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• Locomotion is caused by shifting stable body balance in space. • The spinal strip of neurons controlled by efferent place cells may shift referent body posture. • Rhythmical muscle activation by central pattern generator follows referent shift. • The multi-level control structure is worth considering in studies of locomotion. Research suggests that locomotion may be primarily caused by shifting stable body balance from one location in the environment to another with subsequent rhythmical muscle activation by the central pattern generator (CPG), constituting a multi-level control system. All levels interact with environmental forces affected by proprioceptive and vestibular reflexes as well as vision. A similar multi-level control schema is likely used to shift body balance laterally when the body weight is rhythmically transferred from side-to-side. In order to do so, the system shifts a specific body posture in space. This body posture is referred to as the threshold or referent body posture, R, at which all muscles involved can be at rest but are activated depending on the deflection of the actual body posture, Q, from R. This concept has previously been investigated for forward and backward locomotion. The purpose of the present study was to verify if it was also applicable to locomotor tasks in other directions such as sidestepping. We predicted that during sidestepping, the actual and referent posture can transiently match each other bringing the activity of multiple muscles to a minimum. The existence of such minima was demonstrated in healthy adults performing three locomotor tasks involving shifts of the body weight from side-to-side thus further supporting the validity of the multi-level control scheme of locomotion. [ABSTRACT FROM AUTHOR]

Intersegmental coordination between thigh, shank, and foot plays a crucial role in human gait, facilitating stable and efficient human walking. Limb elevation angles during the gait cycle form a planar manifold describes the by the planar covariation law, a recognized fundamental aspect of human locomotion. How does the walking speed, age, BMI, and height, affect the size and orientation of the intersegmental coordination manifold and covariation plane? This study introduces novel metrics for quantifying intersegmental coordination, including the mean radius of the manifold, rotation of the manifold about the origin, and the orientation of the plane with respect to the coordinate planes. A statistical investigation is conducted on a publicly available human walking dataset for subjects aged 19–67 years, walking at speeds between 0.18 and 2.3 m s−1 to determine correlations of the proposed quantities. We used two sample t-test and ANOVA to find statistical significance of changes in the metrics with respect to gender and walking speed, respectively. Regression analysis was used to establish relationships between the introduced metrics and walking speed. High correlations are observed between walking speed and the computed metrics, highlighting the sensitivity of these metrics to gait characteristics. Conversely, negligible correlations are found for demographic parameters like age, body mass index (BMI), and height. Male and female groups exhibit no practically significant differences in any of the considered metrics. Additionally, metrics tend to increase in magnitude as walking speed increases. This study contributes numerical metrics to characterize ISC of lower limbs with respect to walking speed along with regression models to estimate these metrics and related kinematic quantities. These findings hold significance for enhancing clinical gait analysis, generating optimal walking trajectories for assistive devices, prosthetics, or rehabilitation, aiming to replicate natural gaits and improve the functionality of biomechanical devices. • Walking speed effects the lower limb intersegmental coordination (ISC) patterns. • Lower limb angles covary in a PCL plane during walking. • Size and orientation of the ISC manifold depend primarily on walking speed. • BMI, age, and height have negligible effect on size and orientation of ISC manifold. • Gender does not significantly affect ISC patterns. [ABSTRACT FROM AUTHOR]

Reactive Strength Index (RSI) is a neuromuscular assessment used to measure stretch–shortening cycle (SSC) function of the lower limb. Increased RSI scores have been frequently associated with running performance, such as faster sprint times, greater running economy and reduced change of direction times. These locomotor activities are involved in various sports and therefore, RSI is an important indicator of athletic capacity in sport. Whilst RSI has been commonly used in studies to assess SSC performance, no review has been conducted examining the difference in RSI between athletic populations. Thus, the aim of this systematic review was to summarise the literature and determine whether there was any significant difference in RSI between different populations and summarise the underlying factors contributing to these results. The systematic review protocol yielded 865 articles for screening by which 19 were included for final analysis following inclusion/exclusion criteria. Moderate to large differences were predominately found between different athlete populations, and the strength of these relationships varied depending on the populations being compared. The findings indicated that relative strength is an influencing factor that differentiated RSI performance between populations. This should be an area, which practitioners aim to develop if wanting to improve reactive strength. [ABSTRACT FROM AUTHOR]

Deterioration of physical function in middle-aged adults is a significant challenge that can lead to increased risk of future falls. However, a screening method for the functional decline in middle-aged adults has not been established. To evaluate the relationship between biomechanical parameters assessed by the timed up and go test (TUG) and locomotive syndrome (LS) in middle-aged adults. The inclusion criterion was: under 65 years of age. A total of 97 volunteers (mean age 51.1 years) participated in this study. An LS test was performed, including a 2-step test, a stand-up test, and a 25-question Geriatric Locomotive Function Scale. The TUG was measured using inertial measurement units (IMUs) at comfortable and fast speeds. We then determined the minimum values for anterior-posterior acceleration and angular velocity around the medial-lateral axis, as well as the maximum values of angular velocity around the vertical axis for the upper trunk and sacrum in a TUG phase. Angular velocity around the vertical axis for upper trunk and sacrum were significantly smaller in LS than non-LS in the turn phase of both speed conditions. For the fast speed condition, the minimum anterior-posterior acceleration for sacrum was greater in LS than in the non-LS condition for the stand-to-sit phase. Angular velocity around the vertical axis for turning and anterior-posterior acceleration from sitting were associated with detection of LS. Turning and sitting movements during TUG should be observed using IMU to screen for physical function decline in middle aged adults. • Locomotive syndrome (LS) has slow turning velocity compared to non-LS. • LS show increased antero-posterior acceleration when going from stand to sit. • TUG measurement using inertial measurement unit is useful for detection of LS in middle age. [ABSTRACT FROM AUTHOR]

Assessment of gait function in People with Parkinson Disease (PwPD) is an important tool for monitoring disease progression in PD. While comprehensive gait analysis has become increasingly popular, only one study, Hass et al. (2014), has established minimal clinically important differences (MCID) for one spatiotemporal variable (velocity) in PwPD. What are the MCIDs for velocity and additional spatiotemporal variables, including mean, variability, and asymmetry of step length, time, and width? As part of a larger clinic-based initiative, 382 medicated, ambulatory PwPD walked on an instrumented walkway during routine clinical visits. Distribution and anchor-based methods (Unified Parkinson's Disease Rating Scale-III, Modified Hoehn and Yahr, and the mobility subsection of the Parkinson Disease Questionnaire) were used to calculate MCIDs for variables of interest in a cross-sectional approach. Distribution measures for all variables are presented. Of nine gait variables, four were significantly associated with every anchor and pooled to the following values: velocity (8.2 cm/s), step length mean (3.6 cm), step length variability (0.7%), and step time variability (0.67%). The finalized MCID for velocity (8.2 cm/s) was nearly half of the MCID of 15 cm/s reported by Hass et al., potentially due to differences in calculations. These results allow for evaluations of effectiveness of interventions by providing values that are specific to changes in gait for PwPD. Alterations of methodology including different versions of clinical or walking assessments, and/or different calculation and selection of gait variables necessitate careful reasoning when using presented MCIDs. • MCIDs help access effectiveness of interventions specific to populations. • 382 medicated people with Parkinson walked at comfortable speed via GAITRite. • MCIDs for gait measures were calculated using a cross-sectional analysis. • MCIDs include velocity (8.2 cm/s) and step length mean (3.6 cm). • MCIDs was also calculated for step length CV (0.7%) and step time CV (0.67%). [ABSTRACT FROM AUTHOR]

Prolonged microgravity exposure induces physiological de-conditioning that is partially mitigated by aerobic exercise. De-conditioning is also anticipated during partial gravity habitation (e.g., Moon or Mars). However, the relationship between gravity, resultant running speed, associated biomechanics, and the cardiorespiratory response is unknown. Thus, this case study evaluated responses to self-selected running across a continuum of simulated gravity levels generated by bodyweight unloading and axial loading via the Mk III Gravity Loading Countermeasure SkinSuit (GLCS). A healthy male ran at a self-selected speed for 5 min at six simulated gravity (Gz) levels. Bodyweight suspension unloaded the subject's mass to simulate Martian (0.38Gz) and Lunar (0.16Gz) gravity, whilst the GLCS reloaded the subject by 0.8Gz, thereby simulating 1.8Gz and 0.96Gz – comparable to 1Gz. Gait kinematics, heart rate (HR), respiratory variables, subjective ratings were evaluated in the final minute of each run and evaluated across conditions. Cardiorespiratory, biomechanical and subjective responses were broadly similar in 1Gz and 0.96Gz (GLCS + Lunar). Positive linear associations were observed between Gz and minute ventilation (V E) oxygen consumption (VO 2) and cost of transport responses to self-selected running, where HR responses correlated with self-selected running speed only. Respiratory and biomechanical responses (but not HR) to self-selected running appear related to simulated Gz. Significance: Mk III GLCS is able to induce broadly G-equivalent biomechanical and cardiorespiratory responses, and thus may be a tool to facilitate g-dependence research and hypogravity exercise. • Changes in gravitational conditions leads to physiological adaptation. • Human locomotion is affected by gravity, such that locomotion changes have been observed between Lunar and Earth. • Lunar and Martian conditions can be simulated to study locomotion effects on Earth. • Countermeasures are required to support the optimal function of the human body. • These must be studied and evaluated in simulated conditions to understand compatibility. [ABSTRACT FROM AUTHOR]

