1
|
Shah VA, Cruz-Almeida Y, Roy A, Cenko E, Downey RJ, Ferris DP, Hass CJ, Reuter-Lorenz PA, Clark DJ, Manini TM, Seidler RD. Correlates of gait speed changes during uneven terrain walking in older adults: differential roles of cognitive and sensorimotor function. Exp Brain Res 2025; 243:72. [PMID: 39976706 DOI: 10.1007/s00221-025-07019-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2024] [Accepted: 02/04/2025] [Indexed: 03/08/2025]
Abstract
Many studies of walking function and aging have measured walking on flat surfaces with and without dual-tasking (i.e., performing a concurrent cognitive task). Walking in the community increases the complexity with surface undulations and varying surface types. We hypothesized that changes in walking resulting from increasing terrain unevenness would be better predicted by sensorimotor function than cognitive function. Sixty-three community-dwelling older adults (65-93 yrs old; 32 males) performed overground walking under four uneven terrain conditions (Flat, Low, Medium, and High unevenness). Cognitive (cognitive flexibility, working memory, inhibition) and sensorimotor assessments (grip strength, 2-pt discrimination, pressure pain threshold) were measured as the primary predictors of walking performance. We found that walking speed decreased linearly with more elevated uneven terrain conditions across all participants; this was accentuated in older adults with lower mobility function. Greater rates of decline in walking speed from flat to uneven terrain were associated with worse attention and inhibitory function as well as lower 2-point tactile discrimination. Findings suggest that greater rates of decline with elevated terrain walking are associated with lower mobility function, lower executive functions and less somatosensation.
Collapse
Affiliation(s)
- Valay A Shah
- Department of Applied Physiology and Kinesiology, University of Florida, FLG 80, 1864 Stadium Road, Gainesville, FL, 32611, USA.
- Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
| | - Yenisel Cruz-Almeida
- Pain Research and Intervention Center of Excellence (PRICE), University of Florida, Gainesville, FL, USA
- Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA
| | - Arkaprava Roy
- Department of Biostatistics, University of Florida, Gainesville, FL, USA
| | - Erta Cenko
- Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
- Department of Epidemiology, University of Florida, Gainesville, FL, USA
| | - Ryan J Downey
- Department of Biomedical Engineering, University of Florida, Gainesville, FL, USA
| | - Daniel P Ferris
- Department of Biomedical Engineering, University of Florida, Gainesville, FL, USA
| | - Chris J Hass
- Department of Applied Physiology and Kinesiology, University of Florida, FLG 80, 1864 Stadium Road, Gainesville, FL, 32611, USA
| | | | - David J Clark
- Department of Neurology, University of Florida, Gainesville, FL, USA
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA
| | - Todd M Manini
- Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
| | - Rachael D Seidler
- Department of Applied Physiology and Kinesiology, University of Florida, FLG 80, 1864 Stadium Road, Gainesville, FL, 32611, USA
- Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA
| |
Collapse
|
2
|
Herault J, Paez L, Melo K, Thandiackal R, Lebastard V, Boyer F, Ijspeert A. Symmetry breaking and gait transition induced by hydrodynamic sensory feedback in an anguilliform swimming robot. Phys Rev E 2024; 110:055104. [PMID: 39690694 DOI: 10.1103/physreve.110.055104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 10/22/2024] [Indexed: 12/19/2024]
Abstract
The goal of this article is to identify and understand the fundamental role of spatial symmetries in the emergence of undulatory swimming using an anguilliform robot. Here, the local torque at the joints of the robot is controlled by a chain of oscillators forming a central pattern generator (CPG). By implementing a symmetric CPG with respect to the transverse plane, motor activation waves are inhibited, preventing the emergence of undulatory swimming and resulting in an oscillatory gait. We show experimentally that the swimmer can recover from the traveling wave inhibition by using distributed fluid force feedback to modulate the phase dynamics of each oscillator. This transition from oscillatory to undulating swimming is characterized by a symmetry breaking in the CPG and the body dynamics. By studying the stability of the oscillator chain, we show that the sensory feedback produces a frequency detuning gradient along the CPG chain while preserving its stability. To explain the origin of the instability, we introduce a toy model where the couplings between the dynamics of the oscillators and the body deformation reinforce the symmetry breaking.
Collapse
|
3
|
Yun S, Bae Y. Efficacy of plantar tactile sensation and balance in patients with subacute stroke following plantar kinesio taping: a randomized, cross-over preliminary study. Top Stroke Rehabil 2024:1-9. [PMID: 38986002 DOI: 10.1080/10749357.2024.2377519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 06/29/2024] [Indexed: 07/12/2024]
Abstract
BACKGROUND Kinesio tape (KT) is known to enhance tactile sensation. In stroke rehabilitation, KT is often used alongside conventional therapy (CT) to improve balance recovery. OBJECTIVE In this study, we aimed to evaluate the effectiveness of plantar KT in enhancing plantar tactile sensation (PTS) and balance ability in subacute stroke patients. METHODS In this randomized crossover trial, 22 subacute stroke participants were randomly assigned to receive no taping, paretic plantar KT, or bilateral plantar KT, with a 24-h washout period between each condition. All participants underwent 30 min of CT. The primary outcome was PTS, involving tactile sensitivity in five areas on the plantar surface and the contact area with the ground of the paretic foot. The one-leg stand (OLS) time, functional reach test (FRT), and timed up-and-go test (TUG) were employed as secondary outcomes. RESULTS Paretic plantar KT application led to significant increases in the contact area, OLS, FRT, and TUG test times. Particularly, bilateral plantar KT showed significantly greater improvement in PTS compared to paretic plantar KT. Additionally, bilateral plantar KT significantly improved OLS (p < 0.001, η2 = 0.575), FRT (p < 0.001, η2 = 781), and TUG (p < 0.001, η2 = 0.771) times compared with paretic plantar KT. CONCLUSIONS This study demonstrated that plantar KT improved PTS and balance ability in stroke rehabilitation. The findings suggest that bilateral plantar KT as an adjunct to CT may have a beneficial effect on balance recovery in patients with subacute stroke. TRIAL REGISTRATION Clinical trial KCT0009048.
Collapse
Affiliation(s)
- Seongho Yun
- Department of Physical Therapy, Michuhol Hospital, Incheon, Republic of Korea
| | - Youngsook Bae
- Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea
| |
Collapse
|
4
|
Severini G, Koenig A, Cajigas I, Lesniewski-Laas N, Niemi J, Bonato P. Subsensory stochastic electrical stimulation targeting muscle afferents alters gait control during locomotor adaptations to haptic perturbations. iScience 2023; 26:107038. [PMID: 37360695 PMCID: PMC10285629 DOI: 10.1016/j.isci.2023.107038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 03/20/2023] [Accepted: 06/01/2023] [Indexed: 06/28/2023] Open
Abstract
Subsensory noise stimulation targeting sensory receptors has been shown to improve balance control in healthy and impaired individuals. However, the potential for application of this technique in other contexts is still unknown. Gait control and adaptation rely heavily on the input from proprioceptive organs in the muscles and joints. Here we investigated the use of subsensory noise stimulation as a means to influence motor control by altering proprioception during locomotor adaptations to forces delivered by a robot. The forces increase step length unilaterally and trigger an adaptive response that restores the original symmetry. Healthy participants performed two adaptation experiments, one with stimulation applied to the hamstring muscles and one without. We found that participants adapted faster but to a lesser extent when undergoing stimulation. We argue that this behavior is because of the dual effect that the stimulation has on the afferents encoding position and velocity in the muscle spindles.
Collapse
Affiliation(s)
- Giacomo Severini
- Department of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA
- School of Electrical and Electronic Engineering, University College Dublin, Dublin, Dublin 4, Ireland
- Centre for Biomedical Engineering, University College Dublin, Dublin, Dublin 4, Ireland
| | - Alexander Koenig
- Department of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA
| | - Iahn Cajigas
- Department of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA
- Department of Neurological Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | | | - James Niemi
- Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA, USA
| | - Paolo Bonato
- Department of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA
- Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA, USA
| |
Collapse
|
5
|
Schwaner MJ, Gordon JC, Biewener AA, Daley MA. Muscle force-length dynamics during walking over obstacles indicates delayed recovery and a shift towards more 'strut-like' function in birds with proprioceptive deficit. J Exp Biol 2023; 226:jeb245199. [PMID: 37282982 PMCID: PMC10658895 DOI: 10.1242/jeb.245199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 05/16/2023] [Indexed: 06/08/2023]
Abstract
Recent studies of in vivo muscle function in guinea fowl revealed that distal leg muscles rapidly modulate force and work to stabilize running in uneven terrain. Previous studies focused on running only, and it remains unclear how muscular mechanisms for stability differ between walking and running. Here, we investigated in vivo function of the lateral gastrocnemius (LG) during walking over obstacles. We compared muscle function in birds with intact (iLG) versus self-reinnervated LG (rLG). Self-reinnervation results in proprioceptive feedback deficit due to loss of monosynaptic stretch reflex. We tested the hypothesis that proprioceptive deficit results in decreased modulation of EMG activity in response to obstacle contact, and a delayed obstacle recovery compared with that for iLG. We found that total myoelectric intensity (Etot) of iLG increased by 68% in obstacle strides (S 0) compared with level terrain, suggesting a substantial reflex-mediated response. In contrast, Etot of rLG increased by 31% in S 0 strides compared with level walking, but also increased by 43% in the first post-obstacle (S +1) stride. In iLG, muscle force and work differed significantly from level walking only in the S 0 stride, indicating a single-stride recovery. In rLG, force increased in S 0, S +1 and S +2 compared with level walking, indicating three-stride obstacle recovery. Interestingly, rLG showed little variation in work output and shortening velocity in obstacle terrain, indicating a shift towards near-isometric strut-like function. Reinnervated birds also adopted a more crouched posture across level and obstacle terrains compared with intact birds. These findings suggest gait-specific control mechanisms in walking and running.
