The locomotion of the low spinal cat I. Coordination within a hindlimb

Kittens were subjected to a complete transection of the spinal cord (Th 10–12) 1–2 weeks after birth. A few days after the operation they could perform alternating limb movements and somewhat later walking movements with their hindlimbs on a treadmill. The stepcycle of the hindlimbs could be divided into a flexion phase (F) and a first (E₁), second (E₂) and third (E₃) extension phase. The duration of the support phase decreased markedly with treadmill velocity while the swing phase decreased to a much smaller extent. The pattern of electromyographical activity in hip, knee, ankle and toe muscles during treadmill locomotion was very similar to that of the intact cat. This related to both the timing and the general shape of locomotor bursts. The extensor muscles were thus activated well before the placement of the foot and able to produce enough force to support the body. The propulsive thrust in each step was, however, decreased and the animals showed more severe deficits particularly in their equilibrium control. It is concluded, however, that neural networks in the spinal cord (with its peripheral inflow intact but without supraspinal influences) have the capacity to generate a specific and detailed locomotor pattern.     

Oxygen consumption, oxygen cost, heart rate, and perceived effort during split-belt treadmill walking in young healthy adults

During split-belt treadmill walking the speed of the treadmill under one limb is faster than the belt under the contralateral limb. This unique intervention has shown evidence of acutely improving gait impairments in individuals with neurologic impairment such as stroke and Parkinson’s disease. However, oxygen use, heart rate and perceived effort associated with split-belt treadmill walking are unknown and may limit the utility of this locomotor intervention. To better understand the intensity of this new intervention, this study was undertaken to examine the oxygen consumption, oxygen cost, heart rate, and rating of perceived exertion associated with split-belt treadmill walking in young healthy adults. Fifteen participants completed three sessions of treadmill walking: slow speed with belts tied, fast speed with belts tied, and split-belt walking with one leg walking at the fast speed and one leg walking at the slow speed. Oxygen consumption, heart rate, and rating of perceived exertion were collected during each walking condition and oxygen cost was calculated. Results revealed that oxygen consumption, heart rate, and perceived effort associated with split-belt walking were higher than slow treadmill walking, but only oxygen consumption was significantly lower during both split-belt walking than fast treadmill walking. Oxygen cost associated with slow treadmill walking was significantly higher than fast treadmill walking. These findings have implications for using split-belt treadmill walking as a rehabilitation tool as the cost associated with split-belt treadmill walking may not be higher or potentially more detrimental than that associated with previously used treadmill training rehabilitation strategies.     

Adaptive control for backward quadrupedal walking. I. Posture and hindlimb kinematics

1. To gain new perspectives on the neural control of different forms of quadruped locomotion, we studied adaptations in posture and hindlimb kinematics for backward (BWD) walking in normal cats. Data from four animals were obtained from high-speed (100 fr/s) ciné film of BWD treadmill walking over a range of slow walking speeds (0.3-0.6 m/s) and forward (FWD) treadmill walking at 0.6 m/s. 2. Postural adaptations during BWD walking included flexion of the lumbar spine, compared to a relatively straight spine during FWD walking. The usual paw-contact sequence for FWD walking [right hindlimb (RH), right forelimb (RF), left hindlimb (LH), left forelimb (LF)] was typically reversed for BWD walking (RH, LF, LH, RF). The hindlimbs alternated consistently with a phase difference averaging 0.5 for both forms of walking, but the phasing of the forelimbs was variable during BWD walking. 3. As BWD walking speed increased from 0.3 to 0.6 m/s, average hindlimb cycle period decreased 21%, stance-phase duration decreased 29%, and stride length increased 38%. Compared to FWD walking at 0.6 m/s, stride length was 30% shorter, whereas cycle period and stance-phase duration were 17% shorter for BWD walking. For both directions, stance occupied 64 +/- 4% (mean +/- SD) of the step cycle. 4. During swing for both forms of walking, the hip, knee, and ankle joints had flexion (F) and extension (E1) phases; however, the F-E1 reversals occurred earlier at the hip and later at the knee for BWD than for FWD walking. At the ankle joint, the ranges of motion during the F and E1 phases were similar for both directions. During BWD walking, however, the knee flexed more and extended less, whereas the hip flexed less and extended more. Thus horizontal displacement of the limb resulted primarily from hip extension and knee flexion during BWD swing, but hip flexion and knee extension during FWD swing. 5. At the knee and ankle joints, there were yield (E2) and extension (E3) phases during stance for both forms of walking; however, yields at the knee and ankle joints were reduced during BWD walking. At the hip, angular motion was unidirectional, as the hip flexed during BWD stance but extended during FWD stance. Knee extension was the prime contributor to horizontal displacement of the body during BWD stance, but hip extension was the prime contributor to horizontal displacement during FWD stance. 6. Our kinematic data revealed two discriminators between BWD and FWD walking.(ABSTRACT TRUNCATED AT 400 WORDS)     

