Light-Weight Wearable Gyroscopic Actuators Can Modulate Balance Performance and Gait Characteristics: A Proof-of-Concept Study

Falling is a major cause of morbidity, and is often caused by a decrease in postural stability. A key component of postural stability is whole-body centroidal angular momentum, which can be influenced by control moment gyroscopes. In this proof-of-concept study, we explore the influence of our wearable robotic gyroscopic actuator “GyroPack” on...

The effects of a steer assist system on bicycle postural control in real-life safety challenges

With aging, the sensory, motor, and central nervous system deficiencies lead to inadequate bicycle postural control in older cyclists. Similarly, variety in riding skills leads to different bicycle postural control strategies. Cycling seems to be an automated task but keeping the bicycle stable at low speed, pedaling, and steering requires...

Two hands, one goal: Functional coupling in the wrist joints during a bimanual task

Bimanual coordination is essential for the performance of daily activities, but the underlying motor control mechanisms are not yet fully understood. The goal of the present study is to identify the contribution of contralateral responses in the wrist joints to the performance of a bimanual task. Contralateral responses could possibly be used in...

Postural control learning dynamics in Parkinson's disease: early improvement with plateau in stability, and continuous progression in flexibility and mobility

BACKGROUND: Balance training improves postural control in Parkinson's disease (PD). However, a systematic approach for the development of individualized, optimal training programs is still lacking, as the learning dynamics of the postural control in PD, over a training program, are poorly understood. OBJECTIVES: We investigated the learning...

Disentangling stability and flexibility degrees in Parkinson's disease using a computational postural control model

Background: Impaired postural control in Parkinson's disease (PD) seriously compromises life quality. Although balance training improves mobility and postural stability, lack of quantitative studies on the neurophysiological mechanisms of balance training in PD impedes the development of patient-specific therapies. We evaluated the effects of...

The reliance on vestibular information during standing balance control decreases with severity of vestibular dysfunction

The vestibular system is involved in gaze stabilization and standing balance control. However, it is unclear whether vestibular dysfunction affects both processes to a similar extent. Therefore, the objective of this study was to determine how the reliance on vestibular information during standing balance control is related to gaze...

Dynamic head-neck stabilization and modulation with perturbation bandwidth investigated using a multisegment neuromuscular model

The human head-neck system requires continuous stabilization in the presence of gravity and trunk motion. We investigated contributions of the vestibulocollic reflex (VCR), the cervicocollic reflex (CCR), and neck muscle co-contraction to head-in-space and head-on-trunk stabilization, and investigated modulation of the stabilization strategy...

Sensory contributions to stabilization of trunk posture in the sagittal plane

Trunk stabilization is required to control posture and movement during daily activities. Various sensory modalities, such as muscle spindles, Golgi tendon organs and the vestibular system, might contribute to trunk stabilization and our aim was to assess the contribution of these modalities to trunk stabilization. In 35 healthy subjects, upper...

Task, muscle and frequency dependent vestibular control of posture

The vestibular system is crucial for postural control; however there are considerable differences in the task dependence and frequency response of vestibular reflexes in appendicular and axial muscles. For example, vestibular reflexes are only evoked in appendicular muscles when vestibular information is relevant to postural control, while in...

A method to model anticipatory postural control in driver braking events

Human body models (HBMs) for vehicle occupant simulations have recently been extended with active muscles and postural control strategies. Feedback control has been used to model occupant responses to autonomous braking interventions. However, driver postural responses during driver initiated braking differ greatly from autonomous braking. In...

Identifying intrinsic and reflexive contributions to low-back stabilization

Motor control deficits have been suggested as potential cause and/or effect of a-specific chronic low-back pain and its recurrent behavior. Therefore, the goal of this study is to identify motor control in low-back stabilization by simultaneously quantifying the intrinsic and reflexive contributions. Upper body sway was evoked using continuous...

Identifying intrinsic and reflexive properties of the low-back by inertial loading

Abnormal neuromuscular control (NMC) has been suggested as a cause or effect of a-specific low back pain. This study aimed to gain more insight into the stabilization of the low back during postural control by developing a method to study the intrinsic and reflexive components of NMC. Inertial loading of the trunk by perturbation of subjects on...