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Development of gait in spastic children with cerebral palsy.

The gait of 50 spastic children 3-16 years old was recorded and analyzed. All children showed abnormal values of both basal parameters and phases of the stride. In gait velocity and stride length, their values were lower than normal, but they increased with age, with stride length increasing in parallel with normal values. Stride frequency showed a decrease with age, the reverse of normal. Stance and swing, when normalized with regard to stride duration, showed no change with age in spastic children. Also, stance was longer than in normal children, the same tendency as shown by double support. Hemiplegic children showed clearly asymmetric phases. The decreasing stride frequency with increasing age indicates a relative slowing of movements. Most changes with age were, however, the same as in normal children. The prolonged stance and double support suggest deteriorated postural control, resulting in an increased need of support.

Adolescent↗

Mechanical design of walking machines.

The performance of existing actuators, such as electric motors, is very limited, be it power-weight ratio or energy efficiency. In this paper, we discuss the method to design a practical walking machine under this severe constraint with focus on two concepts, the gravitationally decoupled actuation (GDA) and the coupled drive. The GDA decouples the driving system against the gravitational field to suppress generation of negative power and improve energy efficiency. On the other hand, the coupled drive couples the driving system to distribute the output power equally among actuators and maximize the utilization of installed actuator power. First, we depict the GDA and coupled drive in detail. Then, we present actual machines, TITAN-III and VIII, quadruped walking machines designed on the basis of the GDA, and NINJA-I and II, quadruped wall walking machines designed on the basis of the coupled drive. Finally, we discuss walking machines that travel on three-dimensional terrain (3D terrain), which includes the ground, walls and ceiling. Then, we demonstrate with computer simulation that we can selectively leverage GDA and coupled drive by walking posture control.

Artificial Intelligence↗

Microsaccades keep the eyes' balance during fixation.

During fixation of a stationary target, small involuntary eye movements exhibit an erratic trajectory-a random walk. Two types of these fixational eye movements are drift and microsaccades (small-amplitude saccades). We investigated fixational eye movements and binocular coordination using a statistical analysis that had previously been applied to human posture control. This random-walk analysis uncovered two different time scales in fixational eye movements and identified specific functions for microsaccades. On a short time scale, microsaccades enhanced perception by increasing fixation errors. On a long time scale, microsaccades reduced fixation errors and binocular disparity (relative to pure drift movements). Thus, our findings clarify the role of oculomotor processes during fixation.

Fixation, Ocular↗

Head movement associated with performance of mandibular tasks.

The present study was designed to examine the hypothesis that the motor system controlling phonation is functionally coupled with the motor system controlling posture of the head and neck, as previously suggested (U. Haddar, T.J. Steiner, E.C. Grant and F.C. Rose Human Movement Science 2: 35 and Language and Speech 26: 117). Head tilt and trunk drift in the antero-posterior and right-left directions were measured simultaneously for 20 s before and during three types of speech sounds (/pa/, /ta/ and /ka/) as well during a maximum jaw open-close task in 14 healthy young subjects. The major findings obtained in all of the four tasks were: (i) the trunk drift measured in both directions was negligible in comparison with the head tilt; (ii) the head tilt in the antero-posterior direction was much larger than in the right-left direction and (iii) the head tilt during performance of the four tasks consisted of 'initial' and 'sustained' phases. In the initial phase, the head tilted posteriorly in association with the start of individual tasks. In the sustained phase, the head tilted either anteriorly or posteriorly when the task progressed. The magnitude of the net head tilt in the sustained phase negatively correlated with that of the initial head tilt. These findings indicate that phonation, in the form of jaw open-close, accompanies head movement in two consecutive phases.

Adult↗

Characteristics of the sensory-motor, verbal and cognitive abilities of preschool boys with attention deficit/hyperactivity disorder combined type.

