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  • The perception of posture in man is made possible by the information of the vestibular organs, the visual system, the proprioception and the blood volume distribution. The present study examined the cerebral blood flow velocity (CBFV) and the fluid volume of the thoracic cavity under different pressure conditions and their effects on the perception of posture. Changes in blood flow velocity were measured by transcranial Doppler sonography (TCD), and changes in the blood volume distribution of the upper torso were registered by impedance plethysmography. The results indicated that the cerebral blood flow volume and the thoracic blood volume changed in the same manner. Lower Body Positive Pressure (+30 mmHg) led to an increase in central volume and CBFV. During the Lower Body Negative Pressure Treatment (-30 mmHg), the central blood volume and the cerebral blood flow velocity decreased while venous pooling occurred. Additionally, the changes in both parameters were associated with an altered posture perception. The correlations between the SHP and the two physiological parameters cerebral blood flow velocity and fluid shift in the upper thorax indicate that the fluid shift in the thoracic cavity was more closely related to the SHP than to the changes in cerebral blood volume.

  • Recent experiments have shown that somatic graviceptors exist in humans. Traditionally, extravestibular gravity information has been thought to originate from mechanoreceptors in the joints, muscles and skin. Experiments with normal, paraplegic and nephrectomized subjects revealed that the kidneys and the cardiovascular system are involved in providing truncal gravity information. The present study intends to determine the influence of shifts in body fluid, especially of the distribution of blood along the subjects' spinal (Z-) axis, on the perception of posture. To this end, the distribution of body fluids was altered by means of the technique of lower body negative and positive pressure (LBNP and LBPP). LBNP leads to venous pooling of blood in the legs, whereas LBPP prevents venous blood from pooling, increasing central volume. Changes in blood distribution were measured by segmental impedance cardiography for four body segments: the upper torso (thoracic cavity), lower torso (abdominal and pelvic region), thigh and calf. Seventeen healthy subjects (mean age: 27.3 years) participated in the experiment. They were positioned on the side (right-ear-down head position) on a tilt table which the subjects and the experimenter could tilt via remote control around an axis parallel to the subjects' visual (X-) axis. The experimenter set the initial tilt in total darkness to arbitrary angles while strictly alternating between head-up and head-down tilts. Subjects were then asked to rotate the board until they felt they were in a horizontal posture. Means and variances of eight pairs of settings were taken as a measure of the subjective horizontal posture (SHP). During LBNP (-30 mmHg), subjects perceived being tilted head-up, whereas LBPP (+30 mmHg) led them to feel tilted head-down. The results corroborate the hypothesis of an effect of the blood's mass on graviception and also indicate supplementary contributions of other visceral afferences.

  • The present study was carried out to determine the inhibitory cortical processes induced by changes in hemodynamics. Previous experiments in humans conducted in our laboratory have shown that there is a close relationship between posture and delta and theta EEG activity. The most pronounced effects were obtained during the 6 degrees head-down tilt (HDT) position. In space medicine the HDT procedure is very frequently employed to simulate micro-gravity and to determine the neurohormonal counter-regulations evoked by the expansion of central volume. Twenty male subjects spent 23 h in bed in 6 degrees HDT and 23 h in 6 degrees HUT (head-up tilt) positions during which EEG (frontal, central, parietal, occipital), startle responses, and reaction-times were measured every 2 h (from 10:00 h till 20:00 h). The effects of cardiovascular deconditioning (CD) regularly occurring after HDT were assessed by examining orthostatic tolerance and the physical work capacity (bicycle ergometry). As expected, 23 h HDT led to more pronounced CD than HUT. Spectral power analyses of EEG revealed increases in delta and theta frequency hands similar to those found during HDT in previous EEG studies. In addition, subjects responded more slowly (S1-S2 reaction-time task) during HDT as compared with HUT bedrest. The influence of HDT on startle response, however, was not in keeping with the initial hypothesis (i.e. dampening of reflex activity). The EEG data and the sensorimotor performance indicated that the body fluid shift towards the thoracic cavity induced by HDT resulted in signs of cortical inhibition. In addition to neural mechanisms, other processes must be postulated which are closely related to the counter-regulation evoked by the varying body positions.

  • The investigation of afferent cardiovascular influences upon central nervous processes needs a methodology which allows for independent and systematic manipulation of circulatory processes. By mechanical manipulation of posture (tilt table, orthostasis) and compression of lower body parts (by anti-G-suit) reliable changes in heart rate and blood pressure can be induced. In fourty subjects (study 1) it could be shown that sustained (30 min.) changes in heart rate (e.g. orthostatic tachycardia, decrease of heart rate during compression) and mean arterial blood pressure (increase during orthostasis with and without compression) occur. Although changes in heart rate could be achieved irregardless of whether the venous "pooling" was suppressed by an air- or water-filled pressure suit, the pressor effect did differ quite considerably. In fourty-four subjects (study 2) it could be demonstrated that only by means of an water-filled suit further increases in mean arterial blood pressure could be evoked during orthostasis. Changes in hemodynamic also lead to changes in sympatho-vagal control of cardiac activity. In study 3 (ten subjects) it could be shown, that orthostasis mainly evokes alterations in sympathetic activity whereas lower body compression leads to additional increases of vagal activity and respiratory sinus arrhythmia during orthostasis.

Last update from database: 04.06.25, 15:35 (UTC)