A Postural Model of Balance-Correcting Movement Strategies

Article type: Research Article

Authors: Allum, J.H.J.^{; *} | Honegger, F.

Affiliations: Department of Otorhinolaryngology, University Hospital, Basel, Switzerland

Note: [*] Reprint address: Dr. J.H.J. Allum, Dept of ORL, University Hospital, CH-4031 Basel, Switzerland.

Abstract: The patterns of joint torques and movement strategies underlying human balance corrections were examined using a postural model. Two types of support-surface perturbation, dorsiflexion rotation (ROT) and rearward translation (TRANS), were employed. These two perturbations were adjusted to produce similar profiles of ankle dorsiflexion in order to obtain information on the role of lower leg proprioceptive inputs on triggering balance corrections. In addition, the dependence of balance control on head angular and linear accelerations was investigated by comparing the responses of normal and vestibularly deficient subjects under eyes-closed and eyes-open conditions. Differences in ROT and TRANS movement strategies were examined in three ways First, the amplitude and polarity of active joint torques were analysed. These were obtained by altering joint torques applied to a postural model until movements of the model accurately duplicated those of measured responses. Second, the pattern of body-segment angular movements depicted by stick figures moving in response to the computed joint torques was investigated. Third, the peak amplitude and patterns of crosscorrelations between joint torques were measured. Active ankle, knee, and hip joint torques computed for normal subjects rotated the body forward for ROT. In the case of TRANS, computed active torques in normal were of opposite polarity to those of ROT and reversed the forward motion of the body. Subjects with vestibular deficits had lower amplitude torques for ROT and failed to counter the platform rotation. Hip torques for TRANS in vestibular deficient subjects were of opposite polarity to those of normal subjects and resulted in excessive forward trunk rotation. Normally, neck torques acted to stabilize the head in space when trunk angular velocity peaked. Vestibular deficient subjects displayed head movements in response to ROT similar to those generated when neck torques were absent. For TRANS, these same subjects exhibited overcompensatory neck torques. Stick figures of normal responses indicated a stiffening of the body into a leg and a trunk-head link for ROT and a flexible multilink motion for TRANS. Likewise, normal response strategies, defined by using crosscorrelations of joint torques, differed for ROT and TRANS. All joint torque crosscorrelations were significant for TRANS. Neck torques led those of all other joint torques by 40 ms or more, and hip joint led ankle torques by 30 ms. Joint torque correlations for ROT were organised around hip and ankle torques without a major correlation to neck torques. Fundamental changes in all torque crosscorrelations occurred for vestibularly deficient subjects under both eyes-open and eyes-closed conditions. These results support the hypothesis that the modulation of postural responses by vestibular signals occurs at all major joint links of the upright human body and that the strategy underlying balance corrections at the hip and neck is selected independent of local sensory input from the lower leg. Rearward translation and dorsiflexion rotation of a support-surface elicit different movement strategies when ankle angle, changes are matched for such disturbances to human upright balance.

Keywords: humman postural control, models of postural control, vestibulo-spinal reflexes, muscle stretch reflexes, peripheral vestibular deficit

DOI: 10.3233/VES-1992-2406

Journal: Journal of Vestibular Research, vol. 2, no. 4, pp. 323-347, 1992