Collapse
Affiliation(s)
- M. Janneke Schwaner
- Department of Ecology and Evolutionary Biology, University of California, Irvine, Irvine, CA 92697, USA
| | - Joanne C. Gordon
- Comparative Biomedical Sciences, Royal Veterinary College, University of London, London NW1 0TU, UK
| | - Andrew A. Biewener
- Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA
| | - Monica A. Daley
- Department of Ecology and Evolutionary Biology, University of California, Irvine, Irvine, CA 92697, USA
- Center for Integrative Movement Sciences, University of California, Irvine, Irvine, CA 92617, USA
| |
Collapse
|
6
|
Shah VA, Cruz-Almeida Y, Roy A, Cenko E, Downey RJ, Ferris DP, Hass CJ, Reuter-Lorenz PA, Clark DJ, Manini TM, Seidler RD. Uneven terrain versus dual-task walking: differential challenges imposed on walking behavior in older adults are predicted by cognitive and sensorimotor function. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.03.14.531779. [PMID: 36993462 PMCID: PMC10054936 DOI: 10.1101/2023.03.14.531779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
Aging is associated with declines in walking function. To understand these mobility declines, many studies have obtained measurements while participants walk on flat surfaces in laboratory settings during concurrent cognitive task performance (dual-tasking). This may not adequately capture the real-world challenges of walking at home and around the community. Here, we hypothesized that uneven terrains in the walking path impose differential changes to walking speed compared to dual-task walking. We also hypothesized that changes in walking speed resulting from uneven terrains will be better predicted by sensorimotor function than cognitive function. Sixty-three community-dwelling older adults (65-93 yrs old) performed overground walking under varying walking conditions. Older adults were classified into two mobility function groups based on scores of the Short Physical Performance Battery. They performed uneven terrain walking across four surface conditions (Flat, Low, Medium, and High unevenness) and performed single and verbal dual-task walking on flat ground. Participants also underwent a battery of cognitive (cognitive flexibility, working memory, inhibition) and sensorimotor testing (grip strength, 2-pt discrimination, pressure pain threshold). Our results showed that walking speed decreased during both dual-task walking and across uneven terrain walking conditions compared to walking on flat terrain. Participants with lower mobility function had even greater decreases in uneven terrain walking speeds. The change in uneven terrain speed was associated with attention and inhibitory function. Changes in both dual-task and uneven terrain walking speeds were associated with 2-point tactile discrimination. This study further documents associations between mobility, executive functions, and somatosensation, highlights the differential costs to walking imposed by uneven terrains, and identifies that older adults with lower mobility function are more likely to experience these changes to walking function.
Collapse
Affiliation(s)
- Valay A Shah
- Dept. of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA
- Dept. of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
| | - Yenisel Cruz-Almeida
- Pain Research and Intervention Center of Excellence (PRICE), University of Florida, Gainesville, FL, USA
- Dept. of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA
| | - Arkaprava Roy
- Dept. of Biostatistics, University of Florida, Gainesville, FL, USA
| | - Erta Cenko
- Dept. of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
- Dept. of Epidemiology, University of Florida, Gainesville, FL, USA
| | - Ryan J Downey
- Dept. of Biomedical Engineering, University of Florida, Gainesville, FL, USA
| | - Daniel P Ferris
- Dept. of Biomedical Engineering, University of Florida, Gainesville, FL, USA
| | - Chris J Hass
- Dept. of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA
| | | | - David J Clark
- Dept of Physiology and Aging, University of Florida, Gainesville, FL, USA
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA
| | - Todd M Manini
- Dept. of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
| | - Rachael D Seidler
- Dept. of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA
- Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA
| |
Collapse
|
7
|
Sood P, Chatterjee SA, Skinner JW, Lysne PE, Sumonthee C, Wu SS, Cohen RA, Rose DK, Woods AJ, Clark DJ. Somatosensory impairment of the feet is associated with higher activation of prefrontal cortex during walking in older adults. Exp Gerontol 2022; 165:111845. [PMID: 35644417 PMCID: PMC9892701 DOI: 10.1016/j.exger.2022.111845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 12/18/2021] [Accepted: 05/23/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND Over-activation of prefrontal cortex during walking has been reported in older adults versus young adults. Heighted activity in prefrontal cortex suggests a shift toward an executive control strategy to control walking. A potential contributing factor is degraded functioning of pattern-generating locomotor circuits in the central nervous system that are important to walking coordination. Somatosensory information is a crucial input to these circuits, so age-related impairment of somatosensation would be expected to compromise the neural control of walking. The present study tested the hypothesis that poorer somatosensation in the feet of older adults will be associated with greater recruitment of the prefrontal cortex during walking. This study also examines the extent to which somatosensory function and prefrontal activity are associated with performance on walking and balance assessments. METHODS Forty seven older adults (age 74.6 ± 6.8 years; 32 female) participated in walking assessments (typical walking and obstacle negotiation) and Berg Balance Test. During walking, prefrontal activity was measured with functional near infrared spectroscopy (fNIRS). Participants also underwent somatosensory testing with Semmes-Weinstein monofilaments. RESULTS The primary findings is that worse somatosensory monofilament level was associated with greater prefrontal cortical activity during typical walking (r = 0.38, p = 0.008) and obstacle negotiation (r = 0.40, p = 0.006). For the obstacle negotiation task, greater prefrontal activity was associated with faster walking speed (p = 0.004). Poorer somatosensation was associated with slower typical walking speed (p = 0.07) and obstacles walking speed (p < 0.001), as well as poorer balance scores (p = 0.03). CONCLUSIONS The study findings are consistent with a compensation strategy of recruiting prefrontal/executive control resources to overcome loss of somatosensory input to the central nervous system. Future research should further establish the mechanisms by which somatosensory impairments are linked to the neural control and performance of walking tasks, as well as develop intervention approaches.
Collapse
Affiliation(s)
- Pallavi Sood
- Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA
| | - Sudeshna A. Chatterjee
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA,Department of Physical Therapy, University of Florida, Gainesville, FL, USA
| | - Jared W. Skinner
- Geriatric Research, Education, and Clinical Center, Malcom Randall VA Medical Center, Gainesville, FL, USA
| | - Paige E. Lysne
- Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA
| | - Chanoan Sumonthee
- College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA
| | - Samuel S. Wu
- Department of Biostatistics, University of Florida, Gainesville, FL, USA
| | - Ronald A. Cohen
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
| | - Dorian K. Rose
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA,Department of Physical Therapy, University of Florida, Gainesville, FL, USA
| | - Adam J. Woods
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
| | - David J. Clark
- Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA,Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, USA
| |
Collapse
|
8
|
Dynamic simulation of non-programmed gait generation of quadruped robot. ARTIFICIAL LIFE AND ROBOTICS 2022. [DOI: 10.1007/s10015-022-00765-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
9
|
Schwaner MJ, Nishikawa KC, Daley MA. Kinematic trajectories in response to speed perturbations in walking suggest modular task-level control of leg angle and length. Integr Comp Biol 2022; 62:icac057. [PMID: 35612979 DOI: 10.1093/icb/icac057] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Navigating complex terrains requires dynamic interactions between the substrate, musculoskeletal and sensorimotor systems. Current perturbation studies have mostly used visible terrain height perturbations, which do not allow us to distinguish among the neuromechanical contributions of feedforward control, feedback-mediated and mechanical perturbation responses. Here, we use treadmill belt speed perturbations to induce a targeted perturbation to foot speed only, and without terrain-induced changes in joint posture and leg loading at stance onset. Based on previous studies suggesting a proximo-distal gradient in neuromechanical control, we hypothesized that distal joints would exhibit larger changes in joint kinematics, compared to proximal joints. Additionally, we expected birds to use feedforward strategies to increase the intrinsic stability of gait. To test these hypotheses, seven adult guinea fowl were video recorded while walking on a motorized treadmill, during both steady and perturbed trials. Perturbations consisted of repeated exposures to a deceleration and acceleration of the treadmill belt speed. Surprisingly, we found that joint angular trajectories and center of mass fluctuations remain very similar, despite substantial perturbation of foot velocity by the treadmill belt. Hip joint angular trajectories exhibit the largest changes, with the birds adopting a slightly more flexed position across all perturbed strides. Additionally, we observed increased stride duration across all strides, consistent with feedforward changes in the control strategy. The speed perturbations mainly influenced the timing of stance and swing, with the largest kinematic changes in the strides directly following a deceleration. Our findings do not support the general hypothesis of a proximo-distal gradient in joint control, as distal joint kinematics remain largely unchanged. Instead, we find that leg angular trajectory and the timing of stance and swing are most sensitive to this specific perturbation, and leg length actuation remains largely unchanged. Our results are consistent with modular task-level control of leg length and leg angle actuation, with different neuromechanical control and perturbation sensitivity in each actuation mode. Distal joints appear to be sensitive to changes in vertical loading but not foot fore-aft velocity. Future directions should include in vivo studies of muscle activation and force-length dynamics to provide more direct evidence of the sensorimotor control strategies for stability in response to belt speed perturbations.
Collapse
Affiliation(s)
- M J Schwaner
- Department of Ecology and Evolutionary Biology, University of California, Irvine, CA 92697
| | - K C Nishikawa
- Center for Integrative Movement Sciences, University of California, Irvine, CA 92697
- Department of Biology, Northern Arizona University, Flagstaff, AZ 86011
| | - M A Daley
- Department of Ecology and Evolutionary Biology, University of California, Irvine, CA 92697
- Center for Integrative Movement Sciences, University of California, Irvine, CA 92697
| |
Collapse
|
10
|
Hussain S, Breit KR, Thomas JD. The effects of prenatal nicotine and THC E-cigarette exposure on motor development in rats. Psychopharmacology (Berl) 2022; 239:1579-1591. [PMID: 35338387 DOI: 10.1007/s00213-022-06095-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 02/13/2022] [Indexed: 10/18/2022]
Abstract
RATIONALE In the USA, nicotine and cannabis are the most common licit and illicit drugs used among pregnant women. Importantly, nicotine and cannabis are now being combined for consumption via e-cigarettes, an increasingly popular delivery device. Both nicotine and tetrahydrocannabinol (THC), the primary psychoactive component of cannabis, cross the placenta barrier. However, the consequences of prenatal cannabis use are not well understood, and less is known about potential combination effects when consumed with nicotine, especially via e-cigarettes. OBJECTIVE The present study used a rodent model to examine how prenatal e-cigarette exposure to nicotine, THC, and the combination impacts motor development among offspring. METHODS Pregnant Sprague-Dawley rats were exposed to nicotine (36 mg/mL), THC (100 mg/mL), the combination, or vehicle via e-cigarette inhalation from gestational days (GD) 5-20. One sex pair per litter was tested on an early sensorimotor development task (postnatal days [PD] 12-20) and a parallel bar motor coordination task (PD 30-32). RESULTS Combined prenatal exposure to nicotine and THC delayed sensorimotor development, even though neither drug produced impairments on their own. In contrast, prenatal exposure to either nicotine or THC impaired motor coordination, whereas combined exposure exacerbated these effects, particularly among females. CONCLUSIONS These data illustrate that prenatal exposure to either nicotine or THC may alter motor development, and that the combination may produce more severe effects. These findings have important implications for pregnant women as we better understand the teratogenic effects of these drugs consumed via e-cigarettes.
