Perception-action coupling in the development of visual control of posture

Evaluation of balance in patients with systemic sclerosis

BACKGROUND

The aim was to examine static/dynamic balance and proprioception of Systemic Sclerosis by comparing healthy and relationship with demographic and disease-related data.

METHODS

21 Systemic Sclerosis and 19 healthy were included.Berg Balance Scale (functional balance), Sensamove Sensbalance Maxiboard Software (static, dynamic balance:reaction time and travel time and proprioception), Scleroderma Health Assessment Questionnaire/Health Assessment Questionnaire (health status), Medsger's Disease Severity Scale, Modified Rodnan Skin Score were used in evaluation.

FINDINGS

Comparing the groups, there was significant difference in Berg Balance Scale (p:0.036); Health Assessment Questionnaire/Scleroderma Health Assessment Questionnaire (p:0.001); Static balance-center (p:0.001), front (p:0.001), back (p:0.001), left (p:0.001), right (p:0.021); proprioception-front (p:0.025);Reaction Time-front (p:0.031) and left (p:0.010);Travel Time-front (p:0.041) and left (p:0.014) in favor of healthy group.In Systemic Sclerosis, disease severity had moderate correlation with static balance-back (r:-0.504,p:0.020).Skin thickness had low correlation with Reaction Time-front (r:-0.449,p:0.041).Age had low correlation with Travel time-front (r:0.458,p:0.037) and proprioception-left (r:0.450,p:0.041); moderate with Travel time-back (r:0.515;p:0.017) and proprioception-front (r:0.539,p:0.012).

INTERPRETATION

Compared to healthy, Systemic Sclerosis had worse health status, functional balance, static/dynamic balance and proprioception.This situation is related to disease severity, skin thickness and age. Evaluations made with objective methods may have the potential to determine the extent of the problem.Clinicians can guide the treatment of patients with SSc by evaluating their static/dynamic balance and proprioception.With early treatment, additional problems that may occur due to worsening of balance and proprioception can be prevented.Proprioception and dynamic balance evaluation can be performed for older patients, static balance when disease activity is high, and dynamic balance when skin thickness score is high.

Infant Sitting and Multi-Directional Reaching Skill

We tested twenty-one 6- to 10-month-old infants with a wide range of sitting experience in forward and rightward reaching during unsupported sitting on the floor. Sessions were video-recorded for further behavioral and machine learning-based kinematic analyses. All infants, including novice sitters, successfully touched and grasped toys in both directions. Infant falls, hand support, and base of support changes were rare. Infants with more sitting experience showed better upright posture than novice sitters. However, we found no differences in trunk displacement or reaching kinematics between directions or across sitting experience. Thus, multi-directional reaching is functional in both novice and experienced infant sitters. We suggest that trunk and arm stability in sagittal and frontal planes is integral to learning to sit.

Perception-Motion Coupling in Active Telepresence: Human Behavior and Teleoperation Interface Design

Teleoperation enables complex robot platforms to perform tasks beyond the scope of the current state-of-the-art robot autonomy by imparting human intelligence and critical thinking to these operations. For seamless control of robot platforms, it is essential to facilitate optimal situational awareness of the workspace for the operator through active telepresence cameras. However, the control of these active telepresence cameras adds an additional degree of complexity to the task of teleoperation. In this paper we present our results from the user study that investigates: 1) how the teleoperator learns or adapts to performing the tasks via active cameras modeled after camera placements on the TRINA humanoid robot; 2) the perception-action coupling operators implement to control active telepresence cameras, and 3) the camera preferences for performing the tasks. These findings from the human motion analysis and post-study survey will help us determine desired design features for robot teleoperation interfaces and assistive autonomy.

Interrelationships of Touch and Proprioception with Motor Impairments in Individuals with Cerebral Palsy: A Systematic Review

Considering that somatosensory impairments may impact motor performance in individuals with cerebral palsy (CP), a better understanding of these relations is relevant to planning interventions. To synthesize research evidence to date on the interrelationships between the somatosensory functions of touch and proprioception with motor functions in persons with CP, we systematically searched Embase, CINAHL, PsycINFO, and Medline databases for studies relating these variables that were published in English from the inception of these databases to November 2020. We targeted the following content categories in our literature search: (a) cerebral palsy; (b) sensory functions; (c) tactile functions; (d) proprioception functions; and (e) motor functions. The selection, data extraction, and methodological quality assessment of these studies were performed in duplicate. We retrieved and analyzed information regarding the studies' methodological approaches and synthesized results. The 11 studies that met our inclusion criteria showed that, in individuals with CP, impairments in tactile discrimination, proprioception, and stereognosis are related to motor functions in terms of overall manual ability, grip strength, postural control and locomotion. Thus, clinical practitioners should attend to somatosensory aspects of motor impairment in individuals with CP. More research is needed to clarify the direction of these associations.

Development of motion speed perception from infancy to early adulthood: a high-density EEG study of simulated forward motion through optic flow

This study investigated evoked and oscillatory brain activity in response to forward visual motion at three different ecologically valid speeds, simulated through an optic flow pattern consisting of a virtual road with moving poles at either side of it. Participants were prelocomotor infants at 4–5 months, crawling infants at 9–11 months, primary school children at 6 years, adolescents at 12 years, and young adults. N2 latencies for motion decreased significantly with age from around 400 ms in prelocomotor infants to 325 ms in crawling infants, and from 300 and 275 ms in 6- and 12-year-olds, respectively, to 250 ms in adults. Infants at 4–5 months displayed the longest latencies and appeared unable to differentiate between motion speeds. In contrast, crawling infants at 9–11 months and 6-year-old children differentiated between low, medium and high speeds, with shortest latency for low speed. Adolescents and adults displayed similar short latencies for the three motion speeds, indicating that they perceived them as equally easy to detect. Time–frequency analyses indicated that with increasing age, participants showed a progression from low- to high-frequency desynchronized oscillatory brain activity in response to visual motion. The developmental differences in motion speed perception are interpreted in terms of a combination of neurobiological development and increased experience with self-produced locomotion. Our findings suggest that motion speed perception is not fully developed until adolescence, which has implications for children’s road traffic safety.