The purpose of this study is to clarify the characteristics of sensory-motor, verbal and cognitive abilities of preschool boys with attention-deficit/hyperactivity disorder (ADHD) in order to provide information for their treatment and education at preschool age by teachers and professionals. For this purpose, 46 Japanese boys with ADHD-combined type (ADHD-C) whose ages ranged from 45 to 72 months were examined using the Japanese version of the Miller Assessment for Preschoolers (JMAP), and were compared with 46 Japanese boys matched for age and gender in the normative samples that served as the standardizations for the JMAP. The results showed that the ADHD-C group was significantly lower than the normative sample group both on the Total score and on each Index score (P < 0.01) with the exception of the Non-verbal Index. In particular, the number of boys with ADHD-C scoring below the 5th percentile on the Foundation Index (i.e. fundamental sensory-motor tests) was the highest among all index scores. The ADHD-C group had significantly lower scores than the normative sample group in equilibrium, postural control, fine motor of hand and tongue, motor praxis, articulation, memory related to the comprehension of long sentences, and visual construction. Because fundamental sensory-motor abilities were notably lower in the ADHD-C group than in the normative sample group, it is suggested that preschool boys with ADHD-C should be examined and treated for sensory-motor disabilities.

Attention Deficit Disorder with Hyperactivity↗

Relationship between newborn stepping and later walking: a new interpretation.

The relationship between newborn stepping and later walking was examined by means of new kinematic and electromyographic data. Stepping movements of a group of 18 normal infants were compared at one and two months of age, at one and two months before the first independent steps, and at the month when these first steps occurred. Stepping in the first month was characterized by tight synchronization of hip, knee and ankle movements, but as early as two months the ankle-joint began to move out of phase with the hip and knee. Before independent walking a more adult-like pattern continued to emerge, with the knee leading the hip in flexion. However, with the onset of walking, primitive characteristics of newborn stepping remained, including ankle hyperextension at the end of the step, hyperflexion of the hip and knee and excessive muscle activation. These results suggest that mature walking may evolve from the newborn stereotyped movement pattern. It is suggested that these gradual changes in the organization of the step are evoked by the dynamic functional demands of upright locomotion, in addition to balance, postural control and strength development in the first year of life.

Adult↗

Kindling of the interpeduncular nucleus and its influence on subsequent amygdala kindling in rats.

We examined the effect of interpeduncular nucleus (IPN) kindling on subsequent amygdala (AM) kindling in rats (n = 9). Eleven to 15 daily IPN stimulations at an afterdischarge (AD)-inducing threshold (400-1000 microA, biphasic sine waves, 1-3 s) produced progressive AD growth (9 of 9 rats) and recruitment of behavioral seizures (7 of 9 rats). The final form of the latter was generalized tonic-clonic seizures with or without a limbic seizure component. The latter was associated with ictal involvement of AM and sensorimotor cortex. Subsequent AM kindling resulted not only in more rapid kindling, but also in tonic seizure associated with a protracted loss of postural control (5-20 s) not observed in animals undergoing AM kindling without previous IPN kindling (n = 5). These findings indicate that the IPN can be kindled and that subsequent AM kindling utilizes the proconvulsant neuroplastic changes that have been already established by IPN kindling.

Amygdala↗

When older adults face the chair-rise challenge. A study of chair height availability and height-modified chair-rise performance in the elderly.

OBJECTIVE: Define the range of community seating heights available for use by older adults; test whether raising chair height by small increments facilitates chair-rise performance; and heighten physician and furniture industry awareness of discrepancies that may exist between actual and acceptable chair heights for older adults. DESIGN: Phase 1: Survey of commercially available chair heights. Phase 2: Cross-sectional descriptive study of chair-rise ability. SETTING: Phase 1: Local furniture stores, physician offices, hospital waiting areas, and nursing homes. Phase 2: Postural Control Lab. PARTICIPANTS: Twenty-two volunteers (nursing home residents and community dwellers). EXCLUSION CRITERIA: inability to stand independently and inability to bear full weight on the lower extremities in the standing position. MEASUREMENTS: Chair rise success at six heights (17-22 inches), self-reported difficulty (visual analogue scale), change in minimum hip angle and maximum shoulder angle during rise, using motion analysis. RESULTS: Phase 1: Community chair heights ranged from 12 to 18 inches, with a mean of 16.3 in physician offices, 16.6 in nursing homes, 16.4 in hospitals, 17.3 in "kitchens" and 15 in "living rooms." Phase 2: As chair height increased from 17 to 22 inches, chair rise effort decreased, as shown by near doubling of percent successful rises, decline in mean self-reported difficulty score, increase in mean minimum hip angle, and decrease in mean maximum shoulder angle. CONCLUSIONS: Seating height may need to be more closely scrutinized in areas frequented by frail elders. Augmentation of seat height by small increments facilitates chair rise performance.