Collapse
Affiliation(s)
- S Hussain
- Center for Behavioral Teratology, Department of Psychology, San Diego State University, CA, San Diego, USA
| | - K R Breit
- Center for Behavioral Teratology, Department of Psychology, San Diego State University, CA, San Diego, USA.,Department of Psychology, West Chester University of Pennsylvania, West Chester, PA, USA
| | - J D Thomas
- Center for Behavioral Teratology, Department of Psychology, San Diego State University, CA, San Diego, USA.
| |
Collapse
|
11
|
Clark DJ, Hawkins KA, Winesett SP, Cox BA, Pesquera S, Miles JW, Fuller DD, Fox EJ. Enhancing Locomotor Learning With Transcutaneous Spinal Electrical Stimulation and Somatosensory Augmentation: A Pilot Randomized Controlled Trial in Older Adults. Front Aging Neurosci 2022; 14:837467. [PMID: 35309891 PMCID: PMC8924500 DOI: 10.3389/fnagi.2022.837467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/10/2022] [Indexed: 11/18/2022] Open
Abstract
This study investigated locomotor learning of a complex terrain walking task in older adults, when combined with two adjuvant interventions: transcutaneous spinal direct current stimulation (tsDCS) to increase lumbar spinal cord excitability, and textured shoe insoles to increase somatosensory feedback to the spinal cord. The spinal cord has a crucial contribution to control of walking, and is a novel therapeutic target for rehabilitation of older adults. The complex terrain task involved walking a 10-meter course consisting of nine obstacles and three sections of compliant (soft) walking surface. Twenty-three participants were randomly assigned to one of the following groups: sham tsDCS and smooth insoles (sham/smooth; control group), sham tsDCS and textured insoles (sham/textured), active tsDCS and smooth insoles (active/smooth), and active tsDCS and textured insoles (active/textured). The first objective was to assess the feasibility, tolerability, and safety of the interventions. The second objective was to assess preliminary efficacy for increasing locomotor learning, as defined by retention of gains in walking speed between a baseline visit of task practice, and a subsequent follow-up visit. Variability of the center of mass while walking over the course was also evaluated. The change in executive control of walking (prefrontal cortical activity) between the baseline and follow-up visits was measured with functional near infrared spectroscopy. The study results demonstrated feasibility based on enrollment and retention of participants, tolerability based on self-report, and safety based on absence of adverse events. Preliminary efficacy was supported based on trends showing larger gains in walking speed and more pronounced reductions in mediolateral center of mass variability at the follow-up visit in the groups randomized to active tsDCS or textured insoles. These data justify future larger studies to further assess dosing and efficacy of these intervention approaches. In conclusion, rehabilitation interventions that target spinal control of walking present a potential opportunity for enhancing walking function in older adults.
Collapse
Affiliation(s)
- David J. Clark
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
- Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, United States
- *Correspondence: David J. Clark,
| | - Kelly A. Hawkins
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
- Department of Physical Therapy, University of Florida, Gainesville, FL, United States
| | - Steven P. Winesett
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States
| | - Brigette A. Cox
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
| | - Sarah Pesquera
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
| | - Jon W. Miles
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, FL, United States
| | - David D. Fuller
- Department of Physical Therapy, University of Florida, Gainesville, FL, United States
| | - Emily J. Fox
- Department of Physical Therapy, University of Florida, Gainesville, FL, United States
- Brooks Rehabilitation, Jacksonville, FL, United States
| |
Collapse
|
12
|
Mirkiani S, Roszko DA, O'Sullivan C, Faridi P, Hu DS, Fang D, Everaert DG, Toossi A, Konrad PE, Robinson K, Mushahwar VK. Overground gait kinematics and muscle activation patterns in the Yucatan mini pig. J Neural Eng 2022; 19. [PMID: 35172283 DOI: 10.1088/1741-2552/ac55ac] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 02/16/2022] [Indexed: 11/12/2022]
Abstract
Objective The objectives of this study were to assess gait biomechanics and the effect of overground walking speed on gait parameters, kinematics, and electromyographic (EMG) activity in the hindlimb muscles of Yucatan Minipigs (YMPs). Approach Nine neurologically-intact, adult YMPs were trained to walk overground in a straight line. Whole-body kinematics and EMG activity of hindlimb muscles were recorded and analyzed at 6 different speed ranges (0.4-0.59, 0.6-0.79, 0.8-0.99, 1.0-1.19, 1.2-1.39, and 1.4-1.6 m/s). A MATLAB program was developed to detect strides and gait events automatically from motion-captured data. The kinematics and EMG activity were analyzed for each stride based on the detected events. Main results Significant decreases in stride duration, stance and swing times and an increase in stride length were observed with increasing speed. A transition in gait pattern occurred at the 1.0m/s walking speed. Significant increases in the range of motion of the knee and ankle joints were observed at higher speeds. Also, the points of minimum and maximum joint angles occurred earlier in the gait cycle as the walking speed increased. The onset of EMG activity in the biceps femoris muscle occurred significantly earlier in the gait cycle with increasing speed. Significance YMPs are becoming frequently used as large animal models for preclinical testing and translation of novel interventions to humans. A comprehensive characterization of overground walking in neurologically-intact YMPs is provided in this study. These normative measures set the basis against which the effects of future interventions on locomotor capacity in YMPs can be compared.
Collapse
Affiliation(s)
- Soroush Mirkiani
- Neuroscience & Mental Health Institute and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, University of Alberta, Edmonton, Alberta, T6G 2R3, CANADA
| | - David A Roszko
- Neuroscience & Mental Health Institute and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Carly O'Sullivan
- Neuroscience & Mental Health Institute and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz, Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Pouria Faridi
- Neuroscience & Mental Health Institute and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - David S Hu
- Department of Medicine and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Daniel Fang
- Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Dirk G Everaert
- Department of Medicine and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Amirali Toossi
- Neuroscience & Mental Health Institute and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, Edmonton, Alberta, T6G 2R3, CANADA
| | - Peter E Konrad
- Department of Neurosurgery, West Virginia University, PO Box 9183, Morgantown, West Virginia, 26506, UNITED STATES
| | - Kevin Robinson
- School of Physical Therapy, Belmont University, 341 McWhorter Hall, Nashville, Tennessee, 37212, UNITED STATES
| | - Vivian K Mushahwar
- Department of Medicine and Sensory Motor Adaptive Rehabilitation Technology (SMART) Network, University of Alberta, 5005 Katz Building, University of Alberta, Edmonton, Alberta, T6G 2R3, CANADA
| |
Collapse
|
13
|
Boulain M, Khsime I, Sourioux M, Thoby-Brisson M, Barrière G, Simmers J, Morin D, Juvin L. Synergistic interaction between sensory inputs and propriospinal signalling underlying quadrupedal locomotion. J Physiol 2021; 599:4477-4496. [PMID: 34412148 DOI: 10.1113/jp281861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 08/05/2021] [Indexed: 11/08/2022] Open
Abstract
KEY POINTS Stimulation of hindlimb afferent fibres can both stabilize and increase the activity of fore- and hindlimb motoneurons during fictive locomotion. The increase in motoneuron activity is at least partially due to the production of doublets of action potentials in a subpopulation of motoneurons. These results were obtained using an in vitro brainstem/spinal cord preparation of neonatal rat. ABSTRACT Quadrupedal locomotion relies on a dynamic coordination between central pattern generators (CPGs) located in the cervical and lumbar spinal cord, and controlling the fore- and hindlimbs, respectively. It is assumed that this CPG interaction is achieved through separate closed-loop processes involving propriospinal and sensory pathways. However, the functional consequences of a concomitant involvement of these different influences on the degree of coordination between the fore- and hindlimb CPGs is still largely unknown. Using an in vitro brainstem/spinal cord preparation of neonatal rat, we found that rhythmic, bilaterally alternating stimulation of hindlimb sensory input pathways elicited coordinated hindlimb and forelimb CPG activity. During pharmacologically induced fictive locomotion, lumbar dorsal root (DR) stimulation entrained and stabilized an ongoing cervico-lumbar locomotor-like rhythm and increased the amplitude of both lumbar and cervical ventral root bursting. The increase in cervical burst amplitudes was correlated with the occurrence of doublet action potential firing in a subpopulation of motoneurons, enabling the latter to transition between low and high frequency discharge according to the intensity of DR stimulation. Moreover, our data revealed that propriospinal and sensory pathways act synergistically to strengthen cervico-lumbar interactions. Indeed, split-bath experiments showed that fully coordinated cervico-lumbar fictive locomotion was induced by combining pharmacological stimulation of either the lumbar or cervical CPGs with lumbar DR stimulation. This study thus highlights the powerful interactions between sensory and propriospinal pathways which serve to ensure the coupling of the fore- and hindlimb CPGs for effective quadrupedal locomotion.
Collapse
Affiliation(s)
- Marie Boulain
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Inès Khsime
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Mélissa Sourioux
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Muriel Thoby-Brisson
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Grégory Barrière
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - John Simmers
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Didier Morin
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| | - Laurent Juvin
- Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, Unité Mixte de Recherche 5287, CNRS, Université de Bordeaux, CNRS, EPHE, INCIA, UMR5287 F-33000, Bordeaux, France
| |
Collapse
|
14
|
Takei Y, Morishita K, Tazawa R, Saito K. Active Gaits Generation of Quadruped Robot Using Pulse-Type Hardware Neuron Models. Biomimetics (Basel) 2021. [DOI: 10.5772/intechopen.95760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
In this chapter, the authors will propose the active gait generation of a quadruped robot. We developed the quadruped robot system using self-inhibited pulse-type hardware neuron models (P-HNMs) as a solution to elucidate the gait generation method. We feedbacked pressures at the robot system’s each foot to P-HNM and varied the joints’ angular velocity individually. We experimented with making the robot walk from an upright position on a flat floor. As a result of the experiment, we confirmed that the robot system spontaneously generates walk gait and trot gait according to the moving speed. Also, we clarified the process by which the robot actively generates gaits from the upright state. These results suggest that animals may generate gait using a similarly simple method because P-HNM mimics biological neurons’ function. Furthermore, it shows that our robot system can generate gaits adaptively and quite easily.
Collapse
|
15
|
Gordon JC, Holt NC, Biewener A, Daley MA. Tuning of feedforward control enables stable muscle force-length dynamics after loss of autogenic proprioceptive feedback. eLife 2020; 9:53908. [PMID: 32573432 PMCID: PMC7334023 DOI: 10.7554/elife.53908] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Accepted: 06/12/2020] [Indexed: 12/11/2022] Open
Abstract
Animals must integrate feedforward, feedback and intrinsic mechanical control mechanisms to maintain stable locomotion. Recent studies of guinea fowl (Numida meleagris) revealed that the distal leg muscles rapidly modulate force and work output to minimize perturbations in uneven terrain. Here we probe the role of reflexes in the rapid perturbation responses of muscle by studying the effects of proprioceptive loss. We induced bilateral loss of autogenic proprioception in the lateral gastrocnemius muscle (LG) using self-reinnervation. We compared in vivo muscle dynamics and ankle kinematics in birds with reinnervated and intact LG. Reinnervated and intact LG exhibit similar steady state mechanical function and similar work modulation in response to obstacle encounters. Reinnervated LG exhibits 23ms earlier steady-state activation, consistent with feedforward tuning of activation phase to compensate for lost proprioception. Modulation of activity duration is impaired in rLG, confirming the role of reflex feedback in regulating force duration in intact muscle.
