Publications by authors named "Sylos-Labini F"

Article Synopsis
  • - Exoskeletons are increasingly used for helping children with neurological disorders improve their gait, but evaluating their effectiveness remains complex due to impacts on sensorimotor interactions and potential gait abnormalities.
  • - This study explored how a specific exoskeleton affected muscle activity and spinal motor output in children during gait rehabilitation, focusing on the neuromechanics involved.
  • - Results indicated that even at slower walking speeds, muscle activation levels during exoskeleton use were similar to normal walking, suggesting that children's locomotor systems actively engaged during exoskeleton-assisted stepping.
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  • - The location of motoneurons in the spinal cord is shaped by evolution and function to improve motor control and reflexive responses, particularly in relation to daily movements like walking.
  • - This article reviews two decades of research on spinal motoneuron activation during locomotion, highlighting how factors like child development, aging, and neurological disorders affect spinal activity.
  • - Understanding the relationship between motoneuron activity and gait mechanics can enhance neuroprosthetics and therapies for individuals with walking difficulties.
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Manifestation of muscle reactions at an early developmental stage may reflect the processes underlying the generation of appropriate muscle tone, which is also an integral part of all movements. In preterm infants, some aspects of muscular development may occur differently than in infants born at term. Here we evaluated early manifestations of muscle tone by measuring muscle responses to passive stretching (StR) and shortening (ShR) in both upper and lower limbs in preterm infants (at the corrected age from 0 weeks to 12 months), and compared them to those reported in our previous study on full-term infants.

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Article Synopsis
  • - The study investigates how children with cerebral palsy (CP) adjust their locomotion when changing direction from forward to sideways, revealing insights into their mobility challenges compared to typically developing (TD) children.
  • - Results show that only about two-thirds of CP participants could successfully step sideways, often defaulting to forward movements and exhibiting poor trunk rotation and limb coordination.
  • - The findings suggest that sideways locomotion, along with backward movement, could be beneficial for rehabilitation, as it encourages children with CP to adapt to new movement tasks and improve their overall motor skills.
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When does modular control of locomotion emerge during human development? One view is that modularity is not innate, being learnt over several months of experience. Alternatively, the basic motor modules are present at birth, but are subsequently reconfigured due to changing brain-body-environment interactions. One problem in identifying modular structures in stepping infants is the presence of noise.

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Article Synopsis
  • Recent research has shown that while kinematic and kinetic measurements are useful for assessing walking performance in exoskeletons, they fall short in providing insight into neural control strategies and muscle coordination.
  • The PEPATO software has been developed as a benchmarking tool to evaluate changes in spinal cord activity during walking in exoskeletons, correlating this data with normal walking references.
  • An example demonstrated the software's capability to analyze EMG activity during walking in a specially designed exoskeleton, revealing significant insights into muscle activation patterns and spinal motor control, crucial for rehabilitation.
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  • - The study investigates how neonates coordinate their limb muscles during different locomotion types, noting that while mechanisms in other mammals are understood, human neonatal interlimb coordination is less clear.
  • - Researchers recorded EMG activities from 46 neonates performing stepping movements, revealing similarities and differences in muscle activation patterns, influenced by the position of the blocked limb.
  • - Findings indicate that neonatal locomotion is characterized by variable muscle coordination and limited sensory modulation, suggesting immaturities in cortical control compared to more developed locomotion, but still sharing some spinal mechanisms seen in other mammals.
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Locomotor movements are accommodated to various surface conditions by means of specific locomotor adjustments. This study examined underlying age-related differences in neuromuscular control during level walking and on a positive or negative slope, and during stepping upstairs and downstairs. Ten elderly and eight young adults walked on a treadmill at two different speeds and at three different inclinations (0°, +6°, and -6°).

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SARS-CoV-2 is currently causing hundreds of deaths every day in European countries, mostly in not yet vaccinated elderly. Vaccine shortage poses relevant challenges to health authorities, called to act promptly with a scarcity of data. We modeled the mortality reduction of the elderly according to a schedule of mRNA SARS-CoV-2 vaccine that prioritized first dose administration.

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Previous studies found significant modification in spatiotemporal parameters of backward walking in healthy older adults, but the age-related changes in the neuromuscular control have been considered to a lesser extent. The present study compared the intersegmental coordination, muscle activity and corresponding modifications of spinal montoneuronal output during both forward and backward walking in young and older adults. Ten older and ten young adults walked forward and backward on a treadmill at different speeds.

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This mini-review focuses on the emergence of locomotor-related movements in early infancy. In particular, we consider multiples precursor behaviors of locomotion as a manifestation of the development of the neuronal networks and their link in the establishment of precocious locomotor skills. Despite the large variability of motor behavior observed in human babies, as in animals, afferent information is already processed to shape the behavior to specific situations and environments.

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Surface electromyography (sEMG) can be used to assess the integrity of the neuromuscular system and its impairment in neurological disorders. Here we will consider several issues related to the current clinical applications, difficulties and limited usage of sEMG for the assessment and rehabilitation of children with cerebral palsy. The uniqueness of this methodology is that it can determine hyperactivity or inactivity of selected muscles, which cannot be assessed by other methods.

