Decreasing perceived optic flow rigidity increases postural sway

Optic flow simulating self-motion through the environment can induce postural adjustments in observers. Some studies investigating this phenomenon have used optic flow patterns increasing in speed from center to periphery, whereas others used optic flow patterns with a constant speed. However, altering the speed gradient of an optic flow stimulus changes the perceived rigidity of such a stimulus. Optic flow stimuli that are perceived as rigid can be expected to provide a stronger sensation of self-motion than non-rigid optic flow, and this may well be reflected in the amount of postural sway. The current study, therefore, examined, by manipulating the speed gradient, to what extent the rigidity of an optic flow stimulus influences posture along the anterior–posterior axis. We used radial random dot expanding or contracting optic flow patterns with three different speed profiles (single-speed, linear speed gradient or quadratic speed gradient) that differentially induce the sensation of self-motion. Interestingly, most postural sway was observed for the non-rigid single-speed optic flow pattern, which contained the least self-motion information of the three profiles. Moreover, we found an anisotropy in that contracting optic flow produced more postural sway than expanding optic flow. In addition, the amount of postural sway increased with increasing stimulus speed, but for contracting optic flow only. Taken together, the results of the current study support the view that visual and sensorimotor systems appear to be tailored toward compensating for rigid optic flow stimulation.     

Walking without optic flow reduces subsequent vection

This experiment investigated the effect of walking without optic flow on subsequent vection induction and strength. Two groups of participants walked for 5 min (either wearing Ganzfeld goggles or with normal vision) prior to exposure to a vection-inducing stimulus. We then measured the onset latency and strength of vection induced by a radially expanding pattern of optic flow. The results showed that walking without optic flow transiently yielded later vection onsets and reduced vection strength. We propose that walking without optic flow triggered a sensory readjustment, which reduced the ability of optic flow to induce self-motion perception.     

Transient change in standing posture after linear treadmill locomotion

Postural sway was measured in 24 healthy subjects after running or walking with eyes open on a standard treadmill exerciser. The speeds of running and walking were set at 10 and 7 km/h, respectively, and locomotion was maintained for 7 min. The postural sway response was characterized by systematic forward displacement followed by gradual decay to baseline and was accompanied by self-motion perception. Mean fore-back postural after sway was significantly greater after treadmill running than after normal running. The aftereffects of treadmill walking were significantly less than those of treadmill running. The 6 subjects showing distinct forward postural sway after treadmill walking were instructed to walk on the treadmill with their eyes closed. After this, none of the 6 subjects felt self-motion perception and had no evidence of postural aftersway. These results clearly demonstrate that vision during treadmill locomotion plays an important role in evoking postural sway after treadmill locomotion. It can be inferred that somatosensory/motor signals may be stored during visual-somatosensory/motor conflict and that this stored information may evoke postural change and self-motion perception.     

Postural control in athletes participating in an ironman triathlon

We studied the degree of dependence on vision of static postural control among ten male adult ironmen and ten healthy subjects (firemen, control group) who took part in regular physical activity, and the perturbations of equilibrium after prolonged exercise in ironmen. Static postural stability was measured during standing on a single-force platform alternating between eyes open and eyes closed. First, body sway was analysed on a force plate in both groups, and the athletes then took part in an ironman triathlon. The measurement was repeated after the race. The sway in both directions was subjected to spectral analysis. The frequency spectrum of the platform oscillations was calculated by fast Fourier transformation in the intervals 0–0.3, 0.3–1 and 1–3 Hz. The sway path in both directions and the total path were significantly lower in the ironmen than in the control group without vision, and the absence of visual control caused a significant increase in sway in both directions in the control group, but not in the ironmen. The frequency analysis revealed a higher level of stability in the medio–lateral direction with closed eyes. The endurance race caused increases in both the total sway path only with closed eyes, and these changes were significant at higher frequency bands. These results indicate that ironmen are more stable and less dependent on vision for postural control than the control subjects, and the prolonged stimulation of the proprioceptive, vestibular and visual inputs in the endurance race causes a significant disturbance in postural control.     

