Skip to main content

Advertisement

Log in

Controlling posture using a plantar pressure-based, tongue-placed tactile biofeedback system

  • Research Article
  • Published:
Experimental Brain Research Aims and scope Submit manuscript

Abstract

The present paper introduces an original biofeedback system for improving human balance control, whose underlying principle consists in providing additional sensory information related to foot sole pressure distribution to the user through a tongue-placed tactile output device. To assess the effect of this biofeedback system on postural control during quiet standing, ten young healthy adults were asked to stand as immobile as possible with their eyes closed in two conditions of No-biofeedback and Biofeedback. Centre of foot pressure (CoP) displacements were recorded using a force platform. Results showed reduced CoP displacements in the Biofeedback relative to the No-biofeedback condition. The present findings evidenced the ability of the central nervous system to efficiently integrate an artificial plantar-based, tongue-placed tactile biofeedback for controlling control posture during quiet standing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Bach-y-Rita P, Collins CC, Saunders F, White B, Scadden L (1969) Vision substitution by tactile image projection. Nature 221:963–964

    Article  PubMed  CAS  Google Scholar 

  • Bach-y-Rita P, Kaczmarek KA, Tyler ME, Garcia-Lara J (1998) Form perception with a 49-point electrotactile stimulus array on the tongue. J Rehabil Res Dev 35:427–430

    PubMed  CAS  Google Scholar 

  • Bach-y-Rita P, Tyler ME, Kaczmarek KA (2003) Seeing with the brain. Int J Hum-Comput Int 15:285–295

    Article  Google Scholar 

  • Bernard-Demanze L, Vuillerme N, Berger L, Rougier P (2006) Magnitude and duration of the effects of plantar sole massages. Int SportMed J 7:154–169

    Google Scholar 

  • van Boven RW, Johnson KO (1994) The limit of tactile spatial resolution in humans: grating orientation discrimination at the lips, tongue, and finger. Neurology 44:2361–2366

    PubMed  Google Scholar 

  • Chiari L, Dozza M, Cappello A, Horak FB, Macellari V, Giansanti D (2005) Audio-biofeedback for balance improvement: an accelerometry-based system. IEEE Trans Biomed Eng 52:2108–2111

    Article  PubMed  Google Scholar 

  • Clapp S, Wing AM (1999) Light touch contribution to balance in normal bipedal stance. Exp Brain Res 125:521–524

    Article  PubMed  CAS  Google Scholar 

  • Dozza M, Chiari L, Horak FB (2005) Audio-biofeedback improves balance in patients with bilateral vestibular loss. Arch Phys Med Rehabil 86:1401–1403

    Article  PubMed  Google Scholar 

  • Essick GK, Chopra A, Guest S, McGlone F (2003) Lingual tactile acuity, taste perception, and the density and diameter of fungiform papillae in female subjects. Physiol Behav 80:289–302

    Article  PubMed  CAS  Google Scholar 

  • Gurfinkel VS, Ivanenko YP, Levik YS (1995) The influence of head rotation on human upright posture during balanced bilateral vibration. Neuroreport 7:137–140

    PubMed  CAS  Google Scholar 

  • Hegeman J, Honneger F, Kupper M, Allum JH (2005) The balance control of bilateral peripheral vestibular loss subjects and its improvement with auditory prosthetic feedback. J Vest Res 15:109–117

    CAS  Google Scholar 

  • Horak FB, Hlavacka F (2001) Somatosensory loss increases vestibulospinal sensitivity. J Neurophysiol 86:575–585

    PubMed  CAS  Google Scholar 

  • Isableu B, Ohlmann T, Crémieux J, Amblard B (1997) Selection of spatial frame of reference and postural control variability. Exp Brain Res 114:584–589

    Article  PubMed  CAS  Google Scholar 

  • Isableu B, Vuillerme N (2006) Differential integration of kinesthetic signals to postural control. Exp Brain Res DOI 10.1007/s0021–006–0630–4

  • Kaczmareck KA, Webster JG, Bach-y-Rita P, Tompkins WJ (1991) Electrotactile and vibrotactile displays for sensory substitution systems. IEEE Trans Rehabil Eng 38:1–16

    Google Scholar 

  • Kavounoudias A, Roll R, Roll JP (1998) The plantar sole is a “dynamometric map” for human balance control. Neuroreport 9:3247–3252

    Article  PubMed  CAS  Google Scholar 

  • Kenshalo DR (1986) Somesthetic sensitivity in young and elderly humans. J Gerontol 41:632–642

    Google Scholar 

  • Lajoie Y (2004) Effect of computerized feedback postural training on posture and attentional demands in older adults. Aging Clin Exp Res 16:363–368

    PubMed  Google Scholar 

  • Lord SR, Clark RD, Webster IW (1991) Physiological factors associated with falls in an elderly population. J Am Geriatr Soc 39:1194–1200

    PubMed  CAS  Google Scholar 

  • Maki BE, Perry SD, Norrie RG, McIlroy WE (1999) Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci 54:M281-M287

    PubMed  CAS  Google Scholar 

  • Massion J (1994) Postural control system. Curr Opin Neurobiol 4:877–887

    Article  PubMed  CAS  Google Scholar 

  • Meyer PF, Oddsson LIE, De Luca CJ (2004). The role of plantar cutaneous sensation in unperturbed stance. Exp Brain Res 156:505–512