The Trade-Off of Virtual Reality Training for Dart Throwing: A Facilitation of Perceptual-Motor Learning With a Detriment to Performance

Advancements in virtual reality (VR) technology now allow for the creation of highly immersive virtual environments and for systems to be commercially available at an affordable price. Despite increased availability, this access does not ensure that VR is appropriate for training for all motor skills. Before the implementation of VR for training sport-related skills takes place, it must first be established whether VR utilization is appropriate. To this end, it is crucial to better understand the mechanisms that drive learning in these new environments which will allow for optimization of VR to best facilitate transfer of learned skills to the real world. In this study we sought to examine how a skill acquired in VR compares to one acquired in the real world (RW), utilizing training to complete a dart-throwing task in either a virtual or real environment. We adopted a perceptual-motor approach in this study, employing measures of task performance (i.e., accuracy), as well as of perception (i.e., visual symptoms and oculomotor behavior) and motor behaviors (i.e., throwing kinematics and coordination). Critically, the VR-trained group performed significantly worse in terms of throwing accuracy compared to both the RW-trained group and their own baseline performance. In terms of perception, the VR-trained group reported greater acute visual symptoms compared to the RW-trained group, though oculomotor behaviors were largely the same across groups. In terms of motor behaviors, the VR-trained group exhibited different dart-throwing kinematics during training, but in the follow-up test adapted their throwing pattern to one similar to the RW-trained group. In total, VR training impaired real-world task performance, suggesting that virtual environments may offer different learning constraints compared to the real world. These results thus emphasize the need to better understand how some elements of virtual learning environments detract from transfer of an acquired sport skill to the real world. Additional work is warranted to further understand how perceptual-motor behaviors are acquired differently in virtual spaces.

Locomotor Coordination, Visual Perception and Head Stability during Running

Perception and action are coupled such that information from the perceptual system is related to the dynamics of action in order to regulate behavior adaptively. Using running as a model of a cyclic behavior, this coupling involves a continuous, cyclic relationship between the runner’s perception of the environment and the necessary adjustments of the body that ultimately result in a stable pattern of behavior. The purpose of this paper is to illustrate how individuals relate visual perception to rhythmic locomotor coordination patterns in conditions during which foot–ground collisions and visual task demands are altered. We review the findings of studies conducted to illustrate how humans change their behavior to maintain head stability during running with and without various degrees of visual challenge from the environment. Finally, we show that the human body adapts specific segment/joint configuration and coordination patterns to maintain head stability, both in the lower extremity and upper body segments, together with an increase in coordinative variability. These results indicate that in human locomotion, under higher speed (running) and visual task demands, systematic adaptations occur in the rhythmic coupling between the perceptual and movement systems.

Task-specific adaptations of postural sway in sitting infants

When engaging in manual or visual tasks while sitting, infants modify their postural sway based on concurrent task demands. It remains unclear whether these modulations are sensitive to differences in concurrent task demands (holding a toy vs. looking at a toy being held by someone else), and whether the properties of the support surface impact these adaptations. We investigated infants' ability to modify postural sway when holding a toy or visually attending to a toy someone else was holding while sitting on different support surfaces. Twenty-six independently sitting infants sat on solid and compliant surfaces placed on a force plate while looking at or holding a toy. Measures of postural sway were calculated from the center of pressure data. Visually attending to a toy was associated with less sway and lower sway velocity than when holding a toy. Surprisingly, surface compliance did not affect sway and there were no interaction effects. Whereas sway modulations may facilitate infants' performance on both manual and visual concurrent tasks, the visual task placed more constraints on the postural system leading to greater adaptations in postural sway. These findings provide insights into how infants are allocating attention and coordinating perceptual-motor information in developing sitting skills.

Visual and somatosensory contributions to infant sitting postural control

There are a limited number of studies that have investigated sitting posture during infancy and the contribution of the sensory systems. The goal of this study was to examine the effects of altered visual and somatosensory signals on infant sitting postural control. Thirteen infants (mean age ± SD, 259.69 ± 16.88 days) participated in the study. Initially, a single physical therapist performed the Peabody Developmental Motor Scale to determine typical motor development. Then the child was placed onto a force platform under four randomized conditions: (a) Control (C) - sat independently on the force plate, (b) Somatosensory (SS) - Sat independently on a foam pad (low density), (c) Visual (VS) - sat independently on the force plate while the lights were turned off creating dim lighting, and (d) Combination of b and c (NVSS). Center of pressure (COP) data from both the anterior-posterior (AP) and the medial-lateral (ML) directions were acquired through the Vicon software at 240 Hz. The lights off conditions, both VS and NVSS, lead to increased Root Mean Square (RMS) and Range values in the AP direction, as well as increased Lyapunov Exponent (LyE) values in the ML direction. Altered visual information lead to greater disturbances of sitting postural control in typically developing infants than altered somatosensory information. The lights off conditions (VS and NVSS), unveiled different control mechanisms for AP and ML direction during sitting. Thus, the present findings confirm the dominance of vision during the early acquisition of a new postural accomplishment.

