Isabelle Olivier

Developmental changes of static standing balance in children

The purpose of the present experiment was to investigate the time course by which children aged 6-, 8- and 10-year-old adapt and maintain their static balance. Participants (N=30) were required to stand on a force platform with their eyes closed. Ten adult subjects served as a reference group. We analyzed moment-to-moment modifications of quiet stance equilibrium by measuring the range and speed of the center of foot pressure (COP) displacements over time (i.e., periods of 2 s). Results showed that: (1) with age, the range of the COP decreased non-monotonically, with a maximum at 8 years of age, whereas the speed of the COP decreased linearly from 6 to 10 years of age, and (2) over time, both parameters decreased and stabilized, similarly for all age groups, suggesting that the processes underlying the maintenance of an optimal postural stability are mature at least as soon as 6 years of age.

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.

Age-related differences in cognitive and postural dual-task performance.

The present experiment assessed, in children aged 7-11 and in adults, whether postural control is affected by cognitive processes and vice versa. Using a dual-task, the level of difficulty of a Stroop task and bipedal quiet stance varied alternatively. We hypothesised that the interference between cognitive and postural tasks was non-linear during childhood with a so-called turning point around 8. Twenty-seven children 7- to 11-years-old and nine adults participated in the experiments. The postural task was executed in a semi-tandem Romberg position. Two cognitive conditions (congruent and non-congruent Stroop conditions) and two postural situations (with and without perturbed proprioceptive inputs) were presented simultaneously with the instruction to respond as correctly as possible while remaining as stable as possible. Results showed that, in the Vib condition, CoP mean velocity decreased with the increased cognitive complexity only in children aged 7. Moreover, the data showed a non-linear decrease in postural sway during childhood, whatever the level of complexity of the cognitive and/or postural tasks. CoP mean amplitude and mean velocity decreased between 7 and 8, and again between age 11 and adults. This study (1) confirmed that the interference between mental activity and postural control can be attributed mainly to attentional limitations, (2) showed the existence of a turning point around 8 in the development of this capacity, and (3) suggested that the mature level of attentional resources was not reached until age 11. Further research is needed to assess the development of attention implied in a cognitive/postural dual-task, including probably another so-called turning point during the adolescence.

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.

Effects of temporal and/or spatial instructions on the speed–accuracy trade-off of pointing movements in children

The present experiment examined in a visuo-manual task the effects of verbal instructions on the speed/accuracy trade-off across children aged 6, 8 and 10 years and adults. Three different verbal instructions (speed, accuracy and speed-accuracy) had to be respected to perform a pointing task. Analysis of reaction time (RT), movement time (MT) and percentage of targets reach showed that: (1) whatever the age, children were able to comply with the verbal instructions to adapt the velocity and/or the precision of their response (initiation and movement execution); (2) the main age-related difference of the speed-accuracy trade-off concerned the temporal (MT) but not the accuracy (targets reach) characteristics of the pointing movements; and (3) in the older children and even more precisely in adults, a temporal deficit was observed when the accuracy of aiming was required. This deficit increased as accuracy increased. These results were discussed within the theoretical frameworks of the developmental speed processing model proposed by Kail [Psychol. Bull., 109(3) (1991) 490-501] for RT data, and the speed-accuracy trade-off model proposed by Pachella [Pachella, R.G., The interpretation of reaction time in information-processing research, in, Kantowitz, B. (ed) Human Information Processing: Tutorial in Performance and Recognition, Erlbaum, (1974) 41-82] for MT and targets reach data.

Obesity impact on the attentional cost for controlling posture.

