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- Magnusson, Måns, et al.
(författare)
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Significance of Pressor Input from the Human Feet in Anterior-Posterior Postural Control. The Effect of Hypothermia on Vibration-Induced Body-Sway
- 1990
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Ingår i: Acta Oto-Laryngologica. - : Informa UK Limited. - 0001-6489 .- 1651-2251. ; 110:3-4, s. 8-182
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Tidskriftsartikel (refereegranskat)abstract
- The importance to postural control of the mechanoreceptors of the soles was investigated in thirteen healthy subjects. Body-sway velocity was evaluated before and after exposing the subject's feet to hypothermia, and when calf muscles were exposed to vibration at frequencies between 20 and 100 Hz. Subjects were tested both with eyes open and closed. Body-sway velocity was found to increase significantly during hypothermia of the feet. The difference in body-sway between hypothermal and normothermal conditions was less prominent when the subject's eyes were open though the difference was significant in both cases. The present results indicate the importance of the mechanoreceptors of the soles to postural control and elucidate their interaction with compensatory visual input in maintaining postural control. These findings also suggest, that factors affecting pressor input should be taken into consideration when assessing patients with complaints of dysequilibrium.
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- Pyykkö, I., et al.
(författare)
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Effect of proprioceptor stimulation on postural stability in patients with peripheral or central vestibular lesion
- 1991
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Ingår i: Acta Oto-Laryngologica. - 0001-6489. ; 111:1, s. 27-35
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Tidskriftsartikel (refereegranskat)abstract
- Body sway in upright stance at rest and after inducing proprioceptor stimulation, elicited by vibration applied to the calf or neck muscles, was studied in 11 patients with peripheral lesion and in 17 patients with central vestibular lesion. The responses were compared with those of 20 normal subjects. Vibratory stimulus was applied at five different frequencies, ranging from 32 to 150 Hz, and at a constant amplitude of 2.1 mm. Postural stability was measured with a force platform in terms of average deviation of body position (ADBP) analyzed in relation to the individual maximum support distance in the anterio-posterior direction. In patients with peripheral vestibular lesion ADBP was moderately increased, compared to normal subjects, when the calf muscles were exposed to vibration under eyes closed conditions (i.e. no visual information available); stimulation of neck muscles both under eyes open and eyes closed conditions and stimulation of calf muscles with open eyes produced an ADBP of the same magnitude as in controls. In patients with central vestibular lesion, proprioceptor stimulation of calf and neck muscles caused increased ADBP whether with eyes open or closed. The ADBP induced by stimulation of neck muscles was significantly greater in patients with a central lesion than in those with a peripheral vestibular lesion. The results indicate that patients with peripheral lesion differ from those with central vestibular lesion in their reaction to proprioceptor stimulus; and that in patients with central vestibular lesion proprioceptor stimulation of the neck muscles produces disproportionately powerful cervico-collic reflexes.
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