Collapse
Affiliation(s)
- Joanne C Gordon
- Comparative Biomedical Sciences, Royal Veterinary College, University of London, London, United Kingdom
| | - Natalie C Holt
- Evolution, Ecology & Organismal Biology, University of California, Riverside, Riverside, United States
| | - Andrew Biewener
- Organismic and Evolutionary Biology, Harvard University, Cambridge, Cambridge, United States
| | - Monica A Daley
- Comparative Biomedical Sciences, Royal Veterinary College, University of London, London, United Kingdom.,Ecology and Evolutionary Biology, University of California, Irvine, Irvine, United States
| |
Collapse
|
16
|
Dürr V, Arena PP, Cruse H, Dallmann CJ, Drimus A, Hoinville T, Krause T, Mátéfi-Tempfli S, Paskarbeit J, Patanè L, Schäffersmann M, Schilling M, Schmitz J, Strauss R, Theunissen L, Vitanza A, Schneider A. Integrative Biomimetics of Autonomous Hexapedal Locomotion. Front Neurorobot 2019; 13:88. [PMID: 31708765 PMCID: PMC6819508 DOI: 10.3389/fnbot.2019.00088] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 10/07/2019] [Indexed: 01/31/2023] Open
Abstract
Despite substantial advances in many different fields of neurorobotics in general, and biomimetic robots in particular, a key challenge is the integration of concepts: to collate and combine research on disparate and conceptually disjunct research areas in the neurosciences and engineering sciences. We claim that the development of suitable robotic integration platforms is of particular relevance to make such integration of concepts work in practice. Here, we provide an example for a hexapod robotic integration platform for autonomous locomotion. In a sequence of six focus sections dealing with aspects of intelligent, embodied motor control in insects and multipedal robots-ranging from compliant actuation, distributed proprioception and control of multiple legs, the formation of internal representations to the use of an internal body model-we introduce the walking robot HECTOR as a research platform for integrative biomimetics of hexapedal locomotion. Owing to its 18 highly sensorized, compliant actuators, light-weight exoskeleton, distributed and expandable hardware architecture, and an appropriate dynamic simulation framework, HECTOR offers many opportunities to integrate research effort across biomimetics research on actuation, sensory-motor feedback, inter-leg coordination, and cognitive abilities such as motion planning and learning of its own body size.
Collapse
Affiliation(s)
- Volker Dürr
- Department of Biological Cybernetics, Faculty of Biology, Bielefeld University, Bielefeld, Germany
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Paolo P. Arena
- DIEEI: Dipartimento di Ingegneria Elettrica Elettronica e Informatica, Università degli Studi di Catania, Catania, Italy
| | - Holk Cruse
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Chris J. Dallmann
- Department of Biological Cybernetics, Faculty of Biology, Bielefeld University, Bielefeld, Germany
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Alin Drimus
- Mads Clausen Institute, University of Southern Denmark, Sønderborg, Denmark
| | - Thierry Hoinville
- Department of Biological Cybernetics, Faculty of Biology, Bielefeld University, Bielefeld, Germany
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Tammo Krause
- Institut für Entwicklungsbiologie und Neurobiologie, Johannes Gutenberg-Universität, Mainz, Germany
| | | | - Jan Paskarbeit
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Luca Patanè
- DIEEI: Dipartimento di Ingegneria Elettrica Elettronica e Informatica, Università degli Studi di Catania, Catania, Italy
| | - Mattias Schäffersmann
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Malte Schilling
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Josef Schmitz
- Department of Biological Cybernetics, Faculty of Biology, Bielefeld University, Bielefeld, Germany
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Roland Strauss
- Institut für Entwicklungsbiologie und Neurobiologie, Johannes Gutenberg-Universität, Mainz, Germany
| | - Leslie Theunissen
- Department of Biological Cybernetics, Faculty of Biology, Bielefeld University, Bielefeld, Germany
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
| | - Alessandra Vitanza
- DIEEI: Dipartimento di Ingegneria Elettrica Elettronica e Informatica, Università degli Studi di Catania, Catania, Italy
| | - Axel Schneider
- Cognitive Interaction Technology: Center of Excellence, Bielefeld University, Bielefeld, Germany
- Institute of System Dynamics and Mechatronics, Bielefeld University of Applied Sciences, Bielefeld, Germany
| |
Collapse
|
17
|
Čížek P, Faigl J. Self-supervised learning of the biologically-inspired obstacle avoidance of hexapod walking robot. BIOINSPIRATION & BIOMIMETICS 2019; 14:046002. [PMID: 30995613 DOI: 10.1088/1748-3190/ab1a9c] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In this paper, we propose an integrated biologically inspired visual collision avoidance approach that is deployed on a real hexapod walking robot. The proposed approach is based on the Lobula giant movement detector (LGMD), a neural network for looming stimuli detection that can be found in visual pathways of insects, such as locusts. Although a superior performance of the LGMD in the detection of intercepting objects has been shown in many collision avoiding scenarios, its direct integration with motion control is an unexplored topic. In our work, we propose to utilize the LGMD neural network for visual interception detection with a central pattern generator (CPG) for locomotion control of a hexapod walking robot that are combined in the controller based on the long short-term memory (LSTM) recurrent neural network. Moreover, we propose self-supervised learning of the integrated controller to autonomously find a suitable setting of the system using a realistic robotic simulator. Thus, individual neural networks are trained in a simulation to enhance the performance of the controller that is then experimentally verified with a real hexapod walking robot in both collision and interception avoidance scenario and navigation in a cluttered environment.
Collapse
Affiliation(s)
- Petr Čížek
- Faculty of Electrical Engineering, Czech Technical University in Prague, Technicka 2, 166 27, Prague, Czech Republic
| | | |
Collapse
|
18
|
Hsieh KL, Wood TA, An R, Trinh L, Sosnoff JJ. Gait and Balance Impairments in Breast Cancer Survivors: A Systematic Review and Meta-analysis of Observational Studies. Arch Rehabil Res Clin Transl 2019; 1:100001. [PMID: 33570512 PMCID: PMC7853379 DOI: 10.1016/j.arrct.2018.12.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Objective To systematically review and quantitatively synthesize gait and balance impairments in breast cancer survivors compared with age-matched controls or normative values for adults who never had breast cancer. Data Sources PubMed, Cumulative Index of Nursing and Allied Health, and Web of Science was searched using terms associated with breast cancer, mobility, and adult until November 2018. Study Selection Studies were included if they were randomized control trials, cross-sectional, prospective, pre-post, or case-control by design, included adult breast cancer survivors, reported gait and/or balance metrics as primary or secondary outcomes, were peer-reviewed publications, and were written in English. The search yielded 2117 results with 29 studies meeting the inclusion criteria. Data Extraction Two reviewers assessed study quality by the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies to determine the strength of evidence for each study that met the inclusion criteria. Basic descriptors of each study, study protocol, and balance and gait measures were extracted. Meta-analysis was performed for the single leg stance, functional reach, center of pressure velocity, gait speed, and timed up and go. Data Synthesis For quality assessment, 3 studies were rated good, 16 fair, and 10 poor. The meta-analysis indicated that there were no significant differences in single leg stance between breast cancer survivors and those who never had breast cancer (P=.33). Pooled values of the functional reach task (22.16cm; 95% CI, 8.98-35.33) and center of pressure velocity (1.2cm/s; 95% CI, 0.87-1.55) suggest balance impairment in breast cancer survivors when compared with normative values. Breast cancer survivors also performed worse than those who never had breast cancer in challenging balance conditions that reduced sensory information or altered base of support. Pooled gait speed at a usual speed (0.91m/s; 95% CI, 0.2-1.6), fast speed across a short distance (1.2m/s; 95% CI, 0.31-2.1), and fast gait speed across a long distance (1.65m/s; 95% CI, 1.64-1.66) suggest gait impairments when compared with normative values. Conclusions Breast cancer survivors may demonstrate gait and balance impairments compared with normative values. Clinicians should consider assessing changes in balance and gait in breast cancer survivors to improve functional independence and prevent fall-related injuries.
Collapse
Affiliation(s)
- Katherine L Hsieh
- Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Urbana, IL
| | - Tyler A Wood
- Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Urbana, IL
| | - Ruopeng An
- Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Urbana, IL
| | - Linda Trinh
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Jacob J Sosnoff
- Department of Kinesiology and Community Health, University of Illinois at Urbana Champaign, Urbana, IL
| |
Collapse
|
19
|
Duysens J, Forner-Cordero A. Walking with perturbations: a guide for biped humans and robots. BIOINSPIRATION & BIOMIMETICS 2018; 13:061001. [PMID: 30109860 DOI: 10.1088/1748-3190/aada54] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This paper provides an update on the neural control of bipedal walking in relation to bioinspired models and robots. It is argued that most current models or robots are based on the construct of a symmetrical central pattern generator (CPG). However, new evidence suggests that CPG functioning is basically asymmetrical with its flexor half linked more tightly to the rhythm generator. The stability of bipedal gait, which is an important problem for robots and biological systems, is also addressed. While it is not possible to determine how biological biped systems guarantee stability, robot solutions can be useful to propose new hypotheses for biology. In the second part of this review, the focus is on gait perturbations, which is an important topic in robotics in view of the frequent falls of robots when faced with perturbations. From the human physiology it is known that the initial reaction often consists of a brief interruption followed by an adequate response. For instance, the successful recovery from a trip is achieved using some basic reactions (termed elevating and lowering strategies), that depend on the phase of the step cycle of the trip occurrence. Reactions to stepping unexpectedly in a hole depend on comparing expected and real feedback. Implementation of these ideas in models and robotics starts to emerge, with the most advanced robots being able to learn how to fall safely and how to deal with complicated disturbances such as provided by walking on a split-belt.
Collapse
Affiliation(s)
- Jacques Duysens
- Biomechatronics Lab., Mechatronics Department, Escola Politécnica da Universidade de São Paulo, Av. Prof. Mello Moraes, 2231, Cidade Universitária 05508-030, São Paulo-SP, Brasil. Department of Kinesiology, FaBeR, Katholieke Universiteit Leuven, Leuven, Belgium
| | | |
Collapse
|
20
|
Zamani H, Dadgoo M, Ebrahimi Takamjani I, Hajouj E, Jamshidi Khorneh AA. The Effects of Two Months Body Weight Supported Treadmill Training on Balance and Quality of Life of Patients With Incomplete Spinal Cord Injury. JOURNAL OF REHABILITATION 2018. [DOI: 10.21859/jrehab.18.4.7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
|
21
|
Postural perturbation does not reset stepping rhythm in humans, but brief intermission does. Exp Brain Res 2017; 235:3561-3572. [DOI: 10.1007/s00221-017-5084-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Accepted: 09/03/2017] [Indexed: 10/18/2022]
|
22
|
Minassian K, Hofstoetter US, Dzeladini F, Guertin PA, Ijspeert A. The Human Central Pattern Generator for Locomotion: Does It Exist and Contribute to Walking? Neuroscientist 2017; 23:649-663. [PMID: 28351197 DOI: 10.1177/1073858417699790] [Citation(s) in RCA: 95] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The ability of dedicated spinal circuits, referred to as central pattern generators (CPGs), to produce the basic rhythm and neural activation patterns underlying locomotion can be demonstrated under specific experimental conditions in reduced animal preparations. The existence of CPGs in humans is a matter of debate. Equally elusive is the contribution of CPGs to normal bipedal locomotion. To address these points, we focus on human studies that utilized spinal cord stimulation or pharmacological neuromodulation to generate rhythmic activity in individuals with spinal cord injury, and on neuromechanical modeling of human locomotion. In the absence of volitional motor control and step-specific sensory feedback, the human lumbar spinal cord can produce rhythmic muscle activation patterns that closely resemble CPG-induced neural activity of the isolated animal spinal cord. In this sense, CPGs in humans can be defined by the activity they produce. During normal locomotion, CPGs could contribute to the activation patterns during specific phases of the step cycle and simplify supraspinal control of step cycle frequency as a feedforward component to achieve a targeted speed. Determining how the human CPGs operate will be essential to advance the theory of neural control of locomotion and develop new locomotor neurorehabilitation paradigms.