The self-organization of ball bouncing

The hybrid rhythmic ball-bouncing task considered in this study requires a participant to hit a ball in a virtual environment by moving a paddle in the real environment. It allows for investigation of the online visual control of action in humans. Changes in gravity acceleration in the virtual environment affect the ball dynamics and modify the ball-paddle system limit cycle. These changes are shown to be accurately reproduced through simulation by a model integrating continuous information-movement couplings between the ball trajectory and the paddle trajectory, giving rise to a resonance-tuning phenomenon. On the contrary, the tested models integrating only intermittent sensorimotor couplings were unable to replicate the observed human behavior. Results suggest that the visual control of action is achieved online, in a prospective way. Human rhythmic motor control would benefit from the timing and phase control emerging from the low-level continuous coupling between the central pattern generator and the visual perception of the ball trajectory. This control strategy, which precludes the need for internal clock and explicit environmental representation, is also able to explain the empirical result that the bounces tend to converge toward a passive stability regime during human ball bouncing.

Spectral analysis of centre of pressure identifies altered balance control in individuals with moderate-severe traumatic brain injury

Purpose: To identify impairments and recovery of balance control after moderate-severe traumatic brain injury (TBI) through spectral analyses of static balance tasks and to characterise the contributions of each limb to balance control.Methods: A retrospective analysis of longitudinal balance data from force platforms at 2, 5, and 12 months post-injury in 31 individuals with moderate to severe TBI was performed. Single-visit data from age-matched controls (n = 22) were collected for descriptive comparison. Net and individual limb centre of pressure measures and inter-limb centre of pressure coherence were calculated in low (≤0.4 Hz) and high (≥0.4 Hz) frequencies in the anteroposterior and mediolateral directions during standing with the eyes open and closed.Results: Standing with the eyes closed increased net centre of pressure spectral power in low and high frequencies. Individuals with TBI demonstrated recovery in high frequencies in net centre of pressure in the mediolateral direction. Inter-limb coherence in the anteroposterior and mediolateral directions increased (recovered) over time in high frequencies. Weight-bearing asymmetry was visible in high frequencies in the anteroposterior and mediolateral directions.Conclusions: Increased amplitude of low and high-frequency power suggests that individuals with TBI included in this study have impaired anticipatory and reactive balance mechanisms, which may be driven by weight-bearing asymmetries and which recover over time.Implications for rehabilitationAnticipatory and reactive balance impairments after traumatic brain injury may place individuals at increased risk for falls.Analyses from postural sway in static balance tasks infer changes in anticipatory or reactive balance control after traumatic brain injury.Addressing weight-bearing asymmetries in rehabilitation interventions post-traumatic brain injury may improve between-limb coordination for anticipatory and reactive balance control.

Analysis of muscle activation in lower extremity for static balance

Balance plays an important role for human bipedal locomotion. Degeneration of balance control is prominent in stroke patients, elderly adults and even for majority of obese people. Design of personalized balance training program, in order to strengthen muscles, requires the analysis of muscle activation during an activity. In this paper we have proposed an affordable and portable approach to analyze the relationship between the static balance strategy and activation of various lower extremity muscles. To do that we have considered Microsoft Kinect XBox 360 as a motion sensing device and Wii balance board for measuring external force information. For analyzing the muscle activation pattern related to static balance, participants are asked to do the single limb stance (SLS) exercise on the balance board and in front of the Kinect. Static optimization to minimize the overall muscle activation pattern is carried out using OpenSim, which is an open-source musculoskeletal simulation software. The study is done on ten normal and ten obese people, grouped according to body mass index (BMI). Results suggest that the lower extremity muscles like biceps femoris, psoas major, sartorius, iliacus play the major role for both maintaining the balance using one limb as well as maintaining the flexion of the other limb during SLS. Further investigations reveal that the higher muscle activations of the flexed leg for normal group demonstrate higher strength. Moreover, the lower muscle activation of the standing leg for normal group demonstrate more headroom for the biceps femoris-short-head and psoas major to withstand the load and hence have better static balance control.

Model of rhythmic ball bouncing using a visually controlled neural oscillator

The present paper investigates the sensory-driven modulations of central pattern generator dynamics that can be expected to reproduce human behavior during rhythmic hybrid tasks. We propose a theoretical model of human sensorimotor behavior able to account for the observed data from the ball-bouncing task. The novel control architecture is composed of a Matsuoka neural oscillator coupled with the environment through visual sensory feedback. The architecture's ability to reproduce human-like performance during the ball-bouncing task in the presence of perturbations is quantified by comparison of simulated and recorded trials. The results suggest that human visual control of the task is achieved online. The adaptive behavior is made possible by a parametric and state control of the limit cycle emerging from the interaction of the rhythmic pattern generator, the musculoskeletal system, and the environment.NEW & NOTEWORTHY The study demonstrates that a behavioral model based on a neural oscillator controlled by visual information is able to accurately reproduce human modulations in a motor action with respect to sensory information during the rhythmic ball-bouncing task. The model attractor dynamics emerging from the interaction between the neuromusculoskeletal system and the environment met task requirements, environmental constraints, and human behavioral choices without relying on movement planning and explicit internal models of the environment.

Contribution of Vision to Balance in Children Four to Eight Years of Age

Objectives:

The use of sensory feedback for postural control develops throughout childhood. The aim of this study was to determine how children use cues from anterior-posterior optic flow for balance from 4 to 8 years of age.

Methods:

One hundred forty-eight children were enrolled. The subjects had yearly otologic and posturographic examinations between the ages of 4 and 8 years. Balance was assessed only if the subject had no evidence of middle ear effusion. The subject stood for 30 seconds with eyes open without optic flow and for 30 seconds while viewing 0.1, 0.25, and 0.4 Hz anterior-posterior optic flow. The center of pressure (COP) was recorded from the force platform. The root-mean-square of the COP during the periods of quiet stance and with optic flow was computed.

Results:

The root-mean-square COP was significantly larger during the optic flow stimulation as compared with during quiet stance. The subjects had a significant decrease in COP during optic flow from year 5 to year 6 of life (p = 005).

