Abstract

Unpredictable forces which perturb balance are frequently applied to the body through interaction between the upper limb and the environment. Lower limb muscles respond rapidly to these postural disturbances in a highly specific manner. We have shown that the muscle activation patterns of lower limb muscles are organized in a direction specific manner which changes with lower limb stability. Ankle muscles change their activity within 80 ms of the onset of a force perturbation applied to the hand which is earlier than the onset of changes in ground reaction force, ankle angle or head motion. The latency of the response is sensitive to the perturbation direction. However, neither the latency nor the magnitude of the response is affected by stiffening the arm even though this alters the magnitude and timing of motion of the body segments. Based on the short latency, insensitivity of the change in ankle muscle activation to motion of the body segments but sensitivity to perturbation direction we reason that changes in ankle muscle activation are most likely triggered by sensory signals originating from cutaneous receptors in the hand. Furthermore, evidence that the latency of changes in ankle muscle activation depends on the number of perturbation directions suggests that the neural pathway is not confined to the spinal cord.

Highlights

  • In many activities of daily living unpredictable forces are applied to the body through interaction of the upper limb with the environment

  • The critical feature for the purpose of this study is that the ankle muscles respond preferentially for particular perturbation directions which establishes that the response is not an invariant triggered response but that information about force direction extracted from the sensory signal is used to control the response (Fig 3)

  • Performing the task with the elbow extended had a significant effect on the kinematics of the arm in response to anterior/posterior perturbations compared to performing the task with the elbow flexed

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Summary

Introduction

In many activities of daily living unpredictable forces are applied to the body through interaction of the upper limb with the environment. When the upper limb is unexpectedly perturbed by an applied force the perturbation is transferred to other body segments and can disturb balance [1,2,3,4]. Unlike disturbances to balance originating from displacement of the support surface [5,6,7,8,9] force applied to the upper limb does not immediately produce a change in ground reaction force or ankle motion that could lead to sensory feedback from the leg. There is evidence that ankle muscles can be activated as rapidly as elbow muscles in response to upper limb.

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