Interlimb Coordination Research Articles

A secondary motor area contributing to interlimb coordination during visually guided locomotion inthecat.

We investigated the contribution of cytoarchitectonic cortical area 4δc, in the caudal bank of the cruciate sulcus of the cat, to the control of visually guided locomotion. To do so, we recorded the activity of 114 neurons in 4δc while cats walked on a treadmill and stepped over an obstacle that advanced toward them. A total of 84/114 (74%) cells were task-related and 68/84 (81%) of these cells showed significant modulation of their discharge frequency when the contralateral limbs were the first to step over the obstacle. These latter cells included a substantial proportion (27/68 40%) that discharged between the passage of the contralateral forelimb and the contralateral hindlimb over the obstacle, suggesting a contribution of this area to interlimb coordination. We further compared the discharge in area 4δc with the activity patterns of cells in the rostral division of the same cytoarchitectonic area (4δr), which has been suggested to be a separate functional region. Despite some differences in the patterns of activity in the 2 subdivisions, we suggest that activity in each is compatible with a contribution to interlimb coordination and that they should be considered as a single functional area that contributes to both forelimb-forelimb and forelimb-hindlimb coordination.

Methodological Considerations in Assessing Interlimb Coordination on Poststroke Gait: A Scoping Review of Biomechanical Approaches and Outcomes.

Objective: To identify and summarize biomechanical assessment approaches in interlimb coordination on poststroke gait. Introduction: Interlimb coordination involves complex neurophysiological mechanisms that can be expressed through the biomechanical output. The deepening of this concept would have a significant contribution in gait rehabilitation in patients with an asymmetric neurological impairment as poststroke adults. Inclusion criteria: Poststroke adults (>19 years old), with assessment of interlimb coordination during gait, in an open context, according to the Population, Concept, Context framework. Methods: A literature search was performed in PubMed, Web of Science™, Scopus, and gray literature in Google Scholar™, according to the PRISMA-ScR recommendations. Studies written in Portuguese or English language and published between database inception and 14 November 2021 were included. Qualitative studies, conference proceedings, letters, and editorials were excluded. The main conceptual categories were “author/year”, “study design”, “participant’s characteristics”, “walking conditions”, “instruments” and “outcomes”. Results: The search identified 827 potentially relevant studies, with a remaining seven fulfilling the established criteria. Interlimb coordination was assessed during walking in treadmill (n = 3), overground (n = 3) and both (n = 1). The instruments used monitored electromyography (n = 2), kinetics (n = 2), and kinematics (n = 4) to assess spatiotemporal parameters (n = 4), joint kinematics (n = 2), anteroposterior ground reaction forces (n = 2), and electromyography root mean square (n = 2) outcomes. These outcomes were mostly used to analyze symmetry indices or ratios, to calculate propulsive impulse and external mechanical power produced on the CoM, as well as antagonist coactivation. Conclusions: Assessment of interlimb coordination during gait is important for consideration of natural auto-selected overground walking, using kinematic, kinetic, and EMG instruments. These allow for the collection of the main biomechanical outcomes that could contribute to improve better knowledge of interlimb coordination assessment in poststroke patients.

Metabolic, kinematic and coordinative behavior of a para swimmer with cerebral palsy

BACKGROUND: It has been increasingly necessary to assess and monitor the physiological and biomechanics variables of para swimmers to enlarge the current knowledge on how different impairments limit swimming performance and explain each competition class variability in metabolic and technical terms. AIM: To characterize the front crawl metabolic, kinematic, and coordination behaviors of a trained para swimmer subjected to an incremental protocol. METHOD: A 44-year-old male, with moderate right side hemiparesis of the body, performed a 200-m front crawl at 5 incrementally paces until exhaustion (0.05 m/s increases and 30-s intervals), with images from two cycles at each step recorded by two video cameras (one surface and one underwater). Kinematic and coordinative variables were collected. Lactate concentrations, heart rate, and blood pressure were also measured. RESULTS: The para swimmer achieved the anaerobic threshold at the fourth 200-m step, followed by an increase in heart rate and blood pressure. Speed and stroke frequency were higher and stroke length was lower along the 200-m steps. In contrast, a slight increase in stroke index and stability in intracyclic velocity variations occurred across intensity increments, and index of interlimb coordination was maintained as a superposition mode. CONCLUSION: The findings suggest that the swimming intensity seems to influence the para swimmer metabolic, kinematic, and coordinative behavior, with sharper alterations after the point when AnT is achieved. In addition to having practical interest for adapted swimming, coaches should emphazise the physiological and biomechanical evaluation on training monitoring to better prescribe and improve the adapted swimming performance.