Chronic Non-Specific Low Back Pain (cNSLBP) has been identified as one of the leading global causes of disability and is characterized by symptoms without clear patho-anatomical origin. The majority of clinical trials assess cNSLBP using scales or questionnaires, reporting an influence of cognitive, emotional and behavioral factors. However, few studies have explored the effect of chronic pain in daily life tasks such as walking and avoiding obstacles, which involves perceptual-motor processes to interact with the environment. Are action strategies in a horizontal aperture crossing paradigm affected by cNSLBP and which factors influence these decisions ? 15 asymptomatic adults (AA) and 15 cNSLBP participants walked along a 14 m long path, crossing through apertures ranging from 0.9 to 1.8 times their shoulder width. Their movement was measured using the Qualisys system, and pain perception was evaluated by self-administered questionnaires. The cNSLBP participants stopped rotating their shoulders for a smaller aperture relative to their shoulder width (1.18) than the AA participants (1.33). In addition, these participants walked slower, which gave them more time to make the movement adaptations necessary to cross the aperture. No correlation was found between the variables related to pain perception and the critical point but the levels of pain were low with a small variability. This study shows that during a horizontal aperture crossing task requiring shoulder rotation to pass through small apertures, cNSLBP participants appear to exhibit a riskier adaptive strategy than AA participants by minimizing rotations that could induce pain. This task thus makes it possible to discriminate between cNSLBP participants and pain-free participants without measuring the level of pain. The identification number registered in the clinical trials is NCT05337995. • Investigation of cNSLBP movement strategies in an ecological context. • Horizontal aperture crossing paradigm discriminated the influence of cNSLBP. • cNSLBP participants stopped turning their shoulder at a smaller opening. • Pain perception scores were not correlated with the critical point but were low. [ABSTRACT FROM AUTHOR]

Human intent prediction (HIP) and human activity recognition (HAR) are important for human–robot interactions. However, human–robot interface signals are user-dependent. A classifier trained on labeled source subjects performs poorly on unlabeled target subjects. Besides, previous methods used a single learner, which may only learn a subset of features and degrade their performance on target subjects. Last, HIP and HAR require real-time computing on edge devices whose computational capabilities limit the model size. To address these issues, this paper designs an ensemble diverse hypotheses (EDH) and knowledge distillation (EDHKD) method. EDH mitigates the cross-subject divergence by training feature generators to minimize the upper bound of the classification discrepancy among multiple classifiers. EDH also maximizes the discrepancy among multiple feature generators to learn diverse and complete features. After training EDH, a lightweight student network (EDHKD) distills the knowledge from EDH to a single feature generator and classifier to significantly decrease the model size but remain accurate. The performance of EDHKD is theoretically demonstrated and experimentally validated. Results show that EDH can learn diverse features and adapt well to unknown target subjects. With only soft labels provided by EDH, the student network (EDHKD) can inherit the knowledge learned by EDH and classify unlabeled target data of a 2D moon dataset and two human locomotion datasets with the accuracy at 96.9%, 94.4%, and 97.4%, respectively, in no longer than 1 millisecond. Compared to the benchmark method, EDHKD lifts the target-domain classification accuracy by 1.3% and 7.1% in the two human locomotion datasets. EDHKD also stabilizes learning curves. Therefore, EDHKD significantly increases the generalization ability and efficiency of the HIP and HAR. [Display omitted] • A novel, accurate, and efficient unsupervised cross-subject adaptation method. • Ensemble diverse hypotheses can learn diverse features. • Knowledge distillation can increase both accuracy and efficiency. • Theoretic explanation of the ensemble learners and the knowledge distillation. • Comprehensive cross-subject evaluations on wearable sensor datasets. [ABSTRACT FROM AUTHOR]

Manilkara zapota (L.) P. Royen , also termed sapodilla or chikoo, is a significant plant in ethnomedicine because of its long history of traditional medical applications. In diverse cultures, sapodilla is believed to protect against oxidative stress, inflammation, and some chronic diseases because of its high antioxidant content. The naturally occurring antioxidant myricitrin (MYR) flavonoid is primarily found in the leaves and other plant parts of sapodilla and it is well-known for having therapeutic qualities and possible health advantages. To appraise the possible impact of MYR on a rat model of reserpine-induced fibromyalgia (FM) and explore its mechanism of action. Isolation and identification of MYR with more than 99% purity from Manilkara zapota leaves were primarily done and confirmed through chromatographic and spectrophotometric techniques. To develop FM model, reserpine (RSP) was injected daily (1 mg/kg, s.c.) for three successive days. Then, MYR (10 mg/kg, i.p.) and pregabalin (PGB, 30 mg/kg, p.o.) were given daily for another five days. Behavioral changes were assessed through open field test (OFT), hot plate test, and forced swimming test (FST). Further analyses of different brain parameters and signaling pathways were performed to assess monoamines levels, oxidative stress, inflammatory response, apoptotic changes as well as silent information regulator 1 (SIRT1) and micro RNAs (miRNAs) expressions. From High-Performance Liquid Chromatography (HPLC) analysis, the methanol extract of sapodilla leaves contains 166.17 μg/ml of MYR. Results of behavioral tests showed a significant improvement in RSP-induced nociceptive stimulation, reduced locomotion and exploration and depressive-like behavior by MYR. Biochemical analyses showed that MYR significantly ameliorated the RSP-induced imbalance in brain monoamine neurotransmitters. In addition, MYR significantly attenuated oxidative stress elicited by RSP via up-regulating nuclear factor erythroid 2-related factor 2 (Nrf2) and heme oxygenase-1 (HO-1) protein expressions, enhancing superoxide dismutase (SOD) and catalase (CAT) activities, and reducing malondialdehyde (MDA) content in brain. The RSP-provoked inflammatory response was also diminished by MYR treatment as shown by a significant decreased NOD-like receptor protein 3 (NLRP3) inflammasome expression along with reduced levels of interleukin 1 beta (IL-1β) and nuclear factor-κB (NF-κB). Furthermore, the anti-apoptotic activity of MYR was demonstrated by a marked rise in Bcl-2-associated X protein (BAX)/B cell lymphoma-2 (Bcl-2) ratio by lowering Bcl-2 while increasing BAX levels. In addition, MYR treatment significantly boosted the expression of SIRT1 deacetylase in RSP-treated animals. Interestingly, molecular docking showed the ability of MYR to form a stable complex in the binding site of SIRT1. Regarding miRNAs, MYR effectively ameliorated RSP-induced changes in miR-320 and miR-107 gene expressions. Our findings afford new insights into the anti-nociceptive profile of MYR in the RSP-induced FM model in rats. The underlying mechanisms involved direct binding and activation of SIRT1 to influence different signaling cascades, including Nrf2 and NF-κB/NLRP3 together with modulation of miRNAs. However, more in-depth studies are needed before proposing MYR as a new clinically relevant drug in the management of FM. • The flavonoid MYR was isolated from Manilkara zapota leaves and quantified using HPLC. • MYR improved nociceptive and depressive-like behavior induced by RSP in rats. • MYR ameliorated RSP-induced brain oxidative stress, inflammation and apoptosis. • MYR directly bound to and activated SIRT1 to affect Nrf2 and NF-κB/NLRP3 pathways. • MYR modulated miRNA-320 and miRNA-107 gene expression in RSP-treated rats. [ABSTRACT FROM AUTHOR]