Background This study investigated the effects of obesity on attentional resources allocated to postural control in seating and unipedal standing. Methods Ten non obese adults (BMI = 22.4±1.3, age = 42.4±15.1) and 10 obese adult patients (BMI = 35.2±2.8, age = 46.2±19.6) maintained postural stability on a force platform in two postural tasks (seated and unipedal). The two postural tasks were performed (1) alone and (2) in a dual-task paradigm in combination with an auditory reaction time task (RT). Performing the RT task together with the postural one was supposed to require some attentional resources that allowed estimating the attentional cost of postural control. 4 trials were performed in each condition for a total of 16 trials. Findings (1) Whereas seated non obese and obese patients exhibited similar centre of foot pressure oscillations (CoP), in the unipedal stance only obese patients strongly increased their CoP sway in comparison to controls. (2) Whatever the postural task, the additional RT task did not affect postural stability. (3) Seated, RT did not differ between the two groups. (4) RT strongly increased between the two postural conditions in the obese patients only, suggesting that body schema and the use of internal models was altered with obesity. Interpretation Obese patients needed more attentional resources to control postural stability during unipedal stance than non obese participants. This was not the case in a more simple posture such as seating. To reduce the risk of fall as indicated by the critical values of CoP displacement, obese patients must dedicate a strong large part of their attentional resources to postural control, to the detriment of non-postural events. Obese patients were not able to easily perform multitasking as healthy adults do, reflecting weakened psycho-motor abilities.

Presbypropria: the effects of physiological ageing on proprioceptive control

Several changes in the human sensory systems, like presbycusis or presbyopia, are well-known to occur with physiological ageing. A similar change is likely to occur in proprioception, too, but there are strong and unexplained discrepancies in the literature. It was proposed that assessment of the attentional cost of proprioceptive control could provide information able to unify these previous studies. To this aim, 15 young adults and 15 older adults performed a position matching task in single and dual-task paradigms with different difficulty levels of the secondary task (congruent and incongruent Stroop-type tasks) to assess presumed age-related deficits in proprioceptive control. Results showed that proprioceptive control was as accurate and as consistent in older as in young adults for a single proprioceptive task. However, performing a secondary cognitive task and increasing the difficulty of this secondary task evidenced both a decreased matching performance and/or an increased attentional cost of proprioceptive control in older adults as compared to young ones. These results advocated for an impaired proprioception in physiological ageing.

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.

Effects of neck muscles vibration on the perception of the head and trunk midline position

The present study focused on the influence of neck vibration on the perception of the head and trunk midline position (orientation and localization). The orientation of the head and trunk was investigated by the rolling adjustment of a rod on their midline while their localization was investigated by the adjustment of the position of a visual dot as being straight-ahead the eyes or the sternum. The first experiment investigated whether a head–trunk dissociation was induced by the unilateral vibration of neck muscles in upright and restrained subjects. Results showed that the subjective orientation and localization of whole-body midline were shifted toward the vibrated side. The second experiment determined the effect of the neck muscles vibration when the subjects were lying on their side. The effect of vibration disappeared when the side of vibration was opposed to the side of postural inclination and it was stronger than in the upright position when the side of vibration and the side of postural inclination were congruent. Whereas, results suggested that the input from neck muscle proprioceptors participates directly to the elaboration of the egocentric space, the question may be raised as to how the sensory cues interacted in their contribution to the neural generation of an egocentric, body centred coordinate system.

Foreperiod duration and motor preparation during childhood

The purpose of this experiment was to examine the development of motor preparation across three groups of children aged 6, 8 and 10 years old. The foreperiod duration (500, 1000, 2000 and 4000 ms) and the motor preparation conditions were manipulated using a priming procedure. Two type of primes were provided: (1), a prime carrying no advanced information (neutral condition); and (2), a prime giving advanced information on the nature of the motor response to execute, allowing the participant to prepare for it (selective condition). Reaction time and response errors were analyzed. Results showed that under both conditions, the optimal motor preparation was reached within the same time frame which decreased as age increased. As to the optimal alertness level (neutral preparation), it is maintained longer as age increases, whereas the optimal motor programming level (selective preparation) is reached only for specific foreperiod duration.