Postural adjustment response to depth direction moving patterns produced by virtual reality graphics

Purpose: Human posture is controlled by a combination of vestibular, somatosensory and visual information. This paper is concerned with postural readjustment responses induced by vection. In the visual control of posture, visually-induced perception of self-motion plays an important role and is called vection. Vection is difficult to measure quantitatively because it is a highly subjective phenomenon. Hypothesis: An optokinetic stimulus that moves in depth induces vection. We hypothesize that the magnitude of the visually-induced body sway is correlated with the degree of vection. Methods: A depth optokinetic stimulus (DOKS) was projected onto a head-mounted display (HMD) worn by standing subjects. The DOKS consisted of a random dot pattern that was perceived three-dimensionally and moved in depth sinusoidally. Vection was estimated in two ways, a verbal assessment and a joystick maneuver. In addition, visually-induced body sway was measured by monitoring five reference points on the body by two video-motion analyzers. Results: The magnitude of the subjective vection was highly correlated with visually-induced body sway and was strongly dependent on the velocity of the visual stimulus. The ankle joint was pivoted during visually-induced body sway and acted as a motion initiator. When the magnitude of body sway was large, the body movement was adjusted at the hip and head-neck joints. Conclusions: The high correlation between vection and body sway suggests that vection can be estimated quantitatively by measuring visually-induced body sway.     

Visually-induced tilt during parabolic flights

Summary A helmet-mounted visual display system was used to study visually induced sensations of self-motion (vection) about the roll, pitch and yaw axes under normal gravity condition (1g) and during the microgravity and hypergravity phases of parabolic flights aboard the NASA KC-135 aircraft. Under each gravity condition, the following parameters were investigated: (1) the subject's perceived body vertical with eyes closed and with eyes open gazing at a stationary random dot display; (2) the magnitude of sensations of body tilt with respect to the subjective vertical, while the subject viewed displays rotating about the roll, pitch and yaw axes; (3) the magnitude of vection; (4) latency of vection. All eleven subjects perceived a definite up and down orientation throughout the course of the flight. During the microgravity phase, the average magnitudes of perceived body tilt and self-motion increased significantly, and there was no significant difference in vection latency. These results show that there is a rapid onset of increased dependence on visual inputs for perception of self-orientation and self-motion in weightlessness, and a decreased dependence on otolithic and somatosensory graviceptive information. Anti-motion sickness drugs appear not to affect the parameters measured.     

Visually mediated eye movements regulate the capture of optic flow in self-motion perception

Eye movements help capture optic-flow information necessary to perceive visually our self motion. Visual and vestibular systems control compensatory eye movements that serve to stabilize the retinal images we capture. We examined the role that these eye movements may play in generating visual illusions of self motion (or vection). Observers viewed radially expanding optic-flow displays while performing lateral translational head oscillations at 1 Hz. Simulated viewpoint changes in these displays were synchronized with head movements, either in an ipsilateral (minimal sensory conflict) or a contralateral (high sensory conflict) direction. In control conditions, the observer viewed purely radial displays. Vection-onset latency and overall vection strength ratings were recorded, as well as horizontal eye movements. Vection onsets and strength ratings were significantly greater when the observer’s head movements were incorporated into the visual displays. However, vection strength ratings were very similar for both ipsilateral and contralateral active display oscillation. Surprisingly, the non-ecological contralateral viewpoint oscillation actually induced vection earlier, despite the relatively small eye-in-head rotations coordinating gaze in these conditions. Our results support the view that compensatory eye movements are controlled through cooperative visual and vestibular interactions, and show that linear vection is highly robust against large sensory conflicts.     

