Evidence map›Paper›PMID 31101431›Full record

ArticleJournal of biomechanics2019

Can altered muscle synergies control unimpaired gait?

Naser Mehrabi, Michael H Schwartz, Katherine M Steele

Abstract read
In one paragraph

Article in Journal of biomechanics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  11. Piloting a Novel Computational Framework for Identifying Prosthesis-Specific Contributions to Gait Deviations.International journal for numerical methods in biomedical engineering · 2024
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  20. OpenSim Moco: Musculoskeletal optimal control.PLoS computational biology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Naser MehrabiMechanical Engineering, University of Washington, Seattle, WA, USA.
Michael H SchwartzGillette's Children Specialty Healthcare, Saint Paul, MN, USA; University of Minnesota, Minneapolis, MN, USA.
Katherine M SteeleMechanical Engineering, University of Washington, Seattle, WA, USA. Electronic address: kmsteele@uw.edu.

Funding

Quantifying patient-specific changes in neuromuscular control in cerebral palsyR01NS091056 · NINDS · UNIVERSITY OF WASHINGTON · PI Michael Hart Schwartz, Katherine M Steele · 2015 to 2026
$3.4M
NINDS NIH HHS R01 NS091056
6 · The paper itself

Abstract

Recent studies have postulated that the human motor control system recruits groups of muscles through low-dimensional motor commands, or muscle synergies. This scheme simplifies the neural control problem associated with the high-dimensional structure of the neuromuscular system. Several lines of evidence have suggested that neurological injuries, such as stroke or cerebral palsy, may reduce the dimensions that are available to the motor control system, and these altered dimensions or synergies are thought to contribute to impaired walking patterns. However, no study has investigated whether impaired low-dimensional control spaces necessarily lead to impaired walking patterns. In this study, using a two-dimensional model of walking, we developed a synergy-based control framework that can simulate the dynamics of walking. The simulation analysis showed that a synergy-based control scheme can produce well-coordinated movements of walking matching unimpaired gait. However, when the dimensions available to the controller were reduced, the simplified emergent pattern deviated from unimpaired gait. A system with two synergies, similar to those seen after neurological injury, could not produce an unimpaired walking pattern. These findings provide further evidence that altered muscle synergies can contribute to impaired gait patterns and may need to be directly addressed to improve gait after neurological injury.

Indexed as

Models, BiologicalGait Disorders, NeurologicHumansMuscle, SkeletalWalkingAltered synergyDirect collocationForward dynamic simulationImpaired motor controlMuscle synergyOptimal control

Identifiers

PMID31101431
PMCPMC7605274

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.