To question the relation between uni- and bipedal postural skills, 21 subjects were required to stand on a force platform through uni- and bipedal conditions. These two protocols are commonly used paradigms to assess the balance capacities of healthy and disabled patients. The recorded displacements of the center of pressure (CP) were decomposed along mediolateral and anteroposterior axes and assessed through variance positions and parameters obtained from fractional Brownian motion (fBm) modeling to determine the nature and the spatiotemporal organization of the successive controlling mechanisms. The variances underline the relative independence of the two tasks. Nevertheless, as highlighted by the fBm framework, postural correction is initiated for the unipedal stance after shorter time delays and longer covered distances. When compared to bipedal standing, one of the main characteristics of unipedal standing is to induce better-controlled CP trajectories, as deduced from the scaling regimes computed from the fBm modeling. Lastly, the control of the CP trajectories during the shortest time intervals along the anteroposterior axis appears identical for both uni- and bipedal conditions. Unipedal and bipedal standing controls should thus be viewed as two complementary tasks, each providing specific and complementary insights into the postural control organization.
Cyril Burdet and Patrice Rougier
Patrice R. Rougier
Resultant center-of-pressure (CP) displacements result along mediolateral (ML) and anteroposterior (AP) axes from strategies mobilizing hips and ankles, respectively, and thus, should be largely influenced by the angles between the feet. To assess this relation and the effects of foot position on postural performance, 9 healthy young adults were tested. The main results, as the forefeet are spread farther apart (from 30° in endorotation to 120° in exorotation), indicate (1) a larger contribution of the estimated ankle mechanisms in the generation of the CP trajectories along the ML axis, (2) increased variances along the longitudinal axis of the feet, (3) a constant longitudinal pattern of the CP trajectories under each foot whose main axis displays a progressively increased angle with the inner borders of the feet, and (4) increased variances for CP displacements along both ML and AP axes. These data emphasize the importance of foot positioning in stance control, especially along the ML axis where spreading the forefeet apart progressively increases the contribution of the mechanisms mobilizing the ankles.
Patrice Rougier and Mélanie Garin
To determine the relationship between eye movement and postural control on an undisturbed upright stance maintenance protocol, 15 young, healthy individuals were tested in various conditions. These conditions included imposed blinking patterns and horizontal and vertical saccadic eye movements. The directions taken by the center of pressure (CP) were recorded via a force platform on which the participants remained in an upright position. The CP trajectories were used to estimate, via a low-pass filter, the vertically projected movements of the center of gravity (CGv) and consequently the difference CP-CGv. An analysis of the frequency shows that regular bilateral blinking does not produce a significant change in postural control. In contrast, performing saccadic eye movements induces some reduced amplitude for both basic CGv and CP-CGv movements principally along the antero-posterior axis. The present result supports the theory that some ocular movements may modify postural control in the maintenance of the upright standing position in human participants.
Patrice R. Rougier and Samir Boudrahem
Past studies have emphasized the beneficial effect of additional visual feedback (VFB) on the capacity of healthy adults to decrease the amplitudes of the center-of-pressure minus center-of-gravity (CP-CGv) movements. To better assess these capacities, 56 subjects were asked to stand still on a force platform and to use the visual information provided. Dependency coefficients, based on their capacity to lower their CP-CGv movements and therefore relax their lower limb muscles, as well as parameters aimed at characterizing their postural strategies were measured across VFB conditions including (1) CP displacements in real time (VFBCP0), (2) CP displacements with a 600-ms delay (VFBCP600), and (3) CP-CGv displacements with a 600-ms delay (VFBCP-CG600). A non-VFB condition (eyes open) was also included. Several linear correlations were used to specify the relation between subjects’ capacity to relax, compared with the VFBCP0 condition, across the three remaining conditions. The data highlight the complementary nature of the VFB conditions and establish the postural control behaviors necessary to use these VFB protocols efficiently.
Patrice Rougier, Cyril Burdet and Nicolas Genthon
To assess whether prior stretching of a muscle can induce improved postural control, 15 healthy adults stood still upright with their eyes closed before and after a series of bilateral stretches of the triceps surae muscles. The analysis focused on the center of pressure (CP) and the vertical projection of the center of gravity (CGv) trajectories and their difference (CP – CGv). The prolonged stretching induced a forward shift of the mean position of the CGv. The frequency analysis showed a constancy of the amplitudes of both basic movements whereas an increased mean power frequency was seen for the CP – CGv movements. A fractional Brownian motion modeling of the trajectories indicates shortest time intervals and lower covered distances by the CGv before a change in its control occurs along the antero-posterior axis. This reorganization is thought to be a result of improved body movement detection, which allows postural control over the longest time intervals to be triggered more rapidly.
Olivier Caron, Thierry Gélat, Patrice Rougier and Jean-Pierre Blanchi
The center of foot pressure (CP) motions, representing the net neuromuscular control, was compared to the center of gravity (CG) motions, representing the net performance. The comparison focused on the trajectory path length parameter along the mediolateral and antero-posterior axes because these two variables depend on amplitude versus frequency relationship. This relationship was used to evaluate the CG motions based on the CP motions. Seven subjects stood still on a force plate with eyes open and eyes closed. The results showed that the ratio of (CP – CG)/CP trajectory path length was personal for each subject. These results suggest different levels of passive (ligaments, elastic properties) and active (reflex activity) stiffness. For some subjects, this ratio was significantly lower for the eyes open condition than for the eyes closed condition, indicating a decrease of the active stiffness for the eyes open condition. Therefore, a CG – CP comparative analysis appeared helpful in understanding the control of balance and necessary to quantify the subjects’ net performance.
Patrice Rougier, Dalila Belaid, Sylvie Cantalloube, Delphine Lamotte and Jacques Deschamps
To assess the postural strategies developed by patients after total hip arthroplasty (THA), 14 patients were measured 12 days after surgery. The respective role played by both sound and prosthetic legs and the compensatory mechanisms were assessed through a separate measure of the center-of-pressure (CP) trajectories under each foot. The movements of the center-of-gravity (CG) were estimated from those of the resultant CP to determine postural performance. The postural behavior was compared with those of a group of age-matched healthy subjects required to adopt a slightly asymmetrical weight distribution. Patient results indicate greater movements for both plantar and resultant CP displacements, principally along the antero-posterior (AP) axis, a decreased contribution of the hip mechanisms in the production of CP displacements along the medio-lateral (ML) axis, greater resultant CP and CG movements along the AP axis and increased differences between CP and CG along both ML and AP axes. The postural specificity of the THA patients appears to be due to a global sensorimotor impairment that alters the control of the loading-unloading mechanism at the hip level.