You are on page 1of 18

Motor Patterns for Human Gait: Backward Versus Forward

Locomotion

R. GRASSO, L. BIANCHI, AND F. LACQUANITI


Human Physiology Section, Scientific Institute Santa Lucia, National Research Council, University of Tor Vergata,
00179 Rome, Italy

Grasso, R., L. Bianchi, and F. Lacquaniti. Motor patterns for several kinds of movement transformations, such as transla-
human gait: backward versus forward locomotion. J. Neurophysiol. tion and rotation in space, amplitude and time scaling, load-
80: 1868–1885, 1998. Seven healthy subjects walked forward ing, etc. A number of these properties was described for
(FW) and backward (BW) at different freely chosen speeds, while point-to-point (e.g., reaching) (see Soechting and Flanders
their motion, ground reaction forces, and electromyographic
(EMG) activity from lower limb muscles were recorded. We con-
1991) and continuous (e.g., drawing and handwriting) (see
sidered the time course of the elevation angles of the thigh, shank, Lacquaniti 1989) movements of the arm. Motor patterns of
and foot segments in the sagittal plane, the anatomic angles of the arm movements pertain to the domain of either kinematics
hip, knee, and ankle joints, the vertical and longitudinal ground or kinetics. In the kinematic domain, the spatial trajectories
reaction forces, and the rectified EMGs. The elevation angles were and velocity profiles both of the hand and of limb joints are
the most reproducible variables across trials in each walking direc- conserved (with appropriate scaling in amplitude and time)
tion. After normalizing the time course of each variable over the under wide changes in movement size, speed, and load (At-
gait cycle duration, the waveforms of all elevation angles in BW keson and Hollerbach 1985; Lacquaniti et al. 1982, 1987;
gait were essentially time reversed relative to the corresponding
waveforms in FW gait. Moreover, the changes of the thigh, shank,
Soechting and Lacquaniti 1981). In the kinetic domain, joint
and foot elevation covaried along a plane during the whole gait torque (Atkeson and Hollerbach 1985) and muscle activity
cycle in both FW and BW directions. Cross-correlation analysis (Flanders 1991; Flanders and Herrmann 1992; Flanders et
revealed that the phase coupling among these elevation angles is al. 1997) profiles can be decomposed in a set of basic wave-
maintained with a simple reversal of the delay on the reversal of forms, a weighted combination of which accounts for move-
walking direction. The extent of FW–BW correspondence also ments with different speeds and loads.
was good for the hip angle, but it was smaller for the knee and Reversal of direction represents a special kind of move-
ankle angles and for the ground reaction forces. The EMG patterns ment transformation that may help to get an insight into the
were drastically different in the two movement directions as was internal representations of motor patterns for some classes
the organization of the muscular synergies measured by cross-
correlation analysis. Moreover, at any given speed, the mean EMG of movements. Not every movement can be reversed; for
activity over the gait cycle was generally higher in BW than in instance, handwriting, hand gesturing, and speech are unidi-
FW gait, suggesting a greater level of energy expenditure in the rectional. Reversible movements, on the other hand, may
former task. We argue that conservation of kinematic templates display hysteresis. Thus, in pointing back-and-forth between
across gait reversal at the expense of a complete reorganization of two spatial loci, the trajectory of both the hand and limb
muscle synergies does not arise from biomechanical constraints joints may differ considerably in the two movement direc-
but may reflect a behavioral goal achieved by the central networks tions and so do the joint torque profiles and muscle patterns
involved in the control of locomotion. (Atkeson and Hollerbach 1985; Lacquaniti et al. 1986).
Locomotion belongs to the class of reversible movements.
INTRODUCTION Backward (BW) gait was extensively studied especially in
the context of theories on the organization of CPGs. Grillner
Movement includes both variable, context-dependent (1981) hypothesized that each limb is controlled by a net-
components and repetitive, stereotypical components. The work of unit burst generators (unit CPGs). Each unit CPG
notion of motor pattern applies to the latter (Carter and would drive the muscle synergists acting at a given joint
Shapiro 1984; Das and McCollum 1988; Dean and Cruse (such as the knee flexors or the ankle extensors). The total
1995; Schmidt 1982; Terzuolo and Viviani 1979). Motor output pattern of the limb would result from the coupled
patterns are thought to represent interactions between intrin- activity of the different unit CPGs. BW gait could be pro-
sic CNS activity [such as that of central pattern generators duced by switching the sign of the phase coupling among
(CPGs)] and peripheral influences reflecting biomechanical unit CPGs controlling different joints of the limb (Grillner
characteristics and sensory afferent activities (see Pearson
1981).
1993). Motor patterns are most readily discernible in terms
In lower vertebrates, axial gait is based essentially on a
of those movement properties that change the least under
set of antagonistic myotomes whose alternate contractions
generate flexion–extension movements. The motor patterns
The costs of publication of this article were defrayed in part by the
payment of page charges. The article must therefore be hereby marked
of these species can then be equated to both body kinematics
‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to and muscle activity. The corresponding motor patterns of
indicate this fact. BW gait are simply the time-reversed copy of those of for-

