Abstract

Balance control models are used to describe balance behavior in health and disease. We identified the unique contribution and relative importance of each parameter of a commonly used balance control model, the Independent Channel (IC) model, to identify which parameters are crucial to describe balance behavior. The balance behavior was expressed by transfer functions (TFs), representing the relationship between sensory perturbations and body sway as a function of frequency, in terms of amplitude (i.e., magnitude) and timing (i.e., phase). The model included an inverted pendulum controlled by a neuromuscular system, described by several parameters. Local sensitivity of each parameter was determined for both the magnitude and phase using partial derivatives. Both the intrinsic stiffness and proportional gain shape the magnitude at low frequencies (0.1–1 Hz). The derivative gain shapes the peak and slope of the magnitude between 0.5 and 0.9 Hz. The sensory weight influences the overall magnitude, and does not have any effect on the phase. The effect of the time delay becomes apparent in the phase above 0.6 Hz. The force feedback parameters and intrinsic stiffness have a small effect compared with the other parameters. All parameters shape the TF magnitude and phase and therefore play a role in the balance behavior. The sensory weight, time delay, derivative gain, and the proportional gain have a unique effect on the TFs, while the force feedback parameters and intrinsic stiffness contribute less. More insight in the unique contribution and relative importance of all parameters shows which parameters are crucial and critical to identify underlying differences in balance behavior between different patient groups.

Highlights

  • During human stance, the central nervous system (CNS) continuously has to compensate for deviations from an upright body orientation and the pull of gravity

  • We evaluated the sensitivity of each model parameter to determine how each parameter shapes the dynamic balance behavior

  • In this study we performed a local sensitivity analysis based on partial derivatives of a commonly used balance control model to investigate the unique contribution and the relative importance of the parameters incorporated in the model

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Summary

Introduction

The central nervous system (CNS) continuously has to compensate for deviations from an upright body orientation and the pull of gravity. The estimated body orientation is used by the CNS to send motor commands to the muscles to generate corrective muscle activity. This corrective muscle activity, together with intrinsic visco-elastic properties of the muscles and tendons, generate corrective joint torques to keep the body in an upright position (Peterka, 2003). This cycle of continuous sensory feedback of body orientation, corrective muscle activity, and corrective joint torques implies that balance control is effectively a closed-loop system. In balance control it is difficult to recognize how joint torques

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