Bernard Amblard

Ontogenesis of head stabilization in space during locomotion in children : influence of visual cues

The main purpose of this study was to investigate the development of the head stabilization in space strategy (HSSS) during various locomotor tasks in 3- to 8-year-old children and adults. The contribution of visual factors to the HSSS was also examined by applying peripheral visual restriction, stroboscopic visual motion cue restriction, and darkness. The kinematics of the head and trunk rotations (pitch, yaw, and roll) were analyzed by means of an optical TV-image processor (ELITE system). For each of the three angular components, an appropriate “head anchoring index” was defined in order to compare the HSSS with a head stabilization on the trunk strategy. Head-trunk correlation rates were also calculated for each angular component in order to evaluate the head-trunk stiffness. The development of head-trunk coordinations during locomotion under normal vision can be said to involve at least three main periods. The first period occurs from the age of 3 to 6 years, when the HSSS is adopted only while walking on the flat ground. While walking on narrow supports, children in this age-group rather tend to increase the head-trunk stiffness, especially at 6 years of age. The second period includes 7- to 8-year-old children. Children of this age become able to adopt the HSSS while walking on narrow supports. During this period, the HSSS is associated with a large decrease in the head-trunk correlations. Lastly, in adulthood the HSSS is commonly adopted but specifically involves the roll component associated with the lateral body oscillations while walking. Vision was found to have little influence on childrens HSSS while walking, whatever their age. Moreover, darkness induces an increase in the efficiency of the HSSS in adults. This confirms that the HSSS is the most appropriate strategy available for dealing with an increase in the level of equilibrium difficulty and may reflect a “top-down” organization of the postural control while walking. These results also suggest that the HSSS may be mainly of vestibular origin and presumably serves to facilitate the visual input processing, particularly that of the motion and peripheral visual cues which are involved in the control of body equilibrium during locomotion.

Selection of spatial frame of reference and postural control variability

Abstract The present paper addresses the question of the possible links between perceptive visual field dependence-independence and the visual contribution to postural control. In our differential approach, visual field dependent (FD) and independent (FI) subjects were selected on the basis of their score in the Rod and Frame Test (subjective vertical). The hypothesis that we have tested is that the FD subjects use mainly visual cues for estimating not only their subjective vertical but also their body orientation and stability. Moreover, we have postulated that these subjects use mainly dynamic visual cues to control their postural stability. In the postural test, the selected subjects were instructed to stand in the sharpened Romberg position in darkness and under normal or stroboscopic illumination, in front of either a vertical or a tilted frame. Lateral head and body orientation and stability were measured. We found that: (1) all subjects leaned slightly towards the tilted frame (postural frame effect), and this was obtained on the basis of the static visual cues alone; (2) FD subjects were less stable than FI subjects, and their stability required the use of dynamic visual cues, mainly extracted from the vertical frame. In FI subjects, static visual cues may act as a complementary regulation, enhancing stability even with a strobe tilted frame. We thus demonstrate that visual field dependence interacts with the visual contribution to postural control.

Lateral orientation and stabilization of human stance: static versus dynamic visual cues.

SummaryThe differential contributions of static versus dynamic visual cues to postural control were studied in human subjects. Lateral body oscillations were measured with accelerometers located at head, hips and ankle levels, while subjects righted their balance under various mechanical conditions: i) on either a soft (foam rubber) support or a hard one, and ii) in either the classical or the sharpened Romberg stance. The visual pattern (horizontal or vertical rectangular grating) was illuminated with either a stroboscopic bulb or a normal one, and control measurements were also taken in darkness for each mechanical condition. Acceleration signals were processed into their frequency power spectra, the mean area and shape of which were taken to characterize the postural skills involved and the effects of either the visual suppressions or the mechanical destabilizations. Although dynamic visual cues have already been found to play a major role in the control of lateral body sway (Amblard and Crémieux 1976), we demonstrate here that static visual cues, the only ones available under stroboscopic illumination, also make a clear though minor contribution. Hence we suggest the existence of two modes of visual control of lateral balance in man, which are well separated in terms of the frequency range of body sway: the first mechanism, which operates below 2 Hz and is strobe-resistant, seems to control the orientation of the upper part of the body; the second mechanism, which operates above 4 Hz, centers on about 7 Hz and is strobe-vulnerable, seems to immobilize the body working upwards from the feet. Thus static visual cues may slowly control re-orientation or displacement, whereas dynamic visual cues may contribute to fast stabilization of the body. In between the frequency ranges at which these two visuomotor mechanisms come into play, at about 3 Hz, there is what we call a “blind frequency”, a visually neutral sway frequency which may arise from the incompatibility of visual reorientation with visual stabilization, and where vision appears unable to reduce postural sway to any marked extent. Transmission of the destabilization produced by suppression of visual cues or by mechanical methods from one anatomical level to another is also briefly discussed in terms of bio-mechanical constraints, and the correlations between various pairs of levels are considered.