Involvement of global coordinative structure in achieving the local pendulum swinging task.

In the literature on inter-limb coordination, the coordination among ‘‘focal’’ body parts (i.e., the two limbs) directly engaged in a pendulum swinging task has been studied by immobilizing other body parts to reduce “noise,” while putting aside questions of how one maintains posture while performing the task. However, in practical performance of musical instruments, for example, performers must coordinate different body parts in sync with the music while maintaining the whole body’s balance. This study demonstrates the effectiveness and necessity of understanding inter-limb coordination in whole-body coordination. Participants were asked to move two pendulums either in sync or alternatively with metronome beeps under two conditions: immobile (fixed forearms) and mobile (forearms not fixed). The explorative analyses focused on whether and how coordinative structures emerged and whether the degree of task achievement differed according to the phase mode, frequency, and mobility conditions. The motion similarity and phase difference between different parts and the pendulums showed that task-specific coordinative structures emerged in both immobile and mobile conditions. In the in-phase mobile condition, the emergent coordinative structure may have improved task achievement, shown by the phase difference between the left and right pendulums. These findings suggest that the global coordinative structure is involved in achieving the local pendulum swinging task.

Movement Coordination during Functional Single-Leg Squat Tests in Healthy, Recreational Athletes

The single-leg squat (SLS) represents a functional movement task for determining leg function. Objective movement analysis is required to evaluate inter-limb symmetry and movement coordination. Therefore, this study aimed to investigate inter-limb symmetry of SLS kinematics and movement coordination using the modified vector coding technique. A 3D motion capture system and electromyography were used to assess SLS execution and muscle activation of hip ab- and adductors of 17 healthy, recreational athletes. Coordination patterns of hip, knee, and ankle joint movement were assessed by the modified vector coding technique. Statistical parametric mapping revealed no significant differences between both legs (p > 0.05). Inter-limb symmetry also appeared in movement coordination (p > 0.05). Additionally, the analysis of movement coordination indicates knee-dominant, in-phase coordination. However, coordination patterns were different between downward movement, change of direction, and upward movement (p < 0.001). Since perturbations during SLS execution, such as moments of imbalance, occur as anti-phase coordination patterns, the analysis of coordination patterns can be used as a new evaluation method for SLS performance. Furthermore, the modified vector coding technique might be helpful to analyze different compensation strategies during the SLS in symptomatic individuals.

Adaptive Interlimb Coordination Mechanism for Hexapod Locomotion Based on Active Load Sensing.

Insects can flexibly coordinate their limbs to adapt to various locomotor conditions, e.g., complex environments, changes in locomotion speed, and leg amputation. An interesting aspect of insect locomotion is that the gait patterns are not necessarily stereotypical but are often highly variable, e.g., searching behavior to obtain stable footholds in complex environments. Several previous studies have focused on the mechanism for the emergence of variable limb coordination patterns. However, the proposed mechanisms are complicated and the essential mechanism underlying insect locomotion remains elusive. To address this issue, we proposed a simple mathematical model for the mechanism of variable interlimb coordination in insect locomotion. The key idea of the proposed model is “decentralized active load sensing,” wherein each limb actively moves and detects the reaction force from the ground to judge whether it plays a pivotal role in maintaining the steady support polygon. Based on active load sensing, each limb stays in the stance phase when the limb is necessary for body support. To evaluate the proposed model, we conducted simulation experiments using a hexapod robot. The results showed that the proposed simple mechanism allows the hexapod robot to exhibit typical gait patterns in response to the locomotion speed. Furthermore, the proposed mechanism improves the adaptability of the hexapod robot for leg amputations and lack of footholds by changing each limb's walking and searching behavior in a decentralized manner based on the physical interaction between the body and the environment.

