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Li L, Chen H, Deng L, Huang Y, Zhang Y, Luo Y, Ou P, Shi L, Dai L, Chen W, Chen H, Wang J, Liu C. Imbalanced optimal feedback motor control system in spinocerebellar ataxia type 3. Eur J Neurol 2024; 31:e16368. [PMID: 38923784 PMCID: PMC11295168 DOI: 10.1111/ene.16368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 04/02/2024] [Accepted: 05/12/2024] [Indexed: 06/28/2024]
Abstract
BACKGROUND AND PURPOSE Human motor planning and control depend highly on optimal feedback control systems, such as the neocortex-cerebellum circuit. Here, diffusion tensor imaging was used to verify the disruption of the neocortex-cerebellum circuit in spinocerebellar ataxia type 3 (SCA3), and the circuit's disruption correlation with SCA3 motor dysfunction was investigated. METHODS This study included 45 patients with familial SCA3, aged 17-67 years, and 49 age- and sex-matched healthy controls, aged 21-64 years. Tract-based spatial statistics and probabilistic tractography was conducted using magnetic resonance images of the patients and controls. The correlation between the local probability of probabilistic tractography traced from the cerebellum and clinical symptoms measured using specified symptom scales was also calculated. RESULTS The cerebellum-originated probabilistic tractography analysis showed that structural connectivity, mainly in the subcortical cerebellar-thalamo-cortical tract, was significantly reduced and the cortico-ponto-cerebellar tract was significantly stronger in the SCA3 group than in the control group. The enhanced tract was extended to the right lateral parietal region and the right primary motor cortex. The enhanced neocortex-cerebellum connections were highly associated with disease progression, including duration and symptomatic deterioration. Tractography probabilities from the cerebellar to parietal and sensorimotor areas were significantly negatively correlated with motor abilities in patients with SCA3. CONCLUSION To our knowledge, this study is the first to reveal that disrupting the neocortex-cerebellum loop can cause SCA3-induced motor dysfunctions. The specific interaction between the cerebellar-thalamo-cortical and cortico-ponto-cerebellar pathways in patients with SCA3 and its relationship with ataxia symptoms provides a new direction for future research.
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Affiliation(s)
- Leinian Li
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
- School of PsychologyShandong Normal UniversityJinanChina
| | - Hui Chen
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - LiHua Deng
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - YongHua Huang
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - YuHan Zhang
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - YueYuan Luo
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - PeiLing Ou
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - LinFeng Shi
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - LiMeng Dai
- Department of Medical Genetics, College of Basic Medical ScienceArmy Medical University (Third Military Medical University)ChongqingChina
| | - Wei Chen
- MR Research Collaboration TeamSiemens Healthineers Ltd.WuhanChina
| | - HuaFu Chen
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
- MOE Key Laboratory for Neuro Information, High‐Field Magnetic Resonance Brain Imaging Key Laboratory of Sichuan ProvinceUniversity of Electronic Science and Technology of ChinaChengduChina
| | - Jian Wang
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
| | - Chen Liu
- 7T Magnetic Resonance Translational Medicine Research Center, Department of Radiology, Southwest HospitalArmy Medical University (Third Military Medical University)ChongqingChina
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Degache F, Mak W, Calanca L, Mazzolai L, Lanzi S. Supervised Exercise Training May Improve Postural Control in Patients with Symptomatic Lower Extremity Peripheral Artery Disease. Int J Angiol 2024; 33:50-56. [PMID: 38352636 PMCID: PMC10861293 DOI: 10.1055/s-0043-1777257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
Patients with symptomatic peripheral artery disease (PAD) have been shown to present balance disorders and a history of falling, which are associated with functional and daily life impairments. Although postural control improvement is an important outcome, the benefits of supervised exercise training (SET) on postural control have been seldom investigated in these patients. This article investigates the effects of SET on traditional measures of postural control and on stabilogram-diffusion analysis (SDA) parameters in patients with symptomatic PAD. Patients with symptomatic chronic lower limb claudication were investigated. All subjects who completed the 3-month multimodal SET program and postural control assessment before and after SET were included. Center of pressure trajectory analysis and SDA parameters were investigated using a posturographic platform. Patients were instructed to stand on the platform and maintain balance to their best ability. Treadmill pain-free (PFWD) and maximal (MWD) walking distances were also assessed prior and following SET. Forty-four patients with PAD (65.2 ± 9.8 years, 34% women) were investigated. All postural control parameters were unchanged following SET, except the length of center of pressure displacement as a function of the surface of center of pressure trajectory (LFS), which was significantly increased (before SET: 1.4 ± 0.4; after SET: 1.5 ± 0.5; p = 0.042). PFWD (before SET: 103.5 ± 77.9 m; after SET: 176.8 ± 130.6 m; p ≤ 0.001) and MWD (before SET: 383.6 ± 272.0 m; after SET: 686.4 ± 509.0 m; p ≤ 0.001) significantly improved following SET. The increased LFS suggests a better postural control accuracy following SET in patients with symptomatic PAD.