Conclusions:

A change in the response to optic flow was seen from age 5 to age 6. This change is consistent with transitional changes in postural responses that have been observed during quiet standing.

A Trunk Support System to Identify Posture Control Mechanisms in Populations Lacking Independent Sitting

Populations with moderate-to-severe motor control impairments often exhibit degraded trunk control and/or lack the ability to sit unassisted. These populations need more research, yet their underdeveloped trunk control complicates identification of neural mechanisms behind their movements. The purpose of this study was to overcome this barrier by developing the first multi-articulated trunk support system to identify visual, vestibular, and proprioception contributions to posture in populations lacking independent sitting. The system provided external stability at a user-specific level on the trunk, so that body segments above the level of support required active posture control. The system included a tilting surface (controlled via servomotor) as a stimulus to investigate sensory contributions to postural responses. Frequency response and coherence functions between the surface tilt and trunk support were used to characterize system dynamics and indicated that surface tilts were accurately transmitted up to 5 Hz. Feasibility of collecting kinematic data in participants lacking independent sitting was demonstrated in two populations: two typically developing infants, [Formula: see text] months, in a longitudinal study (eight sessions each) and four children with moderate-to-severe cerebral palsy (GMFCS III-V). Adaptability in the system was assessed by testing 16 adults (ages 18-63). Kinematic responses to continuous pseudorandom surface tilts were evaluated across 0.046-2 Hz and qualitative feedback indicated that the trunk support and stimulus were comfortable for all subjects. Concepts underlying the system enable both research for, and rehabilitation in, populations lacking independent sitting.

Development of adaptive sensorimotor control in infant sitting posture

A reliable and adaptive relationship between action and perception is necessary for postural control. Our understanding of how this adaptive sensorimotor control develops during infancy is very limited. This study examines the dynamic visual-postural relationship during early development. Twenty healthy infants were divided into 4 developmental groups (each n=5): sitting onset, standing alone, walking onset, and 1-year post-walking. During the experiment, the infant sat independently in a virtual moving-room in which anterior-posterior oscillations of visual motion were presented using a sum-of-sines technique with five input frequencies (from 0.12 to 1.24 Hz). Infants were tested in five conditions that varied in the amplitude of visual motion (from 0 to 8.64 cm). Gain and phase responses of infants' postural sway were analyzed. Our results showed that infants, from a few months post-sitting to 1 year post-walking, were able to control their sitting posture in response to various frequency and amplitude properties of the visual motion. Infants showed an adult-like inverted-U pattern for the frequency response to visual inputs with the highest gain at 0.52 and 0.76 Hz. As the visual motion amplitude increased, the gain response decreased. For the phase response, an adult-like frequency-dependent pattern was observed in all amplitude conditions for the experienced walkers. Newly sitting infants, however, showed variable postural behavior and did not systemically respond to the visual stimulus. Our results suggest that visual-postural entrainment and sensory re-weighting are fundamental processes that are present after a few months post sitting. Sensorimotor refinement during early postural development may result from the interactions of improved self-motion control and enhanced perceptual abilities.

Development of Visual Motion Perception for Prospective Control: Brain and Behavioral Studies in Infants

During infancy, smart perceptual mechanisms develop allowing infants to judge time-space motion dynamics more efficiently with age and locomotor experience. This emerging capacity may be vital to enable preparedness for upcoming events and to be able to navigate in a changing environment. Little is known about brain changes that support the development of prospective control and about processes, such as preterm birth, that may compromise it. As a function of perception of visual motion, this paper will describe behavioral and brain studies with young infants investigating the development of visual perception for prospective control. By means of the three visual motion paradigms of occlusion, looming, and optic flow, our research shows the importance of including behavioral data when studying the neural correlates of prospective control.

Development of Three-Dimensional Perception in Human Infants

The play of light on the retina contains multiple sources of information about the three-dimensional (3D) structure of the world. Some of the best information is derived from differencing operations that act on the images that result from the two eyes’ laterally displaced vantage points. Other information is available in systematic retinal patterns of local texture and motion cues. This article describes what is currently known about the development of sensitivity to these binocular and monocular cues for depth in human infants, and it places the results in the context of what is known about the underlying neural mechanisms from work in nonhuman primates and human neuroimaging studies.

The influence of kayaking and rowing sports experience on postural response to optic flow

This study investigated the postural response of kayakers and rowers to imposed optic flow. The athletes, with experience in unstable water environments, should have a specific postural response to optic flow. 12 male participants with kayaking and rowing experience and 12 with no specific sports experience were asked to stand still with and without room motion. This study varied the amplitude and frequency of room motion and evaluated the trajectory of the center of pressure. The kayaking and rowing group were less influenced by imposed optic flow, and body sway was more closely synchronized to the oscillating room compared to the Non-athlete group. These results suggest that postural adaptation occurs in association with experience in kayaking and rowing.

Stronger vection in junior high school children than in adults

Previous studies have shown that even elementary school-aged children (7 and 11 years old) experience visually induced perception of illusory self-motion (vection) (Lepecq et al., 1995, Perception, 24, 435–449) and that children of a similar age (mean age = 9.2 years) experience more rapid and stronger vection than do adults (Shirai et al., 2012, Perception, 41, 1399–1402). These findings imply that although elementary school-aged children experience vection, this ability is subject to further development. To examine the subsequent development of vection, we compared junior high school students' (N = 11, mean age = 14.4 years) and adults' (N = 10, mean age = 22.2 years) experiences of vection. Junior high school students reported significantly stronger vection than did adults, suggesting that the perceptual experience of junior high school students differs from that of adults with regard to vection and that this ability undergoes gradual changes over a relatively long period of development.

