4.5 Article

Influence of posture on blink reflex prepulse inhibition induced by somatosensory inputs from upper and lower limbs

Journal

GAIT & POSTURE
Volume 73, Issue -, Pages 120-125

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.gaitpost.2019.07.194

Keywords

Standing posture; Supine posture; Blink reflex; Prepulse inhibition; Somatosensory prepulse

Ask authors/readers for more resources

Background: Prepulse inhibition (PPI) is a neurophysiological phenomenon whereby a weak stimulus modulates the reflex response to a subsequent strong stimulus. Its physiological purpose is to avoid interruption of sensory processing by subsequent disturbing stimuli at the subcortical level, thereby preventing undesired motor reactions. An important hub in the PPI circuit is the pedunculopontine nucleus, which is also involved in the control of posture and sleep/wakefulness. Objective: To study the effect of posture (supine versus standing) on PPI, induced by somatosensory prepulses to either upper or lower limb. PPI was measured as the percentage inhibition of the blink reflex response to electrical supraorbital nerve (SON) stimulation. Methods: Sixteen healthy volunteers underwent bilateral blink reflex recordings following SON stimulation either alone (baseline) or preceded by an electrical prepulse to the median nerve (MN) or sural nerve (SN), both in supine and standing. Stimulus intensity was 8 times sensory threshold for SON, and 2 times sensory threshold for MN and SN, respectively. Eight stimuli were applied in each condition. Results: Baseline blink reflex parameters did not differ significantly between the two postures. Prepulse stimulation to MN and SN caused significant inhibition of R2. In supine but not in standing, R2 was significantly more inhibited by MN than by SN prepulses. In standing, SN stimulation caused significantly more inhibition of R2 than in supine, while the inhibition caused by MN prepulses did not differ significantly between postures. Significance: PPI induced by lower limb afferent input may contribute to postural control while standing.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Rehabilitation

Inappropriate pelvic floor muscle activation during forced exhalation and coughing in elderly female inpatients with urinary incontinence

Helena Talasz, Markus Kofler, Romana Mariacher, Monika Lechleitner

Summary: The study analyzed breathing and coughing patterns in elderly female inpatients with urinary incontinence, finding that many patients did not appropriately activate their pelvic floor muscles during forced exhalation and coughing, which may exacerbate urinary incontinence symptoms.

PHYSIOTHERAPY (2022)

Article Clinical Neurology

Altered motor cortex physiology and dysexecutive syndrome in patients with fatigue and cognitive difficulties after mild COVID-19

Paola Ortelli, Davide Ferrazzoli, Luca Sebastianelli, Roberto Maestri, Sabrina Dezi, Danny Spampinato, Leopold Saltuari, Alessia Alibardi, Michael Engl, Markus Kofler, Angelo Quartarone, Giacomo Koch, Antonio Oliviero, Viviana Versace

Summary: The study revealed altered excitability and neurotransmission within M1 in patients after mild COVID-19, along with deficits in executive functions and attention.

EUROPEAN JOURNAL OF NEUROLOGY (2022)

Article Clinical Neurology

Visuomotor integration in early Alzheimer's disease: A TMS study

Raffaele Nardone, Patrick B. Langthaler, Kerstin Schwenker, Alexander B. Kunz, Luca Sebastianelli, Leopold Saltuari, Eugen Trinka, Viviana Versace

Summary: This study provides neurophysiological evidence of altered functional connectivity between visual and motor areas in patients with Alzheimer's disease (AD).

JOURNAL OF THE NEUROLOGICAL SCIENCES (2022)

Review Psychiatry

TMS for the functional evaluation of cannabis effects and for treatment of cannabis addiction: A review

Raffaele Nardone, Luca Sebastianelli, Viviana Versace, Davide Ferrazzoli, Francesco Brigo, Kerstin Schwenker, Leopold Saltuari, Eugen Trinka

Summary: The effects of cannabis on human cortical brain processes can be evaluated through transcranial magnetic stimulation (TMS). Persistent cannabis use is associated with reduced cortical inhibition, indicating neurobiological changes. Individuals vulnerable to long-term use may have pre-existing cortical inhibition abnormalities. Cannabis use is also linked to an increased risk of schizophrenia, possibly due to down-regulation of GABAergic function. Repetitive TMS applied to the dorsolateral prefrontal cortex (DLPFC) can result in less frequent cannabis use and craving. The posterior cingulate cortex and the precuneus show potential as targets for rTMS intervention in cannabis use disorder.

