Skeletal Muscle Pump Drives Control of Cardiovascular and Postural Systems

The causal interaction between cardio-postural-musculoskeletal systems is critical in maintaining postural stability under orthostatic challenge. The absence or reduction of such interactions could lead to fainting and falls often experienced by elderly individuals. The causal relationship between systolic blood pressure (SBP), calf electromyography (EMG), and resultant center of pressure (COPr) can quantify the behavior of cardio-postural control loop. Convergent cross mapping (CCM) is a non-linear approach to establish causality, thus, expected to decipher nonlinear causal cardio-postural-musculoskeletal interactions. Data were acquired simultaneously from young participants (25 ± 2 years, n = 18) during a 10-minute sit-to-stand test. In the young population, skeletal muscle pump was found to drive blood pressure control (EMG → SBP) as well as control the postural sway (EMG → COPr) through the significantly higher causal drive in the direction towards SBP and COPr. Furthermore, the effect of aging on muscle pump activation associated with blood pressure regulation was explored. Simultaneous EMG and SBP were acquired from elderly group (69 ± 4 years, n = 14). A significant (p = 0.002) decline in EMG → SBP causality was observed in the elderly group, compared to the young group. The results highlight the potential of causality to detect alteration in blood pressure regulation with age, thus, a potential clinical utility towards detection of fall proneness

Discussion of “Computational electrocardiography: Revisiting Holter ECG monitoring”

This article is part of a For-Discussion-Section of Methods of Information in Medicine about the paper “Computational Electrocardiography: Revisiting Holter ECG Monitoring” written by Thomas M. Deserno and Nikolaus Marx. It is introduced by an editorial. This article contains the combined commentaries invited to independently comment on the paper of Deserno and Marx. In subsequent issues the discussion can continue through letters to the editor

Perceptually Equivalent Judgments Made Visually and via Haptic Sensory-Substitution Devices

According to the ecological theory of perception–action, perception is primarily of affordances, which are directly perceivable opportunities for behavior. The current study evaluated participants’ ability to use vision and haptic sensory-substitution devices to support perceptual judgments of affordances involving the task of passing through apertures. Sighted participants made perceptual judgments about whether they could walk through apertures of various widths and their level of confidence in each judgment, using unrestricted vision and, when blindfolded, using two haptic sensory-substitution instruments: a cane-like wooden rod and the Enactive Torch, a device that converts distance information into vibrotactile stimuli. The boundary between aperture widths that were judged as pass-through-able versus non-pass-through-able was statistically equivalent across sensory modalities. However, participants were not as confident in their judgments using the rod or Enactive Torch as they were using vision. Additionally, participants’ judgments with the haptic instruments were significantly more accurate than with vision. The results underscore the need to assess sensory-substitution devices in the context of functional behaviors