Backward and forward masking in the perception of cutaneous stimuli

Masking of the perception of an electrical test stimulus by a mechanical shock was studied in six Ss. Forward and backward masking were observed in all Ss, the former being of longer duration. Duration of the masking effects is inversely related to the intensity of the test stimulus. Masking effects may be preceded and followed by perceptual facilitation. The masking effects may be responsible for the alterations in the perception of a somaesthetic stimulus before and during movement of the stimulated area.

Discrete Visual Samples May Control Locomotor Equilibrium and Foot Positioning in Man

The static or dynamic visual cues required for equilibrium as well as for foot guidance in visually guided locomotion in man were studied using a variety of locomotion supports and illumination and visual conditions. Stroboscopic illumination (brief flashes) and intermittent lighting (longer flashes) were used to control and to vary the visual sampling frequency of static (positional/orientational) visual cues. There were three main findings: First, visual control of foot positioning during locomotion over a narrow support depends mainly upon the availability of high frequency static visual cues (up to about 12 Hz); and third, static visual cues required for equilibrium control are extracted from both the peripheral and the central visual field. Assuming that discrete demands for feedback occur, a simple probabilistic model was proposed, according to which the mean time that elapses following presentation of static visual cues about positions or changes of position accounts for the differences in the difficulty of the various illumination conditions.

Biased postural vertical in humans with hemispheric cerebral lesions

This study was aimed at demonstrating the existence of a biased postural vertical in humans with a recent cerebral lesion. The postural vertical of patients and controls was analysed comparatively using a self-regulated balancing task, performed in sitting posture. Patients displayed a quite constant (19/22) contralesional tilt of the postural vertical (mean -2.6 degrees), varying with the severity of their spatial neglect and hemianaethesia. Eight of them showed a pathological contralesional bias (mean -5.5 degrees) as compared to normals. This result indicates an asymmetric process of somatic graviceptive information due to some cerebral lesions. When patients were subjected to a transcutaneous electrical stimulation applied onto the contralesional side of the neck, body verticality was especially improved in those who showed a pathological bias in the postural vertical. This effect could thus be due to a reduced distortion in the egocentric co-ordinate system for spatial information processing.

ROLE OF FOVEAL AND PERIPHERAL VISUAL INFORMATION IN MAINTENANCE OF POSTURAL EQUILIBRIUM IN MAN

In a previous report (Amblard & Crémieux, 1976) we demonstrated that the maintenance of postural equilibrium, measured with the subject in Manns stance on a foam rubber support, was significantly more difficult under stroboscopic rather than normal lighting conditions. The most plausible cause of the difficulty is the subjects loss of visual perception of movement as a result of the stroboscopic lighting. The present study was designed to look at this factor under normal lighting conditions. Also, the relative contributions of foveal and peripheral vision were assessed. During stance, the subjects (5 women and 6 men, aged from 25 to 55 yr.) viewed either a horizontal or a vertical rectangular grating. With horizontal lines, the visual perception of lateral movement is minimized. Lateral acceleration was measured at three anatomical levels: ankles, hips, and head. The horizontal stripe condition was significantly less effective than the vertical stripe one for maintenance of balance, both for measurements at the head level only and for values averaged from all three levels. Balance was significantly impaired with foveal vision alone compared to full vision or to peripheral vision alone, for measurements from each of the three levels. We conclude that the visual perception of movement is a very important factor in the maintenance of the equilibrium, peripheral vision playing the major role, and foveal vision only a supplementary one.

