Respiration and postural sway: detection of phase synchronizations and interactions.

The aim of the central nervous system in upright stance is to control an intrinsically unstable plant. Internal disturbances, such as haemodynamics and respiration, constitute an endogenous threat to equilibrium. The way CNS reacts to those perturbations was studied in this work, through the analysis of summary scores taken from posturographic and pneumographic data. Signals were recorded simultaneously during trials administered on a sample population of healthy young adults, while sitting and standing and at paced and spontaneous uncontrolled breathing. The extraction of posturographic and pneumographic parameters was accompanied by the utilization of techniques for the detection of phase synchronization in bivariate data, and the extraction of an interaction index, the mutual information MI. The effects of the biomechanical condition and respiratory amplitude on MI and summary measures were tested with a two-way ANOVA. Summary scores clearly depend on posture condition. Synchronization between breath and postural sway is always present, depends on both biomechanical condition and respiratory threat, and cannot be reduced to a simple linear relation.

[1]  S. A. Riedel,et al.  Standing postural stability assessment and signal stationarity in children with cerebral palsy , 1993 .

[2]  M. Paluš,et al.  Detecting nonlinearity and phase synchronization with surrogate data , 1998, IEEE Engineering in Medicine and Biology Magazine.

[3]  M Schieppati,et al.  Time course of stabilometric changes after a strenuous treadmill exercise. , 1998, Archives of physical medicine and rehabilitation.

[4]  S Bouisset,et al.  Does respiration perturb body balance more in chronic low back pain subjects than in healthy subjects? , 2002, Clinical biomechanics.

[5]  Kurths,et al.  Phase synchronization of chaotic oscillators. , 1996, Physical review letters.

[6]  J. Milton,et al.  Noise-induced transitions in human postural sway. , 1996, Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics.

[7]  M. Redfern,et al.  Nonstationarities of postural sway , 2003, IEEE Engineering in Medicine and Biology Magazine.

[8]  Moon,et al.  Estimation of mutual information using kernel density estimators. , 1995, Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics.

[9]  C. Vaughan,et al.  Rectification and non-linear pre-processing of EMG signals for cortico-muscular analysis , 2003, Journal of Neuroscience Methods.

[10]  I. W. Hunter,et al.  Respiratory components of human postural sway , 1981, Neuroscience Letters.

[11]  Angelo M. Sabatini A statistical mechanical analysis of postural sway using non-Gaussian FARIMA stochastic models , 2000, IEEE Trans. Biomed. Eng..

[12]  Pietro G. Morasso,et al.  Internal models in the control of posture , 1999, Neural Networks.

[13]  I. Gartside Models of the Structural—Functional Organization of Certain Biological Systems , 1973 .

[14]  A E Patla,et al.  Ankle muscle stiffness in the control of balance during quiet standing. , 2001, Journal of neurophysiology.

[15]  P. Morasso,et al.  Ankle muscle stiffness alone cannot stabilize balance during quiet standing. , 2002, Journal of neurophysiology.

[16]  S. Bouisset,et al.  Does body stability depend on postural chain mobility or stability area? , 2001, Neuroscience Letters.

[17]  A Cappozzo,et al.  Hemodynamics as a possible internal mechanical disturbance to balance. , 2001, Gait & posture.

[18]  Alan M. Wing,et al.  The dynamics of standing balance , 2002, Trends in Cognitive Sciences.

[19]  P. Morasso,et al.  Can muscle stiffness alone stabilize upright standing? , 1999, Journal of neurophysiology.

[20]  M. Small,et al.  Detecting determinism in time series: the method of surrogate data , 2003 .

[21]  B Y Jeong,et al.  Respiration effect on standing balance. , 1991, Archives of physical medicine and rehabilitation.

[22]  Sergio Cerutti,et al.  Digital biomedical signal acquisition and processing , 2006 .

[23]  R. Moddemeijer On estimation of entropy and mutual information of continuous distributions , 1989 .

[24]  A Cappozzo,et al.  The sensitivity of posturographic parameters to acquisition settings. , 2002, Medical engineering & physics.

[25]  Thomas Prieto,et al.  Interaction of respiration and postural sway , 1993, [1993] Proceedings of the Twelfth Southern Biomedical Engineering Conference.

[26]  Moritz Heinrich Romberg,et al.  A Manual of the Nervous Diseases of Man , 1844, The British and foreign medical review.

[27]  Per-Anders Fransson,et al.  Phobic postural vertigo: body sway during vibratory proprioceptive stimulation , 2003, Neuroreport.

[28]  Joseph D. Bronzino,et al.  The Biomedical Engineering Handbook , 1995 .

[29]  J. Collins,et al.  Random walking during quiet standing. , 1994, Physical review letters.

[30]  John R. Terry,et al.  Topographic Organization of Nonlinear Interdependence in Multichannel Human EEG , 2002, NeuroImage.

[31]  S. Bouisset,et al.  Is body balance more perturbed by respiration in seating than in standing posture? , 1994, Neuroreport.

[32]  D. Winter,et al.  Stiffness control of balance in quiet standing. , 1998, Journal of neurophysiology.

[33]  Carson C. Chow,et al.  The dynamics of quasi-static posture control , 1999 .

[34]  John G Nutt,et al.  Postural muscle responses to multidirectional translations in patients with Parkinson's disease. , 2004, Journal of neurophysiology.

[35]  N. Yamada Chaotic swaying of the upright posture , 1995 .

[36]  L. Tsimring,et al.  The analysis of observed chaotic data in physical systems , 1993 .

[37]  R. W. Soames,et al.  The spectral characteristics of postural sway behaviour , 2006, European Journal of Applied Physiology and Occupational Physiology.

[38]  V. S. Gurfinkel,et al.  Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration , 2002, Experimental Brain Research.