Muscular responses to upper body mediolateral angular momentum perturbations during overground walking

Adaptive motor control and seamless coordination of muscle actions in response to external perturbations are crucial to maintaining balance during bipedal locomotion. There is an ongoing debate about the specific roles of individual muscles and underlying neural control circuitry that humans employ to maintain balance in different perturbation scenarios. To advance our understanding of human motor control in perturbation recovery, we conducted a study using a portable Angular Momentum Perturbator (AMP). Unlike other push/pull perturbation systems, the AMP can generate perturbation torques on the upper body while minimizing the perturbing forces at the center of mass. In this study, ten participants experienced trunk perturbations during either the mid-stance or touchdown phase in two frontal plane directions (ipsilateral and contralateral). We recorded and analyzed the electromyography (EMG) activity of eight lower-limb muscles from both legs to examine muscular responses in different phases and directions. Based on our findings, individuals primarily employ long-latency hip strategies to effectively counteract perturbation torques, with the occasional use of ankle strategies. Furthermore, it was found that proximal muscles, particularly the biarticular Rectus Femoris, consistently exhibited higher activation levels than other muscles. Additionally, in instances where a statistically significant difference was noted, we observed that the fastest reactions generally stem from muscles in close proximity to the perturbation site. However, the temporal sequence of muscles' activation depends on the timing and direction of the perturbation. These findings enhance reflex response modeling, aiding the development of simulation tools for accurately predicting exogenous disturbances. Additionally, they hold the potential to shape the development of assistive devices, with implications for clinical interventions, particularly for the elderly.