Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia associated with impaired carbohydrate, lipid, and protein metabolism, with concomitant absence of insulin ...secretion or reduced sensitivity to its metabolic effects. Patients with diabetes mellitus have a 30% more risk of developing heart failure and cardiovascular disease compared to healthy people. Heart and cardiovascular problems are the first cause of death worldwide and the main complications which lead to high healthcare costs. Such complications can be delayed or avoided by taking prescribed medications in conjunction with a healthy lifestyle (i.e., diet and physical activity). The American College of Sports Medicine and the American Diabetes Association recommend that diabetic people reduce total sedentary time by incorporating physical activity into their weekly routine. This narrative literature review aims to summarize and present the main guidelines, pre-exercise cardiovascular screening recommendations, and considerations for patients with diabetes and comorbidities who are planning to participate in physical activity programs.
Optic flow stimuli are crucial for the control of stance in the upright position. The visual control of posture has recently received a lot of interest from several researchers. One of the most ...intriguing aspects is the contribution of the different parts of the visual field in the control of stance. Here we reviewed the results of several studies performed with different methodologies that tried to determine the effect of optic flow on postural control, by analyzing the role of the central and peripheral visual fields. Although the results were controversial, the majority of these studies agreed to assign the most important role in postural control to the peripheral retina. However, these studies were performed using different approaches and different definitions of the central and peripheral visual fields. The choice of the exact portion of the retina to be stimulated is crucial given that the stimulation of the central and the peripheral parts of the retina leads to the activation of different geniculo-cortical pathways and results in different cortical processing of information.
Abstract Optic flow is a crucial signal in maintaining postural stability. We sought to investigate whether the activity of postural muscles and body sway was modulated by eye position during the ...view of radial optic flow stimuli. We manipulated the spatial distribution of dot speed and the fixation point position to simulate specific heading directions combined with different gaze positions. The experiments were performed using stabilometry and surface electromyography (EMG) on 24 right-handed young, healthy volunteers. Center of pressure (COP) signals were analyzed considering antero-posterior and medio-lateral oscillation, COP speed, COP area, and the prevalent direction of oscillation of body sway. We found a significant main effect of body side in all COP parameters, with the right body side showing greater oscillations. The different combinations of optic flow and eye position evoked a non-uniform direction of oscillations in females. The EMG analysis showed a significant main effect for muscle and body side. The results showed that the eye position modulated body sway without changing the activity of principal leg postural muscles, suggesting that the extraretinal input regarding the eye position is a crucial signal that needs to be integrated with perceptual optic flow processing in order to control body sway.
Purpose
A feedback control process based on self-motion perception contributes to postural stability; however, little is known about the visual modulation of postural muscles. The aim of this study ...was to investigate the effect of optic flow stimuli, presented full field, in the peripheral and foveal visual field, on muscular activation. Then, we assessed the correlation between optic flow, muscle activity and body sway in male and female subjects.
Methods
We used surface electromyography (EMG) and stabilometry on 24 right-handed young adults. We recorded the bilateral activation of tibialis anterior, gastrocnemius medialis, biceps femoris and vastus medialis. EMG and center of pressure (COP) signals were acquired simultaneously. EMG signal amplitude was computed as root mean square normalized by baseline.
Results
We found a significant effect for muscles, gender and an interaction effect of muscle by gender (ANOVA,
p
< 0.001). Results showed different postural alignments in males and females. The COP spatial variability during peripheral stimuli was generally reduced. The prevalent direction of oscillation evoked by peripheral stimuli was clustered, while foveal and random stimuli induced distributed and randomized directions. Also for muscle activity, we found gender differences in the prevalent oscillation distributions evoked by optic flow.
Conclusion
Visual stimuli always evoke an excitatory input on postural muscles, but the stimulus structure produces different postural effects. Peripheral optic flow stimuli stabilize postural sway, while random and foveal optic flow provoke larger sway variability similar to those evoked in the absence of visual stimulation.
Microcurrent electrical neuromuscular stimulation (MENS) is believed to alter blood flow, increasing cutaneous blood perfusion, with vasodilation and hyperemia. According to these physiological ...mechanisms, we investigated the short-term effects of MENS on constant-load exercise and the subsequent recovery process. Ten healthy subjects performed, on separate days, constant-load cycling, which was preceded and followed by active or inactive stimulation to the right quadricep. Blood lactate, pulmonary oxygen, and muscle deoxyhemoglobin on-transition kinetics were recorded. Hemodynamic parameters, heart rate variability, and baroreflex sensitivity were collected and used as a tool to investigate the recovery process. Microcurrent stimulation caused a faster deoxyhemoglobin (4.43 ± 0.5 vs. 5.80 ± 0.5 s) and a slower VO
(25.19 ± 2.1 vs. 21.94 ± 1.3 s) on-kinetics during cycling, with higher lactate levels immediately after treatments executed before exercise (1.55 ± 0.1 vs. 1.40 ± 0.1 mmol/L) and after exercise (2.15 ± 0.1 vs. 1.79 ± 0.1 mmol/L). In conclusion, MENS applied before exercise produced an increase in oxygen extraction at muscle microvasculature. In contrast, MENS applied after exercise improved recovery, with the sympathovagal balance shifted toward a state of parasympathetic predominance. MENS also caused higher lactate values, which may be due to the magnitude of the muscular stress by both manual treatment and electrical stimulation than control condition in which the muscle received only a manual treatment.
