Proactive Modulation in the Spatiotemporal Structure of Muscle Synergies Minimizes Reactive Responses in Perturbed Landings

Stability training in the presence of perturbations is an effective means of increasing muscle strength, improving reactive balance performance, and reducing fall risk. We investigated the effects of perturbations induced by an unstable surface during single-leg landings on the mechanical loading and modular organization of the leg muscles. We hypothesized a modulation of neuromotor control when landing on the unstable surface, resulting in an increase of leg muscle loading. Fourteen healthy adults performed 50 single-leg landings from a 30 cm height onto two ground configurations: stable solid ground (SG) and unstable foam pads (UG). Ground reaction force, joint kinematics, and electromyographic activity of 13 muscles of the landing leg were measured. Resultant joint moments were calculated using inverse dynamics and muscle synergies with their time-dependent (motor primitives) and time-independent (motor modules) components were extracted via non-negative matrix factorization. Three synergies related to the touchdown, weight acceptance, and stabilization phase of landing were found for both SG and UG. When compared with SG, the motor primitive of the touchdown synergy was wider in UG (p < 0.001). Furthermore, in UG the contribution of gluteus medius increased (p = 0.015) and of gastrocnemius lateralis decreased (p < 0.001) in the touchdown synergy. Weight acceptance and stabilization did not show any statistically significant differences between the two landing conditions. The maximum ankle and hip joint moment as well as the rate of ankle, knee, and hip joint moment development were significantly lower (p < 0.05) in the UG condition. The spatiotemporal modifications of the touchdown synergy in the UG condition highlight proactive adjustments in the neuromotor control of landings, which preserve reactive adjustments during the weight acceptance and stabilization synergies. Furthermore, the performed proactive control in combination with the viscoelastic properties of the soft surface resulted in a reduction of the mechanical loading in the lower leg muscles. We conclude that the use of unstable surfaces does not necessarily challenge reactive motor control nor increase muscle loading per se. Thus, the characteristics of the unstable surface and the dynamics of the target task must be considered when designing perturbation-based interventions.Peer Reviewe

Neuromechanics of Dynamic Balance Tasks in the Presence of Perturbations

Understanding the neuromechanical responses to perturbations in humans may help to explain the reported improvements in stability performance and muscle strength after perturbation-based training. In this study, we investigated the effects of perturbations, induced by unstable surfaces, on the mechanical loading and the modular organization of motor control in the lower limb muscles during lunging forward and backward. Fifteen healthy adults performed 50 forward and 50 backward lunges on stable and unstable ground. Ground reaction forces, joint kinematics, and the electromyogram (EMG) of 13 lower limb muscles were recorded. We calculated the resultant joint moments and extracted muscle synergies from the stepping limb. We found sparse alterations in the resultant joint moments and EMG activity, indicating a little if any effect of perturbations on muscle mechanical loading. The time-dependent structure of the muscle synergy responsible for the stabilization of the body was modified in the perturbed lunges by a shift in the center of activity (later in the forward and earlier in the backward lunge) and a widening (in the backward lunge). Moreover, in the perturbed backward lunge, the synergy related to the body weight acceptance was not present. The found modulation of the modular organization of motor control in the unstable condition and related minor alteration in joint kinetics indicates increased control robustness that allowed the participants to maintain functionality in postural challenging settings. Triggering specific modulations in motor control to regulate robustness in the presence of perturbations may be associated with the reported benefits of perturbation-based training.Peer Reviewe

Measuring Kinematic Response to Perturbed Locomotion in Young Adults

Daily life activities often require humans to perform locomotion in challenging scenarios. In this context, this study aimed at investigating the effects induced by anterior-posterior (AP) and medio-lateral (ML) perturbations on walking. Through this aim, the experimental protocol involved 12 participants who performed three tasks on a treadmill consisting of one unperturbed and two perturbed walking tests. Inertial measurement units were used to gather lower limb kinematics. Parameters related to joint angles, as the range of motion (ROM) and its variability (CoV), as well as the inter-joint coordination in terms of continuous relative phase (CRP) were computed. The AP perturbation seemed to be more challenging causing differences with respect to normal walking in both the variability of the ROM and the CRP amplitude and variability. As ML, only the ankle showed different behavior in terms of joint angle and CRP variability. In both tasks, a shortening of the stance was found. The findings should be considered when implementing perturbed rehabilitative protocols for falling reduction.Peer Reviewe

