Reduction of common synaptic drive to ankle dorsiflexor motoneurons during walking in patients with spinal cord lesion
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Reduction of common synaptic drive to ankle dorsiflexor motoneurons during walking in patients with spinal cord lesion. / Hansen, N.L.; Conway, B.A.; Halliday, D.M.; Hansen, S.; Pyndt, H.S.; Biering-Sørensen, F.; Nielsen, Jens Bo.
In: Journal of Neurophysiology, Vol. 94, No. 2, 2005, p. 934-942.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Reduction of common synaptic drive to ankle dorsiflexor motoneurons during walking in patients with spinal cord lesion
AU - Hansen, N.L.
AU - Conway, B.A.
AU - Halliday, D.M.
AU - Hansen, S.
AU - Pyndt, H.S.
AU - Biering-Sørensen, F.
AU - Nielsen, Jens Bo
N1 - PUF 2005 5200 023
PY - 2005
Y1 - 2005
N2 - It is possible to obtain information about the synaptic drive to motoneurons during walking by analyzing motor-unit coupling in the time and frequency domains. The purpose of the present study was to compare motor-unit coupling during walking in healthy subjects and patients with incomplete spinal cord lesion to obtain evidence of differences in the motoneuronal drive that result from the lesion. Such information is of importance for development of new strategies for gait restoration. Twenty patients with incomplete spinal cord lesion (SCL) participated in the study. Control experiments were performed in 11 healthy subjects. In all healthy subjects, short-term synchronization was evident in the discharge of tibialis anterior (TA) motor units during the swing phase of treadmill walking. This was identified from the presence of a narrow central peak in cumulant densities constructed from paired EMG recordings and from the presence of significant coherence between these signals in the 10- to 20-Hz band. Such indicators of short-term synchrony were either absent or very small in the patient group. The relationship between the amount of short-term synchrony and the magnitude of the 10- to 20-Hz coherence in the patients is discussed in relation to gait ability. It is suggested that supraspinal drive to the spinal cord is responsible for short-term synchrony and coherence in the 10- to 20-Hz frequency band during walking in healthy subjects. Absence or reduction of these features may serve as physiological markers of impaired supraspinal control of gait in SCL patients. Such markers could have diagnostic and prognostic value in relation to the recovery of locomotion in patients with central motor lesions.
AB - It is possible to obtain information about the synaptic drive to motoneurons during walking by analyzing motor-unit coupling in the time and frequency domains. The purpose of the present study was to compare motor-unit coupling during walking in healthy subjects and patients with incomplete spinal cord lesion to obtain evidence of differences in the motoneuronal drive that result from the lesion. Such information is of importance for development of new strategies for gait restoration. Twenty patients with incomplete spinal cord lesion (SCL) participated in the study. Control experiments were performed in 11 healthy subjects. In all healthy subjects, short-term synchronization was evident in the discharge of tibialis anterior (TA) motor units during the swing phase of treadmill walking. This was identified from the presence of a narrow central peak in cumulant densities constructed from paired EMG recordings and from the presence of significant coherence between these signals in the 10- to 20-Hz band. Such indicators of short-term synchrony were either absent or very small in the patient group. The relationship between the amount of short-term synchrony and the magnitude of the 10- to 20-Hz coherence in the patients is discussed in relation to gait ability. It is suggested that supraspinal drive to the spinal cord is responsible for short-term synchrony and coherence in the 10- to 20-Hz frequency band during walking in healthy subjects. Absence or reduction of these features may serve as physiological markers of impaired supraspinal control of gait in SCL patients. Such markers could have diagnostic and prognostic value in relation to the recovery of locomotion in patients with central motor lesions.
U2 - 10.1152/jn.00082.2005
DO - 10.1152/jn.00082.2005
M3 - Journal article
C2 - 15800077
VL - 94
SP - 934
EP - 942
JO - Journal of Neurophysiology
JF - Journal of Neurophysiology
SN - 0022-3077
IS - 2
ER -
ID: 91277