Activities of Daily Living↗

Crossed actions on group II-activated interneurones in the midlumbar segments of the cat spinal cord.

1. Evidence has been sought for crossed actions on midlumbar propriospinal neurones activated by ipsilateral group II muscle afferents, with particular emphasis on those neurones with projections to the ipsilateral hindlimb motor nuclei. 2. A large majority of group II-activated midlumbar neurones were influenced by stimulation of contralateral group II afferents. The most frequent and most powerful actions were from those nerves which most effectively influenced ipsilateral midlumbar neurones. Crossed actions from group I afferents were rare. 3. In the great majority of neurones the pattern of actions was similar from both limbs, the neurones being bilaterally excited, bilaterally inhibited or had both EPSPs and IPSPs from both sides. 4. The latencies of crossed actions suggest that the earliest crossed EPSPs from group II afferents were evoked disynaptically (i.e. via a single commissural neurone) and that the crossed IPSPs were evoked trisynaptically. 5. The pattern of crossed actions suggests a strong bilateral interaction between midlumbar neurones. The possible role of these neurones in postural control and the production of co-ordinated movements of the hindlimbs is discussed.

Action Potentials↗

Orexinergic projections to the cat midbrain mediate alternation of emotional behavioural states from locomotion to cataplexy.

Orexinergic neurones in the perifornical lateral hypothalamus project to structures of the midbrain, including the substantia nigra and the mesopontine tegmentum. These areas contain the mesencephalic locomotor region (MLR), and the pedunculopontine and laterodorsal tegmental nuclei (PPN/LDT), which regulate atonia during rapid eye movement (REM) sleep. Deficiencies of the orexinergic system result in narcolepsy, suggesting that these projections are concerned with switching between locomotor movements and muscular atonia. The present study characterizes the role of these orexinergic projections to the midbrain. In decerebrate cats, injecting orexin-A (60 microm to 1.0 mm, 0.20-0.25 microl) into the MLR reduced the intensity of the electrical stimulation required to induce locomotion on a treadmill (4 cats) or even elicit locomotor movements without electrical stimulation (2 cats). On the other hand, when orexin was injected into either the PPN (8 cats) or the substantia nigra pars reticulata (SNr, 4 cats), an increased stimulus intensity at the PPN was required to induce muscle atonia. The effects of orexin on the PPN and the SNr were reversed by subsequently injecting bicuculline (5 mm, 0.20-0.25 microl), a GABA(A) receptor antagonist, into the PPN. These findings indicate that excitatory orexinergic drive could maintain a higher level of locomotor activity by increasing the excitability of neurones in the MLR, while enhancing GABAergic effects on presumably cholinergic PPN neurones, to suppress muscle atonia. We conclude that orexinergic projections from the hypothalamus to the midbrain play an important role in regulating motor behaviour and controlling postural muscle tone and locomotor movements when awake and during sleep. Furthermore, as the excitability is attenuated in the absence of orexin, signals to the midbrain may induce locomotor behaviour when the orexinergic system functions normally but elicit atonia or narcolepsy when the orexinergic function is disturbed.

Animals↗

Spatial orientation in weightlessness and readaptation to earth's gravity.

Unusual vestibular responses to head movements in weightlessness may produce spatial orientation illusions and symptoms of space motion sickness. An integrated set of experiments was performed during Spacelab 1, as well as before and after the flight, to evaluate responses mediated by the otolith organs and semicircular canals. A variety of measurements were used, including eye movements, postural control, perception of orientation, and susceptibility to space sickness.

