Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response

Stepping to recover balance is an important way we avoid falling. However, when faced with obstacles in the step path, we must adapt such reactions. Physical obstructions are typically detected through vision, which then cues step modification. The present study describes a novel method to assess vi...

Full description

Bibliographic Details
Main Authors: David A. E. Bolton, Charlie C. Baggett, Chase A. Mitton, Sara A. Harper, James K. Richardson
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/10/1488
_version_ 1797574425755779072
author David A. E. Bolton
Charlie C. Baggett
Chase A. Mitton
Sara A. Harper
James K. Richardson
author_facet David A. E. Bolton
Charlie C. Baggett
Chase A. Mitton
Sara A. Harper
James K. Richardson
author_sort David A. E. Bolton
collection DOAJ
description Stepping to recover balance is an important way we avoid falling. However, when faced with obstacles in the step path, we must adapt such reactions. Physical obstructions are typically detected through vision, which then cues step modification. The present study describes a novel method to assess visually prompted step inhibition in a reactive balance context. In our task, participants recovered balance by quickly stepping after being released from a supported forward lean. On rare trials, however, an obstacle blocked the stepping path. The timing of vision relative to postural perturbation was controlled using occlusion goggles to regulate task difficulty. Furthermore, we explored step suppression in our balance task related to inhibitory capacity measured at the hand using a clinically feasible handheld device (ReacStick). Our results showed that ReacStick and step outcomes were significantly correlated in terms of successful inhibition (r = 0.57) and overall reaction accuracy (r = 0.76). This study presents a novel method for assessing rapid inhibition in a dynamic postural context, a capacity that appears to be a necessary prerequisite to a subsequent adaptive strategy. Moreover, this capacity is significantly related to ReacStick performance, suggesting a potential clinical translation.
first_indexed 2024-03-10T21:23:25Z
format Article
id doaj.art-4e6329f566f14110940c482429244136
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T21:23:25Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-4e6329f566f14110940c4824292441362023-11-19T15:53:39ZengMDPI AGBrain Sciences2076-34252023-10-011310148810.3390/brainsci13101488Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural ResponseDavid A. E. Bolton0Charlie C. Baggett1Chase A. Mitton2Sara A. Harper3James K. Richardson4Department of Kinesiology and Health Science, Utah State University, Logan, UT 84322, USADepartment of Kinesiology and Health Science, Utah State University, Logan, UT 84322, USADepartment of Kinesiology and Health Science, Utah State University, Logan, UT 84322, USADepartment of Kinesiology and Health Science, Utah State University, Logan, UT 84322, USADepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI 48109, USAStepping to recover balance is an important way we avoid falling. However, when faced with obstacles in the step path, we must adapt such reactions. Physical obstructions are typically detected through vision, which then cues step modification. The present study describes a novel method to assess visually prompted step inhibition in a reactive balance context. In our task, participants recovered balance by quickly stepping after being released from a supported forward lean. On rare trials, however, an obstacle blocked the stepping path. The timing of vision relative to postural perturbation was controlled using occlusion goggles to regulate task difficulty. Furthermore, we explored step suppression in our balance task related to inhibitory capacity measured at the hand using a clinically feasible handheld device (ReacStick). Our results showed that ReacStick and step outcomes were significantly correlated in terms of successful inhibition (r = 0.57) and overall reaction accuracy (r = 0.76). This study presents a novel method for assessing rapid inhibition in a dynamic postural context, a capacity that appears to be a necessary prerequisite to a subsequent adaptive strategy. Moreover, this capacity is significantly related to ReacStick performance, suggesting a potential clinical translation.https://www.mdpi.com/2076-3425/13/10/1488response inhibitionreactive balanceReacStickstepping
spellingShingle David A. E. Bolton
Charlie C. Baggett
Chase A. Mitton
Sara A. Harper
James K. Richardson
Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
Brain Sciences
response inhibition
reactive balance
ReacStick
stepping
title Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
title_full Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
title_fullStr Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
title_full_unstemmed Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
title_short Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
title_sort suppressing a blocked balance recovery step a novel method to assess an inhibitory postural response
topic response inhibition
reactive balance
ReacStick
stepping
url https://www.mdpi.com/2076-3425/13/10/1488
work_keys_str_mv AT davidaebolton suppressingablockedbalancerecoverystepanovelmethodtoassessaninhibitoryposturalresponse
AT charliecbaggett suppressingablockedbalancerecoverystepanovelmethodtoassessaninhibitoryposturalresponse
AT chaseamitton suppressingablockedbalancerecoverystepanovelmethodtoassessaninhibitoryposturalresponse
AT saraaharper suppressingablockedbalancerecoverystepanovelmethodtoassessaninhibitoryposturalresponse
AT jameskrichardson suppressingablockedbalancerecoverystepanovelmethodtoassessaninhibitoryposturalresponse