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Ageing of the postural vertical

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Abstract

A postural vertical (PV) tilted backward has been put forward as a reason explaining the backward disequilibrium often observed in elderly fallers. This raises the question of a possible ageing process of the PV involving a backward tilt of verticality perception increasing with age. We have explored this hypothesis by measuring PV in pitch using the wheel paradigm in 87 healthy subjects aged from 20 to 97 years. The possibility that this physiological ageing accelerated in the second part of life was also analysed. Two indices were calculated: the mean orientation (PV-orient) and the dispersion (PV-uncert). The correlation between age and PV-orient was r = −0.2 (p < 0.05). Added to the fact that PV was twice as shifted backward in the 38 seniors over 50 years (−1.15° ± 1.40°) as in the 49 young adults under 50 years (−0.45° ± 0.97°; t = 2.75, p < 0.01), this indicates the existence of a physiological ageing process on the direction perceived as vertical by the whole body, with a slight backward shift of PV throughout the life span. The correlation between age and PV-uncert was r = 0.35 (p < 0.001) in all subjects and r = 0.59 (p < 0.001) in seniors. This indicates that subjects get less and less accurate in their perception of the postural vertical with age, especially very old subjects who show great uncertainty in determining with their body the direction of the vertical. Taken together, these findings indicate that the internal model of verticality is less robust in elderly people. This may play a part in their postural decline.

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References

  • Anastasopoulos D, Bhatia K, Bisdorff A, Bronstein AM, Gresty MA, Marsden CD (1997a) Perception of spatial orientation in spasmodic torticollis. Part I: the postural vertical. Mov Disord 12:561–569

    Article  CAS  PubMed  Google Scholar 

  • Anastasopoulos D, Haslwanter T, Bronstein A, Fetter M, Dichgans J (1997b) Dissociation between the perception of body verticality and the visual vertical in acute peripheral vestibular disorder in humans. Neurosci Lett 233:151–153

    Article  CAS  PubMed  Google Scholar 

  • Aoki M, Ito Y, Burchill P, Brookes GB, Gresty MA (1999) Tilted perception of the subjective ‘upright’ in unilateral loss of vestibular function. Am J Otol 20:741–747

    CAS  PubMed  Google Scholar 

  • Barbieri G, Gissot AS, Fouque F, Casillas JM, Pozzo T, Perennou D (2008) Does proprioception contribute to the sense of verticality? Exp Brain Res 185:545–552

    Article  PubMed  Google Scholar 

  • Benson AJ, Hutt EC, Brown SF (1989) Thresholds for the perception of whole body angular movement about a vertical axis. Aviat Space Environ Med 60:205–213

    CAS  PubMed  Google Scholar 

  • Bisdorff AR, Wolsley CJ, Anastasopoulos D, Bronstein AM, Gresty MA (1996) The perception of body verticality (subjective postural vertical) in peripheral and central vestibular disorders. Brain 119(Pt 5):1523–1534

    Article  PubMed  Google Scholar 

  • Bonan IV, Guettard E, Leman MC, Colle FM, Yelnik AP (2006) Subjective visual vertical perception relates to balance in acute stroke. Arch Phys Med Rehabil 87:642–646

    Article  PubMed  Google Scholar 

  • Brandt T, Dieterich M, Danek A (1994) Vestibular cortex lesions affect the perception of verticality. Ann Neurol 35:403–412

    Article  CAS  PubMed  Google Scholar 

  • Bringoux L, Nougier V, Barraud PA, Marin L, Raphel C (2003) Contribution of somesthetic information to the perception of body orientation in the pitch dimension. Q J Exp Psychol A 56:909–923

    PubMed  Google Scholar 

  • Bronstein AM (1999) The interaction of otolith and proprioceptive information in the perception of verticality. The effects of labyrinthine and CNS disease. Ann N Y Acad Sci 871:324–333

    Article  CAS  PubMed  Google Scholar 

  • Bronstein AM, Perennou DA, Guerraz M, Playford D, Rudge P (2003) Dissociation of visual and haptic vertical in two patients with vestibular nuclear lesions. Neurology 61:1260–1262

    CAS  PubMed  Google Scholar 

  • Ceyte H, Cian C, Zory R, Barraud PA, Roux A, Guerraz M (2007) Effect of Achilles tendon vibration on postural orientation. Neurosci Lett 416:71–75

    Article  CAS  PubMed  Google Scholar 

  • Clark B, Graybiel A (1963) Perception of the postural vertical in normals and subjects with labyrinthine defects. J Exp Psychol 65:490–494

    Article  CAS  PubMed  Google Scholar 

  • Dieterich M, Brandt T (1992) Wallenberg's syndrome: lateropulsion, cyclorotation, and subjective visual vertical in thirty-six patients. Ann Neurol 31:399–408