1868 0022-3077/98 $5.00 Copyright q 1998 The American Physiological Society

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1869

ward (FW) gait (Grillner et al. 1995). In mammals, instead,


the nature of the control waveforms that are putatively en-
coded by the CPGs and that might be time reversed for BW
gait was not determined unambiguously (for a review see
Zernicke and Smith 1996). The simple solution that both
the temporal sequences of muscle activity as well as those
of body kinematics reverse in time may be prevented by the
multijointed nature of the limbs and by the high degree
of anatomic asymmetry of the body in the anteroposterior
direction.
In humans, mixed results were reported. The changes of
hip angle of BW gait tend to be the time-reversed, mirror
copy of those of FW gait, but the changes of knee and ankle
angle are not (Kramer and Reid 1981; Thorstensson 1986;
Vilensky et al. 1987; Winter et al. 1989). The correlation
between the joint torques in the two movement directions
also is inhomogeneous (high correlation for the hip and
ankle torques and low correlation for the knee torque),
whereas the correlation between the joint powers is generally
lower than that of the corresponding joint angle or torque
(Winter et al. 1989). As for the patterns of muscle activity,
Thorstensson (1986) noted marked differences between the
two gait directions, whereas Winter et al. (1989) suggested
that somewhat similar muscle activation patterns could be
used to produce both modes of locomotion, but the temporal
cycling of muscle contraction would be reversed.
Here we reexamine the issue of what patterns, if any, are
conserved across reversal of gait direction in the human. We
consider the elevation angles, in addition to the joint angles,
because the former generally are more reproducible than the
latter across trials and subjects in FW gait (Borghese et al.
FIG . 1. Schematic illustration of the body geometry. Left: markers
1996; Shen and Poppele 1995). Moreover, the intersegmen- placed on one side of the subject were monitored by the ELITE system.
tal coordination of FW gait is defined by a law of planar From top to bottom: glenohumeral joint (GH), anterior superior iliac spine
covariation of the elevation angles of the thigh, shank, and (ASIS), posterior superior iliac spine (PSIS), greater trochanter (GT),
foot that holds during both stance and swing phases (Bianchi lateral femur epicondyle (LE), lateral malleolus (LM), and fifth metatarso-
phalangeal joint (VM). ASIS and PSIS coordinates were averaged to obtain
et al. 1998; Borghese et al. 1996). Principal component and ilium (IL) position. Right: trunk, pelvis, thigh, shank, and foot are the body
cross-correlation analysis (Alexandrov et al. 1998; Flanders segments identified by these markers. The elevation angle of each segment
1991; Flanders and Herrmann 1992; Mah et al. 1994; Soecht- in the sagittal plane corresponds to the angle between the segment and the
ing and Lacquaniti 1989) are applied to limb kinematics, vertical (dashed line).
ground reaction forces, and electrical muscle activity to re-
veal the existence of common patterns underlying FW and face electrodes from the gluteus maximus (GM), biceps femoris
BW gait. (long head, BF), rectus femoris (RF), vastus lateralis (VL), lateral
gastrocnemius (GCL), and tibialis anterior (TA). EMG signals
METHODS were preamplified ( 1100) at the recording site, digitized, and
transmitted to the remote amplifier via 15-m optic fibers. These
General procedures were previously described (Bianchi et al. signals were band-pass filtered (10-Hz high-pass and 200-Hz low-
1998; Borghese et al. 1996). Kinematic data were obtained by pass, 4-pole Bessel filters), and sampled at 500 Hz. Sampling of
means of the ELITE system (Ferrigno et al. 1990). Four 100-Hz kinematic, force and EMG data were synchronized.
TV cameras were spaced on the recording side of the walkway to
enhance spatial accuracy. After three-dimensional calibration, the Protocol
spatial accuracy of the system was better than 1.5 mm (root mean
square). The position of selected points on the side of the dominant Experiments were approved by the Ethics Committee of Santa
lower limb was recorded by attaching the infrared reflective mark- Lucia Institute and conformed with the Declaration of Helsinki on
ers to the skin overlying the following bony landmarks (Fig. 1): the use of human subjects in research. Seven healthy volunteers
glenohumeral joint, anterior superior iliac spine (ASIS), posterior (4 females, 3 males, 21- to 36-yr age range, 31-yr mean age)
superior iliac spine (PSIS), greater trochanter, a point midway participated after giving verbal informed consent. In one subject
between the lateral epicondyle of the femur and the fibula head, EMG was not monitored. Before the recording session, the domi-
lateral malleolus, and fifth metatarsophalangeal joint on the lateral nant lower limb of each subject was determined according to stan-
aspect of the foot. ASIS and PSIS coordinates were averaged to dard criteria (Vanden-Abeele 1980). Subjects were instructed to
obtain ilium position. Ground reaction forces were recorded at 100 walk barefoot with the arms folded on the chest at a freely chosen,
Hz by means of a piezoelectric force platform (0.6 1 0.4 m, roughly constant speed within the ELITE sampling volume. They
Kistler 9281B) placed approximately at the center of the walkway. were encouraged to vary the speed across trials. To avoid modifi-
Electromyographic (EMG) activity was recorded by means of sur- cations of the natural step length, subjects were asked not to pay

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1870 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

attention whether they stepped onto the force platform. In about Principal component analysis
one-half of the trials, BW walks alternated with FW walks. In the
rest of the experiment, walks were performed in blocks of three to We used principal component analysis to quantify the statistical
five trials all in one direction, FW or BW. spatiotemporal structure of the collected signals (Flanders 1991;
Glaser and Ruchkin 1976; Soechting and Lacquaniti 1989). Princi-
Data analysis pal component analysis fits a set of data waveforms with a set of
principal components in a similar way as Fourier analysis fits a
Trials with appreciable drifts in the speed of the subject (as given waveform with a set of sinusoidal components. Unlike Fou-
derived from instantaneous velocity of greater trochanter (GT) rier analysis, principal components have a shape that depends on
marker in the walking direction) were eliminated, as were those the original data waveforms. Principal components are computed
lacking complete kinematic and kinetic data. Three-dimensional by means of least-square-fitting algorithms and can be rank ordered
kinematic data were filtered with an optimal low-pass FIR filter according to their contribution to the variance of the original set
with automatic bandwidth selection (D’Amico and Ferrigno 1990). of waveforms. If several common patterns are embedded in the
The body was modeled as an interconnected chain of rigid seg- waveforms of the original set, then a linear combination of fewer
ments as shown in Fig. 1. The angle of elevation of the ith segment principal components (less than the total number of data wave-
in the sagittal plane with respect to the vertical was computed as forms) yields an accurate fit of the data.
ai Å arctan [(xd 0 xp )/(yp 0 yd )], subscripts p and d denoting In general, the number of principal components corresponds to
proximal and distal end points of the segment, respectively, and x the number of waveforms in the original set. The nth principal
and y denoting the horizontal and vertical coordinates in the sagittal component is given by
plane, respectively. Elevation angles are positive in the FW direc-
q k
tion relative to the vertical. In addition, relative joint angles be- PCn (t) Å (1/ ln ) ∑ uin Xi (t) (3)
tween two adjacent limb segments in the sagittal plane were com- iÅ1
puted from the corresponding elevation angles. Joint angles in-
crease in extension. Stance phase was defined as the interval during where ln is the eigenvalue, uin are the eigenvectors, and Xi is the
which the vertical reaction force exceeded 7% of body weight, gait ith original waveform. The inverse transformation that yields the
cycle (T ) was defined as the time interval between two successive original data from the principal component waveforms is
maxima in the time series of the limb axis elevation, step length k q
(S) was the linear translation of GT during T, and average speed Xn (t) Å ∑ li uinPCi (t) (4)
was V Å S/T. EMGs were numerically rectified and low-pass iÅ1

