Resilience of visually guided weight shifting to a proprioceptive perturbation depends on the complexity of the guidance stimulus.

BACKGROUND: Whole-body tracking of visual motion cues is used in balance training to improve weight shifting ability in old age and sports. RESEARCH QUESTION: How tracking of a complex (pink noise) and a periodic visual target motion during anteroposterior weight shifting affects postural and muscle responses to unilateral hip vibration. METHODS: Twenty-six participants performed 160 anteroposterior weight shifting cycles while tracking the vertical motion of a visual target, concurrently receiving Center of Pressure (CoP) feedback. They were randomly divided to groups; (a) the Constant group tracked a visual target motion constructed by 3 sinusoids of different amplitude, and (b) the Pink group tracked a complex visual target motion constructed by a pink noise generation process. Between the 60th and the 120th cycle, vibration was applied to the right gluteus medius, introducing a sideways CoP deviation. CoP displacement and electromyographic (EMG) responses of soleus, tibialis anterior and peroneus longus were recorded and summarized in blocks of 3 cycles. RESULTS: Sideways CoP deviation induced at the onset/offset of unilateral hip vibration was smaller for the Pink than the Constant group. The Pink group demonstrated greater tibialis anterior and peroneus longus EMG activity around the most anterior sway peak while soleus EMG was similar for the two groups. Both groups successfully coupled weight shifting amplitude to the target motion, but the Pink group tracked the target motion with a greater delay compared to the Constant group. SIGNIFICANCE: Whole body tracking of complex visual motions evokes perception-based action and increases ankle muscle co-activation making sway more resilient to a proprioceptive perturbation induced by unilateral hip vibration. Complex visual guidance motions should be considered when designing balance rehabilitation regimes, aiming at improving weight shifting ability and dynamic balance control.

Age induced modifications in the persistency of voluntary sway when actively tracking the complex motion of a visual target.

Movement persistency, reflected in systematic cycle to cycle fluctuations of a rhythmical task such as walking or voluntary sway, is compromised with increasing age, making older adults more susceptible to falls. In the present study, we tested whether it is possible to improve rhythmic voluntary sway persistency in old age by actively tracking the complex (i.e. persistent) motion of a visual target. Twenty healthy young and 20 older adults performed 132 cycles of anterior-posterior sway under two conditions: a) self-paced sway and b) sway while tracking the vertical motion of a complex visual target. The persistency of sway cycle amplitude and duration, detected from the center of pressure displacement, was quantified using the Fractal exponent α. We also recorded body kinematics in order to assess the intersegmental coordination that was quantified in the Mean Absolute Relative Phase (MARP) and the Deviation Phase (DPh) between the trunk and the lower limbs. In self-paced sway, older adults showed a lower persistency of cycle duration and a higher MARP and DPh between the trunk and the lower limbs compared to young adults. Tracking the complex visual target motion increased the persistency of cycle amplitude, in young but not in older adults, when compared to the self-paced sway while it decreased the persistency of cycle duration in both groups. The relative phase measures showed a moderate to strong relationship with the persistency of cycle amplitude and duration when older adults swayed in their self-pace. These findings suggest older adults cannot exploit active tracking of the complex visual motion cue to improve voluntary sway persistency. This could be related to the less stable and out of phase intersegmental coordination characterizing rhythmic voluntary sway in old age.

Swaying to the complex motion of a visual target affects postural sway variability.

BACKGROUND: Voluntary shifting body weight in the anteroposterior direction is an important element of daily life activities, such as rising from a chair or initiating a step. In order to accommodate the daily-life challenges of such tasks, voluntary postural sway needs to be flexible and variable. RESEARCH QUESTION: In this study we asked how whole-body tracking of a complex visual target motion with the concurrent provision of feedback modulates the variability of voluntary sway. METHODS: Twenty young adults (age: 27.10 ±â€¯9.15years, height: 170.73 ±â€¯9.40 cm, mass: 62.84 ±â€¯11.48 kg) performed 132 cycles of voluntary antero-posterior sway, on a force platform, under two conditions: a) self-paced sway and b) swaying while tracking the complex motion of a visual target. Magnitude and temporal structure of variability of postural sway were investigated with the Coefficient of Variance (CoV) and the fractal exponent α, respectively. This analysis was performed for sway cycle duration, amplitude and velocity. The cross-correlation function between the target and sway cycle parameters was computed as a measure of visuo-postural coupling. RESULTS: The CoV of sway cycle amplitude, duration and velocity increased during active tracking of the complex target. Fractal exponent α increased for sway cycle amplitude but decreased for cycle duration and remained unchanged for sway velocity. The cross-correlation function revealed a consistent peak at lag+1 indicating an asynchrony between the target and sway cycle duration, while the peak cross-correlation for cycle amplitude was noted at lag 0. SIGNIFICANCE: Swaying to the complex motion of a visual target improves the variability of sway cycle amplitude, at the cost of cycle duration. This is associated with a more synchronous spatial than temporal coupling to the visual target motion. This knowledge could inform the design of postural tracking paradigms as appropriate exercise interventions, for improving voluntary sway in populations with reduced limits of stability (i.e. older adults).