Sitting infants alter the magnitude and structure of postural sway when performing a manual goal-directed task

In typical daily life, adults routinely adapt posture so that balance can be maintained while other goal-directed activities are performed. Interestingly, newly standing infants also control posture based on the demands of a task. It is unknown if the ability to properly adapt postural movements as a goal-directed task is performed emerges soon after the acquisition of independent stance or if it is present at earlier key postural milestones, such as independent sitting. In this study, the postural sway patterns of independently sitting infants were compared while either holding or not holding a toy. Infants exhibited less postural sway when holding the toy. This reduction in sway allowed infants to look at and stabilize the toy in their hand. Thus, the ability to adjust postural movements while performing a concurrent goal-directed task emerges long before the acquisition of independent stance.

Newly standing infants increase postural stability when performing a supra-postural task

Independent stance is one of the most difficult motor milestones to achieve. Newly standing infants exhibit exaggerated body movements and can only stand for a brief amount of time. Given the difficult nature of bipedal stance, these unstable characteristics are slow to improve. However, we demonstrate that infants can increase their stability when engaged in a standing goal-directed task. Infants' balance was measured while standing and while standing and holding a visually attractive toy. When holding the toy, infants stood for a longer period of time, exhibited less body sway, and more mature postural dynamics. These results demonstrate that even with limited standing experience, infants can stabilize posture to facilitate performance of a concurrent task.

Independent walking as a major skill for the development of anticipatory postural control: evidence from adjustments to predictable perturbations

Although there is suggestive evidence that a link exists between independent walking and the ability to establish anticipatory strategy to stabilize posture, the extent to which this skill facilitates the development of anticipatory postural control remains largely unknown. Here, we examined the role of independent walking on the infants' ability to anticipate predictable external perturbations. Non-walking infants, walking infants and adults were sitting on a platform that produced continuous rotation in the frontal plane. Surface electromyography (EMG) of neck and lower back muscles and the positions of markers located on the platform, the upper body and the head were recorded. Results from cross-correlation analysis between rectified and filtered EMGs and platform movement indicated that although muscle activation already occurred before platform movement in non-walking infants, only walking infants demonstrated an adult-like ability for anticipation. Moreover, results from further cross-correlation analysis between segmental angular displacement and platform movement together with measures of balance control at the end-points of rotation of the platform evidenced two sorts of behaviour. The adults behaved as a non-rigid non-inverted pendulum, rather stabilizing head in space, while both the walking and non-walking infants followed the platform, behaving as a rigid inverted pendulum. These results suggest that the acquisition of independent walking plays a role in the development of anticipatory postural control, likely improving the internal model for the sensorimotor control of posture. However, despite such improvement, integrating the dynamics of an external object, here the platform, within the model to maintain balance still remains challenging in infants.

Infant visual attention and step responsiveness to optic flow during treadmill stepping

This study examined infant treadmill stepping in two groups of pre-locomotor infants in response to terrestrial optic flow. The optic flow was provided via the treadmill belt for flow translation that was directionally consistent with the forward stepping of the infants. Twelve 2-5-month-old and twelve 7-10-month-old infants participated. Visual attention (duration and direction) and step responsiveness (frequency and step types) were coded from digital video, and visuomotor coupling was examined by temporally juxtaposing the visual attention and step data. Longer durations of visual attention to the patterned belt with increased step frequencies during periods of visual attention were observed, suggesting that the visuotactile calibration afforded by the patterned treadmill belt, increased visuomotor coupling and enhanced the frequency and complexity of stepping in prelocomotor infants. The findings are discussed with regard to sensorimotor experiences that enhance treadmill stepping in infants and that may have application to clinical populations.

Learning about gravity: segmental assessment of upright control as infants develop independent sitting

The question of how infants attain upright sitting is at the core of understanding the development of most functional abilities. Our simple, practical method of securing the hips and different trunk segments while evaluating the infant's ability to vertically align and stabilize the trunk in space contributes a useful method and new insights into the development of upright control. Previous studies have considered the trunk to develop as a single segment. The goal of the present study was to examine how postural control changes across multiple trunk segments during typical development (TD) of sitting balance. For this purpose, electromyography (EMG) and kinematic data were collected at four levels of trunk support (axillae, midribs, waist, hips), in a longitudinal study of eight TD infants (3-9 mo of age). We found that developmental changes in stability were specific to the region of the trunk being investigated, changes in antagonistic muscle activity differed for the anterior-posterior versus the medial-lateral axis, and the relationship between muscle activation and movement changed from erratic attempts to gain upright position to anticipatory graded responses as infants developed upright control through a four-stage behavioral process. This information can be used by researchers to further refine hypotheses regarding this developmental process and by clinicians who wish to develop and test more specific treatment programs for children with postural dysfunction.

Postural control and automaticity in dyslexic children: the relationship between visual information and body sway

Difficulty with literacy acquisition is only one of the symptoms of developmental dyslexia. Dyslexic children also show poor motor coordination and postural control. Those problems could be associated with automaticity, i.e., difficulty in performing a task without dispending a fair amount of conscious efforts. If this is the case, dyslexic children would show difficulties in using "unperceived" sensory cues to control body sway. Therefore, the aim of the study was to examine postural control performance and the coupling between visual information and body sway in dyslexic children. Ten dyslexic children and 10 non-dyslexic children stood upright inside a moving room that remained stationary or oscillated back and forward at frequencies of 0.2 or 0.5 Hz. Body sway magnitude and the relationship between the room's movement and body sway were examined. The results indicated that dyslexic children oscillated more than non-dyslexic children in both stationary and oscillating conditions. Visual manipulation induced body sway in all children but the coupling between visual information and body sway was weaker and more variable in dyslexic children. Based upon these results, we can suggest that dyslexic children use visual information to postural control with the same underlying processes as non-dyslexic children; however, dyslexic children show poorer performance and more variability while relating visual information and motor action even in a task that does not require an active cognitive and conscious motor involvement, which may be a further evidence of automaticity problem.