Collapse
Affiliation(s)
- Karen Minassian
- 1 Center for Neuroprosthetics and Brain Mind Institute, School of Life Sciences, Swiss Federal Institute of Technology (EPFL), Lausanne, Switzerland.,2 Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria
| | - Ursula S Hofstoetter
- 2 Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria
| | - Florin Dzeladini
- 3 Biorobotics Laboratory, School of Engineering, Institute of Bioengineering, Swiss Federal Institute of Technology (EPFL), Lausanne, Switzerland
| | - Pierre A Guertin
- 4 Department of Psychiatry & Neurosciences, Laval University, Québec City, Quebec, Canada
| | - Auke Ijspeert
- 3 Biorobotics Laboratory, School of Engineering, Institute of Bioengineering, Swiss Federal Institute of Technology (EPFL), Lausanne, Switzerland
| |
Collapse
|
23
|
Frigon A. The neural control of interlimb coordination during mammalian locomotion. J Neurophysiol 2017; 117:2224-2241. [PMID: 28298308 DOI: 10.1152/jn.00978.2016] [Citation(s) in RCA: 114] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2016] [Revised: 03/02/2017] [Accepted: 03/15/2017] [Indexed: 01/06/2023] Open
Abstract
Neuronal networks within the spinal cord directly control rhythmic movements of the arms/forelimbs and legs/hindlimbs during locomotion in mammals. For an effective locomotion, these networks must be flexibly coordinated to allow for various gait patterns and independent use of the arms/forelimbs. This coordination can be accomplished by mechanisms intrinsic to the spinal cord, somatosensory feedback from the limbs, and various supraspinal pathways. Incomplete spinal cord injury disrupts some of the pathways and structures involved in interlimb coordination, often leading to a disruption in the coordination between the arms/forelimbs and legs/hindlimbs in animal models and in humans. However, experimental spinal lesions in animal models to uncover the mechanisms coordinating the limbs have limitations due to compensatory mechanisms and strategies, redundant systems of control, and plasticity within remaining circuits. The purpose of this review is to provide a general overview and critical discussion of experimental studies that have investigated the neural mechanisms involved in coordinating the arms/forelimbs and legs/hindlimbs during mammalian locomotion.
Collapse
Affiliation(s)
- Alain Frigon
- Department of Pharmacology-Physiology, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| |
Collapse
|
24
|
Gordon JC, Rankin JW, Daley MA. How do treadmill speed and terrain visibility influence neuromuscular control of guinea fowl locomotion? ACTA ACUST UNITED AC 2015; 218:3010-22. [PMID: 26254324 PMCID: PMC4631773 DOI: 10.1242/jeb.104646] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Accepted: 07/21/2015] [Indexed: 12/28/2022]
Abstract
Locomotor control mechanisms must flexibly adapt to both anticipated and unexpected terrain changes to maintain movement and avoid a fall. Recent studies revealed that ground birds alter movement in advance of overground obstacles, but not treadmill obstacles, suggesting context-dependent shifts in the use of anticipatory control. We hypothesized that differences between overground and treadmill obstacle negotiation relate to differences in visual sensory information, which influence the ability to execute anticipatory manoeuvres. We explored two possible explanations: (1) previous treadmill obstacles may have been visually imperceptible, as they were low contrast to the tread, and (2) treadmill obstacles are visible for a shorter time compared with runway obstacles, limiting time available for visuomotor adjustments. To investigate these factors, we measured electromyographic activity in eight hindlimb muscles of the guinea fowl (Numida meleagris, N=6) during treadmill locomotion at two speeds (0.7 and 1.3 m s−1) and three terrain conditions at each speed: (i) level, (ii) repeated 5 cm low-contrast obstacles (<10% contrast, black/black), and (iii) repeated 5 cm high-contrast obstacles (>90% contrast, black/white). We hypothesized that anticipatory changes in muscle activity would be higher for (1) high-contrast obstacles and (2) the slower treadmill speed, when obstacle viewing time is longer. We found that treadmill speed significantly influenced obstacle negotiation strategy, but obstacle contrast did not. At the slower speed, we observed earlier and larger anticipatory increases in muscle activity and shifts in kinematic timing. We discuss possible visuomotor explanations for the observed context-dependent use of anticipatory strategies. Summary: Guinea fowl (Numida meleagris) show speed-dependent shifts in neuromuscular control during obstacle negotiation, characterized by a greater reliance on anticipatory modulation and stride-to-stride neural adjustments at slow speed, shifting towards feedforward activation and intrinsic mechanical stability at high speed.
Collapse
Affiliation(s)
- Joanne C Gordon
- Structure and Motion Laboratory, Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA, UK
| | - Jeffery W Rankin
- Structure and Motion Laboratory, Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA, UK
| | - Monica A Daley
- Structure and Motion Laboratory, Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA, UK
| |
Collapse
|
25
|
Tarapore D, Mouret JB. Evolvability signatures of generative encodings: Beyond standard performance benchmarks. Inf Sci (N Y) 2015. [DOI: 10.1016/j.ins.2015.03.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
26
|
Buschmann T, Ewald A, von Twickel A, Büschges A. Controlling legs for locomotion-insights from robotics and neurobiology. BIOINSPIRATION & BIOMIMETICS 2015; 10:041001. [PMID: 26119450 DOI: 10.1088/1748-3190/10/4/041001] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Walking is the most common terrestrial form of locomotion in animals. Its great versatility and flexibility has led to many attempts at building walking machines with similar capabilities. The control of walking is an active research area both in neurobiology and robotics, with a large and growing body of work. This paper gives an overview of the current knowledge on the control of legged locomotion in animals and machines and attempts to give walking control researchers from biology and robotics an overview of the current knowledge in both fields. We try to summarize the knowledge on the neurobiological basis of walking control in animals, emphasizing common principles seen in different species. In a section on walking robots, we review common approaches to walking controller design with a slight emphasis on biped walking control. We show where parallels between robotic and neurobiological walking controllers exist and how robotics and biology may benefit from each other. Finally, we discuss where research in the two fields diverges and suggest ways to bridge these gaps.
Collapse
Affiliation(s)
- Thomas Buschmann
- Technische Universität München, Institute of Applied Mechanics, Boltzmannstrasse 15, D-85747 Garching, Germany
| | | | | | | |
Collapse
|
27
|
Clark DJ. Automaticity of walking: functional significance, mechanisms, measurement and rehabilitation strategies. Front Hum Neurosci 2015; 9:246. [PMID: 25999838 PMCID: PMC4419715 DOI: 10.3389/fnhum.2015.00246] [Citation(s) in RCA: 262] [Impact Index Per Article: 26.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2015] [Accepted: 04/17/2015] [Indexed: 01/29/2023] Open
Abstract
Automaticity is a hallmark feature of walking in adults who are healthy and well-functioning. In the context of walking, “automaticity” refers to the ability of the nervous system to successfully control typical steady state walking with minimal use of attention-demanding executive control resources. Converging lines of evidence indicate that walking deficits and disorders are characterized in part by a shift in the locomotor control strategy from healthy automaticity to compensatory executive control. This is potentially detrimental to walking performance, as an executive control strategy is not optimized for locomotor control. Furthermore, it places excessive demands on a limited pool of executive reserves. The result is compromised ability to perform basic and complex walking tasks and heightened risk for adverse mobility outcomes including falls. Strategies for rehabilitation of automaticity are not well defined, which is due to both a lack of systematic research into the causes of impaired automaticity and to a lack of robust neurophysiological assessments by which to gauge automaticity. These gaps in knowledge are concerning given the serious functional implications of compromised automaticity. Therefore, the objective of this article is to advance the science of automaticity of walking by consolidating evidence and identifying gaps in knowledge regarding: (a) functional significance of automaticity; (b) neurophysiology of automaticity; (c) measurement of automaticity; (d) mechanistic factors that compromise automaticity; and (e) strategies for rehabilitation of automaticity.
Collapse
Affiliation(s)
- David J Clark
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, North Florida/South Georgia Veterans Health System Gainesville, FL, USA ; Department of Aging and Geriatric Research, University of Florida Gainesville, FL, USA
| |
Collapse
|
28
|
Nakajima T, Mezzarane RA, Komiyama T, Paul Zehr E. Reflex control of human locomotion: Existence, features and functions of common interneuronal system induced by multiple sensory inputs in humans. ACTA ACUST UNITED AC 2015. [DOI: 10.7600/jpfsm.4.197] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Tsuyoshi Nakajima
- Department of Integrative Physiology, Kyorin University School of Medicine
| | - Rinaldo A. Mezzarane
- Laboratory of Signal Processing and Motor Control, College of Physical Education, University of Brasília
| | | | - E. Paul Zehr
- Division of Medical Sciences, University of Victoria
- Centre for Biomedical Research, University of Victoria
- Human Discovery Science, International Collaboration on Repair Discoveries (ICORD)
- Rehabilitation Neuroscience Laboratory, University of Victoria
| |
Collapse
|
29
|
Motor imagery of locomotion with an additional load: actual load experience does not affect differences between physical and mental durations. Exp Brain Res 2014; 233:809-16. [DOI: 10.1007/s00221-014-4156-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Accepted: 11/20/2014] [Indexed: 10/24/2022]
|
30
|
Clark DJ, Christou EA, Ring SA, Williamson JB, Doty L. Enhanced somatosensory feedback reduces prefrontal cortical activity during walking in older adults. J Gerontol A Biol Sci Med Sci 2014; 69:1422-8. [PMID: 25112494 DOI: 10.1093/gerona/glu125] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The coordination of steady state walking is relatively automatic in healthy humans, such that active attention to the details of task execution and performance (controlled processing) is low. Somatosensation is a crucial input to the spinal and brainstem circuits that facilitate this automaticity. Impaired somatosensation in older adults may reduce automaticity and increase controlled processing, thereby contributing to deficits in walking function. The primary objective of this study was to determine if enhancing somatosensory feedback can reduce controlled processing during walking, as assessed by prefrontal cortical activation. METHODS Fourteen older adults (age 77.1±5.56 years) with mild mobility deficits and mild somatosensory deficits participated in this study. Functional near-infrared spectroscopy was used to quantify metabolic activity (tissue oxygenation index, TOI) in the prefrontal cortex. Prefrontal activity and gait spatiotemporal data were measured during treadmill walking and overground walking while participants wore normal shoes and under two conditions of enhanced somatosensation: wearing textured insoles and no shoes. RESULTS Relative to walking with normal shoes, textured insoles yielded a bilateral reduction of prefrontal cortical activity for treadmill walking (ΔTOI = -0.85 and -1.19 for left and right hemispheres, respectively) and for overground walking (ΔTOI = -0.51 and -0.66 for left and right hemispheres, respectively). Relative to walking with normal shoes, no shoes yielded lower prefrontal cortical activity for treadmill walking (ΔTOI = -0.69 and -1.13 for left and right hemispheres, respectively), but not overground walking. CONCLUSIONS Enhanced somatosensation reduces prefrontal activity during walking in older adults. This suggests a less intensive utilization of controlled processing during walking.
