Trunk Motor Research Articles

Cortical activity, kinematics and trunk muscles activity response to pelvis movements during unstable sitting.

Balance control is a leading component of human motor activities and its impairment is associated with an increased risk of falling, lower back pain due to impaired motor control mechanism. Prolonged sitting position at workplace is one of the risk factors of reduced postural control and lower back pain. To evaluate theta and alpha waves cortical activity, trunk muscles activity and kinematics in static sitting, dynamic sitting on different platforms: simple wobble board (WB) and wobble board on bearing surface (WBB). The kinematics of body segments, electromyography of five trunk muscles, electroencephalography of 32 scalp electrodes were measured during balance tasks in sitting position for 17 subjects with continuous seated position at workplace. Cortical power on WBB1 increase in fronto - central (p< 0.05) region while on WBB2 increase in centro - parietal region (p< 0.05). WBB2 increase more muscles compared with WB2. The amplitude of movement of ASIS, Th10 can be seen lower on WBB compared with WB (p< 0.05). The study shows that WBB can increase personalized sitting and improve trunk motor control during hours of prolonged sitting.

Investigation of the Relationship Between Trunk Motor Control and Balance, Functional Mobility, and Gait Capacity in Patients with Multiple Sclerosis

Investigation of the Relationship Between Trunk Motor Control and Balance, Functional Mobility, and Gait Capacity in Patients with Multiple Sclerosis

Predictors of gross motor function and activities of daily living in children with cerebral palsy

To determine the influence of selected impairment variables, spasticity, trunk control, upper limb function and selective motor control of the lower limb on gross motor function and activities of daily living in children with cerebral palsy (CP). Seventy children with CP, 40 boys and 30 girls, with age range between 11 and 156 months were recruited in this cross-sectional study. Data on spasticity, selective motor control of the lower limb, upper limb function and trunk control were assessed using modified Ashworth scale (MAS), selective motor control of the lower limb (SCALE), paediatric arm function test, trunk motor control assessment and GMFM88, respectively. Among all the variables assessed, only trunk control significantly predicted gross motor function (beta = 0.880; P < 0.001) and activities of daily living (beta = 0.550; P < 0.05). However, gross motor function and activities of daily living have significant (P < 0.05) negative correlations with spasticity, and positive correlations with selective motor control of the lower limb and trunk control. Trunk control is the most influencing factor on gross motor function and activities of daily living in children with CP. Therefore, achieving trunk control especially in those at GMFCS levels V and VI should be a priority during the rehabilitation of children with CP.

Effect of PNF and NDT Bobath Concepts on Ischemic Strokes Patients for Trunk Rehabilitation – A Randomized Pilot Study

Introduction: Recently, various systematic reviews and evidence-based clinical practice guidelines have evaluated the efficacy of stroke rehabilitation interventions. Across them proprioceptive neuromuscular facilitation (PNF) and neuro-developmental treatment (NDT) Bobath resulted to be an effective and widely used therapeutic approaches. Objective of the work: The aim of the study was to evaluate the therapeutic effectiveness of PNF and NDT Bobath concept for improvement of trunk motor control in patients after ischemic stroke. Materials and methods: The study consisted of 30 patients up to 3 months after ischemic stroke. Participants were randomly assigned to two study groups. Both group consisted of 15 patients underwent rehabilitation according to the PNF or NDT Bobath concept. Comparison of the changes in the Trunk Impairment Scale was the primary outcome. Results: The analysis of the values of total TIS scale showed a statistically significant improvement in both group. Within group analysis showed statistical significance among baseline and intermediate measurement, and among baseline and final measurement within both groups. The analysis of total TIS scale indicators between the PNF and Bobath groups showed no statistically significant differences. Conclusions: Both the PNF and Bobath concepts have proven to be effective in the treatment of posture control and there have been significant improvements in patients from both groups.

Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study.

Methods In this study, 24 children with spastic CP aged between 8 and 15 years were recruited. They were classified based on their functional performance using Gross Motor Function Classification System (GMFCS). Trunk control and trunk position sense were assessed using the trunk control measurement scale (TCMS) and digital goniometer, respectively. The correlation between these variables was tested using Spearman's correlation coefficient. Results Significant negative correlation was found between trunk position sense and TCMS score. Similarly, a significant moderate correlation was found between trunk position sense and GMFCS. A strong negative correlation was also found between GMFCS and TCMS. Conclusion Children with spastic CP with better trunk position sense had better trunk control. Similarly, children with higher functional performance had better trunk control and lesser error in trunk position sense. The current findings imply the relevance of proprioceptive training of the trunk for enhancing trunk motor control in children with spastic CP.