Acceleration↗

Global hemianaesthesia: a parietal perceptual distortion suggesting non-organic illness.

In two patients, lesions in the non-dominant parietal lobe were associated with global anaesthesia to all sensory modalities affecting the opposite half of the body. A striking inconsistency existed between the complaints of limb anaesthesia and the grossly preserved motor and postural control of the involved limb. The gross discrepancy between complaint and functional ability prompted early consideration of a "non-organic" diagnosis. It is suggested that this unusual sensory deficit may be due to distorted perception of somatosensory stimuli, representing another disorder of body schema associated with parietal lobe lesions. The diagnosis of non-organic illness may then be avoided by focusing on a search for parietal disease.

Adolescent↗

Comment: a schema for the interactions between motor programs and sensory input.

In this overview we utilize and extend a model, originally developed for "command interneuron" control of the generation of motor programs, to discuss the roles sensory inputs play in movement control. To provide a conceptual framework, we present a modular schematic of the motor control and sensory processing apparatus of an hypothetical nervous system. In the schematic, "subroutines" (basic units of motor programs) are seen as "playing out" through switching and sequencing networks to "driver neurons." The "driver neurons" then activate motoneurons to execute the programmed movements. Five modes of interaction between motor programs and sensory input are considered using examples from invertebrate and vertebrate neuronal circuitry. These modes of interaction occur at the following locations: (1) the "program selector," to initiate a motor program; (2) the "motor subroutine directory," advancing the program to the next subroutine; (3) the "driver neurons" and motoneurons, where the "gain" of subroutine instructions can be modulated; (4) the "motor programmer," which monitors programs in progress and provides for program development and updating; and (5) the "driver neurons" themselves, which control sensory processing by "selecting" the appropriate sensory inputs for the program in progress. Mode 5 is illustrated in more detail through a consideration of the modification of stretch receptor input by "extensor" and "flexor" command interneurones in the circuitry controlling postural movements of the crayfish abdomen.

Humans↗

Challenging the sleep homeostat does not influence the thermoregulatory system in men: evidence from a nap vs. sleep-deprivation study.

The purpose of our study was to understand the relationship between the components of the three-process model of sleepiness regulation (homeostatic, circadian, and sleep inertia) and the thermoregulatory system. This was achieved by comparing the impact of a 40-h sleep deprivation vs. a 40-h multiple nap paradigm (10 cycles with 150/75 min wakefulness/sleep episodes) on distal and proximal skin temperatures, core body temperature (CBT), melatonin secretion, subjective sleepiness, and nocturnal sleep EEG slow-wave activity in eight healthy young men in a "controlled posture" protocol. The main finding of the study was that accumulation of sleep pressure increased subjective sleepiness and slow-wave activity during the succeeding recovery night but did not influence the thermoregulatory system as measured by distal, proximal, and CBT. The circadian rhythm of sleepiness (and proximal temperature) was significantly correlated and phase locked with CBT, whereas distal temperature and melatonin secretion were phase advanced (by 113 +/- 28 and 130 +/- 30 min, respectively; both P < 0.005). This provides evidence for a primary role of distal vasodilatation in the circadian regulation of CBT and its relationship with sleepiness. Specific thermoregulatory changes occur at lights off and on. After lights off, skin temperatures increased and were most pronounced for distal; after lights on, the converse occurred. The decay in distal temperature (vasoconstriction) was significantly correlated with the disappearance of sleep inertia. These effects showed minor and nonsignificant circadian modulation. In summary, the thermoregulatory system seems to be independent of the sleep homeostat, but the circadian modulation of sleepiness and sleep inertia is clearly associated with thermoregulatory changes.

Body Temperature↗

Relationship between short-range stiffness and yielding in type-identified, chemically skinned muscle fibers from the cat triceps surae muscles.