Minute-by-minute differences in co-activation during treadmill walking in cerebral palsy

The primary purpose of this study was to determine, in children and adolescents with mild spastic cerebra palsy (CP); 1) minute-by-minute differences in lower limb antagonist muscle co-activation and stride length (SL) during treadmill walking following 12-15 minutes of treadmill walking practice, and 2) if the minute-by-minute pattern of co-activation is affected by site (thigh or lower leg) and lower limb dominance. A secondary purpose was to determine if overall there is a difference in co-activation between the dominant and non-dominant lower limbs. Eight independently ambulatory children and adolescents with mild spastic CP (9.2-15.7 yr) participated in the study. Minute-by-minute lower limb antagonist muscle co-activation and SL were measured during a 3-minute treadmill walk at 90% of individually determined fastest treadmill walking speed. Non-dominant thigh (quadriceps, hamstring muscles) co-activation decreased between minute 1 and a) minute 2 (6%), b) minute 3 (7.2%). Co-activation for the dominant lower leg (tibialis anterior, triceps surae muscles) decreased between minute 1 and minute 3 (11.3%). Non-dominant thigh co-activation was on average 27.3% higher than for the dominant thigh. Thigh co-activation was on average 27.7% higher than for the lower leg, independent of dominance or time. SL increased between minute 1 and minute 3 by 2.1%. Twelve to 15 minutes of treadmill walking practice may be sufficient time to obtain stable co-activation and SL values by minute 2 of a fast treadmill walk. Dominance and site affect the magnitude of co-activation.     

Simultaneous control of two rhythmical behaviors. II. Hindlimb walking with paw-shake response in spinal cat

The simultaneous control of the hindlimb paw-shake response and hindlimb walking at slow treadmill speeds (0.2-0.4 m/s) was examined in adult cats spinalized at the T12 level, 3-6 mo earlier. Paw shaking was elicited by either 1) application of adhesive tape or 2) water to the right hindpaw. To assess intralimb and interlimb coordination of the combined behaviors, activity from selected flexor and extensor muscles at the hip, knee, and ankle was recorded, and the kinematics of these joints were determined from high-speed cinefilm. When paw shaking was combined with hindlimb walking, the response in the stimulated limb was initiated during swing (F phase) of the step cycle. The onset of knee extensor activity provided the transition from the flexor synergy of swing to the mixed synergy of paw shake. At the end of the paw shake, an extensor synergy initiated the E-1 phase of swing, and the resultant joint motion was in-phase extension at the hip, knee, and ankle to lower the paw for contact with the treadmill belt. During the rapid (81 ms) paw-shake cycles, knee extensor and ankle flexor muscles exhibited single, coactive bursts that were reciprocal with coactive hip and ankle extensor bursts. This mixed synergy was reflected in the limb coordination, as knee flexion coincided with ankle extension and knee flexion coincided with ankle extension. Phasing of hip motions was variable, reflecting the role of the proximal in stabilization during paw shake (16). Although the number of paw-shake cycles combined during swing varied greatly from 2 to 14, average cycle periods, burst durations, and intralimb synergies were similar to those previously reported for spinal cats tested under conditions in which the trunk was suspended and hindlimbs were pendent (23, 27). For step cycles during which a long paw-shake response of 8-14 cycles occurred, swing duration of the shaking limb increased by 1 s, and during this prolonged interval, the contralateral hindlimb completed two support steps. Stance duration of the support steps was also prolonged. This adjustment maximized the duration of paw-contact and minimized any period of nonsupport by the contralateral hindlimb during paw shake. Completion of the paw-shake response was followed by either an alternating, or a nonalternating, gait pattern on the recovery steps. One spinal cat combined locomotion with short two-cycle paw-shake responses, and because the shortened response was limited primarily to the time ordinarily devoted to swing, interlimb adjustments were slight.(ABSTRACT TRUNCATED AT 400 WORDS)     

