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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Published on: December 11, 2013

Protocol to assess the neurophysiology associated with multi-segmental postural coordination.

Karen V Lomond1, Sharon M Henry, Jesse V Jacobs

  • 1School of Health Science, Central Michigan University, Mount Pleasant, MI, USA. Department of Rehabilitation and Movement Science, University of Vermont, Burlington, Vermont, USA.

Physiological Measurement
|September 26, 2013
PubMed
Summary

This study developed brain imaging-compatible tasks to investigate anticipatory postural adjustments (APAs). The unsupported leg raise task effectively elicited APAs, serving as a control for future research.

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Area of Science:

  • Neuroscience
  • Biomechanics
  • Motor Control

Background:

  • Anticipatory postural adjustments (APAs) are crucial for maintaining stability during movement.
  • Impaired APAs are linked to various diseases and injuries.
  • Understanding the neural basis of APA generation is limited by the lack of suitable experimental paradigms for brain imaging.

Purpose of the Study:

  • To develop and validate functional magnetic resonance imaging (fMRI)-compatible tasks to differentiate between movements with and without APAs.
  • To identify brain functions associated with APA generation during leg movements.

Main Methods:

  • Developed two fMRI-compatible leg movement tasks: supported leg raise (SLR) and unsupported leg raise (ULR).
  • Assessed ground reaction forces and electromyographic (EMG) activation to characterize motor coordination.
  • Conducted a pilot fMRI study to evaluate head movement and brain activation patterns.

Main Results:

  • The ULR task elicited multi-segmental coordination patterns, indicative of APA, which were minimal or absent during the SLR task.
  • The SLR task served as an adequate control, eliciting isolated limb motion.
  • Pilot fMRI data showed minimal head movement and distinct brain activation for each task, aligning with expected motor control strategies.

Conclusions:

  • The developed SLR and ULR tasks are suitable for fMRI studies investigating APA generation.
  • These tasks allow for the dissociation of neural processes underlying isolated limb movement versus multi-segmental postural coordination.
  • This methodology provides a foundation for future research into the neural mechanisms of APAs in health and disease.