KINEMATIC STRATEGIES TO KEEP AN UNCHANGED MARGIN OF STABILITY DURING TREADMILL RUNNING ON AN EVEN AND UNEVEN SURFACE

Understanding how to control stability when running, particularly when being exposed to uneven terrain, is vital to prevent falls and to get an insight into compensatory strategies while running on uneven terrain. The purpose of this study was to assess surface related differences of the margin of stability, kinematics of hip and knee and upper body acceleration which may affect the control of running stability. Eighteen healthy younger adults ran on an even and an uneven surfaced treadmill for two minutes at fixed speeds of 2.0 m/s (female) and 2.2 m/s (male), respectively. Results showed an unchanged margin of stability in both conditions. Further, lower limb kinematics, step width variability and upper body acceleration increased on the uneven surface meaningfully to keep the extrapolated centre of mass within the base of support

The Maximum Lyapunov Exponent During Walking and Running: Reliability Assessment of Different Marker-Sets

The maximum Lyapunov exponent (MLE) has often been suggested as the prominent measure for evaluation of dynamic stability of locomotion in pathological and healthy population. Although the popularity of the MLE has increased in the last years, there is scarce information on the reliability of the method, especially during running. The purpose of the current study was, thus, to examine the reliability of the MLE during both walking and running. Sixteen participants walked and ran on a treadmill completing two measurement blocks (i.e., two trials per day for three consecutive days per block) separated by 2 months on average. Six different marker-sets on the trunk were analyzed. Intraday, interday and between blocks reliability was assessed using the intraclass correlation coefficient (ICC) and the root mean square difference (RMSD). The MLE was on average significantly higher (p &lt; 0.001) in running (1.836 ± 0.080) compared to walking (1.386 ± 0.207). All marker-sets showed excellent ICCs (&gt;0.90) during walking and mostly good ICCs (&gt;0.75) during running. The RMSD ranged from 0.023 to 0.047 for walking and from 0.018 to 0.050 for running. The reliability was better when comparing MLE values between blocks (ICCs: 0.965–0.991 and 0.768–0.961; RMSD: 0.023–0.034 and 0.018–0.027 for walking and running respectively), and worse when considering trials of the same day (ICCs: 0.946–0.980 and 0.739–0.844; RMSD: 0.042–0.047 and 0.045–0.050 for walking and running respectively). Further, different marker-sets affect the reliability of the MLE in both walking and running. Our findings provide evidence that the assessment of dynamic stability using the MLE is reliable in both walking and running. More trials spread over more than 1 day should be considered in study designs with increased demands of accuracy independent of the locomotion condition

Lower complexity of motor primitives ensures robust control of high-speed human locomotion

Walking and running are mechanically and energetically different locomotion modes. For selecting one or another, speed is a parameter of paramount importance. Yet, both are likely controlled by similar low-dimensional neuronal networks that reflect in patterned muscle activations called muscle synergies. Here, we challenged human locomotion by having our participants walk and run at a very broad spectrum of submaximal and maximal speeds. The synergistic activations of lower limb locomotor muscles were obtained through decomposition of electromyographic data via non-negative matrix factorization. We analyzed the duration and complexity (via fractal analysis) over time of motor primitives, the temporal components of muscle synergies. We found that the motor control of high-speed locomotion was so challenging that the neuromotor system was forced to produce wider and less complex muscle activation patterns. The motor modules, or time-independent coefficients, were redistributed as locomotion speed changed. These outcomes show that humans cope with the challenges of high-speed locomotion by adapting the neuromotor dynamics through a set of strategies that allow for efficient creation and control of locomotion.Peer Reviewe

Sex-specific tuning of modular muscle activation patterns for locomotion in young and older adults