The biomechanics of walking are far less understood for uneven terrain than flat or even surfaces. This is due in part to a lack of ground reaction force and moment recordings from each leg. These are often obtained with split-belt instrumented treadmills, which are currently incompatible with uneven terrain, making it difficult to perform biomechanics analyses such as inverse dynamics. Here we show how a standard split-belt instrumented treadmill (Bertec, Inc., Columbus, OH) can be modified to accommodate a variety of uneven terrains. The principal design considerations are structural clearance to allow passage of an uneven treadmill belt and fabrication of the terrain. We designed mechanical components with sufficient clearance for terrains up to 0.045 m high, and formed the terrain from uneven strips of polystyrene. Measured ground reaction forces from each leg at typical walking speeds agreed well with an intact benchmark treadmill (minimum interclass cross correlation score = 0.97). The modifications had negligible effect on the treadmill's structural strength. The terrain produced some noise-like vibrations, but at much higher frequencies than fundamental to human locomotion. The uneven terrain treadmill can record many steps of the full complement of ground reaction forces and moments from individual legs. [ABSTRACT FROM AUTHOR]

Understanding the intricacies of human movement coordination and variability during running is crucial to unraveling the dynamics of locomotion, identifying potential injury mechanisms and understanding skill development. Identification of minimum number of cycles for calculation of reliable coordination and its variability could help with better test organization and efficient assessment time. By adopting a cross-sectional study design, this study investigated the minimum required cycles for calculating hip-knee, hip-ankle and knee-ankle coordination and their variability using a continuous relative phase (CRP) method. Twenty-nine healthy adults ran on a treadmill at speeds of 9, 12.5, and 16 km.h−1 while 3D kinematic data of their lower limbs were recorded using 6 optoelectronic cameras. Using Intraclass Correlation Coefficient (ICC) analysis, reliability between CRP and its variability (CRPv) in different gait cycles (3, 5, 10, 20, 30) was assessed for each speed. A minimum of 10 cycles was required for CRP calculation across all speeds, whereas CRPv necessitated a minimum of 30 cycles for moderate to good reliability. While increasing the number of cycles improved ICC values for inter-joint CRP, the same trend was not consistently observed for CRPv, emphasizing the importance of separately assessing CRP and its variability metrics. [ABSTRACT FROM AUTHOR]

• This review conducts a meta-analysis of studies examining the ability of decline in intrinsic capacity to indicate the risk of mortality in older adults. • Decline in intrinsic capacity can be used to facilitate the early identification of mortality risks in older adults and the avoidance of adverse health outcomes. • The findings from this meta-analysis can be used to improve the quality of life of older adults and to promote healthy aging. To evaluate the ability of decline in intrinsic capacity to indicate the risk of mortality in older adults. Meta-analysis. PubMed, EMBASE, Web of Science, the Cochrane Library, Wanfang Database, CNKI, VIP, and CBM were searched for relevant studies published from inception to October 31, 2023. Stata17.0 software was used to perform the meta-analysis. A random effects model was used to pool the results of the risk of mortality (as hazard ratios, HRs) in older adults and decline in intrinsic capacity. The Newcastle Ottawa Scale was used to evaluate the quality of studies. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to determine the confidence in the estimated effect of pooled outcomes. Twelve studies, with a total of 38,531 participants, were included in this meta-analysis. The findings show that older adults with intrinsic capacity decline have a higher risk of mortality (HR = 1.11, 95 % CI 1.08–1.14, I 2 = 95.9 %, P <0.001) than older adults with normal intrinsic capacity. The pooled HR estimates for the locomotion, vitality, and cognitive dimensions of intrinsic capacity in the prediction of mortality were 0.89 (HR = 0.89, 95%CI 0.83–0.96, I 2 = 41.3 %, P = 0.146), 0.76 (HR = 0.98, 95 % CI 0.59–0.97, I 2 = 60.8 %, P = 0.078), and 0.99 (HR = 0.99, 95 % CI 0.98–1.00, I 2 = 0.0 %, P = 0.664), respectively. The pooled HR estimates of the psychological dimension to predict mortality were not statistically significant (P > 0.05). GRADE evaluations of outcome indicators were of moderate confidence. Decline in intrinsic capacity is a significant predictor of mortality. Locomotion, vitality, and cognition dimensions can all predict mortality. Clinical personnel should early assess the intrinsic capacity of older adults, focusing on changes in the dimensions of locomotion and vitality, to identify the risk of mortality, avoid adverse health outcomes, and improve the quality of life of older adults. Review protocol registered in PROSPERO: CRD42023481246 [ABSTRACT FROM AUTHOR]

Sugarcane (Saccharum officinarum L.) is reported by traditional medicine as tonic, stimulating and beneficial in increasing resistance to fatigue. Previous preclinical studies in rats using aqueous extract of sugarcane leaves (AE) revealed pharmacological effects on the central nervous and cardiovascular systems involving the participation of dopaminergic pathways. This neurotransmission system is also related to motor, emotional and cognitive activities, which could, in part, justify the ethnopharmacological information. The present study aimed to investigate the motor, emotional and cognitive activities of rats submitted to AE treatment using behavioral tests in order to correlate the pharmacological effects with the therapeutic benefits postulated by traditional medicine. Additionally, the chemical profile of AE was evaluated by HPLC-UV/Vis, and the presence of shikimic acid, vitexin, and ferulic acid, as possible chemical markers, was investigated through comparisons of chemical parameters with the authentic patterns, and a UV–Vis scan of known spectra. Rats received water (1.5 mL/kg, p.o.) and AE (0.5, 10 and 500 mg/kg, p.o.) in the absence and presence of haloperidol (0.5 mg/kg, i.p.), 90 min before open field; rotarod; elevated plus maze and inhibitory avoidance tests for investigation of motor; emotional and cognitive responses. As a positive control was used apomorphine (0.25 mg/kg, s.c.). The chemical profile of AE was evaluated by HPLC-UV/Vis and the presence of shikimic acid, vitexin and ferulic acid, as possible chemical markers, was investigated through comparisons with the retention times, an increase of the integral of the peak area determined by co-injection of AE with the authentic patterns, and a UV–Vis scan of known spectra. In open field, it revealed that AE increased locomotion; reduced rearing but did not change freezing and grooming. Besides, AE increased motor performance in rotarod and reduced anxiety in elevated plus maze. A relation dose-response was observed in these tests where the lowest dose of AE was more effective in developing pharmacological responses. Previous administration of haloperidol inhibited the responses of AE. Inhibitory avoidance test revealed that AE did not modify fast-learning and associative memory. Sugarcane induced psychostimulant, anxiolytic-like effects, and improvement of motor performance in rats, with the involvement of dopaminergic pathways. The present study points to AE as a potential adaptogen but, in addition to behavioral assessments, metabolic and molecular aspects, that involve the participation of a variety of regulatory systems, will be investigated in futures studies. Phytochemical analyses showed that AE is a complex matrix and revealed shikimic acid, vitexin, and ferulic acid as potential chemical markers. [Display omitted] • Aqueous extract of sugarcane leaves (AE) improves the motor performance in rats. • AE induces anxiolytic-like effect in rats. • Sugarcane as a potential adaptogen. • Behavioral effects of AE are impaired by haloperidol, a potent D2 antagonist. • Shikimic acid, vitexin and ferulic acid as potential chemical markers of AE. [ABSTRACT FROM AUTHOR]

The article evaluates the effectiveness of high-intensity interval training (HIIT) compared to moderate-intensity locomotor training in improving walking capacity for individuals with chronic stroke.

Background: When treating cancer patients, the progression of symptoms is accompanied by the deterioration of systemic conditions and motor function. From a risk-benefit perspective, a certain level of physical function must be maintained to continue cancer treatment. Recently, outpatient cancer treatment has become more common. Motor function is important to determine the feasibility of continuing cancer treatment. The study aimed to evaluate the motor function of patients with visceral cancer using locomo tests established by Japanese Orthopaedic Association.Methods: Locomo tests were performed, and the results were compared with data from non-cancer individuals. Background data were matched by propensity score matching. Data from 53 cancer patients (group C) were compared with that of 75 non-cancer patients (group N).Results: The average score in the two-step test of group C was lower than that of group N (1.27: 1.37, p = 0.004). The average function in the stand-up test of group C was worse than that of group N (p = 0.001). The average score in the 25-question geriatric locomotive function scale (GLFS) of group C was significantly higher than that of group N (19.92: 5.29, SE 2.21, p < 0.001). Higher 25-question GLFS scores indicate reduced mobility. The proportion of the locomo stage 2 in group C was significantly higher than in group N (51%: 13%, p < 0.001). The results of the two field tests revealed a clinically minimal difference between the two groups, but a statistically significant difference. Locomo tests may be detect potential motor dysfunction in outpatient cancer patients with apparently maintained motor function.Conclusions: Even in cancer patients who attend outpatient clinics, their motor functions could be potentially impaired. Therapeutic interventions to maintain and enhance motor function for cancer patients could be useful for continuing cancer treatment, and furthermore, improving prognosis. [ABSTRACT FROM AUTHOR]