Approximate entropy used to assess sitting postural sway of infants with developmental delay

Infant sitting postural sway provides a window into motor development at an early age. The approximate entropy, a measure of randomness, in the postural sway was used to assess developmental delay, as occurs in cerebral palsy. Parameters used for the calculation of approximate entropy were investigated, and approximate entropy of postural sway in early sitting was found to be lower for infants with developmental delay in the anterior-posterior axis, but not in the medial-lateral axis. Spectral analysis showed higher frequency features in the postural sway of early sitting of infants with typical development, suggesting a faster control mechanism is active in infants with typical development as compared to infants with delayed development, perhaps activated by near-fall events.

Severity and characteristics of developmental delay can be assessed using variability measures of sitting posture

PURPOSE

We sought to identify measures of variability from sitting postural sway that are significantly different among infants who were developing typically, those who were developmentally delayed or hypotonic, and those who later on had a diagnosis of spastic or athetoid cerebral palsy.

METHODS

Sixty-five infants were evaluated when they were just developing the ability to sit upright by assessing center of pressure (COP) data, using measures of both amount and temporal organization of COP variability.

RESULTS

The results indicated that measures of variability of COP could discriminate between infants with developmental delay and infants with cerebral palsy and add to the description of sitting postural behavior.

CONCLUSIONS

Our method of evaluating sitting postural control could be an objective tool to help describe distinctive features of motor delay in an individual infant and could lead in the design of selective therapeutic interventions for improving postural control of infants with motor delays.

Representing time-varying cyclic dynamics using multiple-subject state-space models

Over the last few decades, researchers have become increasingly aware of the need to consider intraindividual variability in the form of cyclic processes. In this paper, we review two contemporary cyclic state-space models: Young and colleagues' dynamic harmonic regression model and Harvey and colleagues' stochastic cycle model. We further derive the analytic equivalence between the two models, discuss their unique strengths and propose multiple-subject extensions. Using data from a study on human postural dynamics and a daily affect study, we demonstrate the use of these models to represent within-person non-stationarities in cyclic dynamics and interindividual differences therein. The use of diagnostic tools for evaluating model fit is also illustrated.

The development of infant upright posture: sway less or sway differently?

Postural control is an important factor for early motor development; however, compared with adults, little is known about how infants control their unperturbed upright posture. This lack of knowledge, particularly with respect to spatial and temporal characteristics of infants' unperturbed independent standing, represents a significant gap in the understanding of human postural control and its development. Therefore, our first analysis offers a thorough longitudinal characterization of infants' quiet stance through the 9 months following the onset of independent walking. Second, we examined the influence of sensory-mechanical context, light touch contact, on infants' postural control. Nine typically developing infants were tested monthly as they stood on a small pedestal either independently or with the right hand lightly touching a stationary contact surface. In addition to the longitudinal study design, an age-constant sample was analyzed to verify the influence of walking experience in infant postural development without the confounding effect of chronological age. Center of pressure excursions were recorded and characterized by distance-related, velocity, and frequency domain measures. The results indicated that, with increasing experience in the upright, as indexed by walk age, infants' postural sway exhibited shifts in rate-related characteristics toward lower frequency and slower, less variable velocity oscillations without changing the spatial characteristics of sway. Additional touch contact stabilized infants' postural sway as revealed by decrease in sway position variance, amplitude, and area as well as lower frequency and velocity. These results were confirmed by the age-constant analysis. Taken together, our findings suggest that instead of progressively reducing the sway magnitude, infants sway differently with increasing upright experience or with additional somatosensory information. These differences suggest that early development of upright stance, particularly as it relates to increasing postural and locomotor experience, involves a refinement of sensorimotor dynamics that enhances estimation of self-motion for controlling upright stance.

Development of multisensory reweighting for posture control in children

Reweighting to multisensory inputs adaptively contributes to stable and flexible upright stance control. However, few studies have examined how early a child develops multisensory reweighting ability, or how this ability develops through childhood. The purpose of the study was to characterize a developmental landscape of multisensory reweighting for upright postural control in children 4-10 years of age. Children were presented with simultaneous small-amplitude somatosensory and visual environmental movement at 0.28 and 0.2 Hz, respectively, within five conditions that independently varied the amplitude of the stimuli. The primary measure was body sway amplitude relative to each stimulus: touch gain and vision gain. We found that children can reweight to multisensory inputs from 4 years on. Specifically, intra-modal reweighting was exhibited by children as young as 4 years of age; however, inter-modal reweighting was only observed in the older children. The amount of reweighting increased with age indicating development of a better adaptive ability. Our results rigorously demonstrate the development of simultaneous reweighting to two sensory inputs for postural control in children. The present results provide further evidence that the development of multisensory reweighting contributes to more stable and flexible control of upright stance, which ultimately serves as the foundation for functional behaviors such as locomotion and reaching.

Learning from falling

Walkers fall frequently, especially during infancy. Children (15-, 21-, 27-, 33-, and 39-month-olds) and adults were tested in a novel foam pit paradigm to examine age-related changes in the relationship between falling and prospective control of locomotion. In trial 1, participants walked and fell into a deformable foam pit marked with distinct visual cues. Although children in all 5 age groups required multiple trials to learn to avoid falling, the number of children who showed adult-like, 1-trial learning increased with age. Exploration and alternative locomotor strategies increased dramatically on learning criterion trials and displays of negative affect were limited. Learning from falling is discussed in terms of the immediate and long-term effects of falling on prospective control of locomotion.

Responsiveness to terrestrial optic flow in infancy: does locomotor experience play a role?