    Article  CAS  PubMed  Google Scholar 

  • Ito Y, Gresty MA (1996) Shift of subjective reference and visual orientation during slow pitch tilt for the seated human subject. Brain Res Bull 40:417–421

    Article  CAS  PubMed  Google Scholar 

  • Lord SR, Lloyd DG, Li SK (1996) Sensori-motor function, gait patterns and falls in community-dwelling women. Age Ageing 25:292–299

    Article  CAS  PubMed  Google Scholar 

  • Lord SR, Ward JA (1994) Age-associated differences in sensori-motor function and balance in community dwelling women. Age Ageing 23:452–460

    Article  CAS  PubMed  Google Scholar 

  • Manckoundia P, Mourey F, Perennou D, Pfitzenmeyer P (2008) Backward disequilibrium in elderly subjects. Clin Interv Aging 3:667–672

    PubMed  Google Scholar 

  • Manckoundia P, Mourey F, Pfitzenmeyer P, Hoecke JV, Perennou D (2007) Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study. Clin Neurophysiol 118:786–793

    Article  PubMed  Google Scholar 

  • Mazibrada G, Tariq S, Perennou D, Gresty M, Greenwood R, Bronstein AM (2008) The peripheral nervous system and the perception of verticality. Gait Posture 27:202–208

    Article  CAS  PubMed  Google Scholar 

  • Mittelstaedt H (1998) Origin and processing of postural information. Neurosci Biobehav Rev 22:473–478

    Article  CAS  PubMed  Google Scholar 

  • Perennou D (2006) Postural disorders and spatial neglect in stroke patients: a strong association. Restor Neurol Neurosci 24:319–334

    PubMed  Google Scholar 

  • Perennou DA, Amblard B, Laassel el M, Benaim C, Herisson C, Pelissier J (2002) Understanding the pusher behavior of some stroke patients with spatial deficits: a pilot study. Arch Phys Med Rehabil 83:570–575

    Article  PubMed  Google Scholar 

  • Perennou DA, Amblard B, Leblond C, Pelissier J (1998) Biased postural vertical in humans with hemispheric cerebral lesions. Neurosci Lett 252:75–78

    Article  CAS  PubMed  Google Scholar 

  • Perennou DA, Leblond C, Amblard B, Micallef JP, Rouget E, Pelissier J (2000) The polymodal sensory cortex is crucial for controlling lateral postural stability: evidence from stroke patients. Brain Res Bull 53:359–365

    Article  CAS  PubMed  Google Scholar 

  • Perennou DA, Mazibrada G, Chauvineau V, Greenwood R, Rothwell J, Gresty MA, Bronstein AM (2008) Lateropulsion, pushing and verticality perception in hemisphere stroke: a causal relationship? Brain 131:2401–2413

    Article  CAS  PubMed  Google Scholar 

  • Saj A, Honore J, Bernati T, Coello Y, Rousseaux M (2005) Subjective visual vertical in pitch and roll in right hemispheric stroke. Stroke 36:588–591

    Article  PubMed  Google Scholar 

  • Van Beuzekom AD, Van Gisbergen JA (2000) Properties of the internal representation of gravity inferred from spatial-direction and body-tilt estimates. J Neurophysiol 84:11–27

    PubMed  Google Scholar 

  • Yelnik AP, Lebreton FO, Bonan IV, Colle FM, Meurin FA, Guichard JP, Vicaut E (2002) Perception of verticality after recent cerebral hemispheric stroke. Stroke 33:2247–2253

    Article  PubMed  Google Scholar 

  • Zago M, McIntyre J, Senot P, Lacquaniti F (2009) Visuo-motor coordination and internal models for object interception. Exp Brain Res 192:571–604

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Plate-forme d’Investigations Technologiques, CHU Dijon, INSERM U887, Dijon, France

    Guillaume Barbieri, Anne-Sophie Gissot & Dominic Pérennou

  2. Clinique MPR CHU Grenoble, Laboratoire TIMC-IMAG, UMR UJF CNRS 5525 Equipe Santé-Plasticité-Motricité, Université Grenoble 1, Grenoble, France

    Dominic Pérennou

  3. Faculté des Sciences du Sport, Laboratoire INSERM U887, BP 27877, 21078, Dijon, France

    Guillaume Barbieri

Authors
  1. Guillaume Barbieri
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  2. Anne-Sophie Gissot
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  3. Dominic Pérennou
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Correspondence to Guillaume Barbieri.

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Guillaume Barbieri and Anne-Sophie Gissot have contributed equally to the paper

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Barbieri, G., Gissot, AS. & Pérennou, D. Ageing of the postural vertical. AGE 32, 51–60 (2010). https://doi.org/10.1007/s11357-009-9112-5

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  • DOI: https://doi.org/10.1007/s11357-009-9112-5

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