1. Transient, stretch-evoked force responses of chemically skinned muscle fibers from the cat hindlimb were investigated. The purpose of these experiments was to determine the exent to which short-range stiffness, the apparent stiffness exerted by the fiber over the first 0.5% of length change, is higher in type I than type II muscle fibers. Fibers were obtained from soleus and vastus intermedius muscles, which contain predominantly type I fibers, the LGm, a compartment of the lateral gastrocnemius muscle that contains predominantly type II fibers, and LG3, a compartment of mixed type. 2. Beyond a short range of approximately 1% of muscle length during a 0.5 muscle length/s (ML/s) stretch, most fibers exhibited an abrupt decrease in apparent stiffness or yield. Fibers from the muscles containing predominantly type S (slow twitch, or type I) fibers, soleus and vastus intermedius, exhibited such a pronounced decline in apparent stiffness that force declined as well during continued stretch. Most of the fibers from the LG3 compartment could be divided into two distinct groups depending upon whether or not they showed a force yield at the stretch velocity of 0.5 ML/s. 3. The short-range stiffness measured over the first 0.5% of stretch was greater for fibers showing force yield than for those that did not at matched initial forces and normalized stretch amplitudes. This result is consistent with the hypothesis that the same mechanism that endows the fiber with high short-range stiffness is also responsible for a greater extent of yielding. 4. Fibers from soleus were found to exhibit a force yield over a 200-fold range of velocities (0.01-2 ML/s). In contrast, most fibers from the LGm compartment showed only an increase in extent of yield with stretch velocity. Some of these fibers eventually yielded in force, but only when they were stretched at velocities > 2 ML/s. The proposed relationship between high short-range stiffness and yielding was supported by the finding that short-range stiffness increased sharply in the range of velocities where the fiber showed the greatest increase in extent of yield. 5. After the physiological experiments, fibers were subjected to SDS gel electrophoresis. Two distinct patterns of bands in the low molecular weight range were found to correspond to the two types that were identified on the basis of their dynamic mechanical properties. Fibers that did not yield at 0.5 ML/s showed a band pattern very similar to that of rabbit psoas (type II) fibers. 6. These results support the hypothesis that type I fibers are specialized in presenting a high short-range stiffness for effective postural control in advance of reflex mechanisms and that this property results from intrinsic properties of the fiber and is not due to differences in the dimensions of type I and II fibers. Yielding serves to protect the fiber from damaging levels of force during lengthening contractions. The importance of these transient properties to the mechanical behavior of muscle during ongoing movements is suggested by the observation that high stiffness followed by yielding is repeated with little alteration during successive stretches.

Animals↗

Complex spike activity of Purkinje cells in the ventral uvula and nodulus of pigeons in response to translational optic flow.

The complex spike (CS) activity of Purkinje cells in the ventral uvula and nodulus of the vestibulocerebellum was recorded from anesthetized pigeons in response to translational optic flow. Translational optic flow was produced using a "translator" projector: a mechanical device that projected a translational optic flowfield onto the walls, ceiling, and floor of the room and encompassed the entire binocular visual field. CS activity was broadly tuned but maximally modulated in response to translational optic flow along a "best" axis. Each neuron was assigned a vector representing the direction in which the animal would need to translate to produce the optic flowfield that resulted in maximal excitation. The vector is described with reference to a standard right-handed coordinate system, where the vectors, +x, +y, and +z represent, rightward, upward, and forward translation of the animal, respectively. Neurons could be grouped into four response types based on the vector of maximal excitation. +y neurons were modulated maximally in response to a translational optic flowfield that results from self-motion upward along the vertical (y) axis. -y neurons also responded best to translational optic flow along the vertical axis but showed the opposite direction preference. The two remaining groups responded best to translational optic flow along horizontal axes: -x + z neurons and -x-z neurons. In summary, our results suggest that the olivocerebellar system dedicated to the analysis of translational optic flow is organized according to a reference frame consisting of three approximately orthogonal axes: the vertical axis, and two horizontal axes oriented 45 degrees to either side the midline. Previous research has shown that the rotational optic flow system, the eye muscles, the vestibular semicircular canals and the postural control system all share a similar spatial frame of reference.

