title: Velocity dependence of vestibular information for postural control on tilting surfaces.
abstract: Vestibular information is known to be important for postural stability on tilting surfaces, but the relative importance of vestibular information across a wide range of surface tilt velocities is less clear. We compared how tilt velocity influences postural orientation and stability in nine subjects with bilateral vestibular loss and nine age-matched, control subjects. Subjects stood on a force platform that tilted 6 deg, toes-up at eight velocities (0.25 to 32 deg/s), with and without vision. Results showed that visual information effectively compensated for lack of vestibular information at all tilt velocities. However, with eyes closed, subjects with vestibular loss were most unstable within a critical tilt velocity range of 2 to 8 deg/s. Subjects with vestibular deficiency lost their balance in more than 90% of trials during the 4 deg/s condition, but never fell during slower tilts (0.25-1 deg/s) and fell only very rarely during faster tilts (16-32 deg/s). At the critical velocity range in which falls occurred, the body center of mass stayed aligned with respect to the surface, onset of ankle dorsiflexion was delayed, and there was delayed or absent gastrocnemius inhibition, suggesting that subjects were attempting to actively align their upper bodies with respect to the moving surface instead of to gravity. Vestibular information may be critical for stability at velocities of 2 to 8 deg/s because postural sway above 2 deg/s may be too fast to elicit stabilizing responses through the graviceptive somatosensory system, and postural sway below 8 deg/s may be too slow for somatosensory-triggered responses or passive stabilization from trunk inertia.
authors.affiliation: Department of Neurology, Oregon Health & Science University, Portland, Oregon; VA Portland Health Care System, Portland, Oregon; horakf@ohsu.edu.
authors.forename: Fay B
authors.initials: FB
authors.lastname: Horak
authors.affiliation: Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, Massachusetts; and.
authors.forename: JoAnn
authors.initials: J
authors.lastname: Kluzik
authors.affiliation: Institute of Normal and Pathological Physiology, Slovak Academy of Sciences, Bratislava, Slovak Republic.
authors.forename: Frantisek
authors.initials: F
authors.lastname: Hlavacka
mesh_terms: D000368:Aged; D000842:Ankle / Q000503:physiopathology; D001696:Biomechanical Phenomena; D004576:Electromyography; D005260:Female; D006112:Gravitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology; D004856:Postural Balance / Q000502:physiology; D011434:Proprioception / Q000502:physiology; D011601:Psychophysics; D060726:Torso; D015837:Vestibular Diseases / Q000503:physiopathology; D014796:Visual Perception / Q000502:physiology
keywords: human; postural stability; proprioception; somatosensory; surface tilt; vestibular