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Cutaneous foot receptors are important for balance control, and their activation during quiet standing depends on the speed and the amplitude of postural oscillations. We hypothesized that the transmission of cutaneous input to the cortex is reduced during prolonged small postural sways due to receptor adaptation during continued skin compression. Central mechanisms would trigger large sways to reactivate the receptors. We compared the amplitude of positive and negative post-stimulation peaks (P50N90) somatosensory cortical potentials evoked by the electrical stimulation of the foot sole during small and large sways in 16 young adults standing still with their eyes closed. We observed greater P50N90 amplitudes during large sways compared with small sways consistent with increased cutaneous transmission during large sways. Postural oscillations computed 200 ms before large sways had smaller amplitudes than those before small sways, providing sustained compression within a small foot sole area. Cortical source analyses revealed that during this interval, the activity of the somatosensory areas decreased, whereas the activity of cortical areas engaged in motor planning (supplementary motor area, dorsolateral prefrontal cortex) increased. We concluded that large sways during quiet standing represent self-generated functional behavior aiming at releasing skin compression to reactivate mechanoreceptors. Such balance motor commands create sensory reafference that help control postural sway.

Sarah Imhoff,1,2 Martin Lavallière,3,4 Mathieu Germain-Robitaille,5 Normand Teasdale,5–7 Philippe Fait,1,2,8 1Department of Human Kinetics, 2Research Group on Neuromusculoskeletal Dysfunctions (GRAN), Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada; 3Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA; 4Department of Health Sciences, Program of Kinesiology, Université du Québec à Chicoutimi, Chicoutimi, 5Faculté de Médecine, Département de Kinésiologie, 6Groupe de recherche en analyse du mouvement et ergonomie, Université Laval, 7CHU de Québec – Université Laval, Centre d’excellence sur le vieillissement de Québec, 8Research Center in Neuropsychology and Cognition (CERNEC), Montréal, QC, Canada Background: Traumatic brain injury (TBI) causes functional deficits that may significantly interfere with numerous activities of daily living such as driving. We report the case of a 20-year-old woman having lost her driver’s license after sustaining a moderate TBI.Objective: We aimed to evaluate the effectiveness of an in-simulator training program with automated feedback on driving performance in a TBI individual.Methods: The participant underwent an initial and a final in-simulator driving assessment and 11 in-simulator training sessions with driving-specific automated feedbacks. Driving performance (simulation duration, speed regulation and lateral positioning) was measured in the driving simulator.Results: Speeding duration decreased during training sessions from 1.50 ± 0.80min (4.16 ± 2.22%) to 0.45 ± 0.15min (0.44 ± 0.42%) but returned to initial duration after removal of feedbacks for the final assessment. Proper lateral positioning improved with training and was maintained at the final assessment. Time spent in an incorrect lateral position decreased from 18.85min (53.61%) in the initial assessment to 1.51min (4.64%) on the final assessment.Conclusion: Driving simulators represent an interesting therapeutic avenue. Considerable research efforts are needed to confirm the effectiveness of this method for driving rehabilitation of individuals who have sustained a TBI. Keywords: traumatic brain injury, rehabilitation, driving, simulator, assessment

Vibrating ankle muscles in freely standing persons elicits a spatially oriented postural response. For instance, vibrating the Achilles tendons induces a backward displacement of the body while vibrating the tibialis anterior muscle tendons induces a forward displacement. These displacements have been called vibration induced falling (VIF) responses and they presumably are automatic. Because of the long delay between the onset of the vibration and the onset of the VIF (about 700 ms), and the widespread cortical activation following vibration, there is a possibility that the sensory signals available before the VIF can be used by the central nervous system to plan a hand pointing action. This study examined this suggestion. Ten healthy young participants stood on a force platform and initially were trained to point with and without vision to a target located in front of them. Then, they were exposed to conditions with vibration of the Achilles tendons or tibialis anterior muscle tendons and pointed at the target without vision. Vibration stopped between each trial. Trials with vision (without vibration) were given every five trials to maintain an accurate perception of the target’s spatial location. Ankle vibrations did not have an effect on the position of the center of foot pressure before the onset of the pointing actions. Furthermore, reaction and movement times of the pointing actions were unaffected by the vibration. The hypotheses were that if proprioceptive information evoked by ankle vibrations alters the planning of a pointing action, the amplitude of the movement should scale according to the muscle tendons that are vibrated. For Achilles tendon vibration, participants undershot the target indicating the planning of the pointing action was influenced by the vibration-evoked proprioceptive information (forward displacement of the body). When the tibialis anterior were vibrated (backward displacement of the body), however, shorter movements were also observed. Longer movements (that were expected) would have increased the backward response of the sensed body movement. Thus, it is possible that pointing actions were adjusted on the basis of the expected consequences of the planned pointing action to avoid a response that could have compromised postural stability.

