Vestibular and proprioceptive modulation of postural synergies in normal subjects.

One way of investigating different muscle synergies underlying human balance control is to assume that only 1 or 2 centrally preprogrammed synergies are available to reestablish upright stance when it is perturbed. According to this hypothesis, the many, apparently different, synergies elicited by rotation or translation of a support-surface on which test subjects stand, in fact, result from a modulation of muscle responses induced by different amplitudes of afferent inputs. To test this hypothesis, we probed the balance control of 16 normal subjects with 5 combinations of rotation and translation of the support surface. Each combination yielded a constant angle (3 or 4 degrees) and angular velocity (18 and 36 degrees/s, respectively) over the first 120 ms of ankle dorsiflexion but resulted in differing velocities of upper leg, trunk, and head movements. These first 120 ms of link movements and the resulting muscle responses were analysed for amplitude and timing modulation using 3 techniques. First, velocities of initial link movements and areas of muscle EMG activity were examined separately for the minimum number of descriptors, which would optimally describe the linear variation of the interlink amplitude synergy with respect to the amount of support-surface rotation or translation employed to perturb balance. Initial trunk angular velocity, which was highly correlated with head linear acceleration (r = 0.9), provided the first best descriptor of initial link movements. Ankle angular velocity provided the second descriptor because it was not correlated with trunk angular velocity. The amplitude modulation synergy of EMG responses could be characterised by the modulation of tibialis anterior and paraspinal muscles between 160 and 240 ms and by that of soleus between 80 and 120 ms after stimulus onset. The linear combination of these best descriptors of link movements and that for EMG response amplitudes changed continuously in an identical manner with changes in the stimulus combination. Second, multivariate linear correlations between the amplitudes of initial link velocities and muscle EMG response areas best describing the response amplitude synergy were examined. Several significant correlations (r > 0.6) were obtained between leg and trunk muscle activity 120 ms after stimulus onset and trunk, or upper leg angular velocity, or head linear velocity, prior to 120 ms. Finally, crosscorrelations between muscle responses were examined for consistent interlink timing synergies between muscle responses.(ABSTRACT TRUNCATED AT 400 WORDS)