Background: The optimal cut-off values of the 5-question Geriatric Locomotive Function Scale (GLFS-5) as a screening tool to identify Locomotive Syndrome (LS) diagnosed with the 25-question Geriatric Locomotive Function Scale (GLFS-25) has yet to be fully investigated. This study aimed to construct a simple screening tool, based on the GLFS-5, for the detection of LS-1, LS-2, and LS-3 diagnosed with the GLFS-25.Methods: This research was approved by the institutional review board of Fukushima Medical University School of Medicine (No. 2907). A cross-sectional study of 1258 consecutive Japanese volunteers with a mean age of 76.0 ± 6.0 years who consecutively attended a basic health checkup was conducted. We excluded individuals of <65 years of age, individuals with comorbidities, and individuals who did not fully complete the GLFS-25. Subjects with a GLFS-25 total score of 0-6 points, 7-15 points, 16-23 points, and 24-100 points were diagnosed with non-LS, LS-1, LS-2, and LS-3, respectively. A conventional receiver-operating characteristic curve analysis was used to confirm the optimal cut-off values of the GLFS-5 total score and their sensitivity and specificity in the identification of LS-1, LS-2, and LS-3, with a preference for slightly higher sensitivity as the intended use of the tool is primarily for screening purposes.Results: The diagnoses of the 1258 subjects were as follows: non-LS (n = 559), LS-1 (n = 396), LS-2 (n = 134), and LS-3 (n = 169). The mean GLFS-5 was 3.3 ± 3.5 points. The optimal cut-off values of the GLFS-5 total score for discriminating LS-1, LS-2, and LS-3 (as a screening tool) were 2 points (sensitivity 91.7% and specificity 77.8%), 4 points (sensitivity 95.7% and specificity 81.7%), and 6 points (sensitivity 92.9% and specificity 90.0%), respectively.Conclusions: This simple screening tool based on GLFS-5 could help physicians and surgeons to easily and practically predict the severity of LS. [ABSTRACT FROM AUTHOR]

[Display omitted] • M. rotundata flight ability declined with age. • Walking activity increased from when the bees first emerged. • Oxidative damage and antioxidant levels initially increase with age and physical activity , but remain relatively stable later in life. Despite numerous aging studies, the relationship between oxidative stress, aging, and decline in functions such as locomotion is still debated. Insects offer a promising model for analyzing the relationship between oxidative stress and aging, because they exhibit vast differences in lifespan that may be affected by the environment, social factors, levels of activity, and aging interventions. In this study, we explore the effects of aging on oxidative stress and locomotion using the pollinator, Megachile rotundata , a species that is very mobile and active in the adult stage. Across the adult lifespan of M. rotundata , we assessed changes in walking, flight, oxidative damage, and antioxidant defenses. Our results suggest that M. rotundata experience age-related declines in flight, but not walking. Additionally, we found that oxidative damage and antioxidant capacity initially increase with age and physical activity, but then levels are maintained. Overall, these data show that M. rotundata , like some other organisms, may not perfectly follow the free radical theory of aging. [ABSTRACT FROM AUTHOR]

• IC of a large number of Chinese community older adults has deteriorated over 4 years. • The decline in cognitive function over time was the most significant among all dimensions after 4 years. • Age, low education level, widowhood were independently associated with IC deterioration. Intrinsic capacity (IC), the sum of individual mental and physical capabilities, as well as living environment and behavior, jointly determine the functional ability of older adults, shifting the focus from disease to function. At the population level, IC in older adults is associated with adverse health outcomes, such as disability, falls, and death. At the individual level, IC changes dynamically. However, studies on the longitudinal IC trajectory and the factors influencing IC deterioration are limited. We aimed to analyze the IC trajectory and explore the risk factors for IC deterioration in Chinese older adults. Data were obtained from the baseline (2011–2012) and 4-year follow-up (2015) CHARLS surveys, including 1906 people aged 60 years and older. IC comprises six dimensions: locomotion, vitality, hearing, vision, cognition, and psychology. IC trajectory was categorized into three groups: improved, maintained, and deteriorated. Logistic regression analysis was used to analyze factors influencing the trajectory of IC deterioration. After 4 years, 32.1 % had deteriorated, 38.5 % remained stable, and 29.4 % had improved. Age, low level of education, widowed were independently associated with IC deterioration. Dynamic IC monitoring supports the development of individualized intervention policies to delay or prevent IC deterioration. [ABSTRACT FROM AUTHOR]

Intrinsic capacity (IC) and frailty are complementary constructs that encapsulate functional capacities of older adults. Although earlier studies suggest the utility of composite IC scores in predicting risk of frailty, key gaps remain with the lack of direct comparative studies between different IC scales and lack of a composite score based on the World Health Organization Integrated Care for Older People (ICOPE) tool. We aimed to compare different IC scales, including an ICOPE-based scale, in their predictive ability for risk of frailty at 2 years in healthy community-dwelling older adults. Cohort study. A total of 230 participants (age: 67.2 ± 7.4 years) from the GeriLABS-2 cohort study. We derived composite scores by summing 4 IC domains (locomotion, cognition, vitality, and psychological). We compared composite scores of 4 scales: IC1-Chew 2021, range: 0–8; IC2-Liu 2021, range: 0–4; IC3-ICOPE, range: 0–4; IC4-modified ICOPE, range: 0–8. The primary outcome was risk of frailty using the modified Fried Frailty Phenotype. We performed logistic regression to examine the association of baseline composite IC with risk of frailty. We also examined the impact of individual domains and number of impaired domains on risk of frailty. Among 193 (83.9%) older adults who completed 2-year follow-up, 20 (10.4%) met criteria for risk of frailty. When adjusted for covariates, 2-point per domain scales (IC1/IC4) predicted increased risk of frailty (OR, 4.31; 95% CI, 1.55–11.96; OR, 5.00; 95% CI, 1.75–14.26). When further adjusted for baseline frailty, only IC4 remained significant (OR, 4.28; 95% CI, 1.45–12.60). Among the domains, impaired locomotion and vitality were associated with risk of frailty. Greater number of impaired domains predicted increased risk of frailty (IC1/IC2: β = 0.18–0.19, P <.05). Baseline composite IC score using 2-point per domain scales better predicted risk of frailty at 2 years, predicated on impaired locomotion/vitality and greater number of impaired domains. For early identification of healthy older adults at risk of frailty, an ICOPE-based scale should be considered, as it is effective and accessible. [ABSTRACT FROM AUTHOR]

The human foot is a complex structure comprising 26 bones, whose coordinated movements facilitate proper deformation of the foot, ensuring stable and efficient locomotion. Despite their critical role, the kinematics of foot bones during movement remain largely unexplored, primarily due to the absence of non-invasive methods for measuring foot bone kinematics. This study addresses this gap by proposing a neural network model for estimating foot bone movements using surface markers. To establish a mapping between the positions and orientations of the foot bones and 41 skin markers attached on the human foot, computed tomography scans of the foot with the markers were obtained with eleven healthy adults and thirteen cadaver specimens in different foot postures. The neural network architecture comprises four layers, with input and output layers containing the 41 marker positions and the positions and orientations of the nine foot bones, respectively. The mean errors between estimated and true foot bone position and orientation were 0.5 mm and 0.6 degrees, respectively, indicating that the neural network can provide 3D kinematics of the foot bones with sufficient accuracy in a non-invasive manner, thereby contributing to a better understanding of foot function and the pathogenetic mechanisms underlying foot disorders. [ABSTRACT FROM AUTHOR]

Multiple sclerosis can cause locomotor and cognitive impairments even at lower levels of disability, which can impact daily life. The cognitive-motor dual task is commonly used to assess everyday locomotion. Thus, this study aimed to examine the effect of cognitive-motor dual tasks on gait parameters among patients with multiple sclerosis in the early disease stages and to determine whether dual tasks could be used as a clinical test to detect locomotion impairments. A systematic search of five databases was conducted in May 2024. The population of interest was patients with multiple sclerosis with an Expanded Disability Status Scale score of 4 or less. The following outcome measures were examined: spatiotemporal and kinematic parameters. The Newcastle–Ottawa Scale was used to assess the quality of the studies. Eleven studies including 270 patients with multiple sclerosis and 221 healthy controls. Three spatiotemporal parameters were modified both in patients with multiple sclerosis and healthy controls during dual-task performance: gait speed, stride length and the double support phase. No spatiotemporal parameter was affected during dual-task performance in patients with multiple sclerosis alone. Dual-task performance could be useful for assessing gait impairments in patients with multiple sclerosis provided that assessments and protocols are standardized. Nevertheless, the spatiotemporal parameters did not allow discrimination between patients with multiple sclerosis at an early stage and healthy controls. Three-dimensional gait analysis during dual-task performance could be a useful approach for detecting early gait impairments in patients with multiple sclerosis, assessing their progression and adjusting rehabilitation programs. • Three gait parameters were often modified in patients and controls during dual-task. • These parameters are not specific to early gait disorders in multiple sclerosis. • The review highlighted the heterogeneity of clinical, cognitive assessments and tasks. • 3D gait analysis could characterize early gait disorders in multiple sclerosis. [ABSTRACT FROM AUTHOR]

