The role of stretch and vestibulo-spinal reflexes in the generation of human equilibrating reactions.

Equilibrating reactions in standing humans were examined for evidence that either vestibulo-spinal or proprioceptive long loop stretch reflexes from ankle muscles, or both, are responsible for the control and organization of rapid postural responses. Specifically, the hypothesis was tested that the same postural response could be evoked by rotation of the support surface that mimics the ankle rotation occurring during support surface translations. Rotation perturbations evoked postural responses in leg and trunk muscles that were different in strategy, synergy and coactivation from translation responses, even though the short-latency response in the stretched triceps surae muscles was equal in latency and size. Movement patterns consisted of a stiffening strategy and hardly any compensating ankle rotation for rotation stimuli, and a multi-link strategy with motion focused about the neck, hip and ankle joints for translation stimuli. Dorsiflexion rotations caused earlier and stronger responses in tibialis anterior and quadriceps muscles just post to the onset of paraspinal muscles, whereas rearward translation activated soleus and abdominals strongest, both just prior to hamstring muscles. Correlated activation strengths of agonist and antagonist activity was a common feature for both types of perturbation, albeit, only in the ankle muscles for rotations and only in the trunk muscles for translations. These data suggest that sensory inputs, other than those generated in the lower leg predominate, in the triggering and modulation of equilibrating reactions. Possible candidates are those of the vestibular system or proprioceptive inputs from the trunk.