Effects of immersion in virtual reality on postural control

In the present study, we examined the effects of the time lag between visual scene and the head movement in the virtual reality (VR) world on motion sickness and postural control in healthy volunteers. After immersion in VR with additional time lags (from 0 to 0.8 s) to the inherent delay (about 250 ms), the visual-vestibular conflict induced a slight motion sickness in experimental subjects, but no change was noticed in the body sway path with eyes open and closed. However, Romberg ratio of body sway path with eyes closed divided by that with eyes open after immersion in VR was significantly decreased in comparison with that before immersion in VR. Since Romberg ratio is an index of visual dependency on postural control, this finding indicates that the immersion in VR decreases the visual dependency on postural control. It is suggested that adaptation to visual-vestibular conflict in VR immersion increases the contribution of vestibular and somatosensory inputs to postural control by ignoring the conflicting delayed visual input in the VR world. VR may be a promising treatment for visual vertigo in vestibular patients with unsuccessful compensation by its ability to induce vestibular and somatosensory reweighing for postural control.     

Assessment of postural instability in patients with Parkinson’s disease

Postural instability is one of the most disabling features of idiopathic Parkinson’s disease (PD). In this study, we focused on postural instability as the main factor predisposing parkinsonians to falls. For this purpose, changes in sway characteristics during quiet stance due to visual feedback exclusion were studied. We searched for postural sway measures that could be potential discriminators for an increased fall risk. A group of 110 subjects: 55 parkinsonians (Hoehn and Yahr: 1–3), and 55 age-matched healthy volunteers participated in the experiment. Their spontaneous sway characteristics while standing quiet with eyes open and eyes closed were analyzed. We found that an increased mediolateral sway and sway area while standing with eyes closed are characteristic of parkinsonian postural instability and may serve to quantify well a tendency to fall. These sway indices significantly correlated with disease severity rated both by the Hoehn and Yahr scale as well as by the Motor Section of the UPDRS. A forward shift of a mean COP position in parkinsonians which reflects their flexed posture was also significantly greater to compare with the elderly subjects and exhibited a high sensitivity to visual conditions. Both groups of postural sway abnormalities identified here may be used as accessible and reliable measures which allow for quantitative assessment of postural instability in Parkinson’s disease.     

Influence of pathologic and simulated visual dysfunctions on the postural system

Visual control has an influence on postural stability. Whilst vestibular, somatosensoric and cerebellar changes have already been frequency analytically parameterised with posturography, sufficient data regarding the visual system are still missing. The aim of this study was to evaluate the influence of pathologic and simulated visual dysfunctions on the postural system by calculating the frequency analytic representation of the visual system throughout the frequency range F1 (0.03–0.1 Hz) of Fourier analysis. The study was divided into two parts. In the first part, visually handicapped subjects and subjects with normal vision were investigated with posturography regarding postural stability (stability effect, Fourier spectrum of postural sway, etc.) with open and closed eyes. The visually impaired and the normal group differed significantly in the frequency range F1 (p = 0.002). Significant differences of the postural stability between both groups were found only in the test position with open eyes (NO). The healthy group showed a significant loss of stability, whereas the impaired group showed an increased stability due to sufficient somatosensoric processes. Visually handicapped persons can compensate the visual information deficit through improved peripheral–vestibular and somatosensoric perception and cerebellar processing. In the second part, subjects with normal vision were examined under simulated visual conditions, e.g., hyperopia (3.0 D), reduced visual acuity (VA = 20/200), yoke prisms (4 cm/m) and pursuits (pendulum). Changes in postural parameters due to simulations have been compared to a standard situation (open eyes [NO], fixation distance 3 m). Visual simulations showed influence on frequency range F1. Compared to the standard situation, significant differences have been found in reduced visual acuity, pursuits and yoke prisms. A loss of stability was measured for simulated hyperopia, pendulum and yoke prisms base down. Stability regulation can be understood as a multi-sensoric process by the visual, vestibular, somatosensoric and cerebellar system. Reduced influence of a single subsystem is compensated by the other subsystems. Obviously the main part of reduced visual input is compensated by the vestibular system. Moreover, the body sway, represented by the stability indicator, increased in this situation.     