Collapse
Affiliation(s)
- David J Clark
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, Florida. Department of Aging and Geriatric Research,
| | | | - Sarah A Ring
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, Florida
| | - John B Williamson
- Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, Florida. Department of Neurology, University of Florida, Gainesville
| | - Leilani Doty
- Department of Neurology, University of Florida, Gainesville
| |
Collapse
|
31
|
Williams I, Constandinou TG. Computationally efficient modeling of proprioceptive signals in the upper limb for prostheses: a simulation study. Front Neurosci 2014; 8:181. [PMID: 25009463 PMCID: PMC4069835 DOI: 10.3389/fnins.2014.00181] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2014] [Accepted: 06/09/2014] [Indexed: 11/13/2022] Open
Abstract
Accurate models of proprioceptive neural patterns could 1 day play an important role in the creation of an intuitive proprioceptive neural prosthesis for amputees. This paper looks at combining efficient implementations of biomechanical and proprioceptor models in order to generate signals that mimic human muscular proprioceptive patterns for future experimental work in prosthesis feedback. A neuro-musculoskeletal model of the upper limb with 7 degrees of freedom and 17 muscles is presented and generates real time estimates of muscle spindle and Golgi Tendon Organ neural firing patterns. Unlike previous neuro-musculoskeletal models, muscle activation and excitation levels are unknowns in this application and an inverse dynamics tool (static optimization) is integrated to estimate these variables. A proprioceptive prosthesis will need to be portable and this is incompatible with the computationally demanding nature of standard biomechanical and proprioceptor modeling. This paper uses and proposes a number of approximations and optimizations to make real time operation on portable hardware feasible. Finally technical obstacles to mimicking natural feedback for an intuitive proprioceptive prosthesis, as well as issues and limitations with existing models, are identified and discussed.
Collapse
Affiliation(s)
- Ian Williams
- Department of Electrical and Electronic Engineering, Imperial College London London, UK
| | - Timothy G Constandinou
- Department of Electrical and Electronic Engineering, Imperial College London London, UK ; Center for Bio-Inspired Technology, Institute of Biomedical Engineering, Imperial College London London, UK
| |
Collapse
|
32
|
Jansen K, De Groote F, Aerts W, De Schutter J, Duysens J, Jonkers I. Altering length and velocity feedback during a neuro-musculoskeletal simulation of normal gait contributes to hemiparetic gait characteristics. J Neuroeng Rehabil 2014; 11:78. [PMID: 24885302 PMCID: PMC4030738 DOI: 10.1186/1743-0003-11-78] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2013] [Accepted: 04/14/2014] [Indexed: 11/14/2022] Open
Abstract
Background Spasticity is an important complication after stroke, especially in the anti-gravity muscles, i.e. lower limb extensors. However the contribution of hyperexcitable muscle spindle reflex loops to gait impairments after stroke is often disputed. In this study a neuro-musculoskeletal model was developed to investigate the contribution of an increased length and velocity feedback and altered reflex modulation patterns to hemiparetic gait deficits. Methods A musculoskeletal model was extended with a muscle spindle model providing real-time length and velocity feedback of gastrocnemius, soleus, vasti and rectus femoris during a forward dynamic simulation (neural control model). By using a healthy subject’s base muscle excitations, in combination with increased feedback gains and altered reflex modulation patterns, the effect on kinematics was simulated. A foot-ground contact model was added to account for the interaction effect between the changed kinematics and the ground. The qualitative effect i.e. the directional effect and the specific gait phases where the effect is present, on the joint kinematics was then compared with hemiparetic gait deviations reported in the literature. Results Our results show that increased feedback in combination with altered reflex modulation patterns of soleus, vasti and rectus femoris muscle can contribute to excessive ankle plantarflexion/inadequate dorsiflexion, knee hyperextension/inadequate flexion and increased hip extension/inadequate flexion during dedicated gait cycle phases. Increased feedback of gastrocnemius can also contribute to excessive plantarflexion/inadequate dorsiflexion, however in combination with excessive knee and hip flexion. Increased length/velocity feedback can therefore contribute to two types of gait deviations, which are both in accordance with previously reported gait deviations in hemiparetic patients. Furthermore altered modulation patterns, in particular the reduced suppression of the muscle spindle feedback during swing, can contribute largely to an increased plantarflexion and knee extension during the swing phase and consequently to hampered toe clearance. Conclusions Our results support the idea that hyperexcitability of length and velocity feedback pathways, especially in combination with altered reflex modulation patterns, can contribute to deviations in hemiparetic gait. Surprisingly, our results showed only subtle temporal differences between length and velocity feedback. Therefore, we cannot attribute the effects seen in kinematics to one specific type of feedback.
Collapse
Affiliation(s)
- Karen Jansen
- Department of Kinesiology, Human Movement Biomechanics Research Group, KU Leuven, Tervuursevest 101 - box 1501, 3001 Leuven, Belgium.
| | | | | | | | | | | |
Collapse
|
33
|
Wutzke CJ, Mercer VS, Lewek MD. Influence of lower extremity sensory function on locomotor adaptation following stroke: a review. Top Stroke Rehabil 2013; 20:233-40. [PMID: 23841971 DOI: 10.1310/tsr2003-233] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Following stroke, people commonly demonstrate locomotor impairments including reduced walking speed and spatiotemporal asymmetry. Rehabilitation programs have been effective in increasing gait speed, but spatiotemporal asymmetry has been more resistant to change. The inability to modify gait patterns for improved symmetry may be related, in part, to impairments in lower extremity sensation. Assessment of lower extremity sensory impairments in people post stroke, including cutaneous and proprioceptive sensation, has been insufficiently studied. Conventional rehabilitation programs, including body weight-supported walking or robotic assistance, that modify sensory feedback intended to alter lower extremity movement patterns have shown limited success in improving gait symmetry. Rehabilitation programs that amplify specific gait asymmetries have demonstrated the potential to ultimately produce more symmetric gait, presumably by allowing individuals post stroke to more readily perceive their gait asymmetry. The effectiveness of such error augmentation paradigms, however, may be influenced by lower extremity sensation and the ability of the central nervous system to be aware of altered lower extremity movement. The purpose of this review is to critically examine the literature on lower extremity sensory function and its influence on gait adaptation in people post stroke.
Collapse
Affiliation(s)
- Clinton J Wutzke
- Interdisciplinary Program in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | | | | |
Collapse
|
34
|
Wu X, Teng L, Chen W, Ren G, Jin Y, Li G. CPGs with Continuous Adjustment of Phase Difference for Locomotion Control. INT J ADV ROBOT SYST 2013. [DOI: 10.5772/56490] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The central pattern generator (CPG) has been found to be a real, existing neuron controller for the locomotion control of animals and it has been used on bio-inspired robots widely in recent years. However, research on the adaptability of CPG-based locomotion control methods is still a challenge. In particular, the performance of the CPG method on quadruped robots is not good enough in some situations compared with the traditional force control methods. In this article, we adopt a CPG method in which phase difference between oscillators can be arbitrarily adjusted, and we try to improve the CPG's applications in quadruped robots in some aspects. One aspect is static walk gait locomotion, in which we try to add a transition state in the CPG network to enhance the static balance of the robot. Another aspect is gait transition. Compared with the traditional abrupt gait transition, we try to realize a continuous gait transition between walk gait and trot gait to decrease the fluctuations of the robot. The improved CPG method is tested on a quadruped model and it shows positive results with regard to the improvement of static walk gait and gait transitions.
Collapse
Affiliation(s)
- Xingming Wu
- School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics, Beijing, China
| | - Long Teng
- School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics, Beijing, China
| | - Weihai Chen
- School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics, Beijing, China
| | - Guanjiao Ren
- School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics, Beijing, China
| | - Yan Jin
- School of Mechanical and Aerospace Engineering, Queen's University Belfast, Belfast, UK
| | - gwei Li
- School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics, Beijing, China
| |
Collapse
|
35
|
Effect of locomotor training in completely spinalized cats previously submitted to a spinal hemisection. J Neurosci 2012; 32:10961-70. [PMID: 22875930 DOI: 10.1523/jneurosci.1578-12.2012] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
After a spinal hemisection in cats, locomotor plasticity occurring at the spinal level can be revealed by performing, several weeks later, a complete spinalization below the first hemisection. Using this paradigm, we recently demonstrated that the hemisection induces durable changes in the symmetry of locomotor kinematics that persist after spinalization. Can this asymmetry be changed again in the spinal state by interventions such as treadmill locomotor training started within a few days after the spinalization? We performed, in 9 adult cats, a spinal hemisection at thoracic level 10 and then a complete spinalization at T13, 3 weeks later. Cats were not treadmill trained during the hemispinal period. After spinalization, 5 of 9 cats were not trained and served as control while 4 of 9 cats were trained on the treadmill for 20 min, 5 d a week for 3 weeks. Using detailed kinematic analyses, we showed that, without training, the asymmetrical state of locomotion induced by the hemisection was retained durably after the subsequent spinalization. By contrast, training cats after spinalization induced a reversal of the left/right asymmetries, suggesting that new plastic changes occurred within the spinal cord through locomotor training. Moreover, training was shown to improve the kinematic parameters and the performance of the hindlimb on the previously hemisected side. These results indicate that spinal locomotor circuits, previously modified by past experience such as required for adaptation to the hemisection, can remarkably respond to subsequent locomotor training and improve bilateral locomotor kinematics, clearly showing the benefits of locomotor training in the spinal state.