Animals↗

Role of proprioceptive signals from an insect femur-tibia joint in patterning motoneuronal activity of an adjacent leg joint.

Interjoint reflex function of the insect leg contributes to postural control at rest or to movement control during locomotor movements. In the stick insect (Carausius morosus), we investigated the role that sensory signals from the femoral chordotonal organ (fCO), the transducer of the femur-tibia (FT) joint, play in patterning motoneuronal activity in the adjacent coxa-trochanteral (CT) joint when the joint control networks are in the movement control mode of the active behavioral state. In the active behavioral state, sensory signals from the fCO induced transitions of activity between antagonistic motoneuron pools, i.e., the levator trochanteris and the depressor trochanteris motoneurons. As such, elongation of the fCO, signaling flexion of the FT joint, terminated depressor motoneuron activity and initiated activity in levator motoneurons. Relaxation of the fCO, signaling extension of the FT joint, induced the opposite transition by initiating depressor motoneuron activity and terminating levator motoneuron activity. This interjoint influence of sensory signals from the fCO was independent of the generation of the intrajoint reflex reversal in the FT joint, i.e., the "active reaction," which is released by elongation signals from the fCO. The generation of these transitions in activity of trochanteral motoneurons barely depended on position or velocity signals from the fCO. This contrasts with the situation in the resting behavioral state when interjoint reflex action markedly depends on actual fCO stimulus parameters, i.e., position and velocity signals. In the active behavioral state, movement signals from the fCO obviously trigger or release centrally generated transitions in motoneuron activity, e.g., by affecting central rhythm generating networks driving trochanteral motoneuron pools. This conclusion was tested by stimulating the fCO in "fictive rhythmic" preparations, activated by the muscarinic agonist pilocarpine in the otherwise isolated and deafferented mesothoracic ganglion. In this situation, sensory signals from the fCO did in fact reset and entrain rhythmic activity in trochanteral motoneurons. The results indicate for the first time that when the stick insect locomotor system is active, sensory signals from the proprioceptor of one leg joint, i.e., the fCO, pattern motor activity in an adjacent leg joint, i.e., the CT joint, by affecting the central rhythm generating network driving the motoneurons of the adjacent joint.

Action Potentials↗

Integration of vestibular and head movement signals in the vestibular nuclei during whole-body rotation.

Single-unit recordings were obtained from 107 horizontal semicircular canal-related central vestibular neurons in three alert squirrel monkeys during passive sinusoidal whole-body rotation (WBR) while the head was free to move in the yaw plane (2.3 Hz, 20 degrees /s). Most of the units were identified as secondary vestibular neurons by electrical stimulation of the ipsilateral vestibular nerve (61/80 tested). Both non-eye-movement (n = 52) and eye-movement-related (n = 55) units were studied. Unit responses recorded when the head was free to move were compared with responses recorded when the head was restrained from moving. WBR in the absence of a visual target evoked a compensatory vestibulocollic reflex (VCR) that effectively reduced the head velocity in space by an average of 33 +/- 14%. In 73 units, the compensatory head movements were sufficiently large to permit the effect of the VCR on vestibular signal processing to be assessed quantitatively. The VCR affected the rotational responses of different vestibular neurons in different ways. Approximately one-half of the units (34/73, 47%) had responses that decreased as head velocity decreased. However, the responses of many other units (24/73) showed little change. These cells had signals that were better correlated with trunk velocity than with head velocity. The remaining units had responses that were significantly larger (15/73, 21%) when the VCR produced a decrease in head velocity. Eye-movement-related units tended to have rotational responses that were correlated with head velocity. On the other hand, non-eye-movement units tended to have rotational responses that were better correlated with trunk velocity. We conclude that sensory vestibular signals are transformed from head-in-space coordinates to trunk-in-space coordinates on many secondary vestibular neurons in the vestibular nuclei by the addition of inputs related to head rotation on the trunk. This coordinate transformation is presumably important for controlling postural reflexes and constructing a central percept of body orientation and movement in space.

Animals↗