The polymodal sensory cortex is crucial for controlling lateral postural stability : Evidence from stroke patients

In modern literature, internal models are considered as a general neural process for resolving sensory ambiguities, synthesising information from disparate sensory modalities, and combining efferent and afferent information. The polymodal sensory cortex, especially the temporoparietal junction (TPJ), is thought to be a nodal point of the network underlying these properties. According to this view, a pronounced disruption of the TPJ functioning should dramatically impair body balance. Surprisingly, little attention has been paid to this possible relationship, which was the subject of investigation in this study. Twenty-two brain-damaged patients and 14 healthy subjects were subjected to a self-regulated lateral balance task, performed while sitting for 8 s on a rocking platform. Their lateral body balance was analysed both with and without vision (darkness). Support displacements in the frontal plane were recorded by means of an accelerometer. Two criteria were taken into account to evaluate body stability in each trial: the number of aborted trials due to balance loss and the angular dispersion of the supporting surface. Lesions involving the temporoparietal junction were found to markedly increase body instability, both with and without vision. Therefore, the temporoparietal junction plays a pivotal role in lateral body stabilisation, irrespective of the sensory condition in which the task is performed. This suggests that body stability is controlled throughout internal model(s).

Increased visual dependence in Parkinson's disease.

The present study tested the hypothesis that there is increased visual dependence perceptually in patients with Parkinsons disease. We also evaluated whether the visual control of posture and locomotion was related to perceptual visual field dependence. 21 patients with idiopathic Parkinsons disease and 22 age-matched normal subjects were compared on judgment of the visual vertical using the Rod-and-Frame test with visual perturbations in the frontal plane with a tilted frame. Patients had significantly larger errors than controls in the estimation of the subjective vertical. In the same experiment, we performed a posture and a gait analysis in both groups. Posturographic evaluation did not indicate significant differences in unsteadiness between patients and controls. Gait analysis indicated a typical pattern of reduced velocity, shortened stride length, and normal step width. A significant correlation of .89 was found only in the Parkinsonian group between their errors in estimating subjective visual vertical and the Romberg quotient evaluating visual contribution to postural control. No specific locomotor pattern was correlated with visual dependence. Considering our results and previous reports on the visual control of posture, we conclude that patients with Parkinsons disease showed a significantly increased dependence upon visual information both perceptually and motorically, with an increased perceptual visual dependence in the patients being predictive of an equivalent visual dependence or visual control of posture and equilibrium.

Strategies of segmental stabilization during gait in Parkinson's disease

Abstract This study compared the postural strategies adopted by patients with Parkinson’s disease (PD; n=16) during locomotion to those of elderly controls (n=16). We focused mainly on the head and trunk stabilization modes in sagittal and frontal planes. Subjects were asked to walk at their natural speed on an uniformly gray, flat ground. Gait data were recorded before and 1 h after l-dopa intake and were analyzed by an automatic motion analyser (Elite system). The modes of segmental stabilization adopted by each group were determined by means of the anchoring index, associated with cross-correlation functions between angular movements of pairs of segments. The major findings were: (a) PD patients generally had shorter step length, greater step width, and slower gait velocity than the healthy elderly. (b) No difference in angular dispersion of any anatomical segment studied was observed between the two groups. (c) PD patients had adopted a strategy of head stabilization on the shoulder (”en bloc” functioning of the head-shoulder unit) about the roll axis only. (d) PD patients displayed head and shoulder angular movements around the roll axis that were more correlated than those of controls, confirming their more en bloc functioning. (e) Shoulder and hip were equally stabilized in space in the two groups around the roll axis. (f) There was no difference between the two groups about the pitch axis where an en bloc functioning of the whole trunk was shown. These results are discussed with respect to the similarities observed between the visuo-locomotor PD performances and those of children.