Collapse
|
36
|
Sadowsky CL, Becker D, Bosques G, Dean JM, McDonald JW, Recio A, Frohman EM. Rehabilitation in transverse myelitis. Continuum (Minneap Minn) 2012; 17:816-30. [PMID: 22810933 DOI: 10.1212/01.con.0000403797.10612.d3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The consequences of neurologic injuries related to transverse myelitis (TM) are long-lasting and require rehabilitative interventions in about two-thirds of cases. Because numerous neural repair mechanisms are dependent on maintenance of an optimal amount of activity both above and below the injury level, rehabilitation and exercise are useful not only for compensatory functional purposes but also as tools in neural system restoration. The application of established neurophysiologic principles to post-TM rehabilitation has substantial impact on optimizing residual functional capabilities while facilitating the processes of central plasticity and reorganization of sensory and motor programming. The process of neurorehabilitation thereby serves both to treat the patient with TM and to help physicians interrogate and dissect the mechanisms involved in spinal cord injury, neuroprotection, and, ultimately, recovery. Post-TM rehabilitation is lifelong and should be integrated into daily living in a home setting as part of the global management of paralysis, a chronic condition with significant comorbidities.
Collapse
|
37
|
Martinez M, Delivet-Mongrain H, Leblond H, Rossignol S. Incomplete spinal cord injury promotes durable functional changes within the spinal locomotor circuitry. J Neurophysiol 2012; 108:124-34. [PMID: 22490556 DOI: 10.1152/jn.00073.2012] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
While walking in a straight path, changes in speed result mainly from adjustments in the duration of the stance phase while the swing phase remains relatively invariant, a basic feature of the spinal central pattern generator (CPG). To produce a broad range of locomotor behaviors, the CPG has to integrate modulatory inputs from the brain and the periphery and alter these swing/stance characteristics. In the present work we raise the issue as to whether the CPG can adapt or reorganize in response to a chronic change of supraspinal inputs, as is the case after spinal cord injury (SCI). Kinematic data obtained from six adult cats walking at different treadmill speeds were collected to calculate the cycle and subphase duration at different stages after a first spinal hemisection at T(10) and after a subsequent complete SCI at T(13) respectively aimed at disconnecting unilaterally and then totally the spinal cord from its supraspinal inputs. The results show, first, that the neural control of locomotion is flexible and responsive to a partial or total loss of supraspinal inputs. Second, we demonstrate that a hemisection induces durable plastic changes within the spinal locomotor circuitry below the lesion. In addition, this study gives new insights into the organization of the spinal CPG for locomotion such that phases of the step cycle (swing, stance) can be independently regulated for adapting to speed and also that the CPGs controlling the left and right hindlimbs can, up to a point, be regulated independently.
Collapse
Affiliation(s)
- Marina Martinez
- Groupe de Recherche sur le Système Nerveux Central (FRSQ), Department of Physiology, Université de Montréal, Montreal, Quebec, Canada
| | | | | | | |
Collapse
|
38
|
Field-Fote E, Ness LL, Ionno M. Vibration Elicits Involuntary, Step-Like Behavior in Individuals With Spinal Cord Injury. Neurorehabil Neural Repair 2012; 26:861-9. [DOI: 10.1177/1545968311433603] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Impaired walking is a debilitating consequence of spinal cord injury (SCI). This impairment arises, to some degree, from disruption of supraspinal pathways that activate the spinal locomotor central pattern generator (CPG). Evidence in nondisabled (ND) individuals suggests that vibration activates locomotor CPGs, eliciting involuntary step-like behavior. Objective. To compare vibration-elicited step-like behavior in individuals with chronic SCIs with the responses of ND individuals and to assess the influence of locomotor training on these responses. Methods. Participants included 7 individuals with motor-incomplete SCIs (MISCIs) and 6 with motor-complete SCIs (MCSCIs) who were untrained, 6 individuals with MISCIs who underwent locomotor training, and 8 ND individuals. Kinematic and EMG data were collected while vibration was applied to the quadriceps, hamstrings, or tensor fascia latae (TFL) muscles. Consistency and robustness of vibration-elicited responses was determined from hip and knee angle data. Results. Consistent and reliable step-like behaviors were elicited in individuals with MISCIs and MCSCIs, although responses were not as robust as those in ND individuals. Vibration to the TFL elicited the most robust responses. Consistency and robustness were not influenced by SCI severity or locomotor training but appeared to increase with repeated testing. Conclusion. These results confirm that vibration elicits step-like behaviors in individuals with SCIs, even those with no voluntary motor function in the legs. Further research is warranted to investigate the use of vibration as an approach to activating the spinal CPGs associated with stepping, perhaps as an adjunct to locomotor training for individuals with SCIs.
Collapse
Affiliation(s)
- Edelle Field-Fote
- University of Miami Miller School of Medicine, Miami, FL, USA
- University of Miami Miller School of Medicine, Coral Gables, FL, USA
| | - Lanitia L. Ness
- University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michele Ionno
- University of Miami Miller School of Medicine, Miami, FL, USA
| |
Collapse
|
39
|
Rossignol S, Frigon A. Recovery of Locomotion After Spinal Cord Injury: Some Facts and Mechanisms. Annu Rev Neurosci 2011; 34:413-40. [PMID: 21469957 DOI: 10.1146/annurev-neuro-061010-113746] [Citation(s) in RCA: 228] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Serge Rossignol
- Groupe de Recherche sur le Système Nerveux Central (FRSQ), Department of Physiology, and Multidisciplinary Team in Locomotor Rehabilitation of the Canadian Institutes for Health Research, Université de Montréal, Montreal H3C 3J7, Canada;
| | - Alain Frigon
- Groupe de Recherche sur le Système Nerveux Central (FRSQ), Department of Physiology, and Multidisciplinary Team in Locomotor Rehabilitation of the Canadian Institutes for Health Research, Université de Montréal, Montreal H3C 3J7, Canada;
- Department of Physiology and Biophysics, Université de Sherbrooke, Sherbrooke JIH 5N4, Canada
| |
Collapse
|
40
|
Degallier S, Righetti L, Gay S, Ijspeert A. Toward simple control for complex, autonomous robotic applications: combining discrete and rhythmic motor primitives. Auton Robots 2011. [DOI: 10.1007/s10514-011-9235-2] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
41
|
Colacino FM, Rustighi E, Mace BR. An EMG-driven musculoskeletal model for the estimation of biomechanical parameters of wrist flexors. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2011; 2010:4870-3. [PMID: 21096908 DOI: 10.1109/iembs.2010.5627429] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A musculoskeletal model of wrist flexors comprising musculoskeletal dynamics and limb anatomy was experimentally validated with healthy subjects during maximum voluntary contractions. Electromyography signals recorded from flexors were used as input, while measured torques exerted by the hand were compared to the torques predicted by the model. The root mean square error and the normalized root mean square error calculated during estimation and validation phases were compared. In total, six subject-specific musculoskeletal parameters were estimated, while biomechanical indexes such as the operating range of the flexors, the stiffness of the wrist flexion musculotendon actuators, and the contribution of the muscle fibers to the joint moment were computed. Results are in agreement with previously published data.
Collapse
|
42
|
Martinez M, Brezun JM, Xerri C. Sensorimotor experience influences recovery of forelimb abilities but not tissue loss after focal cortical compression in adult rats. PLoS One 2011; 6:e16726. [PMID: 21359230 PMCID: PMC3040209 DOI: 10.1371/journal.pone.0016726] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Accepted: 12/22/2010] [Indexed: 11/23/2022] Open
Abstract
Sensorimotor activity has been shown to play a key role in functional outcome after extensive brain damage. This study was aimed at assessing the influence of sensorimotor experience through subject-environment interactions on the time course of both lesion and gliosis volumes as well as on the recovery of forelimb sensorimotor abilities following focal cortical injury. The lesion consisted of a cortical compression targeting the forepaw representational area within the primary somatosensory cortex of adult rats. After the cortical lesion, rats were randomly subjected to various postlesion conditions: unilateral C5-C6 dorsal root transection depriving the contralateral cortex from forepaw somatosensory inputs, standard housing or an enriched environment promoting sensorimotor experience and social interactions. Behavioral tests were used to assess forelimb placement during locomotion, forelimb-use asymmetry, and forepaw tactile sensitivity. For each group, the time course of tissue loss was described and the gliosis volume over the first postoperative month was evaluated using an unbiased stereological method. Consistent with previous studies, recovery of behavioral abilities was found to depend on post-injury experience. Indeed, increased sensorimotor activity initiated early in an enriched environment induced a rapid and more complete behavioral recovery compared with standard housing. In contrast, severe deprivation of peripheral sensory inputs led to a delayed and only partial sensorimotor recovery. The dorsal rhizotomy was found to increase the perilesional gliosis in comparison to standard or enriched environments. These findings provide further evidence that early sensory experience has a beneficial influence on the onset and time course of functional recovery after focal brain injury.
Collapse
Affiliation(s)
- Marina Martinez
- CNRS UMR 6149, Integrative and Adaptive Neurosciences, Pôle 3 C, IFR 131, University of Provence, Marseilles, France
| | - Jean-Michel Brezun
- CNRS UMR 6149, Integrative and Adaptive Neurosciences, Pôle 3 C, IFR 131, University of Provence, Marseilles, France
| | - Christian Xerri
- CNRS UMR 6149, Integrative and Adaptive Neurosciences, Pôle 3 C, IFR 131, University of Provence, Marseilles, France
| |
Collapse
|
43
|
von Twickel A, Büschges A, Pasemann F. Deriving neural network controllers from neuro-biological data: implementation of a single-leg stick insect controller. BIOLOGICAL CYBERNETICS 2011; 104:95-119. [PMID: 21327828 DOI: 10.1007/s00422-011-0422-1] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2010] [Accepted: 01/27/2011] [Indexed: 05/30/2023]
Abstract
This article presents modular recurrent neural network controllers for single legs of a biomimetic six-legged robot equipped with standard DC motors. Following arguments of Ekeberg et al. (Arthropod Struct Dev 33:287-300, 2004), completely decentralized and sensori-driven neuro-controllers were derived from neuro-biological data of stick-insects. Parameters of the controllers were either hand-tuned or optimized by an evolutionary algorithm. Employing identical controller structures, qualitatively similar behaviors were achieved for robot and for stick insect simulations. For a wide range of perturbing conditions, as for instance changing ground height or up- and downhill walking, swing as well as stance control were shown to be robust. Behavioral adaptations, like varying locomotion speeds, could be achieved by changes in neural parameters as well as by a mechanical coupling to the environment. To a large extent the simulated walking behavior matched biological data. For example, this was the case for body support force profiles and swing trajectories under varying ground heights. The results suggest that the single-leg controllers are suitable as modules for hexapod controllers, and they might therefore bridge morphological- and behavioral-based approaches to stick insect locomotion control.