Our understanding of the neural control of human walking has changed significantly over the last twenty years and mobile brain imaging methods have contributed substantially to current knowledge. High-density electroencephalography (EEG) has the advantages of being lightweight and mobile while providing temporal resolution of brain changes within a gait cycle. Advances in EEG hardware and processing methods have led to a proliferation of research on the neural control of locomotion in neurologically intact adults. We provide a narrative review of the advantages and disadvantages of different mobile brain imaging methods, then summarize findings from mobile EEG studies quantifying electrocortical activity during human walking. Contrary to historical views on the neural control of locomotion, recent studies highlight the widespread involvement of many areas, such as the anterior cingulate, posterior parietal, prefrontal, premotor, sensorimotor, supplementary motor, and occipital cortices, that show active fluctuations in electrical power during walking. The electrocortical activity changes with speed, stability, perturbations, and gait adaptation. We end with a discussion on the next steps in mobile EEG research. • Advances in mobile brain imaging now allow us to investigate human walking. • Electroencephalography research shows gait-related electrocortical activity. • Sensorimotor areas show lateralized spectral power fluctuations. • Findings suggest cortical involvement in sensory processing during walking. [ABSTRACT FROM AUTHOR]

Paraquat (PQ) is a widely used herbicide that can cross the dopaminergic neuronal membrane, accumulate in mitochondria and damage complex I of the electron transport chain, leading to neuronal death. In Drosophila melanogaster, PQ exposure leads to the development of parkinsonism and is a classical model for studying Parkinson's Disease (PD). Muscle mitochondrial dysfunction, affecting survival and locomotion, is described in familial PD in D. melanogaster mutants. However, no study has shown the effects of PQ-induced parkinsonism in D. melanogaster regarding muscle ultrastructure and locomotor behavior at different ages. Thus, we evaluated survival, locomotion, and morphological parameters of mitochondria and myofibrils using transmission electron microscopy in 2 and 15-day-old D. melanogaster, treated with different PQ doses: control, 10, 50, 100, 150, and 200 mM. PQ100mM presented 100% lethality in 15-day-old D. melanogaster , while in 2-day-old animals PQ150mM produced 20% lethality. Bradykinesia was only observed in 15-day-old D. melanogaster treated with PQ10 mM and PQ50 mM. However, these results are unlikely to be associated with changes to morphology. Taken together, our data indicate pathophysiological differences between PQ-induced parkinsonism and familial parkinsonism in D. melanogaster (resultant from gene mutations) , demonstrating for the first time a differential susceptibility to PQ in two developmental stages. • D. melanogaster show age-dependent susceptibility to paraquat-induced parkinsonism. • Paraquat is more lethal to mature than very young D melanogaster. • Paraquat-induced Parkinson did not affect mitochondrial morphology in D. melanogaster. • Paraquat-induced Parkinson did not affect muscle morphology in D. melanogaster. • Paraquat only affects locomotor behavior of mature D melanogaster. [ABSTRACT FROM AUTHOR]

Background: The loco-check has been widely used to raise awareness of locomotive syndrome (LS) not only in the general population but also among medical practitioners. However, a screening tool of the loco-check for LS-1, LS-2, and LS-3 has not yet been established. The present study developed a screening tool for use with the loco-check to detect LS-1, LS-2, and LS-3.Methods: A cross-sectional study of 1659 community-dwelling older adults (730 males, 929 females) with a mean age of 73.8 ± 6.0 years old (range, 65-96 years old) was conducted, based on the Standards for Reporting Diagnostic Accuracy (STARD). All subjects underwent the loco-check as an index test and the 25-question Geriatric Locomotive Function Scale (GLFS-25) as a reference standard at the same time. Subjects with a GLFS-25 total score of ≤6 points, 7-15 points, 16-23 points, and ≥24 points were diagnosed with non-LS, LS-1, LS-2, and LS-3, respectively. A conventional receiver-operating characteristic curve analysis was used to confirm the optimal cut-off values of the loco-check score and their sensitivity and specificity to identify LS-1, LS-2, and LS-3, with a preference for a slightly higher sensitivity as the tool is intended primarily for screening purposes.Results: The optimal cut-off values of the loco-check score to discriminate LS-1, LS-2, and LS-3 as a screening tool were 1 point (sensitivity 85.4% and specificity 64.9%), 2 points (sensitivity 88.8% and specificity 75.1%), and 3 points (sensitivity 87.6% and specificity 84.6%), respectively.Conclusions: Our findings may help both the general population and medical practitioners become roughly aware of and estimate the severity of LS, which will contribute to its use in community health activities and the dissemination of the concept of LS. [ABSTRACT FROM AUTHOR]

Background: The risk of locomotive syndrome (LS) has been proposed as a criterion for evaluating physical ability. The expression levels of circulating miRNAs (c-miRNAs) are predictors of various diseases. This preliminary study aimed to evaluate the relationship between serum levels of several miRNAs and LS.Methods: We enrolled 423 participants in whom we conducted a survey with the 25-question Geriatric Locomotive Function Scale (GLFS-25) and measured the serum levels of 21 c-miRNAs. The relationship between the GLFS-25 and each c-miRNA was evaluated with a linear regression analysis, and independent associations between the GLFS-25 and each c-miRNA were assessed with a multiple regression analysis using various independent variables.Results: Only the serum level of miR-199 was significantly associated with LS after adjustment for age, BMI, sex, and all comorbidities. The receiver operating characteristics curve for the predictive value of the miR-199 level to indicate the presence or absence of LS risk had an area under the curve (AUC) of 0.576 (95% confidence interval: 0.501-0.651).Conclusion: The expression level of miRNA-199 was associated with the risk of LS in community-dwelling Japanese people. [ABSTRACT FROM AUTHOR]

• Multiple hierarchies of swimming performance can be derived from observations of drag. • Ammonoid shell shapes favor differing performance metrics, not a singular mode. • Consequences of transitions like extinctions can be derived from these trade-offs. Biomechanical analyses provide unique insights on state shifts in the ecology of extinct communities. Ammonoids present a compelling case study for coupling biomechanical analysis with ecology given their robust fossil record of external conchs. We present a trajectory model to evaluate hydrodynamical advantages and challenges associated with ammonoid conch form. The model is a one-dimensional calculation estimating the dynamic feedbacks between different components of an ammonite's motion including thrust, drag, acceleration, and distance traveled. Computational fluid dynamics simulations were performed on eleven different ammonoid conch morphotypes and integrated into a mathematical model to analyze the dynamics of swimming across a combination of conch diameters (5, 10, and 20 cm) and jet rhythms (a single jet or series of three pulses). We compared the efficacy of short-term bursts of motion to that of long-term cruising and found: inflated shapes (i.e., spherocones) offer the fastest short-term motion, but at the greatest costs; heavily streamlined shapes (i.e., platycones) offer long cruise distances, but with ineffective short-term motion; and visibly-coiled shapes (i.e., serpenticones) appear to offer intermediate performance in both locomotion styles. Size is critical in ranking the performance of different conch shapes in both locomotion styles because ranking is determined predominantly by the amount of thrust an animal is capable of generating. With increasing size, Reynolds number increases and the effects of second-order morphological characters become more pronounced and alter the performance ranking of conchs. Finally, we present a visual analysis of the flow regimes and shape details that may drive these hydrodynamic consequences. We speculate that serpenticone morphologies capitalized on these subtleties with a morphology that provided reasonably high-speed swimming at small sizes relevant to juveniles while maintaining relatively efficient coasting locomotion at the larger sizes relevant to adult animals. We highlight the ubiquitous serpenticones of the Early Jurassic as a case study for applying biomechanical data to a paleoecological context. The broad range of morphotypes expressed by ammonoids in the Late Triassic is dramatically pared down during the End Triassic extinction. In the few million years following the extinction, ammonoids diversify into a suite of shapes with a more restricted range of locomotor performance, and only much later is the full range of morphology recovered. [ABSTRACT FROM AUTHOR]