filtered (in both time directions to avoid tail and phase distortions)
by means of a Butterworth filter, with cutoff at 50 Hz. Trials in The eigenvalues l and eigenvectors u are computed by factoring
selected speed ranges were ensemble averaged after time interpola- the covariance matrix R from the set of original signals by using
tion of the kinematic, kinetic, and EMG data over T to fit a normal- a singular value decomposition algorithm such that
ized time base (expressed as percentage of T ). Normalization was
R Å U LU T (5)
obtained by first resampling the original signals at an appropriate
rational frequency and then filtering by means of FIR filters. Note where U and L are the eigenvector and eigenvalue matrices, respec-
that this procedure is unaffected by phase distortions. tively, and superscript T denotes matrix transpose. The sum of the
The cross-correlation function between pairs of normalized eigenvalues is equal to the sum of the variances of the original
waveforms was computed by means of the following formula that signal waveforms. Therefore each eigenvalue expresses the per-
accounts for the signal periodicity N that is the number of samples centage of the overall variance accounted for by the corresponding
in one gait cycle (Challis and Kitney 1990, 1991) principal component.
F {Xi (t)}*rF {Xj (t)}
CCij(t) Å F 01 r (1)
* X 2i (t)dtr * X 2j (t)dt Comparison of FW and BW patterns
whererdenotes element-by-element scalar product, * denotes com- Several tests were used to compare kinematic and kinetic data
plex conjugate, F and F 01 stand for direct and inverse discrete between the two tasks. First, a linear regression analysis was per-
Fourier transform respectively, Xi and Xj denote the two waveforms formed between the average waveform of a given signal obtained
(after subtraction of the respective means X̂i , X̂j ). The numerator from a set of trials within a selected speed range (0.4–1 ms 01 ,
corresponds to the cross-spectral density from the EMG pair, and see RESULTS ) in the FW direction and the corresponding average
it is scaled to the product of total signal power (i.e., the autocovari- waveform obtained in the BW direction. This test assesses the
ance at 0 delay, the denominator in Eq. 1) so that the cross- global similarity between FW and BW patterns. Second, we tried
correlation ranges from 01 to 1. By convention, positive time to predict BW waveforms by using a linear combination of appro-
delays (0–50% of the cycle) indicate a lead of the ith waveform priately weighted principal components derived from the corre-
relative to the jth waveform, whereas negative delays ( 050–0%) sponding FW waveforms. This approach stems from the assump-
indicate a lag. The cross-correlation coefficients are significantly tion that FW and BW patterns are comprised of the same basis
different from zero (P õ 0.01) when they are ú0.22 with N 0 1 functions whose amplitude may differ between the two tasks. To
degrees of freedom (Chatfield 1980). perform this test we first computed the principal components of
Co-contraction between pairs of muscles (EMGi , EMGj ) over the original FW waveform according to the procedure described
T was measured by applying a method proposed by Winter (1990) in the previous section. We then retained the subset of principal
that assesses the percentage overlap area in each EMG pair components that account together for ¢99% of the FW data vari-

* min [EMG (t), EMG (t)]dt


ance. Finally we performed a (least-squares) multiple linear regres-
i j sion of this principal components set on the BW waveforms. We
Cocontraction Å 2r (2) also verified to what extent the results of this procedure depend
* EMG (t)dt / * EMG (t)dt
i j on the signal bandwidth and data filtering. This was done by per-
forming the same analysis on EMG-rectified data that were low-
where min denotes the minimum between two signals at time t. pass filtered at the same cutoff as that used for the kinematic data.

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1871

Intersegmental coordination 1985). (Mean stance duration was 63.3 { 1.4% and 63.8 {
1.3% of T for FW and BW, respectively.)
In previous work on FW gait (Bianchi et al. 1998; Borghese et Although walking speed in BW trials could be as high as
al. 1996) it was found that the changes of the elevation angles at in FW trials, some subjects found BW speeds ú1.2 ms 01
the thigh, shank, and foot covary linearly throughout the gait cycle.
Here we investigated whether the same law of covariation applies uncomfortable. Therefore the main FW–BW comparisons
to both FW and BW gait. In each trial we computed the covariance we consider in the following include trials in the range 0.4–
matrix A of the ensemble of time-varying elevation angles over 1 ms 01 .
the gait cycle, after subtraction of their respective mean value. The
three eigenvectors u1 –u3 of A, rank ordered on the basis of the Time course of limb angles and ground reaction forces
corresponding eigenvalues, correspond to the orthogonal directions
of maximum variance in the sample scatter. The first two eigenvec- Figure 2 shows the stick diagrams from one FW trial
tors u1 –u2 lie on the best-fitting plane of angular covariation. The and one BW trial performed at comparable speeds in one
third eigenvector (u3 ) is the normal to the plane and defines the representative subject. It should be noted that the stance
plane orientation in the position–space of the elevation angles. For phase of the two gait directions is characterized by a different
each eigenvector, the parameters ui t , ui s , and ui f correspond to the plantigrade–digitigrade sequence. In FW gait, stance begins
direction cosines with the positive semiaxis of the thigh, shank, with heel strike and ends at toe-off. By contrast, in BW
and foot angular coordinates, respectively. stance, the toes contact the ground first, and the heel is lifted
off the ground at the end. The global geometric configuration
Statistical analysis of the body in BW gait is essentially the mirror image of
that of FW gait. Thus, the two sets of stick diagrams of Fig.
Analysis of variance (ANOVA) designs (Statistica 5.1) were 2 are roughly identical to each other; it would be difficult
used when appropriate to test for the effect of walking direction to recognize the direction of progression without the top
on locomotor parameters. Parameters that covaried linearly (as labels. The changes in trunk elevation are limited in both
tested by regression analysis) with the dependent variable (e.g., tasks. In FW gait, pelvis, thigh, shank, and foot elevation
the walking speed when testing the effect of direction on stride display the features detailed in previous reports (Bianchi et
length) were controlled for by including them as covariates in the
ANOVA design. Statistical comparisons among linear regressions al. 1998; Borghese et al. 1996). Briefly, all limb segments
were performed by testing the difference between Z-transformed rotate clockwise during stance and counterclockwise during
correlation coefficients. swing. As for BW gait, the angular changes are the mirror
image of those of FW gait: counterclockwise rotations during
stance and clockwise rotations during swing.
RESULTS The ensemble averages ( {SD) of 10 trials performed
within the 0.4- to 1-ms 01 speed range are plotted in the left
Gait parameters and right panels of Fig. 3 for FW and BW gait, respectively.
In our experimental conditions, the average speed (V ) in In this and subsequent illustrations, data were interpolated
FW and BW trials was comparable (1.01 { 0.47 ms 01 vs. to the gait cycle duration (T ) before averaging (see METH-
ODS ), and BW traces were time reversed to make the com-
0.94 { 0.35 ms 01 , respectively; F1,363 Å 2.64, P Å 0.10).
Gait cycle (T ) and step length (S) correlated tightly with parison easy. The time base is expressed as percentage of
V, in both FW and BW. The relationship between T and V T, and the mean value was subtracted from the elevation
is hyperbolic (T Å 0.54 / 0.71/V, r 2 Å 0.95 for FW; T Å and joint angles. Moreover, we set the amplitude scale of
0.53 / 0.67/V, r 2 Å 0.84 for BW). The relationship between each plot proportionally to the peak-to-peak fluctuation of
S and V, instead, is logarithmic [S Å 1.28 / 0.41 log (V ), the corresponding signal so that the width of the SD intervals
r 2 Å 0.84 for FW; S Å 1.21 / 0.36 log (V ), r 2 Å 0.62 for also is scaled in proportion. The graphs give thereby an
BW]. The mean S was slightly shorter in BW (1.16 { 0.18 indication of the relative reproducibility across the combined
m) than in FW (1.24 { 0.22 m) in all subjects, except one range of speeds. The scales for FW and BW trials are the
(DA) in whom there was no significant difference (1.23 { same.
0.22 vs. 1.24 { 0.17 for FW and BW, respectively). Accord- The SD interval of all elevation angles of the limb and
ingly, the mean T was shorter in BW (1.36 { 0.39 s) than of the knee angle is very narrow compared with the dynamic
in FW (1.42 { 0.52 s). The linear regressions between the range of the corresponding variable. The variability of hip
gait frequency (cadence, 1/T ) and V for FW and BW trials and ankle angles as well as that of the contact forces are
of all subjects have similar intercept, and their confidence comparatively larger.1
limits overlap at V less than Ç0.7 ms 01 , but they diverge Once BW waveforms are time reversed, they appear simi-
significantly for greater V. In sum, 1) the relationship among lar to the corresponding FW waveforms. As noted above,
gait cycle, step length, and speed have the same shape irre- the similarity is especially striking for the elevation angles,
spective of gait direction, and 2) at a given speed, greater whereas some discrepancy is apparent in the other kinematic
than Ç0.7 ms 01 , the cadence of BW gait tends to be faster and kinetic variables. The changes of hip angle in BW gait
and the step length tends to be shorter than in FW gait. The tend to be time reversed relative to that of FW gait; the hip
result is in agreement with previous findings on humans extends during FW stance and flexes during BW stance and
walking BW on a treadmill (Thorstensson 1986). 1
Note that the SD interval of the ankle angle is greater than the sum of
The duration of stance and swing phases maintained the the foot and shank SD interval, indicating that part of inter-trial ankle
same proportion of T and decreased linearly with speed re- variability does not result from measurement error but from biological
gardless of locomotor direction (see also Nilsson et al. variability in that angle.