Analyses of treadmill locomotion in adult spinal dogs

The locomotion of the hindlimbs of two adult female spinal dogs, who were able to walk steadily on their hindlimbs 10 months after transection of the spinal cord (T10), and of two normal dogs was analyzed on a treadmill by means of high-speed cinematography and electromyography. With increase in walking speed, the duration of the step cycle was shortened by reduction of the duration of the stance phase, and the stride length was extended mainly by elongation of the transfer distance during the swing phase in both normal and spinal dogs. The patterns of muscle discharges of the hindlimbs in spinal dogs were similar to those in normal dogs. With increase in walking speed, reductions in the burst duration of the extensors were observed in both normal and spinal dogs. These results indicate that spinal dogs can adjust their locomotion speed in the same manner as normal dogs; this supports the theory that a central pattern generator regulating the locomotive activities of the hindlimbs exists in the spinal cord below the transection site.     

On the Descending Control of the Lumbosacral Spinal Cord from the “Mesencephalic Locomotor Region”

Continuous stimulation (60 c/s) of a region below the inferior coliculus can induce locomotion on the treadmill of precollicular, postmammilar cats. This study aims at revealing what changes occur in the spinal cord, when the “locomotor region” is stimulated. This stimulation enables the cat to walk if the treadmill is moved. After controlling the threshold for evoking good locomotion, the cats were curarized. Stimulation at a strength that evoked walking prior to curarization induced a depression of inhibitory short-latency reflex effects to α-motoneurones from cutaneous, and high threshold muscular afferents without changing the direct excitability of α-motoneurones. The threshold for evoking longlasting reciprocally organized discharges was lowered. The results suggest that the effects are induced by a slow fiber system, that releases the activity of the spinal stepping generating neurones. The results would be explained if the noradrenergic reticulospinal system was activated from the mesencephalic locomotor region.     

Somatosensory control of balance during locomotion in decerebrated cat

Postmammillary decerebrated cats can generate stepping on a moving treadmill belt when the brain stem or spinal cord is stimulated tonically and the hindquarters are supported both vertically and laterally. While adequate propulsion seems to be generated by the hindlimbs under these conditions, the ability to sustain equilibrium during locomotion has not been examined extensively. We found that tonic epidural spinal cord stimulation (5 Hz at L5) of decerebrated cats initiated and sustained unrestrained weight-bearing hindlimb stepping for extended periods. Detailed analyses of the relationships among hindlimb muscle EMG activity and trunk and limb kinematics and kinetics indicated that the motor circuitries in decerebrated cats actively maintain equilibrium during walking, similar to that observed in intact animals. Because of the suppression of vestibular, visual, and head-neck-trunk sensory input, balance-related adjustments relied entirely on the integration of somatosensory information arising from the moving hindquarters. In addition to dynamic balance control during unperturbed locomotion, sustained stepping could be reestablished rapidly after a collapse or stumble when the hindquarters switched from a restrained to an unrestrained condition. Deflecting the body by pulling the tail laterally induced adaptive modulations in the EMG activity, step cycle features, and left-right ground reaction forces that were sufficient to maintain lateral stability. Thus the brain stem-spinal cord circuitry of decerebrated cats in response to tonic spinal cord stimulation can control dynamic balance during locomotion using only somatosensory input.     