Hindlimb Somatosensory Information Influences Trunk Sensory and Motor Cortices to Support Trunk Stabilization

Abstract Sensorimotor integration in the trunk system is poorly understood despite its importance for functional recovery after neurological injury. To address this, a series of mapping studies were performed in the rat. First, the receptive fields (RFs) of cells recorded from thoracic dorsal root ganglia were identified. Second, the RFs of cells recorded from trunk primary sensory cortex (S1) were used to assess the extent and internal organization of trunk S1. Finally, the trunk motor cortex (M1) was mapped using intracortical microstimulation to assess coactivation of trunk muscles with hindlimb and forelimb muscles, and integration with S1. Projections from trunk S1 to trunk M1 were not anatomically organized, with relatively weak sensorimotor integration between trunk S1 and M1 compared to extensive integration between hindlimb S1/M1 and trunk M1. Assessment of response latency and anatomical tracing suggest that trunk M1 is abundantly guided by hindlimb somatosensory information that is derived primarily from the thalamus. Finally, neural recordings from awake animals during unexpected postural perturbations support sensorimotor integration between hindlimb S1 and trunk M1, providing insight into the role of the trunk system in postural control that is useful when studying recovery after injury.

Changes in Trunk Variability and Stability of Gait in Patients with Chronic Low Back Pain: Impact of Laboratory versus Daily-Living Environments.

BackgroundIndividuals with chronic low back pain (CLBP) experience changes in gait control due to pain and/or fear. Although CLBP patients’ gait has been performed in laboratory environments, changes in gait control as an adaptation to unstructured daily living environments may be more pronounced than the corresponding changes in laboratory environments. We investigated the impacts of the environment and pathology on the trunk variability and stability of gait in CLBP patients.MethodsCLBP patients (n=20) and healthy controls with no low-back pain history (n=20) were tasked with walking in a laboratory or daily-living environment while wearing an accelerometer on the low back. We calculated the stride-to-stride standard deviation and multiscale sample entropy as indices of “gait variability” and the maximum Lyapunov exponent as an index of “gait stability” in both the anterior-posterior and medial-lateral directions. The participants were assessed on the numerical rating scale for pain intensity, the Tampa Scale for Kinesiophobia, and the Roland–Morris Disability Questionnaire for quality of life (QOL).ResultsIn a repeated-measures ANOVA, the standard deviation was affected by environment in the anterior-posterior direction and by group and environment in the medial-lateral direction. Multiscale sample entropy showed no effect in the anterior-posterior direction and showed both effects in the medial-lateral direction. Maximum Lyapunov exponents showed both effects in the anterior-posterior direction, but none in the medial-lateral direction. These changes of trunk motor control by CLBP patients were found to be related to pain intensity, fear of movement, and/or QOL in the daily-living environment but not in the laboratory environment.ConclusionThese results revealed that CLBP patients exhibit changes in trunk variability and stability of gait depending on the environment, and they demonstrated that these changes are related to pain, fear, and QOL. We propose useful accelerometer-based assessments of qualitative gait in CLBP patients’ daily lives, as it would provide information not available in a general practice setting.

Factorial Structure of Trunk Motor Qualities and Their Association with Explosive Movement Performance in Young Footballers.

This study examined the factorial structure of trunk motor qualities and their associations with explosive muscular performance of football players. Ninety-one young male football players (age: 15–21 years; body height: 1.78 ± 0.07 m; body mass: 70.3 ± 7.5 kg) performed a series of tests: four standing and four seated isometric trunk strength tests, seven trunk power (medicine ball throwing) tests, four trunk endurance tests and four explosive movement performance tests. A principal component factor analysis (PCA) was used to determine the structure of trunk motor qualities, and correlational analyses were used to assess linear associations between trunk motor qualities and explosive performance. The PCA revealed four independent factors—trunk power, standing and seated isometric trunk strength, and trunk muscle endurance. Only trunk power had significant moderate, logically positive associations with sprint and vertical jump performance (common variance: 25–36%), while other associations between trunk motor factors and explosive movement performance were generally low to very low. These results indicate that trunk muscle functions of football players can be described with three independent motor qualities—trunk power, trunk strength and trunk muscle endurance, with only trunk power being moderately associated with players’ sprinting and jumping performance.