The driving performance of individuals with mild cognitive impairment (MCI) is suboptimal when compared to healthy older adults. It is expected that the driving will worsen with the progression of the cognitive decline and thus, whether or not these individuals should continue to drive is a matter of debate. The aim of the study was to provide support to the claim that individuals with MCI can benefit from a training program and improve their overall driving performance in a driving simulator. Fifteen older drivers with MCI participated in five training sessions in a simulator (over a 21-day period) and in a 6-month recall session. During training, they received automated auditory feedback on their performance when an error was noted about various maneuvers known to be suboptimal in MCI individuals (for instance, weaving, omitting to indicate a lane change, to verify a blind spot, or to engage in a visual search before crossing an intersection). The number of errors was compiled for eight different maneuvers for all sessions. For the initial five sessions, a gradual and significant decrease in the number of errors was observed, indicating learning and safer driving. The level of performance, however, was not maintained at the 6-month recall session. Nevertheless, the initial learning observed opens up possibilities to undertake more regular interventions to maintain driving skills and safe driving in MCI individuals.

International audience; Several studies suggest that normal ageing could affect the driving behavior, particularly when negotiating intersections. The purpose of the current naturalistic study was to document the behavior of drivers aged 65 and over at stop‐controlled intersections and describe the way they deal with speed limits. Twenty participants were recruited for a 7‐day experiment (5 men and 5 women from an urban and a semi‐urban area). Displacements of the vehicle and images of the driver and scenery were recorded. The analysis of the stop‐controlled intersections (986) showed that older drivers seldom stop completely at intersections. Overall, men showed a minimal speed that exceeded 4.99 km/h for more than 60% of the intersections (38% for the women). The braking strategies did not vary as a function of the area of residence (p > .05). A total of 1 561 speeding events were identified. Overall, speeding was more frequent on roads where the speed is limited to 50 km/h (907 events) (p 0,05). Un total de 1 561 excès de vitesse a été identifié. Un plus grand nombre de dépassements de vitesse a été observé dans des zones de limitation de vitesse à 50 km/h (907 événements) (p

À partir d’une relecture de la « certitude sensible », le présent article essaie de montrer que, contrairement à la lecture qui prévaut, notamment en herméneutique, Hegel a accordé au langage une importance décisive dans le cadre de sa philosophie. Loin d’être le non-dit radical de sa philosophie, le langage occupe aux yeux de Hegel le statut d’élément pré-phénoménologique ou de condition de possibilité ultime de tout advenir à soi de l’Esprit : c’est parce que l’Esprit existe comme langage que la conscience, du moment qu’elle prend la parole, peut advenir à elle-même en sa vérité., A careful reading of the opening chapter of the Phenomenology of Spirit on “sense-certainty” shows that, contrary to the received view, notably in hermeneutics, Hegel did give decisive importance to language within his philosophy. Far from being the radical unspoken element of his philosophy, language has for Hegel the status of a pre-phenomenological element, of an ultimate condition of possibility for any self-manifestation of Spirit : it is because Spirit exists qua language that consciousness, so soon as it speaks, may become manifest to itself in its truth.

Background Rapid discrete goal-directed movements are characterized by a well known coordination pattern between the gaze and the hand displacements. The gaze always starts prior to the hand movement and reaches the target before hand velocity peak. Surprisingly, the effect of the target size on the temporal gaze-hand coordination has not been directly investigated. Moreover, goal-directed movements are often produced in a reciprocal rather than in a discrete manner. The objectives of this work were to assess the effect of the target size on temporal gaze-hand coordination during fast 1) discrete and 2) reciprocal pointings. Methods Subjects performed fast discrete (experiment 1) and reciprocal (experiment 2) pointings with an amplitude of 50 cm and four target diameters (7.6, 3.8, 1.9 and 0.95 cm) leading to indexes of difficulty (ID = log2[2A/D]) of 3.7, 4.7, 5.7 and 6.7 bits. Gaze and hand displacements were synchronously recorded. Temporal gaze-hand coordination parameters were compared between experiments (discrete and reciprocal pointings) and IDs using analyses of variance (ANOVAs). Results Data showed that the magnitude of the gaze-hand lead pattern was much higher for discrete than for reciprocal pointings. Moreover, while it was constant for discrete pointings, it decreased systematically with an increasing ID for reciprocal pointings because of the longer duration of gaze anchoring on target. Conclusion Overall, the temporal gaze-hand coordination analysis revealed that even for high IDs, fast reciprocal pointings could not be considered as a concatenation of discrete units. Moreover, our data clearly illustrate the smooth adaptation of temporal gaze-hand coordination to terminal accuracy requirements during fast reciprocal pointings. It will be interesting for further researches to investigate if the methodology used in the experiment 2 allows assessing the effect of sensori-motor deficits on gaze-hand coordination.