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Differential Control of Leg and Trunk Muscle Activity by Vestibulo-spinal and Proprioceptive Signals during Human Balance Corrections

Authors: J H, Allum; F, Honegger; H, Acuña;

Differential Control of Leg and Trunk Muscle Activity by Vestibulo-spinal and Proprioceptive Signals during Human Balance Corrections

Abstract

Knowledge about how proprioceptive signals trigger and modulate human balance corrections has important implications for the rehabilitation of postural and gait disorders, and increases our understanding of normal interactions between these sensory systems. We used combinations of support-surface rotation and rearward translation to examine the triggering effects of ankle and knee movements on balance corrections. By comparing the responses in normal subjects to those in persons with a bilateral peripheral vestibular deficit, we determined the modulating influence of vestibular inputs on balance responses. Differences in normal and vestibular-loss responses under the different proprioceptive conditions revealed four general findings. First, ventral leg muscle responses are strongly modulated by vestibulo-spinal inputs and by proprioceptive inputs from the ankle and knee. Second, triceps surae muscle responses are initially dependent on ankle inputs, and after 100 ms are modulated by knee inputs; they are not altered by vestibular loss. Third, paraspinal responses in vestibular-loss subjects are enhanced because of unstable trunk sway induced by the lack of ventral leg-muscle activity. Fourth, the earliest possible triggering signal for establishing the timing of interlink muscle activity appears to be knee flexion and/or trunk rotation on the pelvis. These results indicate that a confluence of knee and trunk proprioceptive and vestibulo-spinal inputs, rather than either input alone, is involved in establishing the muscle synergy underlying normal balance corrections.

Related Organizations
Keywords

Reflex, Stretch, Leg, Random Allocation, Vestibular Diseases, Electromyography, Muscles, Humans, Proprioception, Postural Balance

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
48
Top 10%
Top 10%
Top 10%
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