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  4. Uncontrolled manifold analysis of the effects of a perturbation-based training on the organization of leg joint variance in cerebellar ataxia
 
research article

Uncontrolled manifold analysis of the effects of a perturbation-based training on the organization of leg joint variance in cerebellar ataxia

Monaco, Vito
•
Aprigliano, Federica
•
Lofrumento, Margherita
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2021
Experimental Brain Research

Walking patterns of persons affected by cerebellar ataxia (CA) are characterized by wide stride-to-stride variability ascribable to: the background pathology-related sensory-motor noise; the motor redundancy, i.e., an excess of elemental degrees of freedom that overcomes the number of variables underlying a specific task performance. In this study, we first tested the hypothesis that healthy and, especially, CA subjects can effectively exploit solutions in the domain of segmental angles to stabilize the position of either the foot or the pelvis (task performance) across heel strikes, in accordance with the uncontrolled manifold (UCM) theory. Next, we verified whether a specific perturbation-based training allows CA subjects to further take advantage of this coordination mechanism to better cope with their inherent pathology-related variability. Results always rejected the hypothesis of pelvis stabilization whereas supported the idea that the foot position is stabilized across heel strikes by a synergic covariation of elevation and azimuth angles of lower limb segments in CA subjects only. In addition, it was observed that the perturbation-based training involves a decreasing trend in the variance component orthogonal to the UCM in both groups, reflecting an improved accuracy of the foot control. Concluding, CA subjects can effectively structure the wide amount of pathology-related sensory-motor noise to stabilize specific task performance, such as the foot position across heel strikes. Moreover, the promising effects of the proposed perturbation-based training paradigm are expected to improve the coordinative strategy underlying the stabilization of the foot position across strides, thus ameliorating balance control during treadmill locomotion.

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Type
research article
DOI
10.1007/s00221-020-05965-x
Web of Science ID

WOS:000593450200001

Author(s)
Monaco, Vito
Aprigliano, Federica
Lofrumento, Margherita
Martelli, Dario
Micera, Silvestro  
SunilAgrawal
Date Issued

2021

Publisher

SPRINGER

Published in
Experimental Brain Research
Volume

239

Start page

501

End page

513

Subjects

Neurosciences

•

Neurosciences & Neurology

•

cerebellar ataxia

•

treadmill walking

•

perturbation-based training

•

uncontrolled manifold

•

kinematic synergy

•

center-of-mass

•

intersegmental coordination

•

gait variability

•

motor patterns

•

walking

•

treadmill

•

stabilization

•

stability

•

scale

•

age

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Available on Infoscience
December 13, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/174034
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