Stepping movements evoked by repetitive dorsal root stimulation in a mesencephalic cat

Repetitive stimulation of a dorsal root evoked stepping movements of the hind limbs of a mesencephalic cat on a moving treadmill. The step duration either a) correlated with the stimulus frequency or b) depended entirely on the speed of the treadmill. The stimulus frequency evoking walking in transmamillary preparations, which could not walk on a moving treadmill without electrical stimulation, was 0.5/sec, compared with 2/sec for postmamillary preparations. At higher frequencies of stimulation (not exceeding 20/sec) it was easier to evoke walking in transmamillary than in postmamillary preparations. Dorsal root walking was abolished in the spinal cat. Consequently, supraspinal centers participate in its mechanism.     

Spinal cord maps of spatiotemporal alpha-motoneuron activation in humans walking at different speeds

Functional MRI (fMRI) imaging of motoneuron activity in the human spinal cord is still in its infancy, and it will remain difficult to apply to walking. Here we present a viable alternative for documenting the spatiotemporal maps of alpha-motorneuron (MN) activity in the human spinal cord during walking, similar to the method recently reported for the cat. We recorded EMG activity from 16 to 32 ipsilateral limb and trunk muscles in 13 healthy subjects walking on a treadmill at different speeds (1-7 km/h) and mapped the recorded patterns onto the spinal cord in approximate rostrocaudal locations of the motoneuron pools. This approach can provide information about pattern generator output during locomotion in terms of segmental control rather than in terms of individual muscle control. A striking feature we found is that nearly every spinal segment undergoes at least two cycles of activation in the step cycle, thus supporting the idea of half-center oscillators controlling MN activation at any segmental level. The resulting spatiotemporal map patterns seem highly stereotyped over the range of walking speeds studied, although there were also some systematic redistributions of MN activity with speed. Bursts of MN activity were either temporally aligned across several spinal segments or switched between different segments. For example, the center of mass of MN activity in the lumbosacral levels generally shifted from rostral to caudal positions in two cycles for each step, revealing four major activation foci: two in the upper lumbar segments and two in the sacral segments. The results are consistent with the presence of at least two and possibly more pattern generators controlling the activation of lumbosacral MNs.     

Coupling of upper and lower limb pattern generators during human crawling at different arm/leg speed combinations

A crawling paradigm was performed by healthy adults to examine inter-limb coupling patterns and to understand how central pattern generators (CPGs) for the upper and lower limbs are coordinated. Ten participants performed hands-and-feet crawling on two separate treadmills, one for the upper limbs and another one for the lower limbs, the speed of each of them being changed independently. A 1:1 frequency relationship was often maintained even when the treadmill speed was not matched between the upper and lower limbs. However, relative stance durations in the upper limbs were only affected by changes of the upper limb treadmill speed, suggesting that although absolute times are adjusted, the relative proportions of stances and swing do not adapt to changes in lower limb treadmill speeds. With large differences between treadmill speeds, changes in upper and lower limb coupling ratio tended to occur when the upper limbs stepped at slower speeds than the lower limbs, but more rarely the other way around. These findings are in sharp contrast with those in the cat, where forelimbs always follow the rhythm of the faster moving hindlimbs. However, the fact that an integer frequency ratio is often maintained between the upper and lower limbs supports evidence of coupled CPG control. We speculate that the preference for the upper limb to decrease step frequency at lower speeds in humans may be due to weaker ascending propriospinal connections and/or a larger influence of cortical control on the upper limbs which allows for an overriding of spinal CPG control.     

Significance of peripheral feedback in the generation of stepping movements during epidural stimulation of the spinal cord