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1872 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 2. Stick diagrams from one forward (FW)


trial (left) and one backward (BW) trial ( right) per-
formed at comparable speeds (0.85 and 0.86 ms 01 ,
respectively) in subject RG. For each trial, the stick
diagrams corresponding to one gait cycle are sampled
at 100 Hz and are plotted in position space (x, y
coordinates).

FIG . 3. Ensemble averages ( {SD) of 10 trials (0.4-


to 1-ms 01 speed range) for FW (left) and BW (right)
gait in subject RG. The time base is normalized to the
duration of the gait cycle, and BW traces are time re-
versed. Traces from top to bottom are elevation angles of
thigh, shank, and foot, joint angles of hip, knee, and ankle,
and longitudinal (Fx ) and vertical reaction force (Fz ).
Elevation angles are positive in the FW direction relative
to the vertical. Hip and knee angles increase in extension,
ankle angle in plantar-flexion. Fx is positive in the FW
direction. Fz is positive in the upward direction. The mean
value was subtracted from the elevation and joint angles.
The schematic stick diagrams at the bottom delimit the
stance phase. The horizontal dotted lines indicate body
weight.

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1873

vice versa during swing. The extent of FW–BW correspon- TABLE 1. Percent variance accounted for by the first principal
dence is somewhat smaller for the knee and ankle angles. component in the two locomotor directions
Thus the knee undergoes a sequence of flexion, plateau,
extension during FW stance, whereas it flexes almost mono- Variable FW BW Difference
tonically during BW stance. A similar degree of asymmetry
Thigh 98.0 { 2.1 98.4 { 0.6 NS
exists for the ankle angle, particularly during swing. Knee Shank 98.3 { 1.9 98.9 { 0.4 NS
and ankle asymmetries between the two gait directions agree Foot 96.5 { 3.6 96.8 { 1.6 NS
with those reported in previous studies (Thorstensson 1986; Hip 96.7 { 2.5 96.7 { 1.3 NS
Vilensky et al. 1987; Winter et al. 1989). Knee 96.5 { 3.3 97.9 { 0.5 NS
Ankle 89.7 { 6.8 85.1 { 8.3 NS
The patterns of the ground reaction forces also differed Fx 95.8 { 2.0 93.0 { 1.7 P Å 0.05
between the two movement directions. In FW gait, the longi- Fz 97.8 { 1.4 96.9 { 1.1 NS
tudinal shear force (Fx ) is directed BW during early stance GM 44.6 { 11.3 38.4 { 6.3 P Å 0.07
when the heel brakes on the ground and the center of body RF 37.9 { 14.3 40.4 { 8.7 NS
mass decelerates. Fx changes monotonically in the FW direc- VL 38.4 { 13.2 39.2 { 6.2 NS
BF 45.2 { 12.3 39.9 { 5.8 NS
tion during middle and late stance when the ball and toes GCL 51.0 { 10.7 34.8 { 10.7 P Å 0.01
push back against the ground and accelerate the body FW. TA 39.0 { 13.0 40.1 { 7.5 NS
In BW gait, Fx is directed FW when the toes contact the
ground and decelerate the body during early stance, it is Data represented are means { SD from six subjects. Statistical signifi-
close to zero during midstance, and reverts to the BW direc- cance of the FW–BW comparison is reported in the Difference column.
FW, forward; BW, backward; NS, not significant; Fx, longitudinal shear
tion when the heel pushes FW accelerating the body BW force; Fz, vertical reaction force; GM, gluteus maximus; RF, rectus femoris;
during late stance. VL, vastus lateralis; BF, biceps femoris; GCL, lateral gastrocnemius; TA,
In both FW and BW gait, the vertical reaction force (Fz ) tibialis anterior.
exhibits two main peaks when body mass is accelerated
upward during the double support phases of early and late BW direction was used to assess the global similarity be-
stance and a trough during the single support phase of tween FW and BW patterns in each subject. Both averages
midstance when the body accelerates downward. However, included all trials within the 0.4- to 1-ms 01 speed range.
the two peaks are roughly symmetrical in FW gait, whereas Figure 4 shows the results for two different subjects. FW
in BW gait the first peak caused by loading with body weight and BW data are plotted superimposed (as thick, unfilled
is always greater than the second peak caused by the heel envelopes and thin, shaded envelopes, respectively), along
push-off. This difference between FW and BW gait was with the corresponding r 2 coefficients. Table 2 reports the
systematic in all experiments. On the average, heel-contact results of the linear regression for all subjects. Values of r 2
(HC) peak of Fz was 100.8 { 4.4% of body weight and toe- ú0.9 were obtained consistently for the limb elevation
off (TO) peak was 105.0 { 6.6% in FW trials. By contrast, angles, and the vertical reaction force. r 2 values of the joint
toe-contact (TC) peak was 115.0 { 17.6% of body weight angles generally were lower than the corresponding values
whereas heel-off (HO) peak was 93.6 { 4.7 in BW trials. for the elevation angles (the difference was statistically sig-
In addition, TC peak was significantly greater than HC peak nificant between foot and ankle, P õ 0.05, unpaired t-test),
in six out of seven subjects (P õ 0.01, unpaired t-test), and in agreement with the previous observation that BW patterns
HO was significantly smaller than TO in all subjects (P õ are more similar to FW patterns when they are expressed in
0.005). terms of the elevation angles than when they are expressed
in terms of the joint angles. In general the amplitude of BW
Pattern reproducibility angles tends to be smaller than that of FW angles, as indi-
The reproducibility of FW and BW patterns across speeds cated by values õ1 of the slope b of the regression, except
was quantified in terms of the first principal component (Gla- for the hip angle (see Table 2). This result is related to the
ser and Ruchkin 1976) subject by subject. This principal fact that, at a given speed, the step length in BW trials tends
component best fits the whole ensemble of data and resem- to be shorter than that in FW trials (see GAIT PARAMETERS ).
bles the conventional mean when the data structure contains The choice of reversing the timescale may be arguable
repeated occurrences of a single basic pattern affected by for comparing the ground reaction forces between the two
statistical noise. Table 1 reports the percentage of variance movement directions. For the sake of comparison, the force
accounted for by the first principal component computed by patterns could be aligned with the propulsion and absorption
pooling together all trials performed in the 0.4- to 1-ms 01 kinetic phases rather than with the kinematic phases. There-
speed range. On average, for both FW and BW gait, this fore, in addition to the previous regressions, we also com-
principal component explains ú93% of the intertrial vari- puted linear regressions between FW and BW force patterns
ability of all limb elevation angles, the hip and knee angles, in trials running in FW time, aligned with the beginning of
and the ground reaction forces. Instead, the first principal the stance phase (when the vertical reaction force exceeded
component of the ankle angle explains a significantly lower 7% of body weight). The correlation was higher than that
percentage of variance (unpaired t-test for foot–ankle, P õ obtained with time-reversed BW patterns for the longitudinal
0.01). reaction force, but it was lower for the vertical reaction force
(on the average, r 2 Å 0.92 { 0.04 vs. 0.86 { 0.09, P õ
Quantitative comparison of FW and BW patterns 0.05 paired t-test, for Fx , and r 2 Å 0.89 { 0.05 vs. 0.94 {
A linear regression analysis between the ensemble average 0.04 (NS) for Fz , without and with time reversal respec-
in the FW direction and the time-reversed average in the tively).

