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Neuronal coordination of arm and leg movements during human locomotion

Authors

  • V. Dietz,

    1. ParaCare, Paraplegic Centre University Hospital Balgrist, Forchstrasse 340, CH-8008 Zurich, Switzerland
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  • K. Fouad,

    1. ParaCare, Paraplegic Centre University Hospital Balgrist, Forchstrasse 340, CH-8008 Zurich, Switzerland
    2. University of Alberta, Faculty of Rehabilitation Medicine, T6G 2G4 Edmonton, Canada
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  • C. M. Bastiaanse

    1. ParaCare, Paraplegic Centre University Hospital Balgrist, Forchstrasse 340, CH-8008 Zurich, Switzerland
    2. Catholic University Nijmegen, Department of Medical Physics and Biophysics, Nijmegen, The Netherlands
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: Professor Dr V. Dietz, as above.
E-mail: dietz@balgrist.unizh.ch

Abstract

We aimed to study the neuronal coordination of lower and upper limb muscles. We therefore evaluated the effect of small leg displacements during gait on leg and arm muscle electromyographic (EMG) activity in walking humans. During walking on a split-belt treadmill (velocity 3.5 km/h), short accelerations or decelerations were randomly applied to the right belt during the mid or end stance phase. Alternatively, trains of electrical stimuli were delivered to the right distal tibial nerve. The EMG activity of the tibialis anterior (TA), gastrocnemius medialis (GM), deltoideus (Delt), triceps (Tric) and biceps brachii (Bic) of both sides was analysed. For comparison, impulses were also applied during standing and sitting. The displacements were followed by specific patterns of right leg and bilateral arm muscle EMG responses. Most arm muscle responses appeared with a short latency (65–80 ms) and were larger in Delt and Tric than in Bic. They were strongest when deceleration impulses were released during mid stance, associated with a right compensatory TA response. A similar response pattern in arm muscles was obtained following tibial nerve stimulation. The arm muscle responses were small or absent when stimuli were applied during standing or sitting. The arm muscle responses correlated more closely with the compensatory TA than with the compensatory GM responses. The amplitude of the responses in most arm muscles correlated closely with the background EMG activity of the respective arm muscle. The observations suggest the existence of a task-dependent, flexible neuronal coupling between lower and upper limb muscles. The stronger impact of leg flexors in this interlimb coordination indicates that the neuronal control of leg flexor and extensor muscles is differentially interconnected during locomotion. The results are compatible with the assumption that the proximal arm muscle responses are associated with the swinging of the arms during gait, as a residual function of quadrupedal locomotion.

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