Abstract:Unilateral axial muscle vibration, eliciting a proprioceptive volley, is known to incite steering behavior. Whole-body rotation while stepping in place also occurs as an after-effect of stepping on a circular treadmill (podokinetic after-rotation, PKAR). Here, we tested the hypothesis that PKAR is modulated by axial muscle vibration. If both phenomena operate through a common pathway, enhancement or cancellation of body rotation would occur depending on the stimulated side when vibration is administered concur… Show more
“…Asymmetric proprioceptive input elicited by vibration of axial (neck and trunk) muscles produces steering and turning (29, 56–59), whereas proprioceptive input from the leg contributes to fine adjustment of the spinal pattern generators for walking (60, 61). Input from axial muscles would play the role of a servo-mechanism, whereby minor asymmetries initiated by asymmetric foot placement (1, 62) would affect the spinal generators to produce the necessary fine changes in leg and foot kinematics accompanying heading changes.…”
Section: Sensory Feedback During Walking and Turningmentioning
confidence: 99%
“…Whether or not continuous walking along a circular trajectory is also favored by a shift in our straight-ahead goes beyond the scope of this short review, but we would note that a shift in subjective straight-ahead occurs after a period of stepping in place on a rotating treadmill (63). In turn, it is not unlikely that a shift in the straight-ahead is produced by the feedback from the muscles producing the rotation of the pelvis and trunk over the standing leg when walking along a curved trajectory or when stepping in place and turning (54, 59). Vision is obviously not necessary for implementing a curved trajectory (5), but the continuous visual field motion would nonetheless favor the fine tuning of the gait synergies underpinning the production of the circular trajectory (24, 64).…”
Section: Sensory Feedback During Walking and Turningmentioning
confidence: 99%
“…Notably, the synergies responsible for maintaining a fixed body orientation in space while stepping on the rotating treadmill (45) are the same that are put in place when stepping in place while voluntarily turning (54). Prolonged stepping in place and turning produces in normal subjects an after-effect consisting in a long lasting spontaneous turning on the spot (eyes closed), likely created by adaptation to the continuously activated somatosensory channel (54, 59, 192). Time decay of angular velocity, stepping cadence, and head acceleration were remarkably similar after both conditioning procedures [voluntarily stepping-and-turning and the so-called podokinetic stimulation by the rotating treadmill (193)].…”
Section: Rehabilitation Of Curved Walkingmentioning
confidence: 99%
“…Moreover, vibratory stimulation of trunk muscles significantly increases stride length, cadence and velocity in both patients and healthy subjects (199). As far as curved walking is concerned, it is notable that, in healthy subjects, vibration of trunk muscles interferes with the above mentioned podokinetic aftereffect by enhancing—or reducing—body rotation velocity depending on the vibrated side (59). The summation of vibration and podokinetic effect speaks for the capacity of the proprioceptive input from the trunk and from the pelvis muscles to affect steering by modulating the activity of the responsible brain centers through a common mechanism.…”
Section: Rehabilitation Of Curved Walkingmentioning
In this review, we briefly recall the fundamental processes allowing us to change locomotion trajectory and keep walking along a curved path and provide a review of contemporary literature on turning in older adults and people with Parkinson's Disease (PD). The first part briefly summarizes the way the body exploits the physical laws to produce a curved walking trajectory. Then, the changes in muscle and brain activation underpinning this task, and the promoting role of proprioception, are briefly considered. Another section is devoted to the gait changes occurring in curved walking and steering with aging. Further, freezing during turning and rehabilitation of curved walking in patients with PD is mentioned in the last part. Obviously, as the research on body steering while walking or turning has boomed in the last 10 years, the relevant critical issues have been tackled and ways to improve this locomotor task proposed. Rationale and evidences for successful training procedures are available, to potentially reduce the risk of falling in both older adults and patients with PD. A better understanding of the pathophysiology of steering, of the subtle but vital interaction between posture, balance, and progression along non-linear trajectories, and of the residual motor learning capacities in these cohorts may provide solid bases for new rehabilitative approaches.