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Motoneurons of neonatal rodents show synchronous activity that modulates the development of the neuromuscular system. However, the characteristics of the activity of human neonatal motoneurons are largely unknown. Using a noninvasive neural interface, we identified the discharge timings of individual spinal motoneurons in human newborns.

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By means of simple dynamical experiments we study the combined effect of gravitational and gas dynamics in the evolution of an initially out-of-equilibrium, uniform, and rotating massive overdensity thought of as in isolation. The rapid variation of the system mean-field potential makes the pointlike particles (PPs), which interact only via Newtonian gravity, form a quasistationary thick disk dominated by rotational motions surrounded by far out-of-equilibrium spiral arms. On the other side, the gas component is subjected to compression shocks and radiative cooling so as to develop a much flatter disk, where rotational motions are coherent and the velocity dispersion is smaller than that of PPs.

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The first years of life represent an important phase of maturation of the central nervous system, processing of sensory information, posture control and acquisition of the locomotor function. Cerebral palsy (CP) is the most common group of motor disorders in childhood attributed to disturbances in the fetal or infant brain, frequently resulting in impaired gait. Here we will consider various findings about functional maturation of the locomotor output in early infancy, and how much the dysfunction of gait in children with CP can be related to spinal neuronal networks vs.

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We investigated how early injuries to developing brain affect the interaction of locomotor patterns with the voluntary action required by obstacle clearance. This task requires higher cognitive load and specific anticipatory sensorimotor integration than more automated steady-state gait. To this end, we compared the adaptive gait patterns during obstacle clearance in 40 children with cerebral palsy (CP) (24 diplegic, 16 hemiplegic, 2-12 yr) and 22 typically developing (TD) children (2-12 yr) by analyzing gait kinematics, joint moments during foot elevation, electromyographic (EMG) activity of 11 pairs of bilateral muscles, and muscle modules evaluated by factorization of the EMG signals.

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How does gait-specific pattern generation evolve in early infancy? The idea that neural and biomechanical mechanisms underlying mature walking and running differ to some extent and involve distinct spinal and supraspinal neural circuits is supported by various studies. Here we consider the issue of human gaits from the developmental point of view, from neonate stepping to adult mature gaits. While differentiating features of the walk and run are clearly distinct in adults, the gradual and progressive developmental bifurcation between the different gaits suggests considerable sharing of circuitry.

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Article Synopsis
  • Mature locomotion involves complex spinal drives that create distinct patterns of muscle activation during movement, but how these patterns develop is still uncertain.
  • Newborns display two types of movement: spontaneous kicking, which is frequent both before and after birth, and weight-bearing stepping, which occurs when they first stand on the ground.
  • The study found that kicking has adult-like activation patterns but lacks stable muscle coordination, while stepping shows fewer patterns with better muscle synergy, suggesting that development in locomotion integrates experiences from both behaviors.
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Background: Many researchers emphasize adaptations following pregnancy. Our purpose was to get more insight into how morphology interacts with the pelvic walking pattern - the segment most prone to the adaptation following altered body demands.

Methods: Thirty women were enrolled.

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Muscle tone represents one of the important concepts for characterizing changes in the state of the developing nervous system. It can be manifested in the level of activity of flexors and extensors and in muscle reactions to its passive stretching (StR) or shortening (ShR). Here we investigated such reactions in a cohort of healthy infants aged from 2 weeks to 12 months.

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The evolution of self-gravitating systems, and long-range interacting systems more generally, from initial configurations far from dynamical equilibrium is often described as a simple two-phase process: a first phase of violent relaxation bringing it to a quasistationary state in a few dynamical times, followed by a slow adiabatic evolution driven by collisional processes. In this context the complex spatial structure evident, for example, in spiral galaxies is understood either in terms of instabilities of quasistationary states or as a result of dissipative nongravitational interactions. We illustrate here, using numerical simulations, that purely self-gravitating systems evolving from quite simple initial configurations can in fact give rise easily to structures of this kind, of which the lifetime can be large compared to the dynamical characteristic time but short compared to the collisional relaxation timescale.

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Handholding can naturally occur between two walkers. When people walk side-by-side, either with or without hand contact, they often synchronize their steps. However, despite the importance of haptic interaction in general and the natural use of hand contact between humans during walking, few studies have investigated forces arising from physical interactions.

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The accomplishment of mature locomotor movements relies upon the integrated coordination of the lower and upper limbs and the trunk. Human adults normally swing their arms and a quadrupedal limb coordination persists during bipedal walking despite a strong corticospinal control of the upper extremities that allows to uncouple this connection during voluntary activities. Here we investigated arm-leg coordination during stepping responses on a surface in human neonates.

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To investigate how early injuries to developing motor regions of the brain affect different forms of gait, we compared the spatiotemporal locomotor patterns during forward (FW) and backward (BW) walking in children with cerebral palsy (CP). Bilateral gait kinematics and EMG activity of 11 pairs of leg muscles were recorded in 14 children with CP (9 diplegic, 5 hemiplegic; 3.0-11.

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