Acute experiments on decerebrate and spinal cats were performed to study the role of the peripheral afferent input from hindlimb receptors in forming the locomotor pattern during epidural stimulation of the spinal cord. Evoked electromyographic activity in the muscles of the hindlimbs was analyzed, along with the kinematic parameters of stepping movements. Epidural stimulation (20–100 μA, 5 Hz) of segments L4–5 of the spinal cord was found to elicit well coordinated walking in the hindlimbs on a moving treadmill band. When the support conditions were changed (non-moving treadmill, unsupported position), epidural stimulation initiated walking with an unstable rhythm. This was associated with a change in the overall nature of the locomotor pattern and the internal structure of the stepping cycle. Alteration of the direction of movement of the treadmill band led to the appearance of backward walking. An increase in the speed of movement of the treadmill band increased the stepping frequency, mainly due to decreases in the extensor phase. Epidural stimulation applied 2–4 h after complete transection of the spinal cord at the T8–T9 level could elicit stepping movements, but only when the treadmill was moving. The role of peripheral feedback in generating the locomotor pattern in conditions of complete disconnection from supraspinal control increased significantly. These data show that peripheral feedback during epidural stimulation of the spinal cord can define the properties of the motor output. __________ Translated from Rossiiskii Fiziologicheskii Zhurnal imeni I. M. Sechenova, Vol. 91, No. 12, pp. 1407–1420, December, 2005.     

Gaitography applied to prosthetic walking

During walking on an instrumented treadmill with an embedded force platform or grid of pressure sensors, center-of-pressure (COP) trajectories exhibit a characteristic butterfly-like shape, reflecting the medio-lateral and anterior–posterior weight shifts associated with alternating steps. We define “gaitography” as the analysis of such COP trajectories during walking (the “gaitograms”). It is currently unknown, however, if gaitography can be employed to characterize pathological gait, such as lateralized gait impairments. We therefore registered gaitograms for a heterogeneous sample of persons with a trans-femoral and trans-tibial amputation during treadmill walking at a self-selected comfortable speed. We found that gaitograms directly visualize between-person differences in prosthetic gait in terms of step width and the relative duration of prosthetic and non-prosthetic single-support stance phases. We further demonstrated that one should not only focus on the gaitogram’s shape but also on the time evolution along that shape, given that the COP evolves much slower in the single-support phase than in the double-support phase. Finally, commonly used temporal and spatial prosthetic gait characteristics were derived, revealing both individual and systematic differences in prosthetic and non-prosthetic step lengths, step times, swing times, and double-support durations. Because gaitograms can be rapidly collected in an unobtrusive and markerless manner over multiple gait cycles without constraining foot placement, clinical application of gaitography seems both expedient and appealing. Studies examining the repeatability of gaitograms and evaluating gaitography-based gait characteristics against a gold standard with known validity and reliability are required before gaitography can be clinically applied.     

Treadmill walking and overground walking of human subjects compared by recording sole-floor reaction force

In order to clarify differences of treadmill from overground locomotion, experiments were carried out on 10 volunteers (five males and five females). Sole-floor reaction force was recorded from five anatomically discrete points with strain gauge transducers of 14 mm diameter attached firmly to the sole of bare-foot. At first the subject was asked to walk on the laboratory floor at his/her preferred velocity. After the average velocity was obtained, the subject was asked to walk on the treadmill at the same velocity of average overground walking. Stance period at treadmill walking shortened to 93.3% (P < 0.01) of the value at overground walking. Coefficient of variation of stance period was significantly smaller at the treadmill walking than at overground walking. Strain gauge-floor contact times were shorter in the treadmill walking; heel 81.2%, first metatarsal 93.5%, third metatarsal 93.6%, fifth metatarsal 90.6% and at great toe 93.2% of overground locomotion. Cadence during treadmill locomotion was significantly larger than overground walking (106.6%, P < 0.05). These results show that when subjects walk on the treadmill and on laboratory floor at the identical speed, stance period shortened by 6.7% while cadence increased by 6.6% on the treadmill.     

