acceleration of arm movement were recorded in the two postural conditions. In the standing condition, anticipatory postural adjustments (APAs) were also quantified using the relative latency of electromyographic (EMG) data and the centre of foot pressure (CoP) displacements. Results (1) showed that the optimal foreperiod duration (i.e., leading to the shortest premotor time) increased as a function of postural conditions (500 versus 700 ms in the sitting and standing conditions, respectively), and (2) emphasized the existence of a temporal modulation in the central organization of the postural and focal commands according to the foreperiod duration.

Perception of slow pitch and roll body tilts in bilateral labyrinthine-defective subjects.

The aim of the present study was to examine whether the perception of slow body tilts in total darkness was affected by a complete loss of vestibular function. Four blindfolded bilateral labyrinthine-defective subjects (LDs) and 12 normal subjects (Normals) were seated and immobilized with large straps against the back of a rotating L-shaped platform, and were passively displaced from the upright at 0.05 degrees x s(-1) in the pitch and roll dimensions. Subjects were asked to detect the slow change in their body orientation, by indicating as soon as possible the direction of tilt. After a brief period of practice observed for all LDs at the beginning of the session, results showed no significant difference between LDs and Normals in the mean detection threshold recorded for each direction of tilt. The mean perceptual threshold was 4.4 versus 5.1 degrees in the roll dimension, and 6.1 versus 6.1 degrees in the pitch dimension, for the LDs and Normals, respectively. These findings indicate that the accurate perception of body orientation in quasi-static conditions is mainly allowed by somatosensory information rather than by otolithic inputs.

Contribution of tactile and interoceptive cues to the perception of the direction of gravity.

Without relevant visual cues, the Subjective Visual Vertical (SVV) is biased in roll tilted subjects toward the body axis (Aubert or A-effect). This effect is generally ascribed to changes in the vestibular and somatosensory inputs following a body tilt. This study focused on the contribution of interoception and tactile cues in the SVV. The body-cast technology and gastric fullness were used to obtain a diffuse tactile stimulation and an overload stomach stimulation, respectively. Fifteen subjects placed in a tilt-chair were rolled sideways from 0 degrees to 90 degrees. They were asked to adjust a luminous line to the vertical under two body restriction conditions (strapped vs. body-cast) and two stomach load conditions (empty vs. full). Results showed (1) an improvement in the SVV judgment when somaesthetic cues were available in the full stomach condition (p < 0.001), (2) an increased A-effect for the higher body tilt values in the body-cast condition (beyond 45 degrees, p < 0.001), and (3) a smaller disrupting effect of the body-cast in the SVV judgment in the full stomach condition (p < 0.05). Since the vestibular system produced the same gravity response in all conditions, it can be stated that somaesthetic cues are involved in the SVV. Tactile mechanoreceptors may have contributed by detecting the changing pattern of pressures generated on the skin that results from changes in body orientation. The stomach load may act through the inertial forces exerted against the gravity load when the stomach is full by the mechanoreceptors in the fundus. Thus, the somaesthetic system can indicate the direction of gravity via patterns of pressure within and at the surface of the body.

Veering in human locomotion: modulatory effect of attention.

Without visual information, human subjects are not able to maintain displacement in a straight line. This tendency to depart from linearity during locomotion is called veering. The purpose of the present experiment was to investigate the extent to which attention could modulate navigation in the absence of visual information. Blindfolded locomotion on linear pathways was assessed under three different conditions. The Distraction condition was intended to divert participants' attention from the walking task, whereas in the Concentration condition, participants deliberately focused on the task. There was also a Control condition in which no particular instruction was provided. Results showed that subjects veered in all conditions. Furthermore, more accurate performances were observed in the Distraction condition compared to the Control condition, while the Concentration condition led to larger deviations.

Postural sway under muscle vibration and muscle fatigue in humans.

Separate studies have demonstrated that vibration and fatigue of ankle muscles alter postural control. The purpose of the present experiment was to investigate the effect of ankle muscle vibration on the regulation of postural sway in bipedal stance following ankle muscle fatigue. Center of foot pressure displacements were recorded using a force platform. Results showed a similar increase in postural sway under muscle fatigue as well as under muscle vibration. Interestingly, under muscle fatigue muscle vibration did not induce a further increase in postural sway. Two hypotheses could, at least, account for this observation: (1). fatigued muscles are less sensitive to muscle vibration and (2). the central nervous system relies less upon proprioceptive information originating from fatigued muscles for regulating postural sway.