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1874 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 4. Ensemble average waveforms


from FW trials (thick, unfilled envelopes)
and time-reversed average waveforms from
BW trials (thin, shaded envelopes) in sub-
ject LB (left) and subject DT (right) are
plotted superimposed and regressed versus
one another. Averages include all trials in
the 0.4- to 1-ms 01 speed range. The regres-
sion coefficients (r 2 ) are indicated. Subject
LB is a 31-yr-old male (1.83 m, 72 kg);
subject DT is a 35-yr-old female (1.60 m,
55 kg). The correlation coefficients were
significantly higher (P õ 0.05) for the
thigh, shank, and foot than for hip, knee,
and ankle, except for the knee-shank com-
parison in DT.

We also verified the extent to which FW and BW wave- of the variance of elevation angles and for õ93% of joint
forms can be decomposed in the same set of basis functions. angles, whereas the same proportion of variance of the reac-
To this end, we tried to reconstruct time-reversed BW wave- tion forces (99%) requires 4 principal components to be
forms by using a linear combination of appropriately explained. The theoretical BW waveforms predicted by FW
weighted principal components derived from the correspond- principal components are superimposed on the observed BW
ing FW waveforms (see METHODS ). In FW gait, the first 2 waveforms in Fig. 5 (thin, shaded envelopes vs. thick, un-
out of 10 principal components account together for ú99% filled envelopes, respectively). Data are from the same sub-

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1875

TABLE 2. Linear regression between FW and reversed BW


patterns

b r2 SEE SEE%

Thigh 0.91 { 0.13 0.96 { 0.04 2.21 { 0.917 5.9 { 2.4


Shank 0.96 { 0.08 0.95 { 0.03 4.24 { 1.607 6.1 { 2.5
Foot 0.84 { 0.11 0.91 { 0.04 4.57 { 1.617 5.5 { 1.9
Hip 1.01 { 0.14 0.94 { 0.03 2.12 { 0.677 8.9 { 2.4
Knee 0.82 { 0.17 0.90 { 0.06 4.98 { 1.627 8.4 { 2.8
Ankle 0.82 { 0.17 0.71 { 0.22 3.67 { 1.317 13.2 { 6.2
Fx 0.83 { 0.18 0.86 { 0.09 12.86 { 5.70 (N) 7.7 { 3.3
Fz 0.98 { 0.13 0.94 { 0.04 60.71 { 32.18 (N) 9.2 { 3.6

Data represented are means { SD from seven subjects. Slope b, coeffi-


cient of determination (r 2), standard error of the estimate (SEE), and SEE
normalized to the peak-to-peak value of the FW average. The intercept was
never significantly different from 0. See Table 1 for definitions.

ject (LB) as in the left panel of Fig. 4. A weighted combina-


tion of the first principal components obtained from FW data
fits consistently better the observed BW elevation angles
than the BW joint angles (see r 2 values in Fig. 4). Because
this procedure allows for amplitude scaling of the different
components, the r 2 values are generally higher than in the
corresponding linear regressions of Fig. 4. However, the
qualitative discrepancy between the waveforms of the knee
(and ankle) angular changes in FW gait and those in BW
gait remains unchanged even after principal component de-
composition.
So far we focused on data obtained at speeds õ1 ms 01 .
Qualitatively similar results hold for higher speeds. Figure
6 shows two trials in FW and BW directions performed
at 1.3 ms 01 . Once again, the time-reversed changes of the
elevation angles in BW direction are similar to the elevation
angles in the FW direction, whereas some discrepancy be-
tween the two directions is apparent for both the joint angles
and the ground reaction forces. In particular, at moderate
to high BW speeds, the longitudinal shear force becomes
oscillatory during midstance, and the peak of the vertical
reaction force at TC becomes pronounced.