Inter-limb Coordination Mechanism Based on the Coupling Between Hydraulic and Muscle Actuations in Wandering Spiders

Inter-limb Coordination Mechanism Based on the Coupling Between Hydraulic and Muscle Actuations in Wandering Spiders

10〜11歳男児の地上全力疾走における左右脚の非対称な運動制御

10〜11歳男児の地上全力疾走における左右脚の非対称な運動制御

Age and Interlimb Coordination Complexity Modulate Oscillatory Spectral Dynamics and Large-Scale Functional Connectivity

Age and Interlimb Coordination Complexity Modulate Oscillatory Spectral Dynamics and Large-Scale Functional Connectivity

Center of pressure-based postural sway differences on parallel and single leg stance in Olympic deaf basketball and volleyball players.

In sports such as basketball and volleyball, loss of balance due to the inability to maintain body stability and lack of postural control adversely affect athletic performance. Deaf athletes appear to struggle with balance and postural stability problems. The purpose of this study was to examine postural sway values in parallel and single leg stance of Olympic deaf basketball and volleyball players and reveal differences between the branches. Twenty-three male athletes from the Turkish national deaf basketball (n=11) and volleyball (n=12) teams participated in the study. After anthropometric measurements, the subjects completed postural sway (PS) tests in parallel/single leg stances with open eyes and closed eyes on a force plate. PS parameters (sway path, velocity, and area) obtained from the device software were used for the statistical analysis. The Mann-Whitney U-test was used to compare differences in PS parameters between basketball and volleyball players, and the alpha value was accepted as 0.05. Volleyball players had significantly better results in parallel stance and dominant leg PS values than basketball players (P<0.05). There was no significant difference between the groups in nondominant leg PS values (P>0.05). We think that proprioceptive and vestibular system enhancing training practices to be performed with stability exercises will be beneficial in terms of both promoting functional stability and interlimb coordination. Trainers and strength coaches should be aware of differences in the postural control mechanism of deaf athletes.

Neural coupling between upper and lower limb muscles in Parkinsonian gait

ObjectiveTo explore to what extent neuronal coupling between upper and lower limb muscles during gait is preserved or affected in patients with Parkinson’s Disease (PD). MethodsElectromyography recordings were obtained from the bilateral deltoideus anterior and bilateral rectus femoris and biceps femoris muscles during overground gait in 20 healthy participants (median age 69 years) and 20 PD patients (median age 68.5 years). PD patients were able to walk independently (Hoehn and Yahr scale: Stage 2–3), had an equally distributed symptom laterality (6 left side, 7 both sides and 7 right side) and no cognitive problems or tremor dominant PD. Time-dependent directional intermuscular coherence analysis was employed to compare the neural coupling between upper and lower limb muscles between healthy participants and PD patients in three different directions: zero-lag (i.e. common driver), forward (i.e. shoulders driving the legs) and reverse component (i.e. legs driving the shoulders). ResultsCompared to healthy participants, PD patients exhibited (i) reduced intermuscular zero-lag coherence in the beta/gamma frequency band during end-of-stance and (ii) enhanced forward as well as reverse directed coherence in the alpha and beta/gamma frequency bands around toe-off. ConclusionsPD patients had a reduced common cortical drive to upper and lower limb muscles during gait, possibly contributing to disturbed interlimb coordination. Enhanced bidirectional coupling between upper and lower limb muscles on subcortical and transcortical levels in PD patients suggests a mechanism of compensation. SignificanceThese findings provide support for the facilitating effect of arm swing instructions in PD gait.

Persons with Parkinson's disease show impaired interlimb coordination during backward walking

IntroductionAlthough there is growing literature supporting the implementation of backward walking as a potential rehabilitation tool, moving backwards may precipitate falls for persons with Parkinson's disease. We sought to better understand interlimb coordination during backward walking in comparison to forward walking in persons with Parkinson's disease and healthy controls. MethodsWe assessed coordination using point estimate of relative phase at each participant's preferred walking speed. ResultsPersons with Parkinson's disease demonstrated impaired interlimb coordination between the more affected arm and each leg compared to controls, which worsened during backward walking. ConclusionFor those with Parkinson's disease, inability to output smooth coordinated movement of the more affected shoulder may impair coordination during forward and, especially, backward walking. Our findings provide new information about backward walking that can allow clinicians to make safer, more effective therapeutic recommendations for persons with Parkinson's disease.

Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward

Executing voluntary motor actions in the upper extremities after a stroke is frequently challenging and frustrating. Although spontaneous motor recovery can occur, reorganizing the activation of the primary motor cortex and supplementary motor area takes a considerable amount of time involving effective rehabilitation interventions. Based on motor control theory and experience-dependent neural plasticity, stroke protocols centered on bimanual movement coordination are generating considerable evidence in overcoming dysfunctional movements. Looking backward and forward in this comprehensive review, we discuss noteworthy upper extremity improvements reported in bimanual movement coordination studies including force generation. Importantly, the effectiveness of chronic stroke rehabilitation approaches that involve voluntary interlimb coordination principles look promising.

Simple decentralized control mechanism that enables limb adjustment for adaptive quadruped running.

Quadrupeds exhibit versatile and adaptive running by exploiting the flying phase during the stride cycle. Various interlimb coordination mechanisms focusing on mechanical loads during the stance phase have been proposed to understand the underlying control mechanism, and various gait patterns have been reproduced. However, the essential control mechanism required to achieve both steady running patterns and non-steady behaviours, such as jumping and landing, remains unclear. Therefore, we focus on the vertical motions of the body parts and propose a new decentralized interlimb coordination mechanism. The simulation results demonstrate that the robot can generate efficient and various running patterns in response to the morphology of the body. Furthermore, the proposed model allows the robot to smoothly change its behaviour between steady running and non-steady landing depending on the situation. These results suggest that the steady and non-steady behaviours in quadruped adaptive running may share a common simple control mechanism based on the mechanical loads and vertical velocities of the body parts.

The effect of aging on inter-limb coordination: Establishing a novel transcranial alternating current stimulation (tACS) protocol by means of electroencephalography (EEG)

Abstract Healthy aging is a societal challenge with a significant socioeconomic impact. Gaining knowledge about neurodegenerative changes that impact functional independence is thus of high scientific importance. Age-related structural and functional neural changes have consequences for inter-limb coordination, which forms an intrinsic part of everyday life (e.g., driving, buttoning a shirt). Research has demonstrated that transcranial alternating current stimulation (tACS) targeting neural oscillations can alter behavioral performance. Nevertheless, profound understanding of tACS in the context of inter-limb coordination is yet to be achieved. In order to accomplish this, a more thorough understanding of the neural oscillations underlying inter-limb coordination is of utmost importance. The current study used electroencephalography (EEG) in healthy right-handed participants during two inter-limb coordination tasks; the bimanual tracking task (BTT) and the multi-limb reaction time task (MLT). The BTT consists of rotating two dials with both hands in a coordinated fashion. Three conditions were used, differing in left- and right-hand movement frequency. The MLT requires participants to lift multiple limbs in a correct manner. Six conditions were used, differing in required motor response (e.g., lifting right arm and left leg, lifting left arm and both legs). Twenty healthy right-handed young adults (age: 22.3 ± 1.0 (mean ± standard deviation)) and nineteen older adults (age: 70.7 ± 3.0) participated. Laplacian filtered EEG data will be analyzed in the time-frequency domain using morlet wavelet convolution. EEG time-frequency data between 4 and 35 hertz will be analyzed by means of repeated measures ANOVA, investigating differences across conditions and groups for each task respectively. In addition, bivariate channel-level functional connectivity will be analyzed using inter-site phase clustering. Behavioral data will be analyzed with a mixed model approach. These insights will be used to establish novel tACS protocols. If significant differences between young and older adults are present, these findings can lead to age-adapted tACS protocols. Keywords: Electroencephalography, Transcranial alternating current stimulation, Ageing, Functional connectivity

Gait performance of adolescent mice assessed by the CatWalk XT depends on age, strain and sex and correlates with speed and body weight