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Affiliation(s)
- Francis Degache
- Institute of Sport Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Willy Mak
- Institute of Sport Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Luca Calanca
- Angiology Department, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
| | - Lucia Mazzolai
- Angiology Department, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
| | - Stefano Lanzi
- Angiology Department, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
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A Review on Vibration-Based Condition Monitoring of Rotating Machinery. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12030972] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Monitoring vibrations in rotating machinery allows effective diagnostics, as abnormal functioning states are related to specific patterns that can be extracted from vibration signals. Extensively studied issues concern the different methodologies used for carrying out the main phases (signal measurements, pre-processing and processing, feature selection, and fault diagnosis) of a malfunction automatic diagnosis. In addition, vibration-based condition monitoring has been applied to a number of different mechanical systems or components. In this review, a systematic study of the works related to the topic was carried out. A preliminary phase involved the analysis of the publication distribution, to understand what was the interest in studying the application of the method to the various rotating machineries, to identify the interest in the investigation of the main phases of the diagnostic process, and to identify the techniques mainly used for each single phase of the process. Subsequently, the different techniques of signal processing, feature selection, and diagnosis are analyzed in detail, highlighting their effectiveness as a function of the investigated aspects and of the results obtained in the various studies. The most significant research trends, as well as the main innovations related to the various phases of vibration-based condition monitoring, emerge from the review, and the conclusions provide hints for future ideas.
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Dehghani S, Bahrami F. How does the CNS control arm reaching movements? Introducing a hierarchical nonlinear predictive control organization based on the idea of muscle synergies. PLoS One 2020; 15:e0228726. [PMID: 32023300 PMCID: PMC7001977 DOI: 10.1371/journal.pone.0228726] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 01/22/2020] [Indexed: 12/11/2022] Open
Abstract
In this study, we introduce a hierarchical and modular computational model to explain how the CNS (Central Nervous System) controls arm reaching movement (ARM) in the frontal plane and under different conditions. The proposed hierarchical organization was established at three levels: 1) motor planning, 2) command production, and 3) motor execution. Since in this work we are not discussing motion learning, no learning procedure was considered in the model. Previous models mainly assume that the motor planning level produces the desired trajectories of the joints and feeds it to the next level to be tracked. In the proposed model, the motion control is described based on a regulatory control policy, that is, the output of the motor planning level is a step function defining the initial and final desired position of the hand. For the command production level, a nonlinear predictive model was developed to explain how the time-invariant muscle synergies (MSs) are recruited. We used the same computational model to explain the arm reaching motion for a combined ARM task. The combined ARM is defined as two successive ARM such that it starts from point A and reaches to point C via point B. To develop the model, kinematic and kinetic data from six subjects were recorded and analyzed during ARM task performance. The subjects used a robotic manipulator while moving their hand in the frontal plane. The EMG data of 15 muscles were also recorded. The MSs used in the model were extracted from the recorded EMG data. The proposed model explains two aspects of the motor control system by a novel computational approach: 1) the CNS reduces the dimension of the control space using the notion of MSs and thereby, avoids immense computational loads; 2) at the level of motor planning, the CNS generates the desired position of the hand at the starting, via and the final points, and this amounts to a regulatory and non-tracking structure.
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Affiliation(s)
- Sedigheh Dehghani
- CIPCE, Human Motor Control and Computational Neuroscience Laboratory, School of ECE, College of Engineering, University of Tehran, Tehran, Iran
| | - Fariba Bahrami
- CIPCE, Human Motor Control and Computational Neuroscience Laboratory, School of ECE, College of Engineering, University of Tehran, Tehran, Iran
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Degache F, Serain E, Vernillo G, Meyer F, Falbriard M, Savoldelli A, Guex K, Millet GP. Postural Control Follows a Bi-Phasic Alteration Pattern During Mountain Ultra-Marathon. Front Physiol 2019; 9:1971. [PMID: 30713506 PMCID: PMC6346676 DOI: 10.3389/fphys.2018.01971] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Accepted: 12/31/2018] [Indexed: 02/03/2023] Open
Abstract
It is well knows that postural control (PC) is deteriorated with neuromuscular fatigue, altitude or sleep deprivation induced by a mountain ultra-marathon (MUM). Several regulatory mechanisms have also been reported during this type of event and the changes in PC at different points of MUM remain unknown. The purpose of this study was to investigate the time course of PC during an extreme MUM. We tested the hypothesis that PC alteration would not increase linearly. Methods: 16 participants (age 45.1 ± 9.6 years) were tested bipedaly on a posturographic platform for 51.2 s with eyes open every ∼50 km. Both traditional and stabilogram diffusion analyses (SDA) were performed. A visual analog scale (VAS) was used for a subjective evaluation of global fatigue, sleep feeling and pain. Results: The main parameters (center of pressure trajectory analysis) increased significantly (p < 0.001, d = 1.56, very large) until km 100. This was confirmed by SDA in the antero-posterior plane. Short term effective diffusion coefficient significantly increased (p < 0.001, d = 1.07, very large) as critical point (p < 0.01, d = 1.57, very large). From km 100 to 200, a different response was observed with a continuous decrease in most of the PC parameters. This was confirmed by SDA in the antero-posterior plane. Short term effective diffusion coefficient significantly increased (p < 0.001, d = 1.39, very large) as critical point (p < 0.01, d = 1.51, very large). Conclusion: Posture alteration is progressively increased until 100 km. After this point, compensatory mechanisms appear to limit the posture degradation. This bi-phasic response is of interest for better understanding the coping with extreme fatigue.
