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Morton, S. M.

Publications and source records attributed to Morton, S. M..

4 recordsLinked to original sources

Individual limb measures of split-belt adaptation are correlated with shifts in lower limb position sense

Stable gait in humans relies on both precise estimates of lower limb position and the ability to robustly adapt walking movements across different environments. However, the specific relationship between sensorimotor adaptation and the perception of lower limb position during gait remains unclear. In this study, we tested a specific theoretical model of how sensorimotor adaptation during gait could cause a shift in the perception of lower limb position. To test this theory, we probed lower limb position sense estimates using a valid and reliable two-alternative forced choice task before and after a long bout of split-belt treadmill walking. The theoretical model assumes that a shift in the perception of limb position is caused by the optimal integration between the predicted and actual sensory feedback of step lengths. Using this model, we generated hypotheses relating to the direction of the shift in limb position sense estimates as well as the relationship between the magnitude of these sensory shifts and the plateau of adaptation when measured using the canonical step length asymmetry index. Like prior studies, participants robustly adapted their step length asymmetry during split-belt treadmill walking. However, we did not observe reliable changes in limb position sense after this adaptation relative to baseline. Furthermore, the changes in limb position sense were not related to the plateau of sensorimotor adaptation. However, post-hoc analysis of other gait parameters, most notably double limb support time, revealed a strong relationship between its adaptation plateau and sensory recalibration. These results suggest that while the specific theorical model we proposed was not supported, sensory recalibration could play an important role in split-belt adaptation and raise questions regarding the error signal driving split-belt adaptation.

neuroscience↗

Explicit and implicit locomotor learning in individuals with chronic hemiparetic stroke

Motor learning involves both explicit and implicit processes that are fundamental for acquiring and adapting complex motor skills. However, stroke may damage the neural substrates underlying explicit and/or implicit learning, leading to deficits in overall motor performance. While both learning processes are typically used in concert in daily life and rehabilitation, no gait studies have determined how these processes function together after stroke when tested during a task that elicits dissociable contributions from both. Here, we compared explicit and implicit locomotor learning in individuals with chronic stroke to age- and sex-matched neurologically intact controls. We assessed implicit learning using split-belt adaptation (where two treadmill belts move at different speeds). We assessed explicit learning (i.e., strategy-use) using visual feedback during split-belt walking to help individuals explicitly correct for step length errors created by the split-belts. The removal of visual feedback after the first 40 strides of split-belt walking, combined with task instructions, minimized contributions from explicit learning for the remainder of the task. We utilized a multi-rate state-space model to characterize individual explicit and implicit process contributions to overall behavioral change. The computational and behavioral analyses revealed that, compared to controls, individuals with chronic stroke demonstrated deficits in both explicit and implicit contributions to locomotor learning, a result that runs counter to prior work testing each process individually during gait. Since post-stroke locomotor rehabilitation involves interventions that rely on both explicit and implicit motor learning, future work should determine how locomotor rehabilitation interventions can be structured to optimize overall motor learning. New and noteworthyMotor learning involves both implicit and explicit processes, the underlying neural substrates of which could be damaged by after stroke. While both learning processes are typically used in concert in daily life and rehabilitation, no gait studies have determined how these processes function together after stroke. Using a locomotor task that elicits dissociable contributions from both processes and computational modeling, we found evidence that chronic stroke causes deficits in both explicit and implicit locomotor learning.

neuroscience↗

Reinforcement learning during locomotion

When learning a new motor skill, people often must use trial and error to discover which movement is best. In the reinforcement learning framework, this concept is known as exploration and has been linked to increased movement variability in motor tasks. For locomotor tasks, however, increased variability decreases upright stability. As such, exploration during gait may jeopardize balance and safety, making reinforcement learning less effective. Therefore, we set out to determine if humans could acquire and retain a novel locomotor pattern using reinforcement learning alone. Young healthy male and female participants walked on a treadmill and were provided with binary reward feedback (indicated by a green checkmark on the screen) that was tied to a fixed monetary bonus, to learn a novel stepping pattern. We also recruited a comparison group who walked with the same novel stepping pattern but did so by correcting for target error, induced by providing real time veridical visual feedback of steps and a target. In two experiments, we compared learning, motor variability, and two forms of motor memories between the groups. We found that individuals in the binary reward group did, in fact, acquire the new walking pattern by exploring (increasing motor variability). Additionally, while reinforcement learning did not increase implicit motor memories, it resulted in more accurate explicit motor memories compared to the target error group. Overall, these results demonstrate that humans can acquire new walking patterns with reinforcement learning and retain much of the learning over 24 hours. Significance StatementHumans can learn some novel movements by independently discovering the actions that lead to success. This discovery process, exploration, requires increased motor variability to determine the best movement. However, in bipedal locomotion especially, increasing motor variability decreases stability, heightening the risk of negative outcomes such as a trip, injury, or fall. Despite this stability constraint, the current study shows that individuals do use exploration to find the most rewarding walking patterns. This form of learning led to improved explicit retention but not implicit aftereffects. Thus, the reinforcement learning framework can explain findings across a wide range of motor and cognitive tasks, including locomotion.

neuroscience↗

A reliable and efficient adaptive Bayesian method to assess static lower limb proprioception.

BackgroundLower limb proprioception is critical for maintaining stability during gait and may impact how individuals modify their movements in response to changes in the environment and body state, a process termed "sensorimotor adaptation". However, the connection between lower limb proprioception and sensorimotor adaptation during human gait has not been established. We suspect this gap is due in part to the lack of reliable, efficient methods to assess global lower limb proprioception in an ecologically valid context. New MethodWe assessed static lower limb proprioception using an alternative forced choice task, administered twice to determine test-retest reliability. Participants stood on a dual-belt treadmill which passively moved one limb to stimulus locations selected by a Bayesian adaptive algorithm. At the stimulus locations, participants judged relative foot positions and the algorithm estimated the point of subjective equality (PSE) and the uncertainty of lower limb proprioception. ResultsUsing the Bland-Altman method, combined with Bayesian statistics, we found that both the PSE and uncertainty estimates had good reliability. Comparison with Existing Method(s)Current methods assessing static lower limb proprioception do so within a single joint, in non-weight bearing positions, and rely heavily on memory. One exception assessed static lower limb proprioception in standing but did not measure reliability and contained confounds impacting participants judgments, which we experimentally controlled here. ConclusionsThis efficient and reliable method assessing lower limb proprioception will aid future mechanistic understanding of locomotor adaptation and serve as a useful tool for basic and clinical researchers studying balance and falls.

neuroscience↗