Intersegmental coordination
It was previously found in FW gait that the temporal
changes of the elevation angles of the limb segments do not
evolve independently of each other but they covary along
an attractor plane common to both the stance and swing
phase (Bianchi et al. 1998; Borghese et al. 1996). We now
report that a similar law of intersegmental coordination also
applies to BW gait.
Figure 7 shows the gait loops described by plotting the
elevation angles of the thigh, shank, and foot one versus the
others (three-dimensional position–space). In this kind of
plot, time is not represented explicitly. In each panel, several
trials in the 0.4- to 1-ms 01 speed range performed by an
individual subject are plotted superimposed. For both FW
and BW trials, the data points lie close to a plane. The grids FIG . 5. Comparison between the BW waveforms predicted by FW prin-
correspond to the best-fitting planes, and to their intersection cipal components (thin, shaded envelopes) and the observed average BW
with the cubic wire frame of the angular coordinates. On waveforms (thick, unfilled envelopes) in subject LB. The principal compo-
nents that account together for ú99% of the FW data variance were com-
average, the planar regression accounts for 98.9 { 0.4% puted and fitted to the BW data by means of (least-squares) multiple linear
(FW) and 98.1 { 0.9% (BW) of the data variance over all regression. The r 2 differences between the pairs thigh-hip, shank-knee, and
trials of all subjects. foot-ankle are significant (P õ 0.01).

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1876 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 6. FW (left) and BW (right) trials


at a fast speed in subject RG. Step length
was 1.4 vs. 1.3 m, gait cycle 1.1 vs. 1.0 s,
stance phase duration 62 vs. 61% of T, in
FW and BW, respectively.

The orientation of the plane in the three-dimensional relatively to FW gait by 3.9 7 ( F1,193 Å 107.3, P õ 0.001 ) ,
space is similar for FW and BW trials in subject DT ( bot- u3 f by 0.17 ( F1,193 Å 4.4, P õ 0.05 ) , and u3t by 3.37
tom panels in Fig. 7 ) but differs in subject LB ( top panels ( F1,193 Å 1.1, NS ) . The subject effect was always highly
in Fig. 7; LB is the subject with the largest change in plane significant ( P õ 0.001 ) and so was the interaction between
orientation between BW and FW.) In general, ANOVA on subjects and direction ( P õ 0.001 ) , indicating that the
the direction cosines of the normal to the plane ( with orientation of the plane and its change on the direction
speed as the covariate ) demonstrates very small yet sig- reversal were rather idiosyncratic.
nificant changes in plane orientation caused by the reversal Figure 8 shows the thigh-shank and shank-foot cross-
of locomotion. On the average, in BW gait u3s changed correlations for a subject with a significant change in the

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1877

FIG . 7. Planar covariation of the eleva-


tion angles at the thigh, shank, and foot in
FW gait (left column) and BW gait (right
column) in 2 different subjects along a gait
cycle. Mean value of each angular coordi-
nate was subtracted. Paths progress in time
in the counterclockwise direction in FW
trials (heel contact and toe-off phases cor-
responding to the top and bottom of the
loops, respectively) and clockwise in BW
trials. Grids correspond to the best-fitting
planes and their intersection with the cubic
wire frame of the angular coordinates.

plane orientation (subject RG) and a subject with no signifi- extensor GM showed a burst of activity in early stance (HC),
cant change (subject SM). In both subjects, the BW cross- returned toward the baseline activity during midstance, and
correlations are roughly the mirror image of the FW cross- had a smaller burst in late stance (TO). By contrast, in BW
correlations around time 0. In FW thigh leads shank (the gait, GM activity was maximal during midstance and was
maximum of cross-correlation falls at 14% of the gait cycle close to the baseline during late stance. A similar kind of
both for RG and SM), whereas it lags behind in BW (by 6 discrepancy between FW and BW gait was present in RF
and 14%, for RG and SM, respectively). The maximum of (a hip flexor and knee extensor) and VL (knee extensor).
shank-foot cross-correlation falls at 0% regardless of the They were mostly active during early stance and swing in
task and of the subject. FW gait, whereas they were mostly active during early and
midstance in BW gait. BF, a hip extensor and knee flexor,
EMG patterns showed some degree of correspondence between FW and
BW in subject LB but a much poorer relationship in subject
In contrast to kinematics, the EMG patterns of BW gait DT. The ankle extensor GCL was mostly active during
were poorly related to those of FW gait. Moreover, both midstance in FW gait, whereas it was mostly active during
FW and BW patterns exhibited a substantial intersubject early and late stance in BW gait. Finally, the ankle flexor
variability. Ensemble averages of rectified EMG activity for TA was active during early stance and swing phases in FW
FW and BW data are plotted superimposed (as thick, unfilled and during the support phase in BW.
envelopes and thin, shaded envelopes, respectively) in Fig. Not only did EMG patterns differ between FW and BW
9. The data are from the same two experiments as in Fig. movements but they could even differ substantially among sub-
4. The activity patterns of all muscles investigated in BW jects for the same movement direction. Thus, whereas the EMG
gait were strikingly different from those of FW gait. (The patterns of GM, RF, and VL were qualitatively comparable in
mean r 2 coefficients over all subjects were GM 0.03 { 0.04, the two subjects of Fig. 9, the patterns of BF, GCL, and TA
RF 0.06 { 0.07, VL 0.08 { 0.09, BF 0.10 { 0.12, GCL were quite different. Thus, in FW gait, BF activity was close
0.18 { 0.21, and TA 0.09 { 0.18.) Thus in FW gait the hip to the baseline between the burst of early stance and that of

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1878 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 8. Cross-correlations between thigh and shank (solid lines) and between shank and foot (dotted lines) are plotted
as a function of the percentage of gait cycle for 2 subjects (RG and SM) and 2 directions (FW and BW). Cross-correlations
were computed from the ensemble average of the corresponding elevation angles in the 0.4- to 1-ms 01 speed range. BW
data were not time reversed so that the actual phase shift can be appreciated. A positive value of cross-correlation at a
positive time delay indicates that the 1st segment in the label leads the 2nd, whereas a positive cross-correlation at a negative
delay indicates a time lag of the 1st segment relative to the 2nd.

swing in subject LB, whereas the same muscle exhibited a burst having used all principal components ( 10 ) we failed to
of activity in midstance and baseline activity in subject DT. predict BW waveforms starting from FW ones, as indi-
Conversely, in BW swing, BF exhibited a large burst of activity cated by the lack of correspondence between the two sets
in subject DT but not in subject LB. of data ( note the exception of BF) . To verify that this
The reproducibility of the EMG waveforms is quantified failure was not due to the high intertrial variability of
in terms of the first principal component in Table 1. On EMG data, we used the same procedure to predict the
average, this principal component accounts for °50% of the average EMG FW pattern of subject DT starting from that
EMG variance. Up to 7 principal components out of 10 had of subject LB , and we obtained a much better correspon-
to be used to explain 95% of the intertrial EMG variance, and dence ( Fig. 10, right panel ) .
all principal components were necessary to explain ú99% of
the variance. This result should be contrasted with the previ- EMGs cross-correlations
ous observation that the first two principal components ex-
plained 99% of the kinematic variability. The previous analysis indicated that the EMG waveforms
We investigated the extent to which FW and BW EMG of BW gait do not resemble those of FW gait. However, it
waveforms can be decomposed in the same set of basis could be that what is common between the two movement
functions by means of the same procedure used for kine- directions is not the pattern of activation of individual mus-
matics and reaction forces in Fig. 5 ( after verifying that cles but rather the pattern of muscular synergies, that is,
the procedure was affected to a very limited extent by the the time sequence of activation of different muscles. Thus,
higher frequency content of the EMG signals; see METH- muscles that behave as antagonists in one gait direction also
ODS ) . The theoretical BW EMG waveforms predicted by could be antagonists in the opposite gait direction but with
FW principal components are superimposed on the ob- an exchange of the sign of activation; for instance, the activa-
served BW waveforms in the left panel of Fig. 10. Despite tion of knee extensors (VL and RF) in one phase of the FW

