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      Vision Does Not Necessarily Stabilize the Head in Space During Continuous Postural Perturbations

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          Abstract

          Vision favors head stabilization in space during perturbations of standing balance. This is particularly obvious under conditions of continuous predictable perturbations as during sinusoidal antero-posterior (A-P) translations of the supporting platform. We tested here the hypothesis that under this condition the head can instead undergo large A-P oscillations, when a precision visual task is concurrently performed. We compared the head oscillations across four conditions while standing on a continuously translating platform. Eyes open (EO, no visual task), EO while reading a text fixed to the moving platform (EO-TP), EO while reading a text fixed to earth-ground (EO-TG), eyes-closed (EC). The platform translated at 0.2 and 0.6 Hz. Participants were young adult subjects, who received no particular instruction except reading the text aloud when required. Markers fixed on head, platform and text-sheet were captured by an optoelectronic device. We found that head oscillations were larger with EC than under all EO conditions. The oscillations were the least with EO and EO-TG, and intermediate with EO-TP. This was true under both low and high translation frequency, in spite of broadly smaller head oscillations at high frequency, common to all visual conditions. The distance between the head and the text was quite constant with EO-TP but fluctuated with EO-TG. The basic whole-body coordination features were moderately similar under all conditions, as assessed by the head-platform correlation coefficients and time lags. It appears that vision does not produce head stabilization in space when a concurrent visual task requiring focusing on a reading-text moving with the platform is performed. Contrary to traditional views centered on the stabilizing effect of vision under both static and dynamic conditions, the results show that head stabilization, normally ensuring a reference for inertial guidance for body balance, can be revoked by the CNS to allow performance of a non-postural task. This novel paradigm can shift long-standing views on the effect of vision on equilibrium control and be considered a potential exercise treatment for enhancing the multisensory integration process in people with balance problems.

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          Most cited references84

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          Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention.

          Postural control in everyday life is generally accompanied by posture-unrelated cognitive activity. Thus, mild forms of dual-tasking postural control are the norm rather than the exception. Based on this consideration and available evidence, we propose and empirically examined, in young and old adults, a non-monotonic, U-shaped relation between the efficacy of postural control and concurrent cognitive demands that reflect opposing trends of the effects of attention focus and attentional resource competition. When instructed to perform an easy cognitive task that presumably shifted the focus of attention away from posture control, the center of body pressure (COP) excursions decreased both in young and older adults relative to a single-task baseline where the focus of attention was explicitly directed towards the postural control task itself. However, when performing more demanding cognitive tasks, older adults showed increased COP displacements, in line with the predicted U-shape function, whereas young adults did not. We outline mechanisms linking postural control to cognitive demand and suggest routes for future investigation.
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            Properties of postural adjustments associated with rapid arm movements.

            1. We have examined rapid postural adjustments associated with a class of voluntary movements that disturb postural equilibrium. In the text that follows, these motor activities are termed associated postural adjustments and voluntary focal movements, respectively. Standing human subjects performed a variety of movement tasks on a hand-held manipulandum, resulting in disturbances to their postural equilibrium. The experimental use of movements that interact with the subject's environment in a relatively simple was permitted a more precise comparison of the postural adjustments with their associated focal movements. 2. Subjects either pulled or pushed on a stiff interface (the handle) or they responded in a predetermined way to handle perturbations. These activities were carried out with various degrees of steady-state postural stability. Prior to and during these movements, support surface and handle forces, electromyographic (EMG) signals, and body sway were monitored. 3. In addition to previously shown postural adjustments associated with reaction-time armed movements, we have demonstrated these postural activities occur in concept with segmental stretch reflexes and self-initiated (untriggered) movements. Postural adjustments were initiated shortly before all focal movements tested except the short-latency component of the biceps stretch reflex (25- to 30-ms latency). However, this reflex component was rarely elicited by handle perturbations in free-standing subjects; therefore, postural adjustments usually preceded any biceps activity under this condition. 4. By varying the degree of steady-state postural equilibrium, a reciprocal gain/threshold relationship between postural and focal components was documented, i.e., when stability was high, postural activity was reduced or absent and focal activity enhanced. Conversely, the biceps stretch reflex was difficult to elicit under any condition where the subjects was not fully supported in the direction of movement and reaction times of focal movements were prolonged. 5. Postural activities associated with focal movements were found to share a number of organizational properties with automatic postural adjustments to support surface movements. Specifically, the postural muscle synergies were equivalent in muscle composition, relative activation magnitudes, and relative temporal sequencing. Furthermore, both types of postural adjustments were highly specific in locus and magnitude to the quality of steady-state postural equilibrium (e.g., postural "set"). 6. A conceptual model is proposed that suggests one simple way in which the reciprocal influence of postural set on postural and focal movement components and their temporal sequencing might be accomplished. Furthermore, we propose in this model a common central organization of postural adjustments associated with focal movements and those elicited by support-surface movements.
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              Reading without a fovea.

              A visual mask moving in synchrony with the eye obliterated foveal vision during reading under certain conditions. When foveal vision was masked, reading became difficult. In another condition, a window of readable text moved in synchrony with the eye, and parafoveal vision was masked on each fixation. The results point out the importance of foveal and parafoveal vision in reading.
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                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                10 July 2019
                2019
                : 10
                : 748
                Affiliations
                [1] 1Centro Studi Attività Motorie, Istituti Clinici Scientifici Maugeri IRCCS , Pavia, Italy
                [2] 2Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia, Italy
                Author notes

                Edited by: Martina Mancini, Oregon Health & Science University, United States

                Reviewed by: Brett W. Fling, Colorado State University, United States; Lorenz Assländer, Universität Konstanz, Germany

                *Correspondence: Marco Schieppati marco.schieppati@ 123456icsmaugeri.it

                This article was submitted to Movement Disorders, a section of the journal Frontiers in Neurology

                Article
                10.3389/fneur.2019.00748
                6635830
                31354614
                42bc076f-96eb-488c-9c96-540763f86159
                Copyright © 2019 Sozzi, Nardone and Schieppati.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 06 May 2019
                : 26 June 2019
                Page count
                Figures: 7, Tables: 0, Equations: 0, References: 84, Pages: 13, Words: 10053
                Categories
                Neurology
                Original Research

                Neurology
                balance,vision,head stabilization,motor control,rehabilitation
                Neurology
                balance, vision, head stabilization, motor control, rehabilitation

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