PSYCHIATRY RESEARCH (2022)

Article Neurosciences

Optimization of cognitive assessment in Parkinsonisms by applying artificial intelligence to a comprehensive screening test

Paola Ortelli, Davide Ferrazzoli, Viviana Versace, Veronica Cian, Marianna Zarucchi, Anna Gusmeroli, Margherita Canesi, Giuseppe Frazzitta, Daniele Volpe, Lucia Ricciardi, Raffaele Nardone, Ingrid Ruffini, Leopold Saltuari, Luca Sebastianelli, Daniele Baranzini, Roberto Maestri

Summary: The assessment of cognitive deficits is crucial for the diagnosis and management of patients with parkinsonisms. The new tool CoMDA, which combines MMSE, MoCA, and FAB, shows higher accuracy in classifying cognitive profiles compared to traditional screening tests. Machine learning algorithms, specifically Quadratic Discriminant Analysis, demonstrate superior performance in predicting cognitive profiles using CoMDA. CoMDA and CoMDA-ML are reliable and time-saving tools for accurate classification of cognitive profiles in parkinsonisms.

NPJ PARKINSONS DISEASE (2022)

Article Psychology, Biological

Conscious agency vs. pre-conscious sensory filtering: Disparate suppression of trigeminal blink reflex by self-stimulation and by prepulses

Viviana Versace, Stefania Campostrini, Sabrina Dezi, Luca Sebastianelli, Paola Ortelli, Leopold Saltuari, Josep Valls-Sole, Markus Kofler

Summary: The modulation of the blink reflex can be observed in both self-stimulation and external stimulation, showing similar changes in R2 and R1. However, self-stimulation has a tonic effect on the blink reflex, while external stimulation has a time-locked gating mechanism at the brainstem level.

PSYCHOPHYSIOLOGY (2023)

Article Clinical Neurology

Co-ultramicronized palmitoylethanolamide/luteolin normalizes GABAB-ergic activity and cortical plasticity in long COVID-19 syndrome

Viviana Versace, Paola Ortelli, Sabrina Dezi, Davide Ferrazzoli, Alessia Alibardi, Ilenia Bonini, Michael Engl, Roberto Maestri, Martina Assogna, Valentina Ajello, Elke Pucks-Faes, Leopold Saltuari, Luca Sebastianelli, Markus Kofler, Giacomo Koch

Summary: The objective of this study was to test the effects of co-ultramicronized palmitoylethanolamide/luteolin (PEA-LUT) on cortical activity in patients experiencing cognitive dysfunction and fatigue after COVID-19. The results showed that treatment with PEA-LUT improved long-interval intracortical inhibition (LICI) and cortical plasticity in these patients.

CLINICAL NEUROPHYSIOLOGY (2023)

Article Clinical Neurology

In the spotlight: How the brainstem modulates information flow

Markus Kofler, Josep Valls-Sole, Michael Thurner, Elke Pucks-Faes, Viviana Versace

Summary: This study investigated the effects of low-intensity prepulse inhibition (PPI) to digital nerves and conditioning supraorbital nerve stimulation (SON-1) on blink reflex (BR) excitability recovery (BRER) to paired supraorbital nerve stimulation (SON-2). The results showed that PPI did not affect BRER, but inhibition on BR to SON-2 was observed when additional prepulses were applied before SON-2. The study concluded that the response size of BR to SON-2 depends on SON-1 stimulus intensity, not SON-1 response size.

CLINICAL NEUROPHYSIOLOGY (2023)

Article Physiology

The benefit of knowledge: postural response modulation by foreknowledge of equilibrium perturbation in an upper limb task

Juan M. Castellote, Markus Kofler, Andreas Mayr

Summary: This study investigates lower limb responses using a model in which subjects are suspended in the air. The results suggest that responses to equilibrium destabilization depend on both motor set and subject's expectation. When subjects know the velocity of the disturbing stimulus, the response involves anticipatory postural adjustments, while in cases where the velocity is unknown, both postural reactions and anticipatory postural adjustments are observed.

EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY (2023)

Article Biochemistry & Molecular Biology

Lowered Delta Activity in Post-COVID-19 Patients with Fatigue and Cognitive Impairment

Paola Ortelli, Angelica Quercia, Antonio Cerasa, Sabrina Dezi, Davide Ferrazzoli, Luca Sebastianelli, Leopold Saltuari, Viviana Versace, Angelo Quartarone, Marco Marino

Summary: This study investigates the brain source activity in post-COVID-19 syndrome (PCS) patients and finds that PCS patients exhibit alterations in neurocognitive symptoms and fatigue. The results suggest a dysfunction in the neuronal networks involved in executive functions in PCS patients, which may contribute to their complaints of fatigue and cognitive impairment.

BIOMEDICINES (2023)

Article Medicine, General & Internal

Diabetic neuropathy and diabetic foot syndrome (update 2023)

Gerd Koehler, Marlies Eichner, Heidemarie Abrahamian, Markus Kofler, Wolfgang Sturm, Anja Menzel

Summary: These guidelines provide recommendations for the diagnosis and treatment of diabetic neuropathy and diabetic foot. The position statement summarizes key clinical symptoms and diagnostic techniques for diabetic neuropathy, including diabetic foot syndrome. It also offers guidance on therapeutic management, particularly for pain control in sensorimotor neuropathy, as well as the importance of preventing and treating diabetic foot syndrome.

WIENER KLINISCHE WOCHENSCHRIFT (2023)

Review Clinical Neurology

A proposal for harmonizing clinical neurophysiology training in the Europe, Middle East and Africa Chapter of the International Federation of Clinical Neurophysiology

Jonathan Cole, Anita Kamondi

Summary: This article discusses the differences in clinical neurophysiology specialty training among countries in Europe, Middle East, and Africa and proposes recommendations to harmonize training and education within the region. The recommendations cover governance and regulation of training, competence requirements, as well as various examinations and tests. A modular approach and assessment of different techniques are also recommended.

CLINICAL NEUROPHYSIOLOGY (2023)

Article Health Care Sciences & Services

Breathing, (S)Training and the Pelvic Floor-A Basic Concept

Helena Talasz, Christian Kremser, Heribert Johannes Talasz, Markus Kofler, Ansgar Rudisch

Summary: The current scientific literature has inconsistent findings regarding the effects of high-intensity physical activities on the pelvic floor in women. Different breathing patterns may influence pelvic floor function during strenuous physical efforts. The pelvic floor muscles play an important role in strenuous physical activities, and disadvantageous breathing patterns may lead to pelvic floor dysfunction. Future research should consider the breathing cycles when studying pelvic floor function.

HEALTHCARE (2022)

Article Neurosciences

Do increasingly unstable balance devices provide a graded challenge to bipedal stance in total hip arthroplasty patients?

Nina Gras, Torsten Brauner, Scott Wearing, Thomas Horstmann

Summary: This study aimed to investigate the challenge posed by progressively unstable balance devices to bipedal stance during early functional rehabilitation in THA patients. The results showed that increasingly compliant balance pads provided a progressive challenge, while the challenge posed by the oscillating platform was lower and independent of the ability to stand independently.

GAIT & POSTURE (2024)

Article Neurosciences

Reactive postural adjustment in response to predictable and unpredictable perturbations in healthy adults: A comparison between swayback, hyperlordotic and erect postures

Sharon M. H. Tsang, Evest H. W. Chan, Jason Y. H. Chan, Gladys P. Y. Huang, Kelly K. T. Lam, Eunice W. Y. Lam, Allan C. L. Fu, Eliza R. Sun

Summary: This study examined the differences in postural adjustments between erect, hyperlordotic, and swayback postures when facing external perturbations. The findings suggest that adopting hyperlordotic and swayback postures alters the contributions of the active and passive subsystems of the spine in postural control, potentially reducing the spine's ability to withstand loading and shear forces.

GAIT & POSTURE (2024)

Article Neurosciences

Evaluation of lumbar and hip movement characterization and muscle activities during gait in patients with knee osteoarthritis

Hsin-yi Wang, Cheng-Yi Ho, Min-Chun Pan

Summary: This study investigated the differences in lumbar and hip movements during gait and muscle activities related to knee osteoarthritis (KOA) patients and healthy participants. The results showed that KOA patients used a hyperlordotic lumbar and hip flexed strategy, leading to excessive stress on the lower extremity joints during gait.

GAIT & POSTURE (2024)

Article Neurosciences

Fear-related visual stimuli do not promote internal focus of attention in older adults

Yoshitaka Otani, Osamu Aoki

Summary: This study found that feelings of fear affect postural control but not the internal focus of attention. This finding may be useful in assessments and interventions for older adults with a fall risk.