Evaluating and quantifying the many aspects of movement – from open-field locomotion and stepping patterns in rodent models to stride trajectory and postural sway in human patients – are key to understanding brain function. Various experimental approaches have been used in applying these lines of research to investigate the brain mechanisms underlying neurodegenerative disease. Although valuable, data on movement are often limited by the shortcomings inherent in the data collection process itself. Steve Fowler and his research group have been instrumental in pioneering a technology that both minimizes these pitfalls in studies of rodent behavior and has applications to research on human patients. At the center of this technology is the force-plate actometer, developed by the Fowler group to assess multiple aspects of movement in rodent models. Our review highlights how use of the actometer and related behavioral measurements provides valuable insight into Huntington's disease (HD), an autosomal dominant condition of progressively deteriorating behavioral control. HD typically emerges in mid-life and has been replicated in multiple genetically engineered mouse models. The actometer also can be a valuable addition to cutting-edge neuronal and synaptic technologies that are now increasingly applied to studies of behaving animals. In short, the impact of the Fowler contribution to the neuroscience of movement is both meaningful and ongoing. [ABSTRACT FROM AUTHOR]

Background: Individuals experiencing age-related decline in locomotor functions are at high-risk of developing locomotive syndrome (LS). LS requires long-term care and greatly influences the quality of life and activities of daily living. The LS risk test was established as a diagnostic criterion by the Japanese Orthopedic Association. Although the relationship between the test and motor function has been established, few studies have reported on the characteristics of LS kinematically and kinetically.Research Question: Do elderly with LS show different kinetic and kinematic characteristics compared with healthy elderly during static standing and level walking?Methods: Forty-four Participants were divided into an LS group and a non-LS group based on the scores of the LS risk test. The standing posture and walking of the participants were measured using a three-dimensional motion capture system. The results of the groups were compared using an unpaired t-test, and then the characteristics of the LS group were extracted using logistic regression analysis.Results: LS group exhibited trunk flexion during both standing and gait. A higher intervertebral disc compressive force, which is the index of the low-back mechanical stress, during standing and an increase in ankle plantarflexion angle during walking were observed in LS group.Significance: This study determined the kinematic and kinetic features of elderly with LS. The findings suggest that parameters related to the trunk and ankle could be associated with LS. Further studying the characteristics of LS in older adults via motion analysis can help develop prevention and intervention methods for LS. [ABSTRACT FROM AUTHOR]

Background: In 2020, the Japanese Orthopaedic Association established a new stage 3 in clinical decision limits (CDL) to evaluate the stage of locomotive syndrome (LS). This study focused on total CDL stage 3 with the aim of investigating indicators related to improvements in total CDL by evaluating the improvement of LS in patients who underwent total hip arthroplasty (THA).Methods: Of the 125 patients who underwent THA at our hospital, the subjects of the analysis were 105 patients determined to be total CDL stage 3 in an evaluation performed before THA. LS was evaluated using the stand-up test, two-step test, and 25-Question Geriatric Locomotive Function Scale (GLFS-25). Indicators related to improvements in total CDL were also investigated. All evaluation items were measured before THA and three months after THA.Results: Before THA, all subjects (n = 105) were classified as total CDL stage 3. Three months after THA, improvements in total CDL were seen in 49 subjects (46.7%). The results of stepwise multiple logistic regression analysis showed that the before THA stand-up test and GLFS-25 were significantly related to improvements in total CDL.Conclusions: Three months after THA, improvements in LS were seen in approximately half of the subjects. The stand-up test and GLFS-25 can be used as indicators of improvement in total CDL.Design: Prospective cohort study design. [ABSTRACT FROM AUTHOR]

Background: The ability to perceive disturbances to ongoing locomotion (e.g., slips and trips) may play an important role in walking balance control. However, how well young adults can perceive such disturbances is unknown.Research Question: The purpose of this study was to identify the perception threshold in young adults to subtle slip-like locomotor disturbances.Methods: Subjects (n = 12) walked on a split-belt treadmill performing a perturbation discrimination task at their preferred walking speed while randomly experiencing locomotor balance disturbances every 8-12 strides. Balance disturbances were imposed through a short-duration decrease in velocity of a single treadmill belt triggered at heel-strike. The treadmill belt returned to the subject's preferred walking speed during the subsequent swing phase. Locomotor disturbances were given with eight different velocity changes ranging from 0 to 0.4 m/s and were randomized and repeated 5 times. Subjects were prompted to respond when asked if they perceived each disturbance. Using a psychophysical approach, we determined the perception thresholds of slip-like locomotor disturbances (i.e., just noticeable difference). The perturbation discrimination task was repeated with subjects performing a secondary cognitive distraction (counting backward by threes).Results: Subjects perceived small locomotor disturbances during both normal walking (dominant: 0.07 ± 0.03 m/s, non-dominant: 0.08 ± 0.03 m/s) and while performing the secondary cognitive task (dominant: 0.08 ± 0.01 m/s, non-dominant: 0.09 ± 0.02 m/s). There was no significant difference between legs (p = 0.466), with the addition of the cognitive task (p = 0.08), or interaction between leg and task (p = 0.994).Significance: The ability to perceive subtle slip-like locomotor disturbances was maintained even when performing a cognitively distracting task, suggesting that young adults can perceive very small locomotor disturbances. [ABSTRACT FROM AUTHOR]

• Human locomotion likely results from changes in neurophysiological parameters that shift stable body equilibrium in space. • Central pattern generator and descending systems set the threshold muscle lengths at which motoneurons and reflexes begin to act. • Proprioceptive feedback is vital for converting central influences on motoneurons into shifts of threshold muscle lengths. Unperturbed human locomotion presumably results from feedforward shifts in stable body equilibrium in the environment, thus avoiding falling and subsequent catching considered in alternative theories of locomotion. Such shifts are achieved by relocation of the referent body configuration at which multiple muscle recruitment begins. Rather than being directly specified by a central pattern generator, multiple muscles are activated depending on the extent to which the body is deflected from the referent, threshold body configuration, as confirmed in previous studies. Based on the referent control theory of action and perception, solutions to classical problems in motor control are offered, including the previously unresolved problem of the integration of central and reflex influences on motoneurons and the problem of how posture and movement are related. The speed of locomotion depends on the rate of shifts in the referent body configuration. The transition from walking to running results from increasing the rate of referent shifts. It is emphasised that there is a certain hierarchy between reciprocal and co-activation of agonist and antagonist muscles during locomotion and other motor actions, which is also essential for the understanding of how locomotor speed is regulated. The analysis opens a new avenue in neurophysiological approaches to human locomotion with clinical implications. [ABSTRACT FROM AUTHOR]

Background: Adaptation of the walking pattern to uphill walking demands immediate coordination between the lower limb segments. Nonetheless, knowledge about individual joints' responses and variability in response to the new slope angles are missing.Aims: This study investigated the impacts of uphill walking on the ankle, the knee and the hip joints angles and their variability.Methods: Twenty-three collegiate athletes (age: 22.04 ± 3.43years, body mass: 62.14 ± 9.26Kg, height: 168.29 ± 7.06 cm) walked on an inclined treadmill at 0 ° (level walking -LW), 5 ° (low-slope-walking -LSW), and 10 ° (high-slope-walking -HSW) slopes at their preferred walking speed (4.2 ± 0.51 km.h-1). The ankle, knee and hip joints angles and their variability (standard deviations) were calculated and analysed throughout the gait cycles in LW, LSW, and HSW.Results: Repeated measure ANOVA portrayed significant differences between the ankle joint angles in sagittal (p < .001, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .005, .14 < ηp2>.01) planes. In the knee joint, the sagittal (p < .001, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .05, ηp2>.14) angles were significantly different (p < 0.05). Similarly, in the hip joint, the sagittal (p < .05, ηp2>.14), frontal (p < .05, ηp2>.14), and transverse (p < .05, ηp2>.14) angles were significantly different. Ankle angle variability was significantly different in sagittal (P < .001, ηp2>.14), frontal (p = .002, ηp2>.14) and horizontal (P < .001, ηp2>.14) planes, as well as knee joint angle variability in sagittal, frontal and horizontal planes p < 0.001, ηp2>.14. The hip joint variability was considerably different in sagittal (p = .031, ηp2>.14) and horizontal (p < .05, ηp2>.14) planes.Conclusion: Uphill walking involves further modifications in the ankle, knee and hip joints angle to adjust the whole-body movements to a new slope. This adjustment resulted in a firm base of support, provided by the ankle, to regulate the knee and hip joints modifications. Nevertheless, it caused less ankle movement variability and could end up with injuries over long-term uphill walking. [ABSTRACT FROM AUTHOR]