Activity of spindle afferents from cat anterior thigh muscles. II. Effects of fusimotor blockade

Chronically implanted electrodes and nerve cuff catheters were used to record the activity of individual muscle spindle afferents during treadmill walking as low doses of lidocaine were infused around the femoral nerve to progressively block gamma motoneuron activity. Both primary and secondary endings from both the monarticular knee extensors and the biarticular hip/knee muscles of the anterior thigh showed large decreases in afferent activity, usually well before changes in the electromyographic activity, force output, or length and velocity were seen in the parent muscles. This decline in the proprioceptive signal feeding back onto the spinal cord, which we presume to have involved most of the spindles supplied by the femoral nerve, did not cause noticeable irregularities or instability of the walking gait. At the peak of the fusimotor blockade, spindle afferents from knee extensor muscles lost about half of their usually brisk activity during the near-isometric contraction of the stance phase. Significant decreases in the response to passive stretch during the flexion phase also occurred. At the peak of the fusimotor blockade, spindle afferents from the biarticular muscles lost all of their activity during the rapidly shortening swing phase and about half of their activity during the rapidly lengthening stance phase. For both monarticular and biarticular muscle spindles, the activity decreases in stance and swing phase often occurred at distinctly different stages of the progressive fusimotor blockade, indicating several different sources of fusimotor control. From these data, we infer that the sensitivity of most spindle afferents is substantially influenced by fusimotor activity during phases of both extrafusal activity and extrafusal silence. At least some of this influence appears to come from fusimotor neurons whose recruitment is independent of the extrafusal recruitment. The extent and type of fusimotor effects on spindle afferent sensitivity (dynamic or static) appear to be specialized for the mechanical events that tend to occur during those phases.     

Dose dependence of the 5-HT agonist quipazine in facilitating spinal stepping in the rat with epidural stimulation

Epidural electrical stimulation (ES) at spinal cord segment L2 can produce coordinated step-like movements in completely spinalized adult rats [R.M. Ichiyama, Y.P. Gerasimenko, H. Zhong, R.R. Roy, V.R. Edgerton, Hindlimb stepping movements in complete spinal rats induced by epidural spinal cord stimulation, Neurosci. Lett. 383 (2005) 339-344]. Plantar placement of the paws, however, was rarely observed. Here, we sought to determine the dose dependence of a 5-HT agonist (quipazine) on stepping kinematics when administered in combination with ES. Six adult female Sprague-Dawley rats received a complete mid-thoracic spinal cord transection and were implanted with epidural electrodes at the L2 spinal cord level. Quipazine (i.p.) was tested at doses of 0.1, 0.2, 0.3, 0.4, and 0.5 mg/kg. Rats were placed in a body weight support system, allowing them to walk bipedally on a moving treadmill belt (7 cm/s). 3D step kinematics analysis revealed that coordinated alternating bilateral stepping was induced by L2 stimulation (50 Hz) alone and by quipazine alone. Furthermore, the combination treatment produced significantly greater numbers of plantar steps and improved quality of stepping compared to either intervention alone. Both number and quality of stepping peaked at the intermediate dose of 0.3-0.4 mg/kg. The results indicate that quipazine and ES can have complementary effects on spinal circuits and that quipazine dosage is an important factor in differentially modulating these circuitries to improve the quality of the bipedal stepping on a treadmill belt.     

Could different directions of infant stepping be controlled by the same locomotor central pattern generator?

This study examined the idea of whether the same central pattern generator (CPG) for locomotion can control different directions of walking in humans. Fifty-two infants, aged 2-11 mo, were tested. Infants were supported to walk on a treadmill at a variety of speeds. If forward stepping was elicited, stepping in the other directions (primarily sideways and backward) was attempted. The orientation of the infant on the treadmill belt determined the direction of stepping. In some infants, we also attempted to obtain a smooth transition from one direction to another by gradually changing the orientation of the infant during a stepping sequence. Limb segment motion and surface electromyography from the muscles of the lower limb were recorded. Most infants who showed sustained forward walking also could walk in all other directions. Thirty-three of 34 infants tested could step sideways. The success of eliciting backward stepping was 69%. Most of the infants who did not meet our backward stepping criteria did, however, make stepping movements. The different directions of stepping had similar responses to changes in treadmill speed. The relationship between stance and swing phase durations and cycle duration were the same regardless of the direction of stepping across a range of speeds. Some differences were noted in the muscle activation patterns during different directions of walking. For example, the hamstrings were much more active during the swing phase of backward walking compared with forward walking. The quadriceps was more active in the trailing leg during sideways walking. In some infants, we were able to elicit stepping along a continuum of directions. We found no discrete differences in either the electromyographic patterns or the temporal parameters of stepping as the direction of stepping was gradually changed. The results support the idea that the same locomotor CPG controls different directions of stepping in human infants. The fact that most infants were able to step in all directions, the similarity in the response to speed changes, and the absence of any discrete changes as the direction of stepping was changed gradually are all consistent with this hypothesis.     