“…Asymmetric proprioceptive input elicited by vibration of axial (neck and trunk) muscles produces steering and turning (29, 56–59), whereas proprioceptive input from the leg contributes to fine adjustment of the spinal pattern generators for walking (60, 61). Input from axial muscles would play the role of a servo-mechanism, whereby minor asymmetries initiated by asymmetric foot placement (1, 62) would affect the spinal generators to produce the necessary fine changes in leg and foot kinematics accompanying heading changes.…”
Section: Sensory Feedback During Walking and Turningmentioning
confidence: 99%
“…Whether or not continuous walking along a circular trajectory is also favored by a shift in our straight-ahead goes beyond the scope of this short review, but we would note that a shift in subjective straight-ahead occurs after a period of stepping in place on a rotating treadmill (63). In turn, it is not unlikely that a shift in the straight-ahead is produced by the feedback from the muscles producing the rotation of the pelvis and trunk over the standing leg when walking along a curved trajectory or when stepping in place and turning (54, 59). Vision is obviously not necessary for implementing a curved trajectory (5), but the continuous visual field motion would nonetheless favor the fine tuning of the gait synergies underpinning the production of the circular trajectory (24, 64).…”
Section: Sensory Feedback During Walking and Turningmentioning
confidence: 99%
“…Notably, the synergies responsible for maintaining a fixed body orientation in space while stepping on the rotating treadmill (45) are the same that are put in place when stepping in place while voluntarily turning (54). Prolonged stepping in place and turning produces in normal subjects an after-effect consisting in a long lasting spontaneous turning on the spot (eyes closed), likely created by adaptation to the continuously activated somatosensory channel (54, 59, 192). Time decay of angular velocity, stepping cadence, and head acceleration were remarkably similar after both conditioning procedures [voluntarily stepping-and-turning and the so-called podokinetic stimulation by the rotating treadmill (193)].…”
Section: Rehabilitation Of Curved Walkingmentioning
confidence: 99%
“…Moreover, vibratory stimulation of trunk muscles significantly increases stride length, cadence and velocity in both patients and healthy subjects (199). As far as curved walking is concerned, it is notable that, in healthy subjects, vibration of trunk muscles interferes with the above mentioned podokinetic aftereffect by enhancing—or reducing—body rotation velocity depending on the vibrated side (59). The summation of vibration and podokinetic effect speaks for the capacity of the proprioceptive input from the trunk and from the pelvis muscles to affect steering by modulating the activity of the responsible brain centers through a common mechanism.…”
Section: Rehabilitation Of Curved Walkingmentioning
In this review, we briefly recall the fundamental processes allowing us to change locomotion trajectory and keep walking along a curved path and provide a review of contemporary literature on turning in older adults and people with Parkinson's Disease (PD). The first part briefly summarizes the way the body exploits the physical laws to produce a curved walking trajectory. Then, the changes in muscle and brain activation underpinning this task, and the promoting role of proprioception, are briefly considered. Another section is devoted to the gait changes occurring in curved walking and steering with aging. Further, freezing during turning and rehabilitation of curved walking in patients with PD is mentioned in the last part. Obviously, as the research on body steering while walking or turning has boomed in the last 10 years, the relevant critical issues have been tackled and ways to improve this locomotor task proposed. Rationale and evidences for successful training procedures are available, to potentially reduce the risk of falling in both older adults and patients with PD. A better understanding of the pathophysiology of steering, of the subtle but vital interaction between posture, balance, and progression along non-linear trajectories, and of the residual motor learning capacities in these cohorts may provide solid bases for new rehabilitative approaches.
“…Contrary to linear trajectories, the sharp turns included in the nFo8 path require accurate and coordinated activity of the leg intra-and extra-rotator muscles (69)(70)(71), which produce pelvis and trunk rotation over the stance leg (5,72). While manual measurement of leg rotator muscles bears a considerable error (73), a tool such as the nFo8 path would functionally quantify sensorimotor limitations in walking and turning and represent a good screening tool in frail elderlies and patients with locomotor impairment.…”
Background: Locomotion along curved trajectories requires fine coordination among body segments. Elderly people may adopt a cautious attitude when steering. A simple, expeditious, patient-friendly walking protocol can be a tool to help clinicians. We evaluated the feasibility of a procedure based upon a newly designed Figure-of-eight (nFo8) path and an easy measurement operation.Methods: Sixty healthy volunteers, aged from 20 to 86 years, walked three times at self-selected speed along a 20 m linear (LIN) and the 20 m nFo8 path. Number of steps, mean speed and walk ratio (step length/cadence) were collected. Data were analysed for the entire cohort and for the groups aged 20–45, 46–65, and >65 years.Results: There was no difference in mean LIN walking speed between the two younger groups but the oldest was slower. During nFo8, all groups were slower (about 16%) than during LIN. Cadence was not different across groups but lower during nFo8 in each group. Step length was about 8% shorter in the two younger groups and 14% shorter in the oldest during nFo8 compared to LIN. Walk ratio was the smallest in the oldest group for both LIN and nFo8.Conclusions: A complex nFo8 walking path, with fast and easy measurement of a simple set of variables, detects significant differences with moderate and large effects in gait variables in people >65 years. This challenging trajectory is more revealing than LIN. Further studies are needed to develop a quick clinical tool for assessment of gait conditions or outcome of rehabilitative treatments.
Various diseases are associated with the impaired control of the medio-lateral (ML) position of the centre of feet pressure (CoP), and several manoeuvres have been proposed for enhancing the CoP symmetry. Here, we assessed in healthy standing subjects the feasibility and outcome of a novel protocol entailing a reaction to a continuous asymmetric ML displacement (10 cm) of the support base. The periodic perturbation consisted of a fast half-cycle (0.5 Hz) followed by a slow half-cycle (0.18 Hz). One hundred successive horizontal translation cycles were delivered in sequence. Eyes were open or closed. CoP was recorded before, after, and during the stimulation by a dynamometric platform fixed onto the translating platform. We found that the post-stimulation CoP was displaced towards the direction of the fast half-cycles. The displacement lasted several tens of seconds. Vision did not affect the amplitude or duration of the post-stimulation effect. The magnitude of post-stimulation CoP displacement was related to the perturbation-induced ML motion of CoP recorded during the stimulation. Over the successive perturbation cycles, the time-course of this motion revealed an adaptation phenomenon. Vision moderately reduced the adaptation rate. The findings support the feasibility of the administration of a simple asymmetric balance perturbation protocol in clinical settings to help patients recover the symmetry of the CoP. This protocol needs to be further validated in older populations and in patients.
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