Background: The ability for independent bipedal locomotion is an important prerequisite for autonomous mobility and participation in everyday life. Walking requires not only a functional musculoskeletal unit but relies on coordinated activation of muscles and may even require cognitive resources. The time-resolved monitoring of the position of joints, feet, legs and other body segments relative to each other alone or in combination with simultaneous recording of ground reaction forces and concurrent measurement of electrical muscle activity, using surface electromyography, are well-established tools for the objective assessment of gait.Research Question: The Gait Real-time Analysis Interactive Lab (GRAIL) has been introduced for gait analysis in a highly standardized and well-controlled virtual environment. However, apart from high computing capacity and sophisticated software required to run the system, handling of GRAIL data is challenging due to the utilization of different software packages resulting in a huge amount of data stored using different file formats and different sampling rates. These issues make gait analysis even with such a sophisticated instrument rather tedious, especially within the frame of an experimental or clinical study.Methods: A user-friendly Matlab based toolset for automated processing of motion capturing data recorded using the GRAIL, with the inherent option for batch analysis was developed.Results: The toolset allows the reading, resampling, filtering and synchronization of data stored in different input files recorded with the GRAIL. It includes a coordinate-based algorithm for the detection of initial contact and toe-off events to split and normalize data relative to gait cycles. Batch processing of multiple measurements and automatic detection of outliers is possible.Significance: The authors hope that the toolset will be useful to the research community and invite everyone to use, modify or implement it in their own work. [ABSTRACT FROM AUTHOR]

Background: Control of dynamic balance in human walking is essential to remain stable and can be parameterized by the margins of stability. While frontal and sagittal plane margins of stability are often studied in parallel, they may covary, where increased stability in one plane could lead to decreased stability in the other. Hypothetically, this negative covariation may lead to critically low lateral stability during step lengthening.Research Question: Is there a relationship between frontal and sagittal plane margins of stability in able-bodied humans, during normal walking and imposed step lengthening?Methods: Fifteen able-bodied adults walked on an instrumented treadmill in a normal walking and a step lengthening condition. During step lengthening, stepping targets were projected onto the treadmill in front of the participant to impose longer step lengths. Covariation between frontal and sagittal plane margins of stability was assessed with linear mixed-effects models for normal walking and step lengthening separately.Results: We found a negative covariation between frontal and sagittal plane margins of stability during normal walking, but not during step lengthening.Significance: These results indicate that while a decrease in anterior instability may lead to a decrease in lateral stability during normal walking, able-bodied humans can prevent lateral instability due to this covariation in critical situations, such as step lengthening. These findings improve our understanding of adaptive dynamic balance control during walking in able-bodied humans and may be utilized in further research on gait stability in pathological and aging populations. [ABSTRACT FROM AUTHOR]

Background: Previous work has linked the eccentricity of the net ground reaction force (GRFnet) to increased mediolateral instability during single-step voluntary and compensatory stepping responses. The present work sought to understand the extent to which such control mechanisms for mediolateral stability are present during gait.Research Question: How do gait velocity and step width constraints influence the kinetic control of mediolateral stability control among healthy participants?Methods: 25 participants performed three walking conditions - normal walking with self-selected speed and foot-placement, fast walking with self-selected foot-placement, and narrowbase walking - across a 10-meter walkway. Lateral instability was quantified by the mediolateral margin of stability (MoSML). The frontal-plane eccentricity of the GRFnet was calculated as the difference between GRFnet vector orientation and that of a line joining the coordinates of COPnet and COM. Two discrete time-points (P1 and P2) following foot-contact were examined, as they have been suggested to be indicative of proactive and reactive COM control, respectively. Task-related differences in the magnitude and timing of kinematic and kinetic outcome variables were analysed using one-way ANOVAs with repeated-measures.Results: With constraints on step-width in narrow-base walking, participants exhibited reduced stability as evidenced by reduced MoSML, alongside reductions in the peak GRFnet eccentricity (θd) at P1. Participants exhibited no reduction in stability during fast walking, as revealed by the MoSML in part because of a similar onset of P1 within the gait cycle. P2 magnitude was larger in narrow-base walking relative to fast-walking, and occurred at an earlier point in the gait cycle.Significance: Findings suggest proactive mechanisms (i.e. P1) may predominantly regulate mediolateral stability during walking. Reactive mechanisms (i.e. P2), however, may be capable of offsetting instability in situations where proactive mechanisms are insufficient. [ABSTRACT FROM AUTHOR]

• We explored two largest smartphone sensor-based datasets for classifying daily activities and transportation mode. • The impact and eficiency of different smartphone sensors have been analyzed for locomotion activities. • We proposed a post-processing classification approach (Mode technique) to refine classifier predictions. • We proposed window length optimization and smartphone orientation independent features. • We evaluated our proposed post-processing technique for both statistical machine learning and deep learning-based models. Recognition of daily human activities in various locomotion and transportation modes has numerous applications like coaching users for behavior modification and maintaining a healthy lifestyle. Besides, applications and user interfaces aware of user mobility through their smartphones can also aid in urban transportation planning, smart parking, and vehicular traffic monitoring. In this paper, we explored smartphone sensor-based two benchmark datasets (Sussex Huawei Locomotion (SHL) and Transportation Mode Detection (TMD)). Firstly, we demonstrated preprocesssing of sensor data, window length optimization based on Akaike Information Criteria (AIC), and introduced smartphone orientation independent features. We also provided an in-depth analysis of different smartphone sensors' importance for classifying daily activities and transportation modes. We justified the sensor relevance by showing the variation of performances with the number of sensors explored. For refining classifier predictions, we also proposed a post-processing approach named "Mode technique". This method primarily concentrates on the statistical analysis of transportation modes and improves the activity recognition rate in statistical classifiers: Decision Tree, K-Nearest Neighbors, Linear Discriminant Analysis, Logistic Regression, Support Vectors Machine with RBF kernel, Random Forest, and deep learning-based methods: Artificial Neural Network and Recurrent Neural Network by smoothing the outputs of these classifiers. Besides, we showed the use of magnitude and jerk-based features to overcome the overfitting problem due to smartphone orientation. We obtained 97.2% accuracy in the SHL dataset and 99.13% accuracy in the TMD dataset. These results demonstrate that our approach can profoundly recognize various activities in advanced locomotion and transportation modes compared to existing methods in two large-scale datasets. [ABSTRACT FROM AUTHOR]

Background: Dysfunction in peripheral and neural structure with spastic cerebral palsy (CP) causes impaired performance and stability of various behaviors. Recent progress of quantification methods for the stability properties, which is based on the uncontrolled manifold hypothesis, has been applied to various neurological disorders. A prior study revealed that the ability for purposeful regulation of stability properties is weakened with CP during finger and hand actions. Successive regulation of stability properties is crucial for human locomotion; therefore, it is imperative to quantify the changes in the intersegmental coordination as to the stable performance in CP individuals during gait.Research Question: We hypothesized that (1) Spastic CP group will show smaller step length and gait velocity with larger variability, and (2) Spastic CP group will show no changes in average stability indices for both the COM and head position stabilization, while the smaller difference between stable and unstable posture during the gait cycle.Methods: Whole-body kinematic data during walking were collected from CP and control subjects. Step length, velocity, and coefficient of variation (CV) were calculated as spatiotemporal parameters. We quantified the intersegmental stability index in time-series during gait for the stabilization of the whole-body COM and head position.Results: The CP subjects showed smaller step length and velocity with larger CV than the controls. However, the CP group showed a significantly less difference in the stability indices between the single- and double-limb support phases as compared to the controls for both the COM and head position stabilization.Significance: Present study is the first to document the quantification of changing intersegmental stability in the spastic CP during locomotion. The dysfunction of intentional modulation of stability properties in CP individuals may be a more common problem, which is not limited to a specific body effector. [ABSTRACT FROM AUTHOR]

