Parkinson’s disease (PD) is a progressive neurodegenerative disorder, the main symptoms of which are hypertonicity and difficulties emerging during performance of stepping movements due to increased muscle stiffness. Biomechanical (stiffness) and electrophysiological (shortening reaction, SR) characteristics of hip and shank muscles were examined in 25 patients with mild and moderate stages of PD (1 to 3 of Hoehn and Yahr Rating Scale, 61 ± 9 years) and 22 age-matched healthy controls in unloading leg conditions during passive flexion/extension of hip, knee, and ankle joints, as well as the changes in the tonic state of muscles under the influence of levodopa. The data obtained were compared with similar findings in healthy subjects. Essentially greater stiffness in all leg muscle groups (except foot extensors) was observed in patients with PD as compared to the healthy subjects. In patients with PD, SR values in hip and shank extensors as well as in foot flexors and extensors were essentially greater then in the healthy subjects. The medicine essentially reduced the stiffness of hip flexors and knee flexors and extensors. The SR persisted, although the frequency of its occurrence decreased in half of studied muscles, and a significant decrease in the SR value was observed in foot extensors. The medicine had no marked effect on the SR in the proximal muscles. Thus, the increased muscle stiffness in patients with PD manifests itself as distorted reactions to external disturbances and increased reflectory reactions of muscles.

The possibility of initiating an involuntary walking rhythm in a suspended human leg by electrical stimulation was studied. The subjects lay on the side with one leg suspended in an exoskeleton allowing horizontal rotation in three joints: the hip, knee, and ankle ones. To evoke involuntary walking of the suspended leg, two methods were used: continuous vibration of the quadriceps muscle of the hip and electrical stimulation of the cutaneous nerves innervating the foot of the immobile leg. The hip and ankle were involved in the involuntary movements, with reciprocal bursts of electromyographic activity being also observed in the antagonistic muscles of the hip. The application of an external load (4 N or 8 N) to the foot caused a perceptible intensification of its movements. An additional weight (0.5 kg) or a rubber band wrapped around the foot caused no substantial change in the pattern of stimulated walking. Electrical stimulation is an effective means of activating walking movements, and their characteristics confirm the assumption that the walking rhythm is of central origin. Additional afferentation from the sole’s receptors plays an important role in the modulation of the induced movements and the modification of the general walking pattern under the conditions of muscle unloading.

Oculomotor responses to body rotation were investigated in subjects standing with the eyes closed. A rotatable platform was used to provide body rotation relative to the space-stationary head or upper part of the body (fixation of the head; the head and the shoulders; and the head, the shoulders, and the pelvis). A slow rotation of the body about the longitudinal axis by ±6.5° within 10–150 s evoked an illusion of the upper part of the body turning in space, while the moving footplate was perceived as stationary in space. This illusion was accompanied by marked eye movements in the direction of the illusory rotation. In subjects grasping a rigid ground-based handle, the perception of body movements corresponded to the actual rotation of body parts. In this case, the amplitude of eye movements was substantially lower. It was concluded that the eye movement pattern depends not only on the actual relative movement of the body segments but also on the perception of this movement relative to the extrapersonal space.

The role of supraspinal structures in postural adjustment upon standing on stable and unstable supports was studied in healthy individuals. For this purpose, transcranial magnetic stimulation (TMS) of the motor cortex was used in the region of leg representation. The subject stood with the eyes closed on a firm floor or on an unstable support in the form of a paperweight (20 cm in height, with a base radius of 32 cm) with mobility in the sagittal direction. Electric responses of four muscles—the soleus muscle, the anterior tibial muscle, the femoral biceps muscle, and the femoral rectus muscle—were recorded. It was shown that, in all the muscles, the response to TMS upon standing on an unstable support increased by 1.8–2.7 times as compared with the response upon standing on a firm floor. Since the increase in the tonic activity of the muscles studied was statistically insignificant upon switching over from standing on a firm floor to standing on an unstable support, it is hypothesized that the increase in the amplitude of muscle responses is connected with an increased activity of the supraspinal structures or with an increase in the effectiveness of corticospinal connections. The results are discussed from the point of view of the role of the motor cortex in maintaining balance on an unstable support.

The authors studied the influence of the direction of support stability the vibration-induced frontal postural reactions of healthy humans during unilateral vibration of three lateral muscles, namely, the long peroneal muscle, tensor muscle of fascia lata, and abdominal external oblique muscle. The subjects stood on a movable blotter- shaped support. Its base was cylindrical or spheric; its height was 24 cm, and its base radius was 40 cm. The platform turn angle and sagittal and frontal horizontal shift of the upper part of the subjects' bodies were recorded. Reacting to vibrations, the subjects tilted their bodies contralaterally to the vibrated muscle, irrespective of the support type. These reactions were strongest when the subjects stood on a stable support and were weakest when the support was unstable. The reaction values were also influenced by the distance between the vibrated muscle and general center of gravity of the body. As a rule, all other things being equal, vibration-induced reaction strengthened when the stimulated muscle was closer to the center of gravity. The authors concluded that vibration-induced frontal reactions of a standing human depend on the support properties and reflect the features of the participation of the lateral muscles in the standing posture regulation. The information received from the lateral muscular receptors by the control system may be used in different manners, depending on the internal body–support interaction model formed by the CNS.