Equilibrium during static and dynamic tasks in blindsubjects: no evidence of cross-modal plasticity

Can visual information be replaced by other sensory information in the control of static and dynamic equilibrium?
We investigated the balancing behaviour of acquired and congenitally blind subjects (25 severe visually
impaired subjectsç15 males and 10 females, mean age 3613.5 SD) and age and gender-matched normal
subjects under static and dynamic conditions. During quiet stance, the centre of foot pressure displacement
was recorded and body sway analysed. Under dynamic conditions, subjects rode a platform continuously
moving in the antero-posterior direction, with eyes open (EO) and closed (EC). Balance was inferred by the
movement ofmarkers fixed onmalleolus, hip and head. Amplitude of oscillation and cross-correlation between
body segmentmovementswere computed.During stance, in normal subjects body sway was larger ECthan EO.
In blind subjects, sway was similar under both visual conditions, in turn similar to normal subjects EC.Under
dynamic conditions, in normal subjects head and hipwere partially stabilized in space EObut translated asmuch
as the platform EC. In blind subjects head and hip displacements were similar in the EO and the EC condition;
with respect to normal subjects EC, body displacement was significantly larger with a stronger coupling
between segments.Under both static and dynamic conditions, acquired and congenitally blind subjects had a
similar behaviour.We conclude that long-term absence of visual information cannot be substituted by other
sensory inputs. These results are at variance with the notion of compensatory cross-modal plasticity in blind
subjects and strengthen the hypothesis that vision plays an obligatory role in the processing and integration of
other sensory inputs for the selection of the balancing strategy in the control of equilibrium.