This article was supported by the German Research Foundation (DFG) and the Open Access Publication Fund of Humboldt-Universität zu Berlin.There is increasing evidence that including sex as a biological variable is of crucial importance to promote rigorous, repeatable and reproducible science. In spite of this, the body of literature that accounts for the sex of participants in human locomotion studies is small and often produces controversial results. Here, we investigated the modular organization of muscle activation patterns for human locomotion using the concept of muscle synergies with a double purpose: i) uncover possible sex-specific characteristics of motor control and ii) assess whether these are maintained in older age. We recorded electromyographic activities from 13 ipsilateral muscles of the lower limb in young and older adults of both sexes walking (young and old) and running (young) on a treadmill. The data set obtained from the 215 participants was elaborated through non-negative matrix factorization to extract the time-independent (i.e., motor modules) and time-dependent (i.e., motor primitives) coefficients of muscle synergies. We found sparse sex-specific modulations of motor control. Motor modules showed a different contribution of hip extensors, knee extensors and foot dorsiflexors in various synergies. Motor primitives were wider (i.e., lasted longer) in males in the propulsion synergy for walking (but only in young and not in older adults) and in the weight acceptance synergy for running. Moreover, the complexity of motor primitives was similar in younger adults of both sexes, but lower in older females as compared to older males. In essence, our results revealed the existence of small but defined sex-specific differences in the way humans control locomotion and that these are not entirely maintained in older age.Peer Reviewe

Sport Biomechanics Applications Using Inertial, Force, and EMG Sensors: A Literature Overview

In the last few decades, a number of technological developments have advanced the spread of wearable sensors for the assessment of human motion. These sensors have been also developed to assess athletes’ performance, providing useful guidelines for coaching, as well as for injury prevention. The data from these sensors provides key performance outcomes as well as more detailed kinematic, kinetic, and electromyographic data that provides insight into how the performance was obtained. From this perspective, inertial sensors, force sensors, and electromyography appear to be the most appropriate wearable sensors to use. Several studies were conducted to verify the feasibility of using wearable sensors for sport applications by using both commercially available and customized sensors. The present study seeks to provide an overview of sport biomechanics applications found from recent literature using wearable sensors, highlighting some information related to the used sensors and analysis methods. From the literature review results, it appears that inertial sensors are the most widespread sensors for assessing athletes’ performance; however, there still exist applications for force sensors and electromyography in this context. The main sport assessed in the studies was running, even though the range of sports examined was quite high. The provided overview can be useful for researchers, athletes, and coaches to understand the technologies currently available for sport performance assessment

Muscle Synergies in Patients With Multiple Sclerosis Reveal Demand-Specific Alterations in the Modular Organization of Locomotion

For patients with multiple sclerosis (MS), deficits in gait significantly reduce the quality of life. Using the concept of muscle synergies, this study investigated the modular organization of motor control during level and inclined walking in MS patients (MSP) compared with healthy participants (HP) to identify the potential demand-specific adjustments in motor control in MSP. We hypothesized a widening of the time-dependent activation patterns (motor primitives) in MSP to increase the overlap of temporally-adjacent muscle synergies, especially during inclined walking, as a strategy to increase the robustness of motor control, thus compensating pathology-related deficits. We analyzed temporal gait parameters and muscle synergies from myoelectric signals of 13 ipsilateral leg muscles using non-negative matrix factorization. Compared with HP, MSP demonstrated a widening in the time-dependent coefficients (motor primitives), as well as altered relative muscle contribution (motor modules), in certain synergies during level and inclined walking. Moreover, inclined walking revealed a demand-specific adjustment in the modular organization in MSP, resulting in an extra synergy compared with HP. This further increased the overlap of temporally-adjacent muscle synergies to provide sufficient robustness in motor control to accomplish the more demanding motor task while coping with pathology-related motor deficits during walking.Peer Reviewe

Runners Employ Different Strategies to Cope With Increased Speeds Based on Their Initial Strike Patterns

In this paper we examined how runners with different initial foot strike pattern (FSP) develop their pattern over increasing speeds. The foot strike index (FSI) of 47 runners [66% initially rearfoot strikers (RFS)] was measured in six speeds (2.5–5.0 ms−1), with the hypotheses that the FSI would increase (i.e., move toward the fore of the foot) in RFS strikers, but remain similar in mid- or forefoot strikers (MFS) runners. The majority of runners (77%) maintained their original FSP by increasing speed. However, we detected a significant (16.8%) decrease in the FSI in the MFS group as a function of running speed, showing changes in the running strategy, despite the absence of a shift from one FSP to another. Further, while both groups showed a decrease in contact times, we found a group by speed interaction (p < 0.001) and specifically that this decrease was lower in the MFS group with increasing running speeds. This could have implications in the metabolic energy consumption for MFS-runners, typically measured at low speeds for the assessment of running economy.Peer Reviewe