Modulation of intrinsic and reflexive contributions to low-back stabilization due to vision, task instruction, and perturbation bandwidth

Exp Brain Res. 2015 Mar;233(3):735-49. doi: 10.1007/s00221-014-4151-2. Epub 2015 Jan 8.

Abstract

The goal of this study is to assess how reflexes and intrinsic properties contribute to low-back stabilization and modulate with conditions. Upper body sway was evoked by anterior-posterior platform translations, while subjects were seated with a restrained pelvis and free upper body. Kinematic analysis of trunk translations and rotations illustrated that a fixed rotation point between the vertebrae L4 and L5 adequately captures lumbar bending up to 5 Hz. To investigate the motor control modulation, the conditions varied in vision (eyes open or closed), task instruction (Balance naturally or Resist perturbations by minimizing low-back motions), and perturbation bandwidth (from 0.2 up to 1, 3 or 10 Hz). Frequency response functions and physiological modeling parameters showed substantial modulation between all conditions. The eyes-open condition led to trunk-in-space behavior with additional long-latency visual feedback and decreased proprioceptive feedback. The task instruction to resist led to trunk-on-pelvis stabilization behavior, which was achieved by higher co-contraction levels and increased reflexive velocity feedback. Perturbations below the low-back natural frequency (~1 Hz) led to trunk-on-pelvis stabilization behavior, mainly attributed to increased intrinsic damping. This indicates that bandwidth effects should not be ignored and that experiments with high-bandwidth perturbations do not fully represent the intrinsic and reflexive behavior during most (low-bandwidth) daily life activities. The neck stabilized the head orientation effectively (head rotation amplitudes 2 % of trunk), but did not effectively stabilize the head in space (global head translations exceeded trunk translations by 20 %). This indicates that low-back motor control is involved in head-in-space stabilization and could explain the low-back motor control modulations due to vision.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological / physiology*
  • Adult
  • Back / physiology*
  • Biomechanical Phenomena
  • Electromyography
  • Female
  • Humans
  • Low Back Pain / physiopathology*
  • Lumbar Vertebrae
  • Male
  • Muscle, Skeletal / physiology
  • Orientation / physiology
  • Postural Balance / physiology*
  • Posture / physiology*
  • Reflex / physiology*
  • Young Adult