Human infants show a peak in postural compensation to optic flow at approximately nine months of age. The current experiment tested whether the magnitude of visual-postural coupling in 9-month-olds increases when terrestrial optic flow is added to a moving room. A secondary objective was to explore whether locomotor experience plays any role in enhancing responsiveness to the additional terrestrial information. Ninety-one infants (experienced creepers, nascent creepers, and prelocomotors) were exposed to two conditions of optic flow: global optic flow (G) and global optic flow minus terrestrial optic flow (G-T). The additional terrestrial optic flow led to significantly higher visual-postural coupling. Consistent with previous findings, locomotor experience had no effect on responsiveness to the G-T condition, though there was weak evidence that the nascent creepers were more strongly influenced by the difference between flow conditions than the other infants. Unexpectedly, the prelocomotor females showed significantly lower visual-postural coupling than the prelocomotor males. These findings support the notion that the ground provides an important source of information for the control of posture and locomotion. The findings also suggest that locomotor experience most likely helps to functionalize smaller (partial), rather than larger (global), optic flow fields for postural control.

The influence of dynamic visual cues for postural control in children aged 7-12 years

Young children rely heavily on vision for postural control during the transition to walking. Although by 10 years of age, children have automatic postural responses similar to adults, it is not clear when the integration of sensory inputs becomes fully developed. The purpose of this study was to examine this transition in the sensory integration process in children aged 7-12 years. Healthy children and adults stood on a fixed or sway-referenced support surface while viewing full-field optic flow scenes that moved sinusoidally (0.1 and 0.25 Hz) in an anterior-posterior direction. Center of pressure was recorded, and measures of sway amplitude and phase were calculated at each stimulus frequency. Children and adults had significant postural responses during approximately two-thirds of the trials. In adults, there was a 90% decrease in sway on the fixed surface compared with the sway-referenced surface, but only a 50% decrease in children. The phase between the optic flow stimulus and postural response in children led that of adults by 52 degrees at 0.1 Hz and by 15 degrees at 0.25 Hz. Adults and children aged 7-12 years have similar ability to use dynamic visual cues for postural control. However, 7-12-year-old children do not utilize somatosensory cues to stabilize posture to the same extent as adults when visual and somatosensory cues are conflicting.

Postural and eye-blink indices of the defensive startle reflex

Postural and eye-blink reactions to acoustic startle probes were examined in 24 volunteers, who completed two blocked conditions (baseline, startle). A postural reaction during the startle condition demonstrated a reflexive movement in the anterior-posterior direction, which was not observed during the baseline condition. This reflexive response was positively associated with the eye-blink reflex, such that larger blink magnitude related to greater posterior movement. These findings were not observed for postural movements in the medial-lateral direction. The results suggest that a measurable postural reaction may be observed following a startling acoustic stimulus, which may reflect generalized bodily flexion associated with a preparatory behavioral response.

Detecting postural responses to sinusoidal sensory inputs: a statistical approach

A common way for understanding sensory integration in postural control is to provide sinusoidal perturbations to the sensory systems involved in balance. However, not all subjects exhibit a response to the perturbation. Determining whether or not a response has occurred is usually done qualitatively, e.g., by visual inspection of the power spectrum. In this paper, we present the application of a statistical test for quantifying whether or not a postural sway response is present. The test uses an F-statistic for determining if there is significant power in postural sway data at the stimulus frequency. In order to describe the application of this method, 20 subjects viewed sinusoidal anterior-posterior (A-P) optic flow at 0.1 and 0.25 Hz, while their A-P head translation was measured. The test showed that significant postural responses were detected at the stimulus frequency in 12/20 subjects at 0.1 Hz and 13/20 subjects at 0.25 Hz.

The temporal organization of posture changes during the first year of independent walking

Although the development of upright posture has received considerable attention, the quiet stance of infants in their first months of learning this fundamental behavior has not been well studied. The purpose of the present study was to characterize the time evolutionary properties, or temporal organization, of these infants' unperturbed upright stance as well as to elucidate how somatosensory information influences that organization. Six healthy, full-term infants were tested monthly from walk onset until 9 months of independent walking experience while standing either independently or touching a static surface. The structure of sway was assessed through stabilogram-diffusion analysis using an exponential Ornstein-Uhlenbeck characterization. The results of this analysis revealed two new insights into postural development. First, the developmental changes in quiet stance involved a decreased rate at which sway decays to maximal variance, rather than an attenuation of the magnitude of that variance. Specifically, measures indexing amount of sway variance were significantly reduced when touching a static surface as compared with an independent stance condition, but revealed no change with increased walking experience. Further, a reduction in the average rate constant of decay indicated an increased influence of long time-scale sway corrections on the overall sway trajectory. Second, it was shown that, at early walk ages, the use of touch both reduced the amount of variance and shifted the rate constant of sway towards longer time-scale displacements. Taken in the context of previous research, these results support our conclusion that early postural development embodies the dual tasks of calibrating sensorimotor relations for estimation of self-motion as well as identification and tuning of control system properties.

Emotion and motivated behavior: postural adjustments to affective picture viewing

Thirty-six participants (18 female, 18 male) viewed affective pictures to investigate the coupling between emotional reactions and motivated behavior. Framed within the biphasic theory of emotion, the three systems approach was employed by collecting measures of subjective report, expressive physiology, and motivated behavior. Postural adjustments associated with viewing affective pictures were measured. Results indicated sex-differences for postural responses to unpleasant pictures; an effect not found for pleasant and neutral picture contents. Females exhibited increased postural movement in the posterior direction, and males exhibited increased movement in the anterior direction, for unpleasant pictures. Subjective report of valence and arousal using the self-assessment manikin (SAM), and the startle eye-blink reflex were collected during a separate session, which replicated previous picture-viewing research. Specifically, participants rated pleasant pictures higher in valence and exhibited smaller startle responses compared to unpleasant pictures. Females also reported lower valence ratings compared to males across all picture contents. These findings extend our knowledge of motivated engagement with affective stimuli and indicate that postural responses may provide insight into sex-related differences in withdrawal behavior.