Background: Military personnel in combat roles often perform gait tasks with additional load, which can affect the contributions of joint mechanical work (positive and negative). Furthermore, different locomotion patterns can also affect joint specific work contributions. While mean behavior of joint work is important to understanding gait, changes in joint kinetic modulation, or the regulation/control of stride-to-stride joint work variability is necessary to elucidate locomotor system function. Suboptimal modulation exhibited as a stochastic time-series (large fluctuation followed by an opposite smaller fluctuation) could potentially affect locomotion efficiency and portend injury risk. It remains unclear how the locomotor system responds to a combination of load perturbations and varying locomotion patterns.Research Question: What are the interactive effects of load magnitude and locomotion pattern on joint positive/negative work and joint work modulation in healthy, active, recruit-aged women?Methods: Eleven healthy, active, recruit-aged (18-33 years) women ran and forced-marched (walking at a velocity an individual would typically jog) in bodyweight (BW), an additional 25 % of BW (+25 %BW) and an additional 45 % of BW (+45 %BW) conditions at a velocity above their gait transition velocity. Joint work was calculated as the time integral of joint power. Joint work modulation was assessed with detrended fluctuation analysis (DFA) on consecutive joint work time-series.Results: Joint work contributions shifted proximally for forced-marching demonstrated by lesser (p < .001) positive/negative ankle work but greater (p = .001) positive hip work contributions compared to running. Running exhibited optimal positive ankle work modulation compared to forced-marching (p = .040). Knee and ankle negative joint work modulation was adversely impacted compared to the hip during forced-marching (p < .001).Significance: Employing forced-marching gait while under loads of 25 and 45 % of BW reduces the ability of the plantar-flexors and knee extensors to optimally contribute to energy absorption and propulsion in recruit-aged women, potentially reducing metabolic efficiency and increasing injury risk. [ABSTRACT FROM AUTHOR]

Alzheimer's disease (AD) is a multi-factorial degenerative disease, and multi-targeted therapies targeting multiple pathogenic mechanisms should be explored. Shenghui decoction (SHD) is an ancient traditional Chinese medicine (TCM) formula used clinically to alleviate AD. However, the precise mechanism of action of SHD as a therapeutic agent for AD remains unclear. This study investigated the neuroprotective properties and potential mechanisms of action of SHD in mitigating AD-like symptoms induced by AlCl 3 in a zebrafish model. Active components of SHD were detected using ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Zebrafish were exposed to AlCl 3 (200 μg/L) for 30 days to establish an AD zebrafish model. AlCl 3 -exposed zebrafish were treated with SHD or donepezil. Behavioral tests were used to assess learning and memory, locomotor activity, and AD-related anxiety and aggression in AlCl 3 -exposed zebrafish. Nissl staining and transmission electron microscopy were used to evaluate histological alterations in brain neurons. The concentrations of pro-inflammatory cytokines (tumor necrosis factor-α, TNF-α; interleukin-1β, IL-1β) were quantified using Enzyme-linked immunosorbent assay (ELISA). Markers of oxidative stress and cholinergic activity (acetylcholinesterase, AChE) were detected using biochemical assays. Western blotting and immunofluorescence were used to detect the protein expression levels of Aβ, p-tau, PSD-95, synaptophysin, TLR4, phosphorylation of NF-κB p65, p38, and JNK. Fifteen SHD compounds were identified by UPLC-MS/MS analysis. SHD improved AlCl 3 -induced dyskinesia, learning and memory impairment, anxiety-like behavior, and aggressive behavior in zebrafish. AlCl 3 -exposed zebrafish showed AD-like pathology, overexpression of Aβ, hyperphosphorylated tau protein, marked neuronal damage, decreased expression of synaptic proteins, synaptophysin, and PSD-95, and impairment of synaptic structural plasticity. These effects were reversed by the SHD treatment. We also observed that SHD ameliorated oxidative stress and decreased AChE activity and inflammatory cytokine levels. These effects are similar to those observed for donepezil. Meanwhile, SHD could decrease the protein expression of TLR4 and inhibit phosphorylation of NF-κB, JNK, and p38 MAPK. These results demonstrate that SHD has the potential to exert neuroprotective effects, which may be partly mediated via inhibition of the JNK/p38 MAPK signaling pathway. Our findings revealed the therapeutic mechanism of SHD in mitigating AD progression and suggested that SHD is a potent neuroprotectant that contributes to the future development of TCM modernization and broader clinical applications. [Display omitted] • Shenghui decoction (SHD), a classic medicinal formula, has demonstrated efficacy in treating Alzheimer's disease. • UPLC-MS analysis obtained the main active components of SHD. • Chronic AlCl 3 exposure induced behavioral abnormalities, neuronal and synaptic lesions in zebrafish. • SHD alleviated AD-like pathological phenotypes induced by AlCl 3 exposure in zebrafish. • Neuroprotective mechanisms of SHD may be linked to the regulation of the JNK/p38 MAPK signaling pathway. [ABSTRACT FROM AUTHOR]

Cynanchum otophyllum C.K.Schneid.PI.Wilson, commonly referred as "Qingyangshen" (QYS), is a traditional folk medicine from Yunnan, renowned for its efficacy in neurological and psychiatric disorders. Glycosides isolated from QYS have shown promise in alleviating epilepsy, however, mechanisms of action and specific molecular targets remain to be elucidated. The study aimed to evaluate the anticonvulsant effects of Qingyangshen glycosides M1 (M1), a C 21 steroidal glycoside from QYS, on pentylenetetrazol (PTZ)-induced convulsions in zebrafish (Danio rerio), and its neuroprotective effect on Glutamate (Glu)-induced damage to PC12 cells, and importantly to identify its potential molecular targets. To evaluate anticonvulsant activity of M1, 7 days-post-fertilization (7-dpf) animals were pretreated (by immersion) and then exposed to PTZ (10 mM) solution. Furthermore, Glu-induced PC12 cell damage was employed to investigate the neuroprotective and anti-apoptotic capacity. Cells were pretreated with various concentrations of M1 (0–10 μM) for 12 h and then co-treated with Glu (15 mM) for an additional 24 h. The cell viability, apoptosis rate and apoptosis-related proteins (p-PI3K, PI3K, Akt, p-Akt, CREB, p-CREB, BDNF, Bax and Bcl-2) were measured using CCK-8, annexin V/PI and Western blot assays. To model the expected interaction between M1 and candidate cannabinoid receptor type 1 (CB 1 R), ERK phosphorylation, molecular docking, and drug affinity responsive target stability (DARTS) techniques were employed. Finally, CB 1 R antagonist Rimonabant (Rim) was validated by co-administration in both zebrafish and cells to confirm the requirement of CB 1 R for M1 efficacy. At a concentration of 400 μM, M1 dramatically reversed PTZ-induced convulsive-like behaviors in zebrafish, as evidenced by a significant reduction in locomotor activity. In the context of Glu-induced cytotoxicity, M1 (10 μM) demonstrated a notable increase in cell viability and suppressed apoptosis through modulation of the Bax/Bcl-2 ratio and activation of the PI3K/Akt/CREB/BDNF signaling axis. These effects were facilitated through CB 1 R activation. In contrast, Rim dampened the beneficial activities of M1 as a cannabinoid agonist. These results demonstrated that M1 as a potential CB 1 R activator, exhibiting anticonvulsive effects in a PTZ-induced zebrafish model and neuroprotective properties via the PI3K/Akt/CREB/BDNF signaling axis in a Glu-induced PC12 cell injury model. Notably, the observed seizure relief attenuated by CB 1 R chemical antagonism. [Display omitted] [ABSTRACT FROM AUTHOR]

• Both intrinsic capacity (IC) and multimorbidity independently predict incident disability. • Low IC predicts disability greater in older adults, men, and less educated. • Middle-aged adults and women face disability risk from multimorbidity. • Both baseline IC and changes in IC attenuate the risk of incident disability. This longitudinal cohort study aimed to examine the effect of intrinsic capacity (IC) and multimorbidity on the development of new disabilities. The study utilized data from 1,009 participants without disabilities from the I-Lan Longitudinal Aging Study. Multivariable logistic regressions were employed to assess the predictive capability of IC (ranging from 0 to 100) and multimorbidity for incident disability over a 7-year follow-up period. Both low IC (OR 4.9, 95 % CI 2.1–11.1, p < 0.001) and multimorbidity (OR 4.5, 95 % CI 2.2–9.2, p < 0.001) significantly predicted incident disability over the 7-year period. A one-point increase in IC reduced the risk of incident disability by 10 % (OR 0.9, 95 % CI 0.8–0.9, p < 0.001). Among IC subdomains, both better locomotion (OR 0.96, 95 % CI 0.94–0.99, p = 0.014) and psychology (OR 0.97, 95 %CI 0.94–1.00, p = 0.049) significantly reduced the risk of incident disability. Rapid declines in IC significantly predicted incident disability (OR 4.1, 95 % CI 1.8–9.3, p = 0.001), whereas the onset of new multimorbidity or changes in the number of chronic conditions did not demonstrate a significant association with incident disability. The interaction terms between IC and multimorbidity, both categorically (low IC * multimorbidity, p = 0.959) and numerically (IC (per point) * multimorbidity, p = 0.660) were all statistically insignificant. IC exhibited better predictive capacity for 7-year incident disability compared to multimorbidity, so health care services targeting older adults should adopt an integrated care approach that combines both function- and disease-centric strategies. [ABSTRACT FROM AUTHOR]