The purpose of this thesis was to examine the capacity for acquisition and retention of practice-related improvements in compensatory posture control and the nature of postural motor learning among healthy young and older adults repeatedly exposed to continuous surface motion via a translating platform. Although much research has been conducted to examine the strategies adopted by the central nervous system to control posture in response to external perturbations, the learning capabilities of this system have remained relatively unexplored. Many of the studies that have explored practice-related changes in balance performance have focused on short-term adaptations to highly predictable stimuli. Borrowing from implicit sequence learning paradigms, we developed two experimental protocols to examine postural motor learning for a compensatory balance task in an environment with limited predictability. Applying key principles of motor learning to our experimental design including retention intervals and a transfer task enabled us to draw conclusions about the permanency and specificity of the observed changes. Our investigations revealed practice-related changes in the motor organization of posture control. In young adults, a shift in the complexity of the control strategy occurred which lead to improvements in spatial and temporal control of the COM. In contrast, a majority of older adults persisted with a simplified control strategy which restricted improvements in COM control. Importantly, despite control strategy differences, the two groups showed comparable rates of improvement in almost all outcome measures including measures of trunk stability and temporal COM control. Longer-term retention of behavioural changes provided evidence for learning in young adults. Similar maintenance of improvements was observed for some outcome measures in older adults. Where significant losses in performance occurred in this group, retention was evident in the rapid reacquisition of performance to the level of proficiency achieved in original practice. Based on these results, we concluded that age affected the adapted control strategy but not the capacity for postural motor learning. Further, regardless of age or protocol, the pattern of postural perturbations did not influence acquisition of a strategy of stability and thus, we concluded that postural motor learning under the current conditions was non-specific, that is, it did not involve sequence-specific learning. These results provide important insight into the generalized nature of compensatory postural motor learning and subsequently, into the potential for positive transfer of balance skill to other balance tasks.

The ability to correct balance disturbances is essential for maintaining upright stability. Recent literature highlights a potentially important role for the cerebral cortex in controlling compensatory balance reactions. The objective of this research was to provide a more detailed understanding of the specific neurophysiologic events occurring at the cortex following balance disturbances. More specifically, the focus was to determine whether the N1, a cortical potential evoked during balance control, and the error-related negativity (ERN), a cortical potential measured in response to errors during cognitive tasks, have similar cortical representation, revealing a similar link to an error detection mechanism. It was hypothesized that the N1 and ERN would have the same generator located in the anterior cingulate cortex (ACC). Fourteen healthy young adults participated in a balance task (evoked N1) and a flanker task (evoked ERN). Temporally unpredictable perturbations to standing balance were achieved using a lean and release cable system. Electromyography and centre of pressure were measured during the balance task. Reaction times and error rates were measured during the flanker task. Electroencephalography was recorded during both tasks. Source localization was performed in CURRY 6 using a single fixed coherent dipole model to determine the neural generator of the N1 and ERN. The results revealed that the locations of the N1 and ERN dipoles were different. The mean (n=9) distance between N1 and ERN dipoles was 25.46 ± 8.88 mm. The mean Talairach coordinates for the ERN dipole were (6.47 ± 3.08, -4.41 ± 13.15, 41.17 ± 11.63) mm, corresponding to the cingulate gyrus (Brodmann area 24). This represents the ACC, supporting results from previous literature. The mean Talairach coordinates for the N1 dipole were (5.74 ± 3.77, -11.81 ± 10.84, 53.73 ± 7.30) mm, corresponding to the medial frontal gyrus (Brodmann area 6). This is the first work to localize the source of the N1. It is speculated that the generator of the N1 is the supplementary motor area and that it represents the generation of a contingency motor plan to shape the later phases of the compensatory balance response based on sensory feedback from the perturbation.

The ability to correct balance disturbances is essential for maintaining upright stability. Recent literature highlights a potentially important role for the cerebral cortex in controlling compensatory balance reactions. The objective of this research was to provide a more detailed understanding of the specific neurophysiologic events occurring at the cortex following balance disturbances. More specifically, the focus was to determine whether the N1, a cortical potential evoked during balance control, and the error-related negativity (ERN), a cortical potential measured in response to errors during cognitive tasks, have similar cortical representation, revealing a similar link to an error detection mechanism. It was hypothesized that the N1 and ERN would have the same generator located in the anterior cingulate cortex (ACC). Fourteen healthy young adults participated in a balance task (evoked N1) and a flanker task (evoked ERN). Temporally unpredictable perturbations to standing balance were achieved using a lean and release cable system. Electromyography and centre of pressure were measured during the balance task. Reaction times and error rates were measured during the flanker task. Electroencephalography was recorded during both tasks. Source localization was performed in CURRY 6 using a single fixed coherent dipole model to determine the neural generator of the N1 and ERN. The results revealed that the locations of the N1 and ERN dipoles were different. The mean (n=9) distance between N1 and ERN dipoles was 25.46 ± 8.88 mm. The mean Talairach coordinates for the ERN dipole were (6.47 ± 3.08, -4.41 ± 13.15, 41.17 ± 11.63) mm, corresponding to the cingulate gyrus (Brodmann area 24). This represents the ACC, supporting results from previous literature. The mean Talairach coordinates for the N1 dipole were (5.74 ± 3.77, -11.81 ± 10.84, 53.73 ± 7.30) mm, corresponding to the medial frontal gyrus (Brodmann area 6). This is the first work to localize the source of the N1. It is speculated that the generator of the N1 is the supplementary motor area and that it represents the generation of a contingency motor plan to shape the later phases of the compensatory balance response based on sensory feedback from the perturbation.