3 Matching Annotations
  1. Apr 2022
    1. n addition, there are also specialized pathwaysto the spinal cord (Kuypers, 1964; Szokol and Perreault, 2009;Deliagina et al., 2014) and specialized activation of the trunkmusculature during various postural and motor tasks (Urquhartet al., 2005; Falgairolle et al., 2006, 2013; Tsao et al., 2011;Beliez et al., 2015). For instance, descending pathways to theaxial musculature (that links all parts of the body together andprovides axial muscle tone and trunk stabilization) via somaticdescending brain stem and monoaminergic pathways are distinctfrom the descending tracts to limb motoneurons (Kuypers, 1964;Szokol et al., 2008; Sivertsen et al., 2014).

      Several years ago, an MS relapse caused me to have some issues in walking. The specialized pathways of the spinal cord mentioned here makes me wonder how demyelination might complicate the signaling that is required for maintaining trunk stabilization and posture needed for walking.

    2. Small movements accompany the maintenance of any posture.Typically, unless human posture is unstable, body segmentoscillations do not exceed 1–2◦ of joint movements and the CoPoscillations are about 1–2 cm. The fact that postural oscillationsare small supports the assumption that the system is linearwithin a limited range of movements and, therefore, linearcomputational models and analyses can be applied (Winter et al.,2003; Mergner, 2007; Kiemel et al., 2008; Assländer and Peterka,2014). While this assumption is valid to some extent and manystudies provided very important information about posturalstrategies and the contribution of different sensory inputs tobalance control, one should have in mind that there is alsosubstantial non-linearity in the postural control system, which isoften overlooked

      I have often wondered what my neurologists are testing during my annual MS neurological exams. Each year I go through a series of examinations that test my motor functioning, balance, reflexes and sensory systems. One exam requires that I stand with my eyes closed for what I thought was to check my balance. Now I wonder if the purpose of this part of the exam is to observe more than just my equilibrium.

    3. Changes in the gaze direction may also modulatepostural responses (Ivanenko et al., 1999), consistent withsupraspinal or cognitive influences on posture control, likelybecause the gaze represents an important reference frame forthe internal model of spatial orientation. Thus, the fact thatautomatic postural reactions are accomplished in accordancewith internal representation of body scheme (Popov et al.,1986; Smetanin et al., 1988; Gurfinkel, 1994) indicates thatit does not only serve for conscious perception of positionbut it is also the basis for planning and implementing motoractivity.

      In my formative years, I use to dance. A technique we were taught to keep from getting dizzy during pirouettes, spins, and twirls was called spotting. It requires the dancer to fixate their gaze on a single spot at eye level and keep their head in the same position for as long as possible, quickly rotating their head around to the same position as they move. Shifts, changes, or loss of this fixed site creates visual instability and dizziness. Vision and one's gaze is an important factor not just for dancers, but for everyone in the navigation of the world around them.