Biomedical subjects

G Courtine

Publications and source records attributed to G Courtine.

3 recordsLinked to original sources

PubMed2006

Plasticity of functional connectivity in the adult spinal cord.

This paper emphasizes several characteristics of the neural control of locomotion that provide opportunities for developing strategies to maximize the recovery of postural and locomotor functions after a spinal cord injury (SCI). The major points of this paper are: (i) the circuitry that controls standing and stepping is extremely malleable and reflects a continuously varying combination of neurons that are activated when executing stereotypical movements; (ii) the connectivity between neurons is more accurately perceived as a functional rather than as an anatomical phenomenon; (iii) the functional connectivity that controls standing and stepping reflects the physiological state of a given assembly of synapses, where the probability of these synaptic events is not deterministic; (iv) rather, this probability can be modulated by other factors such as pharmacological agents, epidural stimulation and/or motor training; (v) the variability observed in the kinematics of consecutive steps reflects a fundamental feature of the neural control system and (vi) machine-learning theories elucidate the need to accommodate variability in developing strategies designed to enhance motor performance by motor training using robotic devices after an SCI.

Aging↗

PubMed2001

Continuous, bilateral Achilles' tendon vibration is not detrimental to human walk.

Sensory feedback from the moving limbs contributes to the regulation of animal and human locomotion. However, the question of the specific role of the various modalities is still open. Further, functional loss of leg afferent fibres due to peripheral neuropathy does not always lead to major alteration in the gait pattern. In order to gain further insight on proprioceptive control of human gait, we applied vibratory tendon stimulation, known to recruit spindle primary afferent fibres, to both triceps surae muscles during normal floor walk. This procedure would disturb organisation and execution of walking, especially if spindles fire continuously and subjects are blindfolded. Vibration induced significant, though minor, changes in duration and length of stance and swing phase, and on speed of walking and kinematics of lower limb segments. No effect was induced on angular displacement of the ankle joint or trunk and head kinematics. This paucity of effects was at variance with the perception of the subjects, who reported illusion of leg stiffness and gait imbalance. These findings would speak for a selective gating of Ia input during locomotion and emphasise the notion that the central nervous system can cope with an unusual continuous input along the Ia fibres from a key muscle like the soleus.

Achilles Tendon↗

PubMed2001

[Vibration after effect during human walking].

Muscular vibration effects could usually persist after the end of the stimulation. The extinction of this after-effect was studied during human walk. Six subjects performed a locomotor task (six successive steps) under control, and after bilateral Achilles' tendon vibration (70 Hz). The step frequency was enhanced (diminution of the stance phase duration) whereas the stride length tended to decrease. The relative duration of the stance phase reached back normal values with repetitions. These results demonstrated that vibration-induced effects persevere after the end of the stimulation. In addition, owing to the dynamic of the re-adaptation process, they suggested that the muscular proprioceptive input could participate in both maintaining and regulating the locomotor rhythm.

Achilles Tendon↗