Comparison of clinical and functional outcomes of vertebral body tethering to posterior spinal fusion in patients with adolescent idiopathic scoliosis and evaluation of quality of life: preliminary results.

This preliminary study was aimed to present the results of the comparison of clinical and functional outcomes of vertebral body tethering (VBT) and posterior spinal fusion (PSF) for the first time in the literature. 21 thoracolumbar (T5-L3) VBT patients (VBT group); and 22 age-gender-fusion level and minimum follow-up duration matched thoracolumbar (T3-L3) PSF patients (PSF group) were enrolled. Average FU duration of group 1 and 2 were 37.1/37.8months (p = 0.33). Patients clinical data together with SRS-22 scores and SF-36 scores were compared. A retrospective, comparative study was undertaken. VBT group was detected to have superior lumbar range of motion; superior anterior-lateral lumbar bending flexibility; superior flexor and extensor endurances of trunk, and superior average motor strength of trunk muscles with high statistical significance. VBT group was also detected to have superior scores regarding life quality, including better average total SRS-22 and better average SF-36 MCS/PCS scores with also high statistical significance. This study for the first time in the literature concluded, that in skeletally immature patients with AIS, VBT as a result of the utilization of growth modulation was able to yield significantly superior lumbar range of motion, lumbar anterior and lateral flexibility, trunk flexor-extensor endurance and trunk motor strength as compared to patients who underwent fusion. By yielding significantly superior SRS-22 and SF-36 scores, VBT was detected to provide better life quality and patient satisfaction than fusion. This study concluded hereby, that by applying VBT, spinal motion could be preserved and complications of fusion could be avoided.

Trunk control during repetitive sagittal movements following a real-time tracking task in people with chronic low back pain

Precision of trunk movement has commonly been examined by testing relocation accuracy rather than evaluating accuracy of tracking dynamic movement. In this study we used a 3-D motion capture system to provide a novel real-time tracking task to assess trunk motor control at varying movement speeds between people with and without chronic non-specific low back pain (LBP). Eleven asymptomatic volunteers and 15 participants with chronic non-specific LBP performed 12 continuous cycles of trunk flexion–extension following real time visual feedback, during which, trunk motion was measured using eight optoelectronic infrared cameras. Significant time differences between the feedback and actual trunk motion were found between groups (P = 0.001). Both groups had similar variability of tracking accuracy when following the feedback (P > 0.05). However, tracking variability at a slow speed correlated (P = 0.03; r = 0.55) with the Fear-Avoidance Beliefs Questionnaire (FABQ) scores in those with LBP. This study shows that both asymptomatic people and individuals with LBP displayed anticipatory behaviour, however, the response of those with LBP was consistently delayed in tracking the visual feedback compared to the asymptomatic group. Additionally, the extent of variability of tracking accuracy over repeated tracking cycles was associated with the degree of fear of movement in people with LBP.

Essays: A tale of two domains: breathing movement and gas-exchange/lung science - A personal history and the significance of breathing in the respiratory medicine No 12-3: Paired-signaling physiology, a novel frontier of human physiology: Basic medical science and clinical apprication: (3) The body-trunk engine system (basal ganglia and central pattern generators of the spine) controls the locomotion movement of the

Essays: A tale of two domains: breathing movement and gas-exchange/lung science - A personal history and the significance of breathing in the respiratory medicine No 12-3: Paired-signaling physiology, a novel frontier of human physiology: Basic medical science and clinical apprication: (3) The body-trunk engine system (basal ganglia and central pattern generators of the spine) controls the locomotion movement of the

A Method for Quantifying Trunk Motor Control During Reaching in Individuals Post Hemiparetic Stroke.

