Hillen Brian K, Jindrich Devin L, Abbas James J, Yamaguchi Gary T, Jung Ranu
Center for Adaptive Neural Systems, Arizona State University, Tempe, Arizona; School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona;
Center for Adaptive Neural Systems, Arizona State University, Tempe, Arizona; School of Life Sciences, Arizona State University, Tempe, Arizona;
J Neurophysiol. 2015 Apr 1;113(7):2666-75. doi: 10.1152/jn.00507.2014. Epub 2015 Feb 11.
Spinal cord injury (SCI) can lead to changes in muscle activation patterns and atrophy of affected muscles. Moderate levels of SCI are typically associated with foot drag during the swing phase of locomotion. Foot drag is often used to assess locomotor recovery, but the causes remain unclear. We hypothesized that foot drag results from inappropriate muscle coordination preventing flexion at the stance-to-swing transition. To test this hypothesis and to assess the relative contributions of neural and muscular changes on foot drag, we developed a two-dimensional, one degree of freedom ankle musculoskeletal model with gastrocnemius and tibialis anterior muscles. Anatomical data collected from sham-injured and incomplete SCI (iSCI) female Long-Evans rats as well as physiological data from the literature were used to implement an open-loop muscle dynamics model. Muscle insertion point motion was calculated with imposed ankle trajectories from kinematic analysis of treadmill walking in sham-injured and iSCI animals. Relative gastrocnemius deactivation and tibialis anterior activation onset times were varied within physiologically relevant ranges based on simplified locomotor electromyogram profiles. No-atrophy and moderate muscle atrophy as well as normal and injured muscle activation profiles were also simulated. Positive moments coinciding with the transition from stance to swing phase were defined as foot swing and negative moments as foot drag. Whereas decreases in activation delay caused by delayed gastrocnemius deactivation promote foot drag, all other changes associated with iSCI facilitate foot swing. Our results suggest that even small changes in the ability to precisely deactivate the gastrocnemius could result in foot drag after iSCI.
脊髓损伤(SCI)可导致肌肉激活模式的改变以及受影响肌肉的萎缩。中度脊髓损伤通常与运动摆动期的足拖曳有关。足拖曳常被用于评估运动功能恢复情况,但其原因尚不清楚。我们推测足拖曳是由于不适当的肌肉协调导致在站立到摆动过渡阶段无法屈曲所致。为了验证这一假设并评估神经和肌肉变化对足拖曳的相对贡献,我们构建了一个包含腓肠肌和胫骨前肌的二维单自由度踝关节肌肉骨骼模型。从假手术损伤和不完全脊髓损伤(iSCI)的雌性Long-Evans大鼠收集的解剖学数据以及来自文献的生理学数据被用于实现一个开环肌肉动力学模型。通过对假手术损伤和iSCI动物跑步机行走的运动学分析施加踝关节轨迹来计算肌肉附着点的运动。基于简化的运动肌电图轮廓,在生理相关范围内改变相对腓肠肌失活和胫骨前肌激活起始时间。还模拟了无萎缩和中度肌肉萎缩以及正常和损伤肌肉激活情况。与从站立到摆动阶段过渡相吻合的正向力矩被定义为足摆动,负向力矩为足拖曳。虽然腓肠肌失活延迟导致的激活延迟减少会促进足拖曳,但与iSCI相关的所有其他变化都有助于足摆动。我们的结果表明,即使是精确使腓肠肌失活能力的微小变化也可能导致iSCI后出现足拖曳。
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