GAIT & POSTURE (2024)

Article Neurosciences

Sex differences in dynamic joint stiffness during walking in older adults

Haruki Toda, Hiroaki Hobara, Mitsunori Tada

Summary: This study investigated sex differences in lower limb dynamic joint stiffness (DJS) during walking in older adults. The results showed that ankle DJS was lower in older women, which was caused by the reduced ankle plantarflexion moment. However, knee DJS did not elucidate the cause of knee osteoarthritis (OA) in older women.

GAIT & POSTURE (2024)

Article Neurosciences

Reliability and minimal detectable change of stiffness and other mechanical properties of the ankle joint in standing and walking

Luis H. Cubillos, Elliott J. Rouse, Thomas E. Augenstein, Varun Joshi, Edward S. Claflin, Chandramouli Krishnan

Summary: The study found that the reliability of stiffness, viscosity, and inertia of the ankle joint was good to excellent during standing. During walking, the reliability of stiffness and viscosity was also good to excellent, while that of inertia was fair to good. The minimal detectable change (MDC) ranged widely, but was higher for inertia during walking.

GAIT & POSTURE (2024)

Article Neurosciences

Biomechanical changes identified during a marathon race among high-school aged runners

Alexandra F. Dejong Lempke, Danielle L. Hunt, Sarah B. Willwerth, Pierre A. d'Hemecourt, William P. Meehan III, Kristin E. Whitney

Summary: Adolescent athletes alter their gait patterns throughout a marathon race, and there are correlations between biomechanical features and race performance among young marathoners.

GAIT & POSTURE (2024)

Article Neurosciences

The interaction effect of different footwear types and static navicular drop or dynamic ankle pronation on the joint stiffness of the lower limb during running

Ali Esmaeili, Sayed Esmaeil Hosseininejad, Amirali Jafarnezhadgero, Valdeci Carlos Dionisio

Summary: This study investigates the effects of footwear type, navicular drop and ankle pronation on lower limb joint stiffness during running. The results show that navicular drop and dynamic ankle pronation do not affect joint stiffness, but footwear type significantly affects joint stiffness. Conventional footwear increases ankle and hip joint stiffness while reducing knee joint stiffness, which may have implications for injury risk.

GAIT & POSTURE (2024)

Article Neurosciences

Differences in abductor hallucis activity during running in individuals with chronic ankle instability and copers

Takahiro Watanabe, Tomoya Takabayashi, Takanori Kikumoto, Yudai Kikuchi, Shunsuke Suzuki, Shiori Hiratsuka, Masayoshi Kubo

Summary: This study suggests that there are differences in abductor hallucis activity between individuals with chronic ankle instability and ankle sprain copers, indicating neuromuscular dysfunction in these patients, which leads to pain and instability symptoms.

GAIT & POSTURE (2024)

Article Neurosciences

Gait stability and the relationship with energy cost of walking in polio survivors with unilateral plantarflexor weakness

Elza van Duijnhoven, Marit van der Veen, Fieke S. Koopman, Frans Nollet, Sjoerd M. Bruijn, Merel-Anne Brehm

Summary: Gait stability is impaired in polio survivors with plantarflexor weakness, characterized by increased step width and step length variability and lower MoSAP. These factors are related to the elevated energy cost of walking in polio survivors.

GAIT & POSTURE (2024)

Article Neurosciences

Relationships between trunk muscle activation and thoraco-lumbar kinematics in non-specific chronic low back pain subgroups during a forward bending task

Rebecca Hemming, Alister du Rose, Liba Sheeran, Robert van Deursen, Valerie Sparkes

Summary: In a forward bending task, there is a relationship between trunk muscle activation and regional thoracic and lumbar kinematics in NSCLBP subgroups, indicating different motor control strategies adopted by different subgroups when performing bending tasks.

GAIT & POSTURE (2024)

Review Neurosciences

Alterations of postural control across the menstrual cycle - A systematic review

Carina Pohle, Linda Becker, Jochen Baumeister

Summary: This systematic review is the first to compile evidence on the effect of the menstrual cycle on postural control. The evidence regarding the influence of the menstrual cycle on postural control is unclear. However, a trend of decreased postural control from the early follicular phase to the ovulatory phase was observed in balance tasks that eliminated or altered sensory input.

GAIT & POSTURE (2024)