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1879

FIG . 9. Patterns of electromyographic


(EMG) activity. The ensemble average in the
FW direction (thick, unfilled envelopes) is
superimposed on the time-reversed average
in the BW direction (thin, shaded envelopes)
for subject LB (left) and subject DT (right).
Averages include all trials in the 0.4- to 1-
ms 01 speed range. Data are from the same
2 experiments as in Fig. 6. Rectified EMG
activity is from the gluteus maximus (GM),
biceps femoris (long head) (BF), rectus
femoris (RF), vastus lateralis (VL), lateral
gastrocnemius (GCL), and tibialis anterior
(TA).

gait cycle could be replaced by the activation of knee flexors averages (see Eq. 1), cross-correlations for FW gait and
(BF) in the corresponding phase of BW gait and vice versa. those for BW gait (BW EMGs were time reversed as before)
To investigate this simple kind of synergy as well as more are superimposed in Fig. 11.
complex patterns of muscle synergies we computed the The autocorrelations of the indicated muscles are plot-
cross-correlation function between pairs of EMG ensemble ted on the diagonal. They were generally very different

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1880 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 10. Left: comparison between the


BW EMG waveforms predicted by FW princi-
pal components (thin, shaded envelopes) and
the observed avearge BW waveforms (thick,
unfilled envelopes) in subject LB. All princi-
pal components derived from the FW data
were fitted to the BW data by means of (least-
squares) multiple linear regression. Right:
comparison between the FW EMG waveforms
of subject DT predicted by the corresponding
principal components of subject LB (thin,
shaded envelopes) and the observed data of
subject DT (thick, unfilled envelopes). Data
were analyzed by means of the same proce-
dure as in the left panel. Anthropometric char-
acteristics of subjects LB and DT are given in
Fig. 4 legend.

between FW and BW gait ( except for VL) , confirming indicated by the negative cross-correlation value around
the previous observation that the two sets of patterns of 0 time delay and by the positive peak at about 50% of the
activation of individual muscles are poorly related in these cycle. By contrast, these two sets of muscles tend to be
two tasks. The new result shown in Fig. 11 is that also coactivated in FW gait, BF activation leading that of RF
the patterns of muscle synergies differ drastically between and VL by Ç20% of the gait cycle ( see also Fig. 9 ) . A
FW and BW gait. The peaks in the cross-correlations oc- similar discrepancy between FW and BW cross-correla-
cur at different time delays. For example, BF tends to be tions characterizes all pairings of muscles, with the fol-
reciprocally activated with VL and RF in BW gait, as lowing exceptions: RF tends to be coactivated with VL,

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1881

FIG . 11. Cross-correlations between pairs of EMG data from subject LB. Cross-correlation values are plotted as a function
of time delay (expressed as percentage of the gait cycle). A positive value of cross-correlation at a positive time delay
indicates that the activation of the column muscle leads that of the row muscle, whereas a positive cross-correlation at a
negative delay indicates a time lag of the column muscle relative to the row muscle. Autocorrelations of the indicated muscles
are on the diagonal. EMGs for BW gait were time reversed before the cross-correlation.

and GM tends to be reciprocally activated relative to GCL ment with speed is generally higher in the former than
in both movement directions. in the latter.
The percentage co-contraction ( see Eq. 2 ) was never To test statistical differences between FW and BW gait,
significantly different between FW and BW directions for we first fitted the EMG versus speed relationship with the
pairs of muscles acting as anatomic antagonists at a given exponential function indicated in the legend of Fig. 12,
joint ( GM – RF, VL – BF, and GCL – TA ) . The index, how- subject by subject, muscle by muscle, FW and BW; then
ever, was greater in BW than in FW for the pair GCL – we predicted the mean EMG activity at 0.95 m rs 01 ( corre-
TA ( by 13.3%, P õ 0.07, paired t-test ) . Moreover, the sponding to the mean BW speed ) and finally we performed
index was greater in BW for muscles acting on different a paired t-test between these predicted values for the two
joints ( RF – GCL, 14.5%, P õ 0.05; VL – GCL, 12.5%, gait directions. We found that regressions were always
P õ 0.01 ) and was lower in BW for the pair GM – TA significant and the percentage of variance explained by
( 13.0%, P õ 0.05 ) . the fitting procedure was on average 70 and 77% for FW
and BW, respectively. On average, GM activity increased
in BW relative to FW gait by 94% ( P õ 0.05 ) , RF by
Mean EMG activity over gait cycle 220%, ( P õ 0.01 ) , VL by 135%, ( P õ 0.01 ) , BF by
So far we focused on the time course of the EMG 107%, ( P õ 0.05 ) , GCL by 40%, ( NS ) , and TA by 154%
signals. Does also the absolute magnitude of muscle ac- ( P õ 0.01 ) .
tivity differ between FW and BW gait? Figure 12 shows
the mean of the EMG over the gait cycle as a function of DISCUSSION
speed in one subject. Mean EMG increases exponentially
with speed in both FW and BW gait. However, at each The question we set out to address is what motor patterns
given speed, EMG activity generally tends to be higher are conserved across the reversal of gait direction. Our re-
in BW gait than in FW gait. Also, the rate of EMG incre- sults indicate that the class of waveforms that changes the

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1882 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

FIG . 12. Integrated EMG over the gait cycle as a function of speed. Data for FW ( s ) and BW ( ● ) trials of subject DT
are fitted by exponential curves (thin and thick lines for FW and BW, respectively) corresponding to the equation EMG Å
a / br e V where a and b are estimated parameters.

