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Interlimb Coordination During Step-to-Step Transition and Gait Performance.

Andreia S P Sousa1, João Manuel R S Tavares

  • 1a Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do Porto, Área Científica de Fisioterapia, Centro de Estudos de Movimento e Atividade Humana , Portugal.

Journal of Motor Behavior
|April 21, 2015
PubMed
Summary

Understanding interlimb coordination during gait is key to analyzing walking energy expenditure and impairments. This review highlights how reciprocal limb influence in healthy walking differs from perturbed coordination seen in stroke patients.

Keywords:
biomechanicalenergy expendituregaitinterlimb coordinationneurophysiologyspinal and supraspinal mechanismsstep-to-step transitionstroke

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Area of Science:

  • Biomechanics
  • Neuroscience
  • Motor Control

Background:

  • Step-to-step transitions in walking consume significant energy.
  • Interlimb coordination is vital for maintaining posture and controlling movement during gait.
  • Understanding these coordination principles offers insights into walking efficiency and pathology.

Purpose of the Study:

  • To review existing research on interlimb coordination during human gait.
  • To explore the biomechanical and neurophysiological underpinnings of interlimb coordination.
  • To connect interlimb coordination principles to motor control and walking impairments, particularly in stroke survivors.

Main Methods:

  • Systematic literature review of studies on interlimb coordination during gait.
  • Analysis of biomechanical models and neurophysiological mechanisms.
  • Synthesis of findings from unimpaired and impaired gait studies.

Main Results:

  • Unimpaired walking exhibits consistent and reciprocal interlimb influence.
  • This coordination is supported by integrated biomechanical, spinal, and supraspinal mechanisms.
  • Interlimb coordination is demonstrably altered in individuals post-stroke.

Conclusions:

  • Interlimb coordination is a fundamental aspect of efficient gait and motor control.
  • Biomechanical and neural factors underpin reciprocal limb interactions during walking.
  • Deviations in interlimb coordination are a characteristic feature of gait disturbances in stroke patients.