Objective: The observers use the optic flow to control self-motion. However, the current state of knowledge indicates that it is difficult to understand how optic flow is used by the visual system ...without a direct measurement of the changes in the flow patterns caused by eye movements during natural behaviour. The purpose of this literature review is to highlight the importance of the integration between optic flow and eye movements for postural control. Methods: A literature review of the electronic papers through July 2022 was independently performed by three investigators. The selection of the studies was made by a search on PubMed, Scopus, and Google Scholar with two groups of selected keywords. We excluded papers performed on subjects with pathologies, children, and the elderly. Results: The results of this literature analysis highlight that eye movements are required to drive visual motion processing and heading perception in both static and dynamic contexts. Conclusion: Although we now know many neural mechanisms that process heading direction from the optic flow field, a consideration of optic flow patterns relative to gaze direction provides more detailed information on how the retinal flow field is used to control body balance. Doi: 10.28991/ESJ-2022-06-06-020 Full Text: PDF
Microsaccades could indicate the place where our mind is unconsciously focusing, although our gaze is directed elsewhere. Many studies report the importance of microsaccades in visual scene ...perception, but none of them has addressed their relationship with the perception of a dynamic action and the prediction of its outcome.
Expert and novice table tennis players were asked to fixate their gaze on a precise spot while viewing the launch of a ball whose final landing had to be predicted. Four separate epochs of the action were considered for their information content. The correctness of the prediction and microsaccade statistics were measured in order to estimate the relationship between covert attention and predictions.
Microsaccades rate showed a time course modulated by the different epochs, with a significant enhancement during the post-bounce. In this epoch, novices showed a significantly higher rate than experts when the responses were correct. Duration and amplitude were highest in the pre- and post-bounce periods and lowest in the other two. Mean microsaccades direction was toward the stimuli that most probably attracted the visual attention (ball or racket), whereas there was no relationship with the predicted side of the final bounce.
Distribution of microsaccades can be influenced by attentional cues in a task-specific situation, revealing links between visuomotor performance and covert attention shifts in fast visuomotor perception. Microsaccade orientation is conditioned by objects that attract visual attention and not by the direction in which action is expected to be performed.
PEMF stimulation results in a higher O
muscle supply during exercise through increased O
release and uptake. Given the importance of oxygen uptake in sport activity, especially in aerobic disciplines ...such as cycling, we sought to investigate the influence of PEMF on muscle activity when subjects cycled at an intensity between low and severe.
Twenty semi-professional cyclists performed a constant-load exercise with randomized active (ON) or inactive (OFF) PEMF stimulation. Each subject started the recording session with 1 min of cycling without load (warm-up), followed by an instantaneous increase in power, as the individualized workload (constant-load physical effort). PEMF loops were applied on the vastus medialis and biceps femoris of the right leg. We recorded the electromyographic activity from each muscle and measured blood lactate prior the exercise and during the constant-load physical effort.
PEMF stimulation caused a significant increase in muscle activity in the warm-up condition when subjects cycled without load (
< 0.001). The blood lactate concentration was higher during PEMF stimulation (
< 0.001), a possible consequence of PEMF's influence on glycolytic metabolism.
PEMF stimulation augmented the activity and the metabolism of muscular fibers during the execution of physical exercise. PEMF stimulation could be used to raise the amplitude of muscular responses to physical activity, especially during low-intensity exercise.
Pulsed electromagnetic fields (PEMFs) are used as non-invasive tools to enhance microcirculation and tissue oxygenation, with a modulatory influence on the microvasculature. This study aimed to ...measure the acute effect of PEMF on muscle oxygenation and its influence on pulmonary oxygen kinetics during exercise. Eighteen male cyclists performed, on different days, a constant-load exercise in both active (ON) and inactive (OFF) PEMF stimulations while deoxyhemoglobin and pulmonary oxygen kinetics, total oxygenation index, and blood lactate were collected. PEMF enhanced muscle oxygenation, with higher values of deoxyhemoglobin both at the primary component and at the steady-state level. Moreover, PEMF accelerated deoxyhemoglobin on-transition kinetic, with a shorter time delay, time constant, and mean response time than the OFF condition. Lactate concentration was higher during stimulation. No differences were found for total oxygenation index and pulmonary oxygen kinetics. Local application of a precise PEMF stimulation can increase the rate of the muscle O2 extraction and utilization. These changes were not accompanied by faster oxygen kinetics, reduced oxygen slow component, or reduced blood lactate level. It seems that oxygen consumption is more influenced by exercise involving large muscle mass like cycling, whereas PEMF might only act at the local level.
The representation of navigational optic flow across the inferior parietal lobule was assessed using optical imaging of intrinsic signals in behaving monkeys. The exposed cortex, corresponding to the ...dorsal-most portion of areas 7a and dorsal prelunate (DP), was imaged in two hemispheres of two rhesus monkeys. The monkeys actively attended to changes in motion stimuli while fixating. Radial expansion and contraction, and rotation clockwise and counter-clockwise optic flow stimuli were presented concentric to the fixation point at two angles of gaze to assess the interrelationship between the eye position and optic flow signal. The cortical response depended upon the type of flow and was modulated by eye position. The optic flow selectivity was embedded in a patchy architecture within the gain field architecture. All four optic flow stimuli tested were represented in areas 7a and DP. The location of the patches varied across days. However the spatial periodicity of the patches remained constant across days at approximately 950 and 1100 microm for the two animals examined. These optical recordings agree with previous electrophysiological studies of area 7a, and provide new evidence for flow selectivity in DP and a fine scale description of its cortical topography. That the functional architectures for optic flow can change over time was unexpected. These and earlier results also from inferior parietal lobule support the inclusion of both static and dynamic functional architectures that define association cortical areas and ultimately support complex cognitive function.
PDF
