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Sombric, C.

Publications and source records attributed to Sombric, C..

4 recordsLinked to original sources

Age-specific walking speed during locomotor adaptation leads to more generalization across contexts.

Previous work has shown that compared with young adults, older adults generalize their walking patterns more across environments that impose different motor demands (i.e., split-belt treadmill vs. overground). However, in this previous study, all participants walked at a speed that was more comfortable for older adults than young participants, which leads to the question of whether young adults would generalize more their walking patterns than older adults when exposed to faster speeds that are more comfortable for them. To address this question, we examined the interaction between healthy aging and walking speed on the generalization of a pattern learned on a split-belt treadmill (i.e., legs moving at different speeds) to overground. We hypothesized that walking speed during split-belt walking regulates the generalization of walking patterns in an age-specific manner. To this end, groups of young (<30 y/o) and older (65+ y/o) adults adapted their gait on a split-belt treadmill at either slower or faster walking speeds. We assessed the generalization of movements between the groups by quantifying their aftereffects during overground walking, where larger overground aftereffects represent more generalization, and zero aftereffects represent no generalization. We found an interaction between age and walking speed in the generalization of walking patterns. More specifically, older adults generalized more when adapted at slower speeds, whereas younger adults did so when adapted at faster speeds. These results suggest that comfortable walking speeds lead to more generalization of newly acquired motor patterns beyond the training contexts.

animal behavior and cognition↗

Older adults generalize their movements across walking contexts more than young during gradual and abrupt split-belt walking

Generalization of movements from experienced to novel situations is a critical aspect of motor learning. It has been demonstrated that the training period when a movement is learned influences the movements generalization to untrained situations. However, little is known about how healthy aging affects these processes. For example, young adults exhibit greater generalization of movements learned on a device (e.g. split-belt treadmill or robotic arm) to movements without it (e.g, overground walking or unconstrained reaching) when participants experience small vs. large perturbations on the training device. Here, we investigated whether a similar effect would be observed in older adults. To this end, we compared the generalization of split-belt adaptation to overground walking in older (75.9{+/-}4.8 years old) and young adults (24.7{+/-}5.9 years old) when adapted gradually (i.e., small perturbations) vs. abruptly (i.e., large perturbations). We found that both age groups adapted more to the abrupt condition compared to the gradual condition, which resulted in greater adaptation effects (i.e., aftereffects) on the treadmill in the abrupt than the gradual groups. We also found that older adults generalize more than young adults, regardless of the perturbation schedule (i.e., gradual or abrupt). Our results suggest that abrupt perturbations during adaptation do not limit the generalization of movement in older adults-perhaps because they are more likely to attribute them to their own faulty movements. These results suggest that large perturbations are better than small when training older clinical populations since abrupt disturbances would lead to more adaptation and generalization of corrected movements in older people.

bioengineering↗

Augmenting propulsion demands during split-belt walking increases locomotor adaptation in the asymmetric motor system

BackgroundPromising studies have shown that the mobility of individuals with hemiparesis due to brain lesions, such as stroke, can improve through motor adaptation protocols forcing patients to use their affected limb more. However, little is known about how to facilitate this process. Here we asked if increasing propulsion demands during split-belt walking (i.e., legs moving at different speeds) leads to more motor adaptation and more symmetric gait in survivors of a stroke, as we previously observed in subjects without neurological disorders.\n\nMethodsWe investigated the effect of propulsion forces on locomotor adaptation during and after split-belt walking in the asymmetric motor system post-stroke. To test this, 12 subjects in the chronic phase post-stroke experienced a split-belt protocol in a flat and incline session so as to contrast the effects of two different propulsion demands. Step length asymmetry and propulsion forces were used to compare the motor behavior between the two sessions because these are clinically relevant measures that are altered by split-belt walking.\n\nResultsThe incline session resulted in more symmetric step lengths during late split-belt walking and larger after-effects following split-belt walking. In both testing sessions, subjects who have had a stroke adapted to regain speed and slope-specific leg orientations similarly to young, intact adults. Importantly, leg orientations during baseline walking were predictive of those achieved during split-belt walking, which in turn predicted each individuals post-adaptation behavior.\n\nConclusionThese results indicated that survivors of a stroke can adapt their movements to meet leg-specific kinetic demands. This promising finding suggests that augmenting propulsion demands during split-belt walking could favor symmetric walking in individuals who had a stroke, possibly making split-belt interventions a more effective gait rehabilitation strategy.

bioengineering↗

Large propulsion demands increase locomotor learning at the expense of step length asymmetry

There is a clinical interest in increasing the extent of locomotor learning induced by split-belt treadmills that move each leg at different speeds. However, factors facilitating locomotor learning are poorly understood. We hypothesized that augmenting the braking forces, rather than propulsion forces, experienced at the feet would increase locomotor adaptation and learning. To test this, forces were modulated during split-belt walking with distinct slopes: inclined (larger propulsion than braking), declined (larger braking than propulsion), and flat (similar propulsion and braking). These groups were compared using step length asymmetry, which is a clinically relevant measure robustly adapted on split-belt treadmills. Unexpectedly, the group with larger propulsion demands (i.e., the incline group) adapted faster and more, and had larger after-effects when the split-belt perturbation was removed. We also found that subjects who propelled more during baseline and experienced larger disruptions of propulsion forces in early adaptation exhibited greater after-effects, which further highlights the catalytic role of propulsion on locomotor learning. The relevance of mechanical demands on shaping our movements was also indicated by the steady state split-belt behavior, during which each group recovered their baseline leg orientation to meet leg-specific force demands at the expense of step length symmetry. Notably, the flat group was nearly symmetric, whereas the incline and decline group overshot and undershot symmetry, respectively. Taken together, our results indicate that forces propelling the body facilitate gait adaptation during split-belt walking. Therefore, interventions that increase propulsion demands may be a viable strategy for augmenting locomotor learning in individuals with hemiparesis.\n\nKey Points SummaryO_LISplit-belt walking (i.e., legs moving at different speeds) can induce locomotor learning and even improve hemiparetic gait, but little is known about how to facilitate this process.\nC_LIO_LIWe investigated the effect of braking and propulsion forces on locomotor learning by testing young unimpaired subjects on the split-belt condition at different slopes (i.e., flat, decline, and incline), which distinctively modified these forces.\nC_LIO_LIPropulsion forces facilitated locomotor learning indicated by 1) greater adaptation and after-effects following split-belt walking of the inclined group, which experienced larger propulsion demands and 2) a positive correlation between individual after-effects and subject-specific propulsion during regular walking and initial steps in the split condition.\nC_LIO_LIInterestingly, incline and decline groups self-selected asymmetric step lengths at steady state in the split condition, challenging the prominent view that step length asymmetry is a biomarker for inefficient gait.\nC_LIO_LIOur results suggest that interventions augmenting propulsion demands could correct hemiparetic gait more effectively.\nC_LI

neuroscience↗