Adaptation to Coriolis force perturbations of postural sway requires an asymmetric two-leg model

The Importance of Being in Touch

This paper describes a series of studies resulting from the finding that when free floating in weightless conditions with eyes closed, all sense of one's spatial orientation with respect to the aircraft can be lost. But, a touch of the hand to the enclosure restores the sense of spatial anchoring within the environment. This observation led to the exploration of how light touch of the hand can stabilize postural control on Earth even in individuals lacking vestibular function, and can override the effect of otherwise destabilizing tonic vibration reflexes in leg muscles. Such haptic stabilization appears to represent a long loop cortical reflex with contact cues at the hand phase leading EMG activity in leg muscles, which change the center of pressure at the feet to counteract body sway. Experiments on dynamic control of balance in a device programmed to exhibit inverted pendulum behavior about different axes and planes of rotation revealed that the direction of gravity not the direction of balance influences the perceived upright. Active control does not improve the accuracy of indicating the upright vs. passive exposure. In the absence of position dependent gravity shear forces on the otolith organs and body surface, drifting and loss of control soon result and subjects are unaware of their ongoing spatial position. There is a failure of dynamic path integration of the semicircular canal signals, such as occurs in weightless conditions.

The effect of hypergravity on upright balance and voluntary sway

We compared voluntary oscillatory sway for eight subjects tested in 1.8-g and 1-g gravito-inertial force (GIF) levels of parabolic flight. Subjects performed voluntary forward-backward (FB) and lateral left-right (LR) swaying as the forces and moments under the soles of each foot were measured. We calculated the experimental values of three parameters: two ankle stiffness parameters K_S^AP and K_S^ML acting in orthogonal FB and LR directions and one parameter K_ED related to leg pivot shifting. Simulations of the engaged leg model (Bakshi A, DiZio P, Lackner JR. J Neurophysiol 121: 2042-2060, 2019; Bakshi A, DiZio P, Lackner JR. J Neurophysiol 121: 2028-2041, 2019) correctly predicted the experimentally determined stability bounds of upright balance and also the scaling of the postural parameters as a function of GIF magnitude. The effective stiffness, K_S^AP, at the ankles played the primary role to prevent falling in FB swaying and both model predictions, and experimental data showed K_S^AP to scale up in proportion to GIF magnitude. For LR swaying, the model predicted a 3:4 scaling of anterior-posterior stiffness to change in GIF magnitude, which was borne out by the experimental data. Simulations predict stability (nonfalling) not to depend on lateral stiffness, K_S^ML, which was experimentally found not to depend on the GIF magnitude. Both model and experiment showed that the geometry-dependent pivot shift parameter K_ED was invariant to a change in GIF magnitude. Thus the ELM explains voluntary sway and balance in altered GIF magnitude conditions, rotating environments with Coriolis perturbations of sway, as well as normal terrestrial conditions.NEW & NOTEWORTHY A nonparallel leg model of balance, the engaged leg model (ELM), was previously developed to characterize adaptive balance control in a rotating environment. Here we show the ELM also explains sway in hypergravity. It predicts the changes in balance control parameters with changes in gravity. ELM is currently the only balance model applicable to artificial and hypergravity conditions. ELM can also be applied to terrestrial clinical situations for pathologies that generate postural asymmetries.