Stability in Young Infants' Discrimination of Optic Flow

Although considerable progress has been made in understanding how adults perceive their direction of self-motion, or heading, from optic flow, little is known about how these perceptual processes develop in infants. In 3 experiments, the authors explored how well 3- to 6-month-old infants could discriminate between optic flow patterns that simulated changes in heading direction. The results suggest that (a) prior to the onset of locomotion, the majority of infants discriminate between optic flow displays that simulate only large (> 22 deg.) changes in heading, (b) there is minimal development in sensitivity between 3 and 6 months, and (c) optic flow alone is sufficient for infants to discriminate heading. These data suggest that spatial abilities associated with the dorsal visual stream undergo prolonged postnatal development and may depend on locomotor experience.

Postural control in children. Coupling to dynamic somatosensory information

The purpose of this investigation was to determine whether the coupling between dynamic somatosensory information and body sway is similar in children and adults. Thirty children (4-, 6-, and 8-year-olds) and 10 adults stood upright, with feet parallel, and lightly contacting the fingertip to a rigid metal plate that moved rhythmically at 0.2, 0.5, and 0.8 Hz. Light touch to the moving contact surface induced postural sway in all participants. The somatosensory stimulus produced a broadband frequency response in children, while the adult response was primarily at the driving frequency. Gain, as a function of frequency, was qualitatively the same in children and adults. Phase decreased less in 4-year-olds than other age groups, suggesting a weaker coupling to position information in the sensory stimulus. Postural sway variability was larger in children than adults. These findings suggest that, even as young as age 6, children show well-developed coupling to the sensory stimulus. However, unlike adults, this coupling is not well focused at the frequency specified by the somatosensory signal. Children may be unable to uncouple from sensory information that is less relevant to the task, resulting in a broadband response in their frequency spectrum. Moreover, higher sway variability may not result from the sensory feedback process, but rather from the children's underdeveloped ability to estimate an internal model of body orientation.

The flip side of perception-action coupling: locomotor experience and the ontogeny of visual-postural coupling

The possible role of motor development on psychological function is once again a topic of great theoretical and practical importance. The revival of this issue has stemmed from a different approach to the topic, away from Gesell's interest in the long-term prediction of psychological functions from early motoric assessments, toward an attempt to understand how the acquisition of motor skills orchestrates psychological changes. This paper describes how the acquisition of one motor skill, prone locomotion, has been linked to developmental changes in an infant's ability to regulate posture based on information available in patterns of optic flow. It is argued that the onset of prone locomotion presses the infant to differentiate spatially delimited regions of optic flow to effectively and efficiently control the important subtasks nested within the larger task of locomotion, namely, steering, attending to the surface of support, and maintaining postural control. Following this argument, a research program is described that aims to determine if locomotor experience is causally linked to improvements in the ability to functionalize peripheral optic flow for postural control or whether locomotor experience is merely a maturational forecaster of such improvements. Finally, a hypothesis is put forward that links the emergence of wariness of heights to infants' ability to regulate posture on the basis of peripheral optic flow. The paper's overarching theoretical point is the principle of probabilistic epigenesis, which states that one developmental acquisition produces experiences that bring about a host of new developmental changes in the same and different domains.

The integration of body movement and attention in young infants

The normal development of adaptive behavior in humans depends on the integration of visual attention and body movement, yet little is known about the initial state of movement-attention coupling at the beginning of postnatal life. We studied 1- and 3-month-old infants during extended periods of visual exploration and found that spontaneous shifts of gaze are preceded by rapid changes in general body movement. The results reveal a tight link between motor activation and overt attention on a time scale of seconds or less. This link undergoes substantial developmental change in the first few weeks after birth. During that time, phasic motor activation may play a key role in visual exploration by helping to unlock gaze when the environment is unchanging.

Influence of action and expectation on visual control of posture

Previous studies have shown that human subjects presented with a moving visual environment initiate a postural re-adjustment in the direction of motion. The present study investigated how active control or expectation of the displacement of a visual scene affects this postural response. Center of foot pressure (COP) and head displacement were recorded using a sway platform and a tracking system, respectively. The subjects faced a visual scene (1 x 1 m, at a distance of 45 cm) which moved transiently (with a velocity of 1 cm/s) in a direction parallel to the interaural axis. When the displacement of the visual scene was under the active control of the subjects, visually induced body sway was strongly inhibited, in comparison with the response to unexpected stimuli. Prior knowledge of the characteristics of the forthcoming displacement was sufficient, in most subjects, to reduce postural re-adjustment, even when subjects did not exert active control. Finally, the visually induced postural response was strongly reduced even when subjects only triggered the stimulus, without any knowledge about the direction of motion. In conclusion, it appears that although vision is of primary importance in the control of postural orientation, high level processes such as expectation can modulate its impact by providing cues as to whether forthcoming visual flow is the consequence of self-motion or object-motion.

Eye, head and trunk control: the foundation for manual development

Mastery of reaching and manipulation relies on adequate postural control. The trunk must be balanced relative to a base of support to allow free movements of the arms and hands. Moreover, the head must be supported flexibly by the trunk so that gaze can be directed toward the target to provide a spatial frame of reference for reaching. For fine manipulation it is also crucial to avoid retinal slips which would introduce blur. Stabilizing gaze is generally accomplished through adjustments of both eye and head position. Until gaze is stabilized, it is difficult to establish a frame of reference between the target and the self. Thus, a nested hierarchy of support involving the eyes, head, and trunk forms an important foundation for manual activity.