    Article  PubMed  Google Scholar 

  • Okubo J, Watanabe I, Baron JB (1980) Study on influences of the plantar mechanoreceptor on body sways. Agressologie 21:61–69

    PubMed  CAS  Google Scholar 

  • Patton JL, Lee WA, Pai YC (2000) Relative stability improves with experience in a dynamic standing task. Exp Brain Res 135:117–126

    Article  PubMed  CAS  Google Scholar 

  • Petersen H, Magnusson M, Johansson R, Fransson PA (1996) Auditory feedback regulation of perturbed stance in stroke patients. Scand J Rehabil Med 28:217–223

    PubMed  CAS  Google Scholar 

  • Picard C, Olivier A (1983) Sensory cortical tongue representation in man. J Neurosurg 59:781–789

    Article  PubMed  CAS  Google Scholar 

  • Priplata A, Niemi J, Salen M, Harry J, Lipsitz LA, Collins JJ (2002) Noise-enhanced human balance control. Phys Rev Lett 89:23101

    Article  CAS  Google Scholar 

  • Priplata A, Niemi J, Salen M, Harry J, Lipsitz LA, Collins JJ (2003) Vibrating insoles and balance control in elderly people. Lancet 362:1123–1124

    Article  PubMed  Google Scholar 

  • Sampaio E, Maris S, Bach-y-Rita P (2001) Brain plasticity: ‘visual’ acuity of blind persons via the tongue. Brain Res 908:204–207

    Article  PubMed  CAS  Google Scholar 

  • Shumway-Cook A, Anson D, Haller S (1988) Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil 69:395–400

    PubMed  CAS  Google Scholar 

  • Skinner HB, Barrack RL, Cook SD (1984) Age-related decline in proprioception. Clin Orthop 184:208–211

    PubMed  Google Scholar 

  • Tagaki A, Fujimura E, Suehiro S (1985) A new method of statokinesigram area measurement. Application of a statistically calculated ellipse. In: Igarashi M, Black O (eds) Vestibular and visual control on posture and locomotor equilibrium. Karger, Bâle, pp 74–79

    Google Scholar 

  • Tinetti ME, Speechley M (1989) Prevention of falls among the elderly. N Engl J Med 320:1055–1059

    Article  PubMed  CAS  Google Scholar 

  • Trulsson M, Essick GK (1997) Low-threshold mechanoreceptive afferents in the human lingual nerve. J Neurophysiol 77:737–748

    PubMed  CAS  Google Scholar 

  • Tyler M, Danilov Y, Bach-y-Rita P (2003) Closing an open-loop control system: vetibular substitution through the tongue. J Integr Neurosci 2:159–164

    Article  PubMed  Google Scholar 

  • Van Erp JBF, van Veen HAHC (2006) Touch down: the effect of artificial touch cues on orientation in microgravity. Neurosci Lett 404:78–82

    Article  PubMed  CAS  Google Scholar 

  • Vuillerme N, Nougier V (2003) Effect of light finger touch on postural sway after lower-limb muscular fatigue. Arch Phys Med Rehabil 84:1560–1563

    Article  PubMed  Google Scholar 

  • Vuillerme N, Chenu O, Demongeot J, Payan Y (2006a) Improving human ankle joint position sense using an artificial tongue-placed tactile biofeedback. Neurosci Lett 405:19–23

    Article  CAS  Google Scholar 

  • Vuillerme N, Chenu O, Fleury, J, Demongeot J, Payan Y (2006b) Optimizing the use of an artificial tongue-placed tactile biofeedback for improving ankle joint position sense in humans. 28th annual international conference of the IEEE Engineering in Medicine and Biology Society (EMBS), New York, USA

  • Wall C, Weinberg MS, Schmidt PB, Krebs DE (2001) Balance prosthesis based on micromechanical sensors using vibrotactile feedback of tilt. IEEE Trans Biomed Eng 48:1153–1161

    Article  PubMed  Google Scholar 

  • Winter DA, Prince F, Frank JS, Powell C, Zabjek KF (1996) Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol 75:2334–2343

    PubMed  CAS  Google Scholar 

  • Wong MS, Mak AF, Luk KD, Evans JH, Brown B (2001) Effectiveness of audio-biofeedback in postural training for adolescent idiopathic scoliosis patients. Prosthet Orthot Int 25:60–70

    Article  PubMed  CAS  Google Scholar 

  • Wu G (1997) Real-time feedback of body center of gravity for postural training of elderly patients with peripheral neuropathy. IEEE Trans Rehabil Eng 5:399–402

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors are indebted to Professor Paul Bach-y-Rita for introducing us to the TDU and for discussions about sensory substitution. The authors would like to thank subject volunteers. The company Vista Medical is acknowledged for supplying the FSA Inshoe Foot pressure mapping system. This research was supported by the Fondation Garches, the company IDS and Floralis (Université Joseph Fourier, Grenoble). Special thanks also are extended to P. Lashatte and F. Rerberthom for various contributions.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicolas Vuillerme.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vuillerme, N., Chenu, O., Demongeot, J. et al. Controlling posture using a plantar pressure-based, tongue-placed tactile biofeedback system. Exp Brain Res 179, 409–414 (2007). https://doi.org/10.1007/s00221-006-0800-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00221-006-0800-4

Keywords

Navigation