Postural Control

What is the Postural Control System?

The Postural Control system is a crucial part of our central nervous system that helps us stay upright, move around, and manage various automatic responses essential for everyday activities. It operates subconsciously, relying on continuous input from our eyes, inner ears, muscles, and skin sensors. When the Postural Control system is not working correctly, it can lead to issues like dizziness, vertigo, and balance problems, which can greatly affect our daily lives.

Why Do Problems Occur in the Postural Control System?

Problems in the Postural Control system can happen for several reasons:

  • Diseases: Conditions like Parkinson's disease or concussions can disrupt how our Postural Control system functions.
  • Overstimulation: Too much activity in the system can also cause problems, such as motion sickness.
  • Aging: As we get older, changes in our nerves, senses, and muscles can make it harder to maintain balance, increasing the risk of falls and injuries.

What is Motion Sickness?

Motion sickness occurs when there is a conflict between the different senses that contribute to Postural Control. For example, if you are a passenger in a car, your inner ears sense motion, but if you are reading, your eyes do not see the movement. This sensory conflict can lead to symptoms like nausea, vomiting, sweating, dizziness, and drowsiness. Motion sickness is more common in women and tends to affect younger individuals more severely, peaking around the age of 13 and then decreasing after puberty.

Theories Behind Motion Sickness

There are two main theories about why motion sickness occurs:

  • Sensory Conflict Theory: This theory suggests that motion sickness is caused by a mismatch between the sensory signals from the eyes, inner ears, and other body parts.
  • Postural Control Theory: This theory proposes that motion sickness results from an inability to maintain posture and balance during motion, rather than just sensory conflict.
Current Challenges in Diagnosing Postural Control Issues

Diagnosing problems with the Postural Control system can be challenging because it often relies on observations rather than precise measurements. This means that doctors look at symptoms and behaviour instead of having clear, measurable data.

New Research and Tools

Scientists are developing new ways to better understand and measure the Postural Control system. Some of these methods include:

  • Brain Signal Measurements: Using techniques like electroencephalography to see how the brain is working.
  • Muscle Activity Monitoring: Using electromyography to track how muscles are responding.
  • Balance Analysis: Studying the center of pressure to understand balance and posture.

By researching both healthy individuals and those with conditions like Parkinson's disease or concussions, scientists hope to find reliable markers that can help diagnose and assess Postural Control disorders.

Innovative Approaches

One exciting new approach uses virtual reality technology along with physiological measurements. This method creates controlled environments to study how the Postural Control system responds and uses machine learning to develop better diagnostic tools.

Another advanced technique looks at how different parts of the brain communicate during Postural Control tasks. This can help researchers understand the complex interactions within the brain and potentially lead to new ways to diagnose and treat balance and movement issues.

The BioVRSea System

In 2020, Reykjavik University we developed the BioVRSea system. This innovative setup combines virtual reality with a moving platform to simulate the feeling of being on a small boat at sea. During the experiment, various bio-signals such as muscle activity, balance, brain signals, and heart rate are measured across different phases of the experiment.

The BioVRSea system has shown innovative results in distinguishing between healthy individuals and those with Postural Control problems. The BioVRSea project is collecting data from about 450 participants, ranging from 18 to 80 years old, including people with concussions, early-stage Parkinson's disease, professional seamen, and individuals with or without motion sickness symptoms.

Future Applications

Our ultimate aim is to use the data collected from the BioVRSea experiments to develop a simple, accessible device for diagnosing and monitoring Postural Control issues. This would be especially beneficial for people with mobility impairments or neurodegenerative diseases.

The BioVRSea project highlights the importance of understanding the Postural Control system and developing better diagnostic tools and treatments. The BioVRSea setup is a significant step forward in this field, offering the potential for more accurate and accessible solutions for those affected by balance and movement disorders. By integrating advanced technologies like virtual reality and machine learning, we can hope for a future where diagnosing and treating these conditions is more precise and effective with our BioVRSea technology.