Locomotion in cats with ventral spinal lesions: support patterns and duration of support phases during unrestrained walking

The sequences and duration of support phases in the four-legged step cycles performed during unrestrained walking with moderate speed (0.4-1.0 m/s) were analyzed in two groups of cats: intact ones and animals with lesions of the ventral quadrants of the spinal cord at the low thoracic level. Spinal lesions resulted in a much greater variability of support patterns and an increase in the relative durations of the support on two ipsilateral limbs, accompanied by a reduction of support on two diagonal limbs. It is suggested that these changes reflected an impairment of fore-hindlimb coordination, due to an increased phase shift between the onsets of stance phases in the forelimb and in the contralateral hindlimb and may account, at least partly, for the unsteady and ataxic gait described in cats with ventral funicular lesions.     

Adaptability in frequency and amplitude of leg movements during human locomotion at different speeds

In this study of human locomotion we investigate to what extent the normal frequency and amplitude of leg movements can be modified voluntarily at different constant velocities, and how these modifications are accomplished in terms of changes in duration and length of the support and swing phases of the stride cycle. Eight healthy male subjects performed walking and running on a motor-driven treadmill at speeds ranging from 1.0 to 3.0 m s-1 (walking) and 1.5 to 8.0 m s-1 (running), respectively. At each speed the subjects walked and ran with: normal stride frequency; the highest possible stride frequency, and the lowest possible stride frequency. Time for foot contact was measured with a special pressure transducer system under the sole of each shoe. At all speeds of walking and running it was possible to either increase or decrease the frequency of leg movements; that is, to decrease or increase stride cycle duration. The range of variation decreased with increasing speed. The mean overall stride frequency range was 0.41 (low frequency walk 1.0 m s-1)-3.57 Hz (high-frequency run 1.5 m s-1). Stride length ranged 0.40 (high frequency walk 1.0 m s-1)-5.00 m (low frequency run 6.0 m s-1). At normal frequency the overall ranges of stride frequency and length were 0.83-1.95 Hz and 1.16-4.10 m, respectively. The stride frequency increased with speed in low frequency walking and running (as in normal frequency) and decreased in high frequency, despite the effort to maintain extreme frequencies. Only in high frequency walking could the stride frequency be kept approximately constant.(ABSTRACT TRUNCATED AT 250 WORDS)     

Asymptomatic Genu Recurvatum reshapes lower limb sagittal joint and elevation angles during gait at different speeds

BackgroundKinematic characteristics of walking with an asymptomatic genu recurvatum are currently unknown. The objective of this study is to characterize the lower limb sagittal joint and elevation angles during walking in participants with asymptomatic genu recurvatum and compare it with control participants without knee deformation at different speeds.MethodsThe spatio-temporal parameters and kinematics of the lower limb were recorded using an optoelectronic motion capture system in 26 participants (n = 13 with genu recurvatum and n = 13 controls). The participants walked on an instrumented treadmill during five minutes at three different speeds: slow, medium and fast.ResultsParticipants with genu recurvatum showed several significant differences with controls: a narrower step width, a greater maximum hip joint extension angle, a greater knee joint extension angle at mid stance, a lower maximum knee joint flexion angle during the swing phase, and a greater ankle joint extension angle at the end of the gait cycle. Participants with genu recurvatum had a greater minimum thigh elevation angle, a greater maximum foot elevation angle, and a change in the orientation of the covariance plane. Walking speed had a significant effect on nearly all lower limb joint and elevation angles, and covariance plane parameters.ConclusionOur findings show that genu recurvatum reshapes lower limb sagittal joint and elevation angles during walking at different speeds but preserves the covariation of elevation angles along a plane during both stance and swing phases and the rotation of this plane with increasing speed.