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J Physiol Volume 564, Number 1, 295-311, April 1, 2005 DOI: 10.1113/jphysiol.2004.076307
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Human postural sway results from frequent, ballistic bias impulses by soleus and gastrocnemius

Ian D Loram1, Constantinos N Maganaris2 and Martin Lakie1

1 Applied Physiology Research Group, School of Sport and Exercise Sciences, University of Birmingham, Birmingham B15 2TT, UK
2 Institute for Biophysical and Clinical Research into Human Movement, Manchester Metropolitan University, Alsager ST7 2HL, UK

It has been widely assumed for nearly a century, that postural muscles operate in a spring-like manner and that muscle length signals joint angle (the mechano-reflex mechanism). Here we employ automated analysis of ultrasound images to resolve calf muscle (soleus and gastrocnemius) length changes as small as 10 µm in standing subjects. Previously, we have used balancing of a real inverted pendulum to make predictions about human standing. Here we test and confirm these predictions on 10 subjects standing quietly. We show that on average the calf muscles are actively adjusted 2.6 times per second and 2.8 times per unidirectional sway of the body centre of mass (CoM). These alternating, small (30–300 µm) movements provide impulsive, ballistic regulation of CoM movement. The timing and pattern of these adjustments are consistent with multisensory integration of all information regarding motion of the CoM, pattern recognition, prediction and planning using internal models and are not consistent with control solely by local reflexes. Because the system is unstable, errors in stabilization provide a perturbation which grows into a sway which has to be reacted to and corrected. Sagittal sway results from this impulsive control of calf muscle activity rather than internal sources (e.g. the heart, breathing). This process is quite unlike the mechano-reflex paradigm. We suggest that standing is a skilled, trial and error activity that improves with experience and is automated (possibly by the cerebellum). These results complement and extend our recent demonstration that paradoxical muscle movements are the norm in human standing.

(Received 28 September 2004; accepted after revision 15 January 2005; first published online 20 January 2005)
Corresponding author I. Loram: Applied Physiology Research Group, School of Sport and Exercise Sciences, University of Birmingham, Birmingham B15 2TT, UK. Email: i.d.loram{at}bham.ac.uk




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