Multiple roles of active stiffness in upright balance and multidirectional sway

Both passive and active mechanisms are necessary to explain small amplitude forward-backward (FB) voluntary swaying. Parallel and symmetric leg inverted pendulum models with stiffness control are a simple way to replicate FB swaying during quiet stance. However, it has been more difficult to model lateral left-right (LR) voluntary swaying involving the dual mechanisms of hip loading-unloading and ankle pressure distribution. To assess these factors, we had subjects perform small amplitude FB and LR sways and circular rotation. We experimentally identified three parameters that characterized their two-dimensional stiffnesses: AP stiffness (K_S^AP), and lateral stiffness (K_S^ML), at the ankles and a parameter we refer to as the engagement-disengagement rate (K_ED) of the legs. We performed simulations with our engaged leg model (Bakshi A, DiZio P, Lackner JR. J Neurophysiol 121: 2042-2060, 2019; Bakshi A, DiZio P, Lackner JR. J Neurophysiol 121: 2028-2041, 2019) to test its predictions about the limits of balance stability during sway in the three test conditions. Comparing the model's predictions with the experimental data, we found that K_S^AP has a task-dependent dual role in upright balance and is crucial to prevent falling; K_S^ML helps overcome viscous drags but is not instrumental to stability; K_ED has a key role in stability and is dependent on the biomechanical geometry of the body, which is invariant across balance tasks. These findings provide new insights into balance control that have important clinical implications for falling, especially for patients who are unable to use a hip strategy during balance control.NEW & NOTEWORTHY Our previously published Engaged Leg Model here shows how stiffness plays complex multicausal roles in balance. In one role, it is crucial to stability, with task contingent influences over balance. In another, it overcomes viscous drag. Task-dependent stiffness alone does not explain stable balance; geometrical, invariant aspects of body biomechanics also matter. Our model is fully applicable to clinical balance pathologies involving asymmetries in movement and balance control.

The direction of postural threat alters balance control when standing at virtual elevation

Anxiogenic settings lead to reduced postural sway while standing, but anxiety-related balance may be influenced by the location of postural threat in the environment. We predicted that the direction of threat would elicit a parallel controlled manifold relative to the standing surface, and an orthogonal uncontrolled manifold during standing. Altogether, 14 healthy participants (8 women, mean age = 27.5 years, SD = 8.2) wore a virtual reality (VR) headset and stood on a matched real-world walkway (2 m × 40 cm × 2 cm) for 30 s at ground level and simulated heights (elevated 15 m) in two positions: (1) parallel to walkway, lateral threat; and (2) perpendicular to walkway, anteroposterior threat. Inertial sensors measured postural sway acceleration (e.g., 95% ellipse, root mean square (RMS) of acceleration), and a wrist-worn monitor measured heart rate coefficient of variation (HR CV). Fully factorial linear-mixed effect regressions (LMER) determined the effects of height and position. HR CV moderately increased from low to high height (p = 0.050, g = 0.397). The Height × Position interaction approached significance for sway area (95% ellipse; β = - 0.018, p = 0.062) and was significant for RMS (β = - 0.022, p = 0.007). Post-hoc analyses revealed that sagittal plane sway accelerations and RMS increased from low to high elevation in parallel standing, but were limited when facing the threat during perpendicular standing. Postural response to threat varies depending on the direction of threat, suggesting that the control strategies used during standing are sensitive to the direction of threat.

Rapid adaptation to Coriolis force perturbations of voluntary body sway

Studying adaptation to Coriolis perturbations of arm movements has advanced our understanding of motor control and learning. We have now applied this paradigm to two-dimensional postural sway. We measured how subjects (n = 8) standing at the center of a fully enclosed rotating room who made voluntary anterior-posterior swaying movements adapted to the Coriolis perturbations generated by their sway. Subjects underwent four voluntary sway trials prerotation, 20 per-rotation at 10 rpm counterclockwise, and 10 postrotation. Each trial lasted 20 s, and subjects were permitted normal vision. Their voluntary sway during rotation generated Coriolis forces that initially induced rightward deviations of their forward sway paths and leftward deviations of their backward sway. Sagittal plane sway was gradually restored over per-rotation trials, and a mirror image aftereffect occurred in postrotation trials. Dual force plate data analysis showed that subjects learned to counter the Coriolis accelerations during rotation by executing a bimodal torque pattern that was asymmetric across legs and contingent on forward vs. backward movement. The experience-dependent acquisition and washout of this compensation indicate that an internal, feedforward model underlies the leg-asymmetric bimodal torque compensation, contingent on forward vs. backward movement. The learned torque asymmetry we observed for forward vs. backward sway is not consistent with parallel two-leg models of postural control. NEW & NOTEWORTHY This paper describes adaptation to Coriolis force perturbations of voluntary sway in a rotating environment. During counterclockwise rotation, sway paths are deviated clockwise, but full restoration of fore-aft sway is regained in minutes. Negative aftereffects are briefly present postrotation. Current parallel leg models of postural control cannot account for these findings, which show that postural control, like arm movement control, can adapt rapidly and completely to the Coriolis forces generated in artificial gravity environments.