The automatization of behavioral tests assessing motor activity in rodent models is important for providing robust and reproducible results and evaluating new therapeutics. The CatWalk system is an observer-independent, automated and computerized technique for the assessment of gait performance in rodents. This method has previously been used in adult rodent models of CNS-based movement disorders such as Parkinson’s and Huntington’s diseases. As motor and gait abnormalities in neuropsychiatric disorders are observed during infancy and adolescence, it became important to validate the CatWalk XT in the gait analysis of adolescent mice and unravel factors that may cause variations in gait performance. Three adolescent wild-type inbred mouse strains, C57BL/6N, DBA/2 and FVB/N, were tested using the CatWalk XT (Version 10.6) for suitable detection settings to characterize several gait parameters at P32 and P42. The same detection settings being suitable for C57BL/6N and DBA/2 mice allowed a direct comparison between the two strains. On the other hand, due to their increased body weight and size, FVB/N mice required different detection settings. The CatWalk XT reliably measured the temporal, spatial, and interlimb coordination parameters in the investigated strains during adolescence. Additionally, significant effects of sex, development, speed and body weight within each strain confirmed the sensitivity of motor and gait functions to these factors. The CatWalk gait analysis of rodents during adolescence, taking the effect of age, strain, sex, speed and body weight into consideration, will decrease intra-laboratory discrepancies and increase the face validity of rodent models of neuropsychiatric disorders.

Construct Validity of the Upper-Limb Interlimb Coordination Test in Stroke

Background Coordination impairments are under-evaluated in patients with stroke due to the lack of validated assessments resulting in an unclear relationship between coordination deficits and functional limitations. Objective Determine the construct validity of the new clinical upper-limb (UL) Interlimb Coordination test (ILC2) in individuals with chronic stroke. Methods Thirteen individuals with stroke, ≥40 years, with ≥30° isolated supination of the more-affected (MAff) arm, who could understand instructions and 13 healthy controls of similar age participated in a cross-sectional study. Participants performed synchronous bilateral anti-phase forearm rotations for 10 seconds in 4 conditions: self-paced internally-paced (IP1), fast internally-paced (IP2), slow externally-paced (EP1), and fast externally-paced (EP2). Primary (continuous relative phase-CRP, cross-correlation, lag) and secondary outcome measures (UL and trunk kinematics) were compared between groups. Results Participants with stroke made slower UL movements than controls in all conditions, except EP1. Cross-correlation coefficients were lower (i.e., closer to 0) in stroke in IP1, but CRP and lag were similar between groups. In IP1 and matched-speed conditions (IP1 for healthy and IP2 for stroke), stroke participants used compensatory trunk and shoulder movements. The synchronicity sub-scale and total scores of ILC2 were related to temporal coordination in IP2. Interlimb Coordination test total score was related to greater shoulder rotation of the MAff arm. Interlimb Coordination test scores were not related to clinical scores. Conclusion Interlimb Coordination test is a valid clinical measure that may be used to objectively assess UL interlimb coordination in individuals with chronic stroke. Further reliability testing is needed to determine the clinical utility of the scale.

Development of the Relationships Among Dynamic Balance Control, Inter-limb Coordination, and Torso Coordination During Gait in Children Aged 3-10 Years.

Knowledge about the developmental process of dynamic balance control comprised of upper arms and upper legs coordination and trunk and pelvis twist coordination is important to advance effective balance assessment for abnormal development. However, the mechanisms of these coordination and stability control during gait in childhood are unknown.This study examined the development of dynamic postural stability, upper arm and upper leg coordination, and trunk and pelvic twist coordination during gait, and investigated the potential mechanisms integrating the central nervous system with inter-limb coordination and trunk and pelvic twist coordination to control extrapolated center of the body mass (XCOM). This study included 77 healthy children aged 3–10 years and 15 young adults. The child cohort was divided into four groups by age: 3–4, 5–6, 7–8, and 9–10 years. Participants walked barefoot at a self-selected walking speed along an 8 m walkway. A three-dimensional motion capture system was used for calculating the XCOM, the spatial margin of stability (MoS), and phase coupling movements of the upper arms, upper legs, trunk, and pelvic segments. MoS in the mediolateral axis was significantly higher in the young adults than in all children groups. Contralateral coordination (ipsilateral upper arm and contralateral upper leg combination) gradually changed to an in-phase pattern with increasing age until age 9 years. Significant correlations of XCOMML with contralateral coordination and with trunk and pelvic twist coordination (trunk/pelvis coordination) were found. Significant correlations between contralateral coordination and trunk/pelvis coordination were observed only in the 5–6 years and at 7–8 years groups.Dynamic postural stability during gait was not fully mature at age 10. XCOM control is associated with the development of contralateral coordination and trunk and pelvic twist coordination. The closer to in-phase pattern of contralateral upper limb coordination improved the XCOM fluctuations. Conversely, the out-of-phase pattern (about 90 degrees) of the trunk/pelvis coordination increased theXCOM fluctuation. Additionally, a different control strategy was used among children 3–8 years of age and individuals over 9 years of age, which suggests that 3–4-year-old children showed a disorderly coordination strategy between limb swing and torso movement, and in children 5–8 years of age, limb swing depended on trunk/pelvis coordination.