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Affiliation(s)
- Francis Degache
- School of Health Sciences, University of Applied Science and Arts Western Switzerland, Lausanne, Switzerland
| | - Emilie Serain
- School of Health Sciences, University of Applied Science and Arts Western Switzerland, Lausanne, Switzerland
| | - Gianluca Vernillo
- Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.,Research Center for Sport, Mountain and Health (CeRiSM), University of Verona, Rovereto, Italy
| | - Frederic Meyer
- Institute of Sports Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Mathieu Falbriard
- Laboratory of Movement Analysis and Measurement, STI, Ecole Polytechnique Federale de Lausanne (EPFL), Lausanne, Switzerland
| | - Aldo Savoldelli
- Research Center for Sport, Mountain and Health (CeRiSM), University of Verona, Rovereto, Italy.,Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Kenny Guex
- School of Health Sciences, University of Applied Science and Arts Western Switzerland, Lausanne, Switzerland
| | - Grégoire P Millet
- Institute of Sports Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
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Frolov AA, Kozlovskaya IB, Biryukova EV, Bobrov PD. Use of Robotic Devices in Post-Stroke Rehabilitation. ACTA ACUST UNITED AC 2018. [DOI: 10.1007/s11055-018-0668-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Alexandrov AV, Lippi V, Mergner T, Frolov AA, Hettich G, Husek D. Human-Inspired Eigenmovement Concept Provides Coupling-Free Sensorimotor Control in Humanoid Robot. Front Neurorobot 2017; 11:22. [PMID: 28487646 PMCID: PMC5403929 DOI: 10.3389/fnbot.2017.00022] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 04/04/2017] [Indexed: 12/02/2022] Open
Abstract
Control of a multi-body system in both robots and humans may face the problem of destabilizing dynamic coupling effects arising between linked body segments. The state of the art solutions in robotics are full state feedback controllers. For human hip-ankle coordination, a more parsimonious and theoretically stable alternative to the robotics solution has been suggested in terms of the Eigenmovement (EM) control. Eigenmovements are kinematic synergies designed to describe the multi DoF system, and its control, with a set of independent, and hence coupling-free, scalar equations. This paper investigates whether the EM alternative shows “real-world robustness” against noisy and inaccurate sensors, mechanical non-linearities such as dead zones, and human-like feedback time delays when controlling hip-ankle movements of a balancing humanoid robot. The EM concept and the EM controller are introduced, the robot's dynamics are identified using a biomechanical approach, and robot tests are performed in a human posture control laboratory. The tests show that the EM controller provides stable control of the robot with proactive (“voluntary”) movements and reactive balancing of stance during support surface tilts and translations. Although a preliminary robot-human comparison reveals similarities and differences, we conclude (i) the Eigenmovement concept is a valid candidate when different concepts of human sensorimotor control are considered, and (ii) that human-inspired robot experiments may help to decide in future the choice among the candidates and to improve the design of humanoid robots and robotic rehabilitation devices.
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Affiliation(s)
- Alexei V Alexandrov
- Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of ScienceMoscow, Russia
| | - Vittorio Lippi
- Department of Neurology, University Clinics of FreiburgFreiburg, Germany
| | - Thomas Mergner
- Department of Neurology, University Clinics of FreiburgFreiburg, Germany
| | - Alexander A Frolov
- Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of ScienceMoscow, Russia.,Russian National Research Medical UniversityMoscow, Russia
| | - Georg Hettich
- Department of Neurology, University Clinics of FreiburgFreiburg, Germany
| | - Dusan Husek
- Institute of Computer Science, Academy of Science of the Czech RepublicPrague, Czechia
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Abstract
SUMMARYThis paper investigates the contributions of each joint in perturbed balance by employing multiple balance strategies and exploring gain scheduling. Hybrid controllers are developed for sagittal standing in response to constant pushes, and a hypothesis is then investigated that postural feedback gains in standing balance should change with perturbation size via an optimization approach. Related research indicates the roles of each joint: the ankles apply torque to the ground, the hips and/or arms generate horizontal ground forces, and the knees and hips squat. To investigate it from an optimization point of view, this paper uses a horizontal push of a given size, direction, and location as a perturbation, and optimizes controllers for different push sizes, directions, and locations. It applies to the ankle, hip, squat, and arm swinging strategies in standing balance. By comparing the capability of handling disturbances and investigating the feedback gains of each strategy, this paper quantitatively analyzes the contributions of each joint to perturbed balance. We believe this work is also instructive to study the progressive behavioral changes as the model gets more and more complex.
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