Characterizing the Dynamics of Postural Sway in Humans Using Smoothness and Regularity Measures

We investigate human postural sway velocity time series by computing two dynamical statistics quantifying the smoothness (the central tendency measure or CTM) and the regularity (the sample entropy or SampEn) of their underlying dynamics. The purpose of the study is to investigate the effect of aging and vision on the selected measures and to explore the nature of postural dynamics by performing surrogate data tests. A group of 14 young subjects was compared to a group of 11 older healthy subjects in two visual conditions: with eyes open (EO) and with eyes closed (EC). The results suggest that vision and age do not influence the two statistics of the velocity data in the same way. More specifically, the smoothness statistic is able to detect the aging effect. The regularity measure is sensitive to the visual feedback removal. In contrast with some findings in the literature, the results of the surrogate data tests indicate that the center of pressure velocity dynamics are stochastic and are not produced by a purely determinisitic behavior. Finally, we discuss some potential implications of our results in terms of postural control mechanisms.     

Perception of self-motion from peripheral optokinetic stimulation suppresses visual evoked responses to central stimuli

In a previous functional neuroimaging study we found that early visual areas deactivated when a rotating optical flow stimulus elicited the illusion of self-motion (vection) compared with when it was perceived as a moving object. Here, we investigated whether electrical cortical responses to an independent central visual probe stimulus change as a function of whether optical flow stimulation in the periphery induces the illusion of self-motion or not. Visual-evoked potentials (VEPs) were obtained in response to pattern-reversals in the central visual field in the presence of a constant peripheral large-field optokinetic stimulus that rotated around the naso-occipital axis and induced intermittent sensations of vection. As control, VEPs were also recorded during a stationary peripheral stimulus and showed no difference than those obtained during optokinetic stimulation. The VEPs during constant peripheral stimulation were then divided into two groups according to the time spans where the subjects reported object- or self-motion, respectively. The N70 VEP component showed a significant amplitude reduction when, due to the peripheral stimulus, subjects experienced self-motion compared to when the peripheral stimulus was perceived as object-motion. This finding supplements and corroborates our recent evidence from functional neuroimaging that early visual cortex deactivates when a visual flow stimulus elicits the illusion of self-motion compared with when the same sensory input is interpreted as object-motion. This dampened responsiveness might reflect a redistribution of sensorial and attentional resources when the monitoring of self-motion relies on a sustained and veridical processing of optic flow and may be compromised by other sources of visual input.     

Sway ratio - a new measure for quantifying postural stability

In the search of a reliable postural stability index, two sway time series: the center-of-mass (COM) and the center-of-foot pressure (COP) were recorded simultaneously in elderly subjects standing quiet with eyes open and with eyes closed. From a battery of commonly use sway measures, only the anteroposterior COM and the COP path lengths proved their high sensitivity and discriminative power to the imposed vision conditions. Based upon these indices, a new measure - sway ratio (SR) - was computed, as the COP-to-COM path length ratio. The measure can easily distinguish vision vs. no vision in the elderly. The SR can be successfully accessed base upon the COP signal only. In contrast to traditional sway indices, the SR as a relative measure is insensitive to the length of sampled record and to the signal sampling frequency. Its magnitude can be interpreted as an average amount of balance controlling motor activity that coincides with a unit COM displacement. The SR is recommended as a reliable measure that allows for assessment of postural stability.     

Importance of optic flow for postural stability of male and female young adults

Purpose

A feedback control process based on self-motion perception contributes to postural stability; however, little is known about the visual modulation of postural muscles. The aim of this study was to investigate the effect of optic flow stimuli, presented full field, in the peripheral and foveal visual field, on muscular activation. Then, we assessed the correlation between optic flow, muscle activity and body sway in male and female subjects.

Methods

We used surface electromyography (EMG) and stabilometry on 24 right-handed young adults. We recorded the bilateral activation of tibialis anterior, gastrocnemius medialis, biceps femoris and vastus medialis. EMG and center of pressure (COP) signals were acquired simultaneously. EMG signal amplitude was computed as root mean square normalized by baseline.