After a hemiparetic stroke, the contralesional upper limb is left with significant motor impairments including: weakness, spasticity, and abnormal joint torque patterns resulting in the flexion synergy (i.e. abnormal coupling between shoulder abduction and elbow/wrist and finger flexion). These impairments, and in particular the flexion synergy, limit ability to reach to the full extent of their limb workspace. Motor control of the trunk is also altered post stroke, with compromised ability to stabilize the trunk and excessive trunk movement during reaching, abnormal isometric torque coupling patterns in the transverse and sagittal planes and weakness. These motor impairments in both trunk and arm limit their ability to perform activities of daily living. While the effect of stroke on reaching has been studied extensively, less is known about the impact of deficits in trunk motor control on reaching ability and the impact of the flexion synergy on trunk postural control. Methods for investigating altered trunk control, specifically during a reach when concurrent loads that elicit the flexion synergy are imposed on the limb and trunk, are limited. Specifically, trunk deficits have yet to be studied in the context of the flexion synergy whereby loads imposed on the arm to elicit shoulder abduction have a negative impact on reaching and potentially on trunk posture. In order to address this gap, we developed a system that integrates a robotic device to simulate varied reaching environments, surface electromyography to measure primary trunk and arm muscle activity, and a two-camera motion capture system that uses reflective markers to measure trunk and arm movement. Feasibility and usability of the system was established during evaluation of reaching ability with varying levels of shoulder abduction loads while the trunk is either restrained or unrestrained in two participants with stroke and a healthy control.Clinical Relevance- The system presented here is capable of monitoring changes in trunk postural control after a hemiparetic stroke during a reaching task as a first step in furthering our understanding of changes in trunk motor control during reaching with the goal of developing more targeted and effective interventions for stroke rehabilitation.

Development of a trunk motor paradigm for use in neuroimaging

The purpose of this study was to quantify head motion between isometric erector spinae (ES) contraction strategies, paradigms, and intensities in the development of a neuroimaging protocol for the study of neural activity associated with trunk motor control in individuals with low back pain. Ten healthy participants completed two contraction strategies; (1) a supine upper spine (US) press and (2) a supine lower extremity (LE) press. Each contraction strategy was performed at electromyographic (EMG) contraction intensities of 30, 40, 50, and 60% of an individually determined maximum voluntary contraction (MVC) (±10% range for each respective intensity) with real-time, EMG biofeedback. A cyclic contraction paradigm was performed at 30% of MVC with US and LE contraction strategies. Inertial measurement units (IMUs) quantified head motion to determine the viability of each paradigm for neuroimaging. US vs LE hold contractions induced no differences in head motion. Hold contractions elicited significantly less head motion relative to cyclic contractions. Contraction intensity increased head motion in a linear fashion with 30% MVC having the least head motion and 60% the highest. The LE hold contraction strategy, below 50% MVC, was found to be the most viable trunk motor control neuroimaging paradigm.

Upper Airway Function and Cardiorespiratory Performance in Impair Trunk Motor Control Multiple Sclerosis Patients.

Upper Airway Function and Cardiorespiratory Performance in Impair Trunk Motor Control Multiple Sclerosis Patients.

Effects of age and sex on trunk motor control

The goal of the present study was to assess the effects of age and sex on trunk motor control. Fifty healthy adults (aged between 19 and 67 years, 28 males) participated in this study. Trunk motor control was assessed using force-controlled perturbations directly applied to the trunk. Admittance (inverse of lumped intrinsic and reflexive impedance) decreased with age and tended to be lower in females than males. The age effect on admittance was due to increasing intrinsic stiffness and damping with age, while intrinsic damping and position- and velocity feedback gains were lower in females than males. Feedback delays were not dependent on age. The decrease of trunk admittance with age is most likely due to increasing levels of antagonistic co-activation. Trunk admittance was (just) not significantly different between females and males, in spite of lower feedback gains and damping, possibly due to differences in trunk mass between sexes. These results imply that age and sex differences should be considered when assessing the relationship between back pain and trunk motor control.

Development of motor control and behaviour in Asian elephants in the Kabini elephant population, southern India.

Although neonates of precocial mammals are capable of locomotory, sensory, nutritional, and thermoregulatory independence to some extent soon after birth, they attain their adult body mass more slowly than altricial mammals, allowing for an extended period of learning or perfecting skills to an adult-like degree. Asian elephants are precocial but are nutritionally dependent on the mother for at least two years and are long-lived and social. We wanted to examine the ontogeny of trunk motor control and various behaviours in Asian elephant calves and see whether the former develops faster than the latter since limb motor control is achieved soon after birth. We collected field data on trunk use, lateralisation, and behaviours from individually identified, free-ranging elephants in southern India and examined how they were affected by age and other factors. Unlike limb motor control, we found trunk motor skills and behaviours to develop gradually with age. Trunk lateralisation occurred very early on, was not highly dependent on trunk motor skills, and is probably not a developmental marker in Asian elephants. Adult-like behaviours that required low trunk usage emerged within 3 months, while some feeding behaviours emerged later. Calves spent less time resting and more time feeding as they grew, and their activity budgets resembled those of adults only after a year; hence, mother-offspring behavioural synchrony was low for young calves and increased with age. Behavioural development and trunk motor control in Asian elephants are both gradual processes, taking about a year to mature.

