Locomotion on ramped surfaces requires modulation of both pattern generating circuits and limb stiffness. In order to meet the mechanical demands of locomotion under these conditions, muscular activation patterns must correspond to the appropriate functions, whether the muscles are serving as force generators or brakes. Limb stiffness is a critical mechanical property that determines how the body interacts with the environment, and is regulated by both intrinsic and neural mechanisms. We have recently investigated how pattern generation, stiffness and proprioceptive feedback are modulated in a task specific way using the decerebrate cat preparation. Our results confirm previous research using intact animals that during level and upslope walking, hip and ankle extensors are recruited for propulsion during stance. During downslope walking, hip extensors are inhibited and hip flexors are recruited during stance to provide the needed braking action. Our new data further show that endpoint stiffness of the limb is correspondingly reduced for walking down a slope, and that the reduction in stiffness is likely due to an increase in inhibitory force feedback. Our results further suggest that a body orientation signal derived from vestibular and neck proprioceptive information is responsible for the required muscular activation patterns as well as a reduction in limb stiffness. This increased compliance is consistent with the function of the distal limb to cushion the impact during the braking action of the antigravity musculature.
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http://dx.doi.org/10.1007/978-1-4939-1338-1_4 | DOI Listing |
J R Soc Interface
January 2025
Department of Mechanical Engineering, Imperial College London, London, UK.
Following lower limb amputation residuum skin from the lower leg is used to reconstruct the residual limb. Unlike skin on the sole of the foot (plantar skin), leg skin is not inherently load bearing. Despite this, leg skin is required to be load bearing in the prosthetic socket.
View Article and Find Full Text PDFLife (Basel)
November 2024
Department of Electronic Engineering, National Taipei University of Technology, Taipei 10608, Taiwan.
After a fracture, patients have reduced willingness to bend and extend their elbow joint due to pain, resulting in muscle atrophy, contracture, and stiffness around the elbow. Moreover, this may lead to progressive atrophy of the muscles around the elbow, resulting in permanent functional loss. Currently, a goniometer is used to measure the range of motion, ROM, to evaluate the recovery of the affected limb.
View Article and Find Full Text PDFDiagnostics (Basel)
December 2024
PhysiUZerapy: Health Sciences Research Group, University of Zaragoza, Calle Domingo Miral S/N, 50009 Zaragoza, Spain.
Background: When performing the Upper Limb Neurodynamic Test 1 (ULNT1), the order of joint movement can be varied to place more stress onto certain nerve segments. However, the mechanisms underlying this phenomenon are still unclear. This study aimed to analyze the differences in the stiffness of the median nerve (MN) and the brachial plexus (BP) using ultrasound shear wave elastography during three sequences of the ULNT1: standard (ULNT1-STD), distal-to-proximal (ULNT1-DIST), and proximal-to-distal (ULNT1-PROX).
View Article and Find Full Text PDFGenes (Basel)
November 2024
Neurology Unit, Department of Translational Medicine, Maggiore Della Carità Hospital, University of Piemonte Orientale, 28100 Novara, Italy.
Background/objectives: Axonal Charcot-Marie-Tooth disease type 2 (CMT2) accounts for 24% of Hereditary Motor/Sensory Peripheral Neuropathies. CMT2 type GG, due to four distinct heterozygous mutations in the Golgi brefeldin A resistant guanine nucleotide exchange factor 1 () gene (OMIM 606483), was described in seven cases from four unrelated families with autosomal dominant inheritance. It is characterized by slowly progressive distal muscle weakness and atrophy, primarily affecting the lower limbs.
View Article and Find Full Text PDFCompartment syndrome caused by Streptococcus pyogenes (Group A Streptococcus) has rarely been documented. We report the case of a 53-year-old male, hypertensive, who developed compartment syndrome and myositis in the right lower limb. The patient underwent emergency fasciotomies of the anterior, lateral, superficial posterior and deep posterior compartments of the leg and two subsequent surgical debridements, in addition to receiving antibiotic treatment and delayed closure of the fasciotomies with grafts.
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