Collapse
Affiliation(s)
- Arndt von Twickel
- Department of Neurocybernetics, Institute of Cognitive Science, University of Osnabrück, Germany.
| | | | | |
Collapse
|
44
|
Rossignol S, Frigon A, Barrière G, Martinez M, Barthélemy D, Bouyer L, Bélanger M, Provencher J, Chau C, Brustein E, Barbeau H, Giroux N, Marcoux J, Langlet C, Alluin O. Chapter 16--spinal plasticity in the recovery of locomotion. PROGRESS IN BRAIN RESEARCH 2011; 188:229-41. [PMID: 21333814 DOI: 10.1016/b978-0-444-53825-3.00021-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Locomotion is a very robust motor pattern which can be optimized after different types of lesions to the central and/or peripheral nervous system. This implies that several plastic mechanisms are at play to re-express locomotion after such lesions. Here, we review some of the key observations that helped identify some of these plastic mechanisms. At the core of this plasticity is the existence of a spinal central pattern generator (CPG) which is responsible for hindlimb locomotion as observed after a complete spinal cord section. However, normally, the CPG pattern is adapted by sensory inputs to take the environment into account and by supraspinal inputs in the context of goal-directed locomotion. We therefore also review some of the sensory and supraspinal mechanisms involved in the recovery of locomotion after partial spinal injury. We particularly stress a recent development using a dual spinal lesion paradigm in which a first partial spinal lesion is made which is then followed, some weeks later, by a complete spinalization. The results show that the spinal cord below the spinalization has been changed by the initial partial lesion suggesting that, in the recovery of locomotion after partial spinal lesion, plastic mechanisms within the spinal cord itself are very important.
Collapse
Affiliation(s)
- Serge Rossignol
- Groupe de Recherche sur le Système Nerveux Central, Department of Physiology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
45
|
Zörner B, Filli L, Starkey ML, Gonzenbach R, Kasper H, Röthlisberger M, Bolliger M, Schwab ME. Profiling locomotor recovery: comprehensive quantification of impairments after CNS damage in rodents. Nat Methods 2010; 7:701-8. [DOI: 10.1038/nmeth.1484] [Citation(s) in RCA: 92] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
|
46
|
Abstract
The importance of the interaction between the body and the brain for the control of behavior has been recognized in recent years with the advent of neuromechanics, a field in which the coupling between neural and biomechanical processes is an explicit focus. A major tool used in neuromechanics is simulation, which connects computational models of neural circuits to models of an animal's body situated in a virtual physical world. This connection closes the feedback loop that links the brain, the body, and the world through sensory stimuli, muscle contractions, and body movement. Neuromechanical simulations enable investigators to explore the dynamical relationships between the brain, the body, and the world in ways that are difficult or impossible through experiment alone. Studies in a variety of animals have permitted the analysis of extremely complex and dynamic neuromechanical systems, they have demonstrated that the nervous system functions synergistically with the mechanical properties of the body, they have examined hypotheses that are difficult to test experimentally, and they have explored the role of sensory feedback in controlling complex mechanical systems with many degrees of freedom. Each of these studies confronts a common set of questions: (i) how to abstract key features of the body, the world and the CNS in a useful model, (ii) how to ground model parameters in experimental reality, (iii) how to optimize the model and identify points of sensitivity and insensitivity, and (iv) how to share neuromechanical models for examination, testing, and extension by others.
Collapse
Affiliation(s)
- Donald H Edwards
- Neuroscience Institute, Georgia State University Atlanta, GA, USA
| |
Collapse
|
47
|
Aoi S, Ogihara N, Funato T, Sugimoto Y, Tsuchiya K. Evaluating functional roles of phase resetting in generation of adaptive human bipedal walking with a physiologically based model of the spinal pattern generator. BIOLOGICAL CYBERNETICS 2010; 102:373-87. [PMID: 20217427 DOI: 10.1007/s00422-010-0373-y] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2009] [Accepted: 02/11/2010] [Indexed: 05/25/2023]
Abstract
The central pattern generators (CPGs) in the spinal cord strongly contribute to locomotor behavior. To achieve adaptive locomotion, locomotor rhythm generated by the CPGs is suggested to be functionally modulated by phase resetting based on sensory afferent or perturbations. Although phase resetting has been investigated during fictive locomotion in cats, its functional roles in actual locomotion have not been clarified. Recently, simulation studies have been conducted to examine the roles of phase resetting during human bipedal walking, assuming that locomotion is generated based on prescribed kinematics and feedback control. However, such kinematically based modeling cannot be used to fully elucidate the mechanisms of adaptation. In this article we proposed a more physiologically based mathematical model of the neural system for locomotion and investigated the functional roles of phase resetting. We constructed a locomotor CPG model based on a two-layered hierarchical network model of the rhythm generator (RG) and pattern formation (PF) networks. The RG model produces rhythm information using phase oscillators and regulates it by phase resetting based on foot-contact information. The PF model creates feedforward command signals based on rhythm information, which consists of the combination of five rectangular pulses based on previous analyses of muscle synergy. Simulation results showed that our model establishes adaptive walking against perturbing forces and variations in the environment, with phase resetting playing important roles in increasing the robustness of responses, suggesting that this mechanism of regulation may contribute to the generation of adaptive human bipedal locomotion.
Collapse
Affiliation(s)
- Shinya Aoi
- Department of Aeronautics and Astronautics, Graduate School of Engineering, Kyoto University, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501, Japan.
| | | | | | | | | |
Collapse
|
48
|
Martinez M, Brezun JM, Zennou-Azogui Y, Baril N, Xerri C. Sensorimotor training promotes functional recovery and somatosensory cortical map reactivation following cervical spinal cord injury. Eur J Neurosci 2009; 30:2356-67. [PMID: 20092578 DOI: 10.1111/j.1460-9568.2009.07019.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Sensorimotor activity has been shown to play a key role in functional recovery after partial spinal cord injury (SCI). Most studies in rodents have focused on the rehabilitation of hindlimb locomotor functions after thoracic or lumbar SCI, whereas forelimb motor and somatosensory abilities after cervical SCI remain largely uninvestigated, despite the high incidence of such injuries in humans. Moreover, little is known about the neurophysiological substrates of training-induced recovery in supraspinal structures. This study was aimed at evaluating the effects of a training procedure combining both motor and sensory stimulation on behavioral performance and somatosensory cortical map remodeling after cervical (C4-C5) spinal hemisection in rats. This SCI severely impaired both sensory and motor capacities in the ipsilateral limbs. Without training, post-lesion motor capacities gradually improved, whereas forepaw tactile abilities remained impaired. Consistently, no stimulus-evoked responses were recorded within the forepaw representational zone in the primary somatosensory (S1) cortex at 2 months after the SCI. However, our data reveal that with training started from the 7th day post-lesion, a nearly complete recovery (characterized by an early and rapid improvement of motor functions) was associated with a gradual compensation of tactile deficits. Furthermore, the recovery of tactile abilities was correlated with the areal extent of reactivation of S1 cortex forepaw representations. Rehabilitative training promoted post-lesion adaptive plasticity, probably by enhancing endogenous activity within spared spinal and supraspinal circuits and pathways sustaining sensory and motor functions. This study highlights the beneficial effect of sensorimotor training in motor improvement and its critical influence on tactile recovery after SCI.
Collapse
Affiliation(s)
- Marina Martinez
- CNRS UMR 6149, IFR des Neurosciences, Université de Provence, Marseille, France
| | | | | | | | | |
Collapse
|
49
|
Martinez M, Delcour M, Russier M, Zennou-Azogui Y, Xerri C, Coq JO, Brezun JM. Differential tactile and motor recovery and cortical map alteration after C4-C5 spinal hemisection. Exp Neurol 2009; 221:186-97. [PMID: 19896483 DOI: 10.1016/j.expneurol.2009.10.022] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2009] [Revised: 10/25/2009] [Accepted: 10/27/2009] [Indexed: 10/20/2022]
Abstract
After incomplete spinal cord injury (SCI), the adult central nervous system is spontaneously capable of substantial reorganizations that can underlie functional recovery. Most studies have focused on intraspinal reorganizations after SCI and not on the correlative cortical remodeling. Yet, differential studies of neural correlates of the recovery of sensory and motor abilities may be conducted by segregating motor and somatosensory representations in distinct and topologically organized primary cortical areas. This study was aimed at evaluating the effects of a cervical (C4-C5) spinal cord hemisection on sensorimotor performances and electrophysiological maps in primary somatosensory (S1) and motor (M1) cortices in adult rats. After SCI, an enduring loss of the affected forepaw tactile sensitivity was paralleled by the abolishment of somatosensory evoked responses in the deprived forepaw area within the S1 cortex. In contrast, severe motor deficits in unilateral forelimb were partially restored over the first postoperative month, despite remnant deficits in distal movement. The overall M1 map size was drastically reduced in SCI rats relative to intact rats. In the remaining M1 map, the shoulder and elbow movements were over-represented, consistent with the behavioral recovery of proximal joint movements in almost all rats. By contrast, residual wrist representations were observed in M1 maps of half of the rats that did not systematically correlate with a behavioral recovery of these joint movements. This study highlights the differential potential of ascending and descending pathways to reorganize after SCI.
Collapse
Affiliation(s)
- Marina Martinez
- Neurosciences Intégratives et Adaptatives, UMR 6149 Université de Provence / CNRS, Pôle 3C, case B, Marseille cedex 03, France
| | | | | | | | | | | | | |
Collapse
|
50
|
Distinct inhibitory neurons exert temporally specific control over activity of a motoneuron receiving concurrent excitation and inhibition. J Neurosci 2009; 29:11732-44. [PMID: 19776260 DOI: 10.1523/jneurosci.3051-09.2009] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Recent work suggests that concurrent excitation and inhibition originating in central pattern generators (CPGs) may be used to control rhythmic motoneuronal activity. The specific roles that the inhibition plays in such cases are not well understood, however, in part because of the lack of identification of presynaptic inhibitory neurons. Here we demonstrate that, in the Aplysia feeding CPG, inhibitory inputs may be critical for flexible control of the activity of motoneurons in different forms of behavior. The feeding CPG generates ingestive and egestive motor programs, differing in the high and low activity, respectively, of the motoneuron B8 during the retraction phase of the programs. We show that, during retraction, B8 receives concurrent excitation and inhibition that produces a high-conductance state. The inhibition originates in two types of CPG neurons, B4/5 and B70, that are more active in egestion than ingestion and play a role in suppressing B8 activity during egestion. In turn, the activities of both B4/5 and B70 are suppressed by the ingestion-promoting descending interneuron CBI-3 (for cerebral-buccal interneuron 3). Thus, concurrent excitation and inhibition may be an effective means of controlling motoneuronal activity in a behavior-dependent manner. More detailed analyses reveal, furthermore, that B4/5 and B70 exert complementary actions by acting preferentially in the early and late part of retraction, respectively. Thus, the use of multiple neurons to generate inhibitory inputs to motoneurons that receive concurrent excitation and inhibition brings an additional level of flexibility that allows a temporally specific control of motoneuronal activity within a single phase of motor programs.
Collapse
|