Decreased respiratory-related postural perturbations at the cervical level under cognitive load View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-03-17

AUTHORS

Louis Clavel, Valérie Attali, Isabelle Rivals, Marie-Cécile Niérat, Pierantonio Laveneziana, Philippe Rouch, Thomas Similowski, Baptiste Sandoz

ABSTRACT

PurposeIn healthy humans, postural and respiratory dynamics are intimately linked and a breathing-related postural perturbation is evident in joint kinematics. A cognitive dual-task paradigm that is known to induce both postural and ventilatory disturbances can be used to modulate this multijoint posturo-ventilatory (PV) interaction, particularly in the cervical spine, which supports the head. The objective of this study was to assess this modulation.MethodsWith the use of optoelectronic sensors, the breathing profile, articular joint motions of the cervical spine, hip, knees and ankles, and centre of pressure (CoP) displacement were measured in 20 healthy subjects (37 years old [29; 49], 10 females) during natural breathing (NB), a cognitive dual task (COG), and eyes-closed and increased-tidal-volume conditions. The PV interaction in the CoP and joint motions were evaluated by calculating the respiratory emergence (REm).ResultsOnly the COG condition induced a decrease in the cervical REm (NB: 17.2% [7.8; 37.2]; COG: 4.2% [1.8; 10.0] p = 0.0020) concurrent with no changes in the cervical motion. The CoP REm (NB: 6.2% [3.8; 10.3]; COG: 12.9% [5.8; 20.7] p = 0.0696) and breathing frequency (NB: 16.6 min-1 [13.3; 18.7]; COG: 18.6 min-1 [16.3; 19.4] p = 0.0731) tended to increase, while the CoP (p = 0.0072) and lower joint motion displacements (p < 0.05) increased.ConclusionThis study shows stable cervical spine motion during a cognitive dual task, as well as increased postural perturbations globally and in other joints. The concurrent reduction in the PV interaction at the cervical spine suggests that this “stabilization strategy” is centrally controlled and is achieved by a reduction in the breathing-related postural perturbations at this level. Whether this strategy is a goal for maintaining balance remains to be studied. More... »

PAGES

1063-1074

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00421-020-04345-1

DOI

http://dx.doi.org/10.1007/s00421-020-04345-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1125716937

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32185476


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84 spine
85 spine motion
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87 strategies
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