Interlimb Coordination Performance in Seated Position in Persons With Multiple Sclerosis: Reduced Amplitude Over 6 min and Higher Coordination Variability in Persons With Walking Fatigability.

Background: Walking fatigability is prevalent in MS and can be measured by a percentage distance decline during a 6-min walking test. Walking is characterized by an accurate and consistent interlimb antiphase coordination pattern. A decline in coordination each minute during a 6-min walking test is observed in persons with MS (pwMS). Measuring coordination during a 6-min seated coordination task with minimized balance and strength requirements, is assumed to examine a more fundamental interlimb antiphase coordination pattern in pwMS. This research aimed to answer the following research question: How does interlimb antiphase coordination pattern change during a seated coordination task in pwMS with walking fatigability (WF), non-walking fatigability (NWF) and Healthy Controls (HC)?Methods: Thirty-five pwMS and 13 HC participated. Interlimb coordination was assessed by a seated 6-min coordination task (6MCT) with the instruction to perform antiphase lower leg movements as fast as possible. Outcomes were Phase Coordination Index (PCI) and movement parameters (amplitude, frequency).Results: Mixed models revealed a significant effect of time for the the variability of generating interlimb movements, with a difference in mean values between WF and HC. A significant group∗time interaction effect was found for movement amplitude, represented by a significant decrease in movement amplitude in the WF group from minute 1 to the end of the task.Conclusion: The higher variability in interlimb coordination and decrease in movement amplitude over time during the 6MCT in the WF group could be an indicator of decreased control of fundamental antiphase coordination pattern in pwMS with walking fatigability.Clinical Trial Registration: www.clinicaltrials.gov, identifier NCT04142853 (registration date: October 29, 2019) and NCT03938558 (registration date: May 6, 2019).

The effects of forearm movements on human gait during walking with various self-selected speeds

The forearms significantly contribute to the upper extremity movements and, consequently, whole-body responses during locomotion. The purpose of this study is to provide a more in-depth understanding of the mechanism controlling forearm movements during walking by comprehensively investigating the effects of the forearms on the lower and upper limb movements. Such an understanding can provide critical information for the design and control of robotic upper-limb prostheses. Twelve healthy young participants were recruited to compare their gait during (1) natural walking, (2) walking while wearing a pair of artificial passive forearms and having their actual forearms restrained by orthopedic braces, and (3) walking with only having their forearms restrained by the braces (i.e., no artificial forearms). While the passive forearms in condition 2 were to determine if the forearm movements were passively or actively controlled, condition 3 was to account for the effects of restraining the forearms in condition 2. The participants' lower-limb joint angles and spatiotemporal parameters remained unchanged across the three conditions while walking at their normal and fast self-selected gait speeds. However, significant decreases were observed in the shoulder and trunk angles, the interlimb coordination, and the shoulder-trunk correlations when walking with the artificial forearms. These observations were in tandem with the increased muscle activity of the biceps, trapeziuses, and posterior deltoids, which controlled the shoulder motion and trunk rotation during walking with the artificial forearms across both normal and fast self-selected speeds. Although not significant, the metabolic energy analysis of five participants revealed an increase during walking with artificial forearms. The results support the idea that the body actively controls the forearm movements through the shoulder and trunk rotations to mitigate the undesired disturbances induced by the passive forearm movements during locomotion.