Skip to main content
Article
Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response
Brain Sciences
  • David A. E. Bolton, Utah State University
  • Charlie C. Baggett, IV, Utah State University
  • Chase A. Mitton, Utah State University
  • Sara A. Harper, Utah State University
  • James K. Richardson, University of Michigan
Document Type
Article
Publisher
MDPI AG
Publication Date
10-21-2023
Creative Commons License
Creative Commons Attribution 4.0
Abstract

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.

Author ORCID Identifier

David A. E. Bolton https://orcid.org/0000-0003-2255-5472

Sara A. Harper https://orcid.org/0000-0001-6584-179X

Citation Information
Bolton, D.A.E.; Baggett, C.C., IV; Mitton, C.A.; Harper, S.A.; Richardson, J.K. Suppressing a Blocked Balance Recovery Step: A Novel Method to Assess an Inhibitory Postural Response. Brain Sci. 2023, 13, 1488. https://doi.org/10.3390/brainsci13101488