Gait Flashcards

1
Q

what are spatial parameters?

A

where the limb is moving in space:
step length
stride length
step width
degree of rotation

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2
Q

what are temporal parameters?

A

-how much time someone is spending on on limb versus the other limb
-double support time
-swing time
-cadence (# of steps per min)
-gait speed

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3
Q

what are central pattern generators?

A

circuits in the spinal cord and brainstem that are responsible for programmed and rhythmic movements

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4
Q

what can central pattern generators also be used for?

A

chewing, swallowing, breathing (located in the brainstem)

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5
Q

where are central generator circuits for walking (locomotion) located?

A

in the spinal cord

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6
Q

CPGs can be:

A
  1. spontaneous and rhythmic (breathing)
  2. triggered by a sensory stimulus (swallowing)
  3. voluntary and triggered by higher motor centres (locomotion)
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7
Q

how many CPGs per limb?

A

1 per limb

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8
Q

cats could still walk on a treadmill even though they didn’t have what?

A

sensory input or descending motor control

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9
Q

what is fictive locomotion?

A

a little bit clumsy (not a normal gait pattern)

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10
Q

what are pacemaker networks?

A

a neuron acts as an oscillator that drives other neurons into a rhythmic pattern

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11
Q

what is reciprocal inhibition

A

two neurons reciprocally inhibit each other

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12
Q

how do we know that humans have CPGs?

A

newborns demonstrate stepping despite not having mature descending motor tracts

people with SCI taking steps while lying down

stimulation of the epidural spinal cord can induce stepping movements

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13
Q

where are locomotion CPGs likely located?

A

lower thoracic and lumbar regions of the spina cord

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14
Q

do humans or animals rely more on supra spinal influences?

A

humans

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15
Q

what is the role/function of supra spinal input?

A

activates spinal CPGs

controls intensity of CPGs

maintains our balance during walking

adapts limb movements to external conditions

coordinates locomotion with the motor behaviour

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16
Q

what is the control region responsible for locomotion?

A

mesencephalic locomotion region (MLR)

17
Q

where is the MLR located?

A

the reticular formation in the pons and medulla

18
Q

if we increase the intensity of the MLR what do we see an increase of?

A

increased gait speed

19
Q

what extrapyramidal tract does the MLR activate?

A

reticulospinal tract

20
Q

what is the MLR important for in terms of gait?

A

gait initiation, modulation, and termination

21
Q

what brain area is responsible for initiating and regulating gait?

A

basal ganglia and MLR

22
Q

what brain area is responsible for executing movement?

A

M1, MLR

23
Q

what brain area is responsible for somatosensory function?

A

parietal cortex

24
Q

what part of the brain is responsible for relaying sensory information?

A

thalamus

25
Q

what part of the brain is responsible for visual processing?

A

occipital cortex

26
Q

what part of the brain is responsible for balance?

A

frontal lobe, cerebellum

27
Q

what part of the brain is responsible for attention and cognitive control?

A

prefrontal cortex

28
Q

what are our motor and sensory cortices responsible for?

A

more complex tasks (walking and texting at the same time)

29
Q

what is our cerebellum important for?

A

fine tuning our movements

30
Q

what is our basal ganglia important for?

A

starting and stopping movements

31
Q

what are CPGs adaptable to?

A

the task and environment

32
Q

what is critical to modifying CPGs?

A

sensory feedback

33
Q

what is dual tasking?

A

performing two different tasks at the same time that can be measured separately and hav distinct goals

34
Q

what is a key priority for stroke survivors?

A

regaining the ability to walk

35
Q

what is the key impairment we see in stroke?

A

muscle weakness/paresis