Results

We found a significant effect for muscles, gender and an interaction effect of muscle by gender (ANOVA, p < 0.001). Results showed different postural alignments in males and females. The COP spatial variability during peripheral stimuli was generally reduced. The prevalent direction of oscillation evoked by peripheral stimuli was clustered, while foveal and random stimuli induced distributed and randomized directions. Also for muscle activity, we found gender differences in the prevalent oscillation distributions evoked by optic flow.

Conclusion

Visual stimuli always evoke an excitatory input on postural muscles, but the stimulus structure produces different postural effects. Peripheral optic flow stimuli stabilize postural sway, while random and foveal optic flow provoke larger sway variability similar to those evoked in the absence of visual stimulation.     

Identifying the control of physically and perceptually evoked sway responses with coincident visual scene velocities and tilt of the base of support

In this study, we have explored whether the impact of visual information on postural reactions is due to the same perceptual mechanisms that produce vection. Pitch motion of the visual field was presented at varying velocities to eight healthy subjects (29.9 ± 2.8 years) standing quietly on a stationary base of support or receiving a 3° toes-up tilt of the base of support. An infrared motion system recorded markers placed on body segments to record angular displacement of head and ankle and calculate whole body center of mass. Onset of the visual field motion and base of support movement were synchronized in all trials. We found that in the first 2 s following onset of visual field motion, both direction and amplitude of the linear displacement of whole body center of mass and angular displacement of the head, hip, and ankle were modulated by the velocity of visual scene motion. When the visual scene rotated in upward pitch, subjects overshot their initial vertical position with amplitudes that increased as velocity of the visual field increased. This behavior was even more evident when the base of support was tilted. These responses were much shorter than those observed in studies of vection. The dependence of the postural response amplitudes on the velocity of the visual field suggests, however, that there might be well-shared control pathways for visual influences on postural reactions and postural sway elicited by an illusion of self-motion.     

Vection increases the magnitude and accuracy of visually evoked postural responses

Movement of large visual scenes induces an illusion of self-motion (vection) and postural responses. We investigated if the conscious perception of self-motion influences the magnitude and directional accuracy of visually evoked postural responses. Five normal subjects fixated the centre of a large disk rotating in the roll (coronal) plane. The disk was placed either in front of the subjects or obliquely 30 deg to their right or left; in these oblique positions disk fixation was achieved by horizontal ocular deviation alone (i.e. no neck deviation). Subjects indicated their subjective perceptual status, either vection or object motion, with a push button. The results confirmed that the direction of the visually evoked postural response was reoriented according to the different eye-disk positions. In addition, both the magnitude of the postural response and the accuracy of its alignment with the disk rotational plane were significantly increased during vection periods. The results show that conscious perception of self-motion enhances visuopostural performance. Since conscious perception is likely to arise at cortical levels, the findings indicate that the cortex is one of the sites where gaze direction interacts with retinal motion signals to provide a self-motion signal in body-centric co-ordinates. Such interaction provides a substrate for spatial representation during motion in the environment. Electronic Publication     

Tactile interference in visually guided reach-to-grasp movements

Stabilometry signals involve irregular and unpredictable components. The purpose of the present study was to investigate these signals with a nonlinear technique to examine how the complexity of the postural control system breaks down under altered visual conditions. We evaluated the dynamical similarities of the postural control system when the eyes were open or closed, or when there was optokinetic stimulation (OKS). A similarity index was calculated by the cross-correlation integral between the two dynamics: eyes open and eyes closed, or eyes open with OKS. Using this technique, dynamical changes were not observed between eyes-open and eyes-closed conditions. This result suggests that the nonvision condition does not produce any striking effect on the postural control system; instead, the eyes-open condition causes a decrease in the stochastic activity of the postural control system, which may originate mainly from the stiffness of the musculoskeletal systems. In contrast, the visual input of OKS affected the dynamics of the postural control system in nearly half of the subjects (group 2) despite showing no significant differences between the eyes-open condition and the other conditions for area as the conventional parameter. However, the other half of the subjects (group 1) did not experience any influence of OKS on their postural dynamics, despite showing significant differences between eyes-open and the other conditions for all traditional parameters. From the results for group 2, we hypothesize that OKS may induce the striking effect on dynamics properties of the multilink network system involving visual and vestibular cortex related to self-motion perception, which acts to decrease the stochastic activity in order to correct disturbed posture. Electronic Publication     

