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  4. Joint-specific changes in locomotor complexity in the absence of muscle atrophy following incomplete spinal cord injury

Joint-specific changes in locomotor complexity in the absence of muscle atrophy following incomplete spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2013 · DOI: 10.1186/1743-0003-10-97 · Published: August 15, 2013

Spinal Cord InjuryRehabilitationBiomedical

Simple Explanation

Following an incomplete spinal cord injury (iSCI), the signals from the brain to the spinal cord are disrupted, potentially leading to changes in how someone walks. This study investigates if iSCI affects coordination and reduces the complexity of walking by examining joint movements and muscle characteristics in rats with and without spinal cord injuries. The study found that after iSCI, rats showed overextension of the ankle, which was compensated for by reduced movement at the knee. Also, the coordination between the left and right legs was altered. Despite these changes, the rats could still walk at a reasonable speed. The research suggests that the changes in walking patterns after iSCI, specifically the loss of complexity in ankle movements, can be attributed to the disruption of signals from the brain rather than muscle weakness. This highlights the ankle's importance in rehabilitation after spinal cord injury.

Study Duration
4 weeks
Participants
12 adult, female, Long-Evans rats, 6 sham and 6 mild-moderate T8 iSCI
Evidence Level
Not specified

Key Findings

  • 1
    Muscle parameters were similar between groups with no evidence of muscle atrophy.
  • 2
    The animals showed overextension of the ankle, which was compensated for by a decreased range of motion at the knee.
  • 3
    Decrease in supraspinal control following iSCI causes a loss of complexity of ankle kinematics.

Research Summary

This study investigated the impact of incomplete spinal cord injury (iSCI) on gait coordination and locomotor complexity in rats, focusing on joint kinematics and muscle parameters. The key findings revealed alterations in joint-specific kinematics, particularly at the ankle, with a loss of complexity in movement, and changes in interlimb coordination. Importantly, these changes occurred without evidence of muscle atrophy, suggesting a primary influence of impaired supraspinal control. The study concludes that decreased supraspinal control following iSCI leads to a loss of complexity in ankle kinematics, which can be quantified using permutation entropy. This highlights the importance of the ankle in rehabilitation interventions following spinal cord injury.

Practical Implications

Rehabilitation Strategies

The study suggests that rehabilitation interventions should focus on joint-specific parameters, particularly the ankle, to improve locomotor function after spinal cord injury.

EMG Evaluation

Evaluation of hindlimb EMG timing may demonstrate the loss of complexity in movement seen following injury, particularly at the ankle.

Computational Modeling

The study provides a novel set of muscle data that could be useful in the development of an empirically derived neuromusculoskeletal computational model for the rodent hindlimb.

Study Limitations

  • 1
    Small sample size
  • 2
    Minimal impact to gait by the 4th week following a mild-moderate injury
  • 3
    Treadmill walking may not fully replicate overground locomotion

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