Improvement of Trunk Motor Control Ability Using Sahrmann Core Stability Test during Conservative Therapy for Adolescent Lumbar Spondylolysis

発育期腰椎分離症に対する保存療法は運動休止を要するため，身体機能の低下，モチベーションの低下が懸念事項となる．本研究では，腰椎分離症の保存療法中の運動制御の評価法としてSahrmann Core Stability Testを用いた．理学療法介入前に比べ，介入後は有意にSahrmann Core Stability TestのLevelは向上した．Sahrmann Core Stability Testによる評価は治療初期の運動制御能力の評価，段階的に強度を増す腰椎分離症の訓練の進達度の評価，競技復帰後の運動制御能力の状態の評価，選手のモチベーションの維持など多様な可能性を秘めている．

Chronic low back pain influences trunk neuromuscular control during unstable sitting among persons with lower-limb loss

BackgroundPersons with unilateral lower-limb loss are at increased risk for developing chronic low back pain. Aberrant trunk and pelvis motor behavior secondary to lower-limb loss potentially alters trunk postural control and increases demands on the trunk musculature for stability. However, it is unclear whether trunk postural control is associated with the presence or chronicity of low back pain within this population. Research questionIs there a potential role of impaired trunk postural control among persons with lower limb loss and chronic low back pain? MethodsTwo groups of males with unilateral lower-limb loss (n = 18 with chronic low back pain; n = 13 without pain) performed an unstable sitting task. Trunk postural control was characterized using traditional and non-linear measures derived from center-of-pressure time series, as well as trunk kinematics and the ratio of lumbar to thoracic erector spinae muscle activations. ResultsTraditional and non-linear center-of-pressure measures and trunk muscle activation ratios were similar between groups, while participants with chronic low back pain demonstrated greater trunk motion and reduced local dynamic stability. SignificanceOur results suggest that persons with both lower-limb loss and chronic low back pain exhibit impaired trunk postural control compared to those with limb loss but without pain. Aberrant trunk motor behavior may be a response to altered functional requirements of walking with a prosthesis. An inability to adequately control the trunk could lead to spinal instability and pain in the presence of repetitive exposure to aberrant motor behavior of these proximal structures during everyday activities.

Physical and cognitive exertion do not influence feedforward activation of the trunk muscles: a randomized crossover trial.

Fatigue arises during everyday activities, diminishes movement performance, and increases injury risk. Physical (PE) and cognitive exertion (CE) can induce similar feelings of fatigue, but it is not clear whether these also similarly affect movement performance. Therefore, this study examined the influence of PE and CE on anticipatory postural adjustments (APAs) of trunk muscles, which are feedforward mechanisms that contribute to motor control and controlled movement. Rapid arm movement tasks (RAM) were used to induce APAs of the trunk muscles prior and following three experimental conditions in 20 healthy adults: seated rest without exertion (NE), a combined isometric modified Biering-Sörensen and static abdominal curl to induce PE, and a modified incongruent Stroop colour-word task to induce CE. Fatigue was assessed using self-reported measures, and APA onset latencies of the trunk muscles with surface electromyography. Statistical analyses revealed that neither PE nor CE influence APAs of the trunk. Therefore, it is hypothesized that the influence of fatigue on movement performance might not be through altered motor control, but rather by reduced motivation. However, the possibility that fatigue might influence other mechanisms which contribute to trunk motor control, such as APA amplitude and variability, cannot be excluded and need further examination.

Diagnosis of three-phase induction motor and the impact on the kinematic chain using non-destructive technique of infrared thermography

The diagnostics failures of monitoring the condition of rotation machinery in the industry are considered very significant to ensure the efficiency and safety of production. However, many serious malfunctioning to the machine could easily occur because of these failures, thus, a huge shortage in production. In this domain, In fact, the most important installation faults lead to an increase of temperature in specific areas. In this paper, we describe an experimental device based on an infrared thermography technic, which allows observing thermal phenomena. The three-phase induction motor, used in this work, is mounted on a base plate with an alignment device. During the start-up transients, from standstill to steady state, thermal images of the motor trunk are captured every second by an infrared camera connected to a computer equipped with analysis software. These images are used first of all to build the thermal model other induction motor. Then, the results obtained by the building model are compared with those obtained by the faulty machines, in order to study the applicability of thermographic data for diagnostic purposes. Results show that this method represents a powerful diagnostic tool, which can be used to complete the information provided by techniques based on other quantities, in cases where they are inconclusive.