The role of vision in maintaining heading direction: effects of changing gaze and optic flow on human gait

How is heading direction maintained in human gait? This question was investigated with respect to the role of optic flow and in the context of different movement strategies. While walking on a treadmill the deviation from the ideal straight path was measured in terms of lateral sway induced by a lateral gaze shift (by looking at a moving visual target). The role of the focus of expansion (FOE) within a radially expanding optic flow pattern was investigated by varying its relative velocity of expansion from 0- to 4-fold (the equivalent of walking speed), thus increasing the perceptibility of FOE. If FOE was a relevant cue for maintaining heading direction, a reduction of lateral sway amplitude was expected with increasing flow velocity. The presence of a radially expanding flow pattern did not reduce lateral sway. Lateral sway was least when the visual background remained stable without any flow pattern. Increasing the velocity of the flow pattern resulted in an increase in lateral sway. If the relative velocity of the flow pattern was raised beyond that corresponding to walking speed, lateral sway amplitude approached the maximal values observed in the dark. In all experiments, sway amplitude increased linearly with the increasing excursion of the visual target. Different strategies to perform the gaze shift (eye or head turns) only resulted in minor differences in lateral sway amplitude. The results show that gaze shifts during locomotion induce lateral sway, which depends upon the presence, and characteristics, of background optic flow. Under the present conditions, the FOE within the flow field seems not to be a dominant cue to control heading. However, the systematic increase in lateral sway induced by high flow velocities indicates that motion parallax has an effect on heading during locomotion.     

Recurrence analysis of human postural sway during the sensory organization test

The present study examined how the availability of and alterations in sensory information during the sensory organization test (SOT) influenced the amount, variability, and temporal structure of spontaneous postural sway in young, healthy adults. Findings indicated that postural sway tended to increase in amount and variability as the SOT condition became increasingly difficult (i.e. as the SOT condition moved from eyes open to eyes closed, to sway-referenced visual surround or support surface, and to sway-reference surface and visual surround). In addition, recurrence quantification analysis revealed that the temporal structure of postural sway tended to become increasingly regular as the SOT condition increased in difficulty. The functional utility of the observed changes in the temporal structure of postural sway across sensory conditions was discussed.     

Individuals with post-stroke hemiparesis are able to use additional sensory information to reduce postural sway

The present study aimed to investigate whether stroke survivals are able to use the additional somatosensory information provided by the light touch to reduce their postural sway during the upright stance. Eight individuals, naturally right-handed pre-stroke, and eight healthy age-matched adults stood as quiet as possible on a force plate during 35 s. Participants performed two trials for each visual condition (eyes open and closed) and somatosensory condition (with and without the right or left index fingertip touching an instrumented rigid and fixed bar). When participants touched the bar, they were asked to apply less than 1 N of vertical force. The postural sway was assessed by the center of pressure (COP) displacement area, mean amplitude and velocity. In addition, the mean and standard deviation of the force vertically applied on the bar during the trials with touch were assessed. The averaged values of COP area, amplitude and velocity were greater for stroke individuals compared to healthy adults during all visual and somatosensory conditions. For both groups, the values of all variables increased when participants stood with eyes closed and reduced when they touched the bar regardless of the side of the touch. Overall, the results suggested that, as healthy individuals, persons with post-stroke hemiparesis are able to use the additional somatosensory information provided by the light touch to reduce the postural sway.