least is that of the elevation angles of the lower limb seg- (quadriceps femoris) are much greater than those of the
ments; they undergo a simple reversal in time during BW muscles on the respective opposite side. All these asymmet-
locomotion compared with FW locomotion. Moreover, the ries may well explain the lack of correspondence of many
law of planar covariation among the elevation angles of the gait parameters between FW and BW directions.
different limb segments that holds for FW gait (Bianchi et Thus, in agreement with the conclusion drawn by Thors-
al. 1998; Borghese et al. 1996) also holds for BW gait. tensson (1986), we found that the patterns of muscle activity
Limb kinematics is conserved at the expense of a complete of BW locomotion bear a poor relation to those of FW
reorganization of the muscle synergies. In the following we locomotion. The foot impact on the ground in early stance
argue that the conservation of kinematic templates across is sustained by coactivation of several limb muscles (flexors
gait reversal does not arise from biomechanical constraints and extensors at the hip, knee, and ankle) in FW gait,
but reflects a behavioral goal achieved by the central net- whereas the same event is accompanied by activity in knee
works involved in the control of locomotion. extensors and ankle plantar-flexors in BW gait. The main
FW thrust is normally provided by ankle plantar-flexors,
Characteristics of BW gait as compared with FW gait whereas the main BW thrust is provided by hip and knee
extensors. Not only do FW and BW EMG waveforms differ
In general the mechanics of BW gait is different from that globally but they cannot even be accounted for by a combina-
of FW gait. In particular, stance is characterized by an in- tion of the same basis functions with different weighing
verted plantigrade–digitigrade sequence in the two move- factors (as indicated by the principal component analysis).
ment directions. FW stance begins with heel strike and ends Finally, the lack of correspondence between FW and BW
at TO, whereas in BW stance the toes contact the ground cross-correlations indicates that also the patterns of inter-
first and the heel is lifted off the ground last. The anatomic muscular synergies differ drastically between the two move-
and functional asymmetry of the foot and leg along the ante- ment directions. Thus knee flexors tend to be reciprocally
roposterior axis also imposes different biomechanical con- activated with knee extensors in BW gait, whereas they are
straints on BW and FW gait. At the anterior extremity of the roughly coactivated in FW gait. Conversely, ankle flexors
foot, the toes articulate on the metatarsal joints and behave tend to be reciprocally activated with ankle extensors in FW
as a deformable support surface, whereas at the posterior gait, whereas they are coactivated for extensive periods of
extremity the tarsus represents a more rigid segment and BW gait cycle. The magnitude of EMG activity integrated
articulates with the shank and the leg. Calf and thigh muscles over one gait cycle generally is greater in BW gait than in
are highly asymmetrical about the frontal plane; the mass FW gait (see also Winter et al. 1989), suggesting a greater
and strength of the muscles on the posterior aspect of the level of energy expenditure in the former than in the latter
calf (triceps surae) and on the anterior aspect of the thigh gait. In fact, the exponential increment of muscle activity

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1883

with speed we observed (cf. Nilsson et al. 1985) is reminis- (1981). The planar law of intersegmental coordination
cent of the relationship between the mechanical power or might derive from the dynamic interaction of segmental os-
metabolic power and speed (Taylor and Heglund 1982), and cillators between each other and with limb mechanics. It has
a greater level of oxygen consumption in BW gait than in been previously shown that the specific orientation of the
FW gait was previously reported (De Vita and Stirling 1991; plane of angular covariation reflects the phase relationships
Flynn et al. 1994; Minetti and Ardigò 1997). The differences between the elevation angles of the lower limb segments
in muscle activity are paralleled by the differences in the and therefore the timing of the intersegmental coordination
ground reaction forces and joint angles between BW and (Bianchi et al. 1998). Speed increments are related to a
FW gait (see also Thorstensson 1986; Vilensky et al. 1987; progressive phase shift between the foot elevation and the
Winter et al. 1989). shank elevation. In this context, phase plays the same role
By contrast, the waveforms of the elevation angles are of control variable as that previously hypothesized for the
essentially conserved across the reversal of gait direction, network of CPGs. Shen and Poppele (1995) also argued for
the waveforms of BW gait being almost the mirror image a control of the timing of the turning points of the elevation
of those of FW gait. The time-reversed BW elevation angles angles during FW locomotion of cats (see Halbertsma
of all limb segments are highly correlated with the corre- 1983). They found that the changes of the elevation angles
sponding FW angles (r 2 ú 0.90), and they can be recon- of all hindlimb segments conform to a common waveform
structed faithfully (r 2 ú 0.98) starting from the first two and differ only in the timing and amplitude. In addition, the
principal components of the FW angles. Therefore the eleva- relative time difference between the turning points of pairs
tion angles emerge from this study as the templates that more of limb segments scales with the duration of the FW swing
closely match the definition of motor patterns for locomotion (or equivalently gait speed). These laws of intersegmental
given in the INTRODUCTION . coordination for gait control are reminiscent of the algorithm
The law of intersegmental coordination that was pre- that was proposed for the generation of drawing movements
viously described for FW gait (Bianchi et al. 1998; Borghese of the arm (Soechting et al. 1986; Soechting and Terzuolo
et al. 1996) also holds for BW gait. This law consists in the 1986). Drawing involves oscillatory changes of the orienta-
planar covariation of the changes of the thigh, shank, and tion angles of the upper arm and forearm. The phase differ-
foot elevation during both stance and swing. This planar ences among these angular coordinates define the spatial
covariation is not an obligatory outcome of any movement location of the drawn figure, whereas the phase differences
of the lower limb because it is not associated with either among lower limb elevation angles define the trajectory of
voluntary shaking movements or passive manipulations that the foot in gait.
replicate cyclic oscillations of locomotion (Grasso et al.,
unpublished observations). It is therefore most remarkable Role of behavioral goals
that the planar law is shared by two walking modes, FW
versus BW, that differ drastically between each other in It may appear surprising that kinematic waveforms of FW
terms of mechanical characteristics and patterns of muscle gait are conserved in BW gait at the expense of an increase
activity. of muscle activity and (presumably) energy cost. Indeed
the traditional view is that locomotion is always performed
Central representations of gait motor patterns according to a principle of minimum energy (Alexander
1989; Taylor and Heglund 1982). Instead we found that
In several animal species, locomotion is controlled by muscle activity in BW gait is controlled in a subordinate
CPGs located in the spinal cord and under the influence of manner with respect to the control of limb kinematics. How-
several peripheral and supraspinal signals ( Grillner 1981; ever, we believe that kinematic waveforms are neither hard-
Grillner et al. 1995; Pearson 1993; Rossignol 1996 ) . Prin- wired in the CPGs nor the only possible motor patterns for
ciples of functional organization of the CPGs were pro- gait. The nature of motor patterns probably is flexible and
posed according to which the multisegment motion of dictated by the behavioral goal to be achieved. Thus Winter
mammals locomotion would be controlled by a network (1995; Winter et al. 1989) proposed that also biomechanical
of coupled oscillators. Each oscillator would drive the variables such as the joint torques and powers should be
flexors or extensors at one joint, and changing the interos- considered motor patterns reflecting the integrated and final
cillator phase coupling would generate speed changes and goals of the nervous system.
gait transitions. Grillner ( 1981 ) further hypothesized that That behavioral goals may be crucial in the selection
the reversal of gait direction may result from a sign change of the motor patterns for gait can be inferred by consider-
of the phase coupling between oscillators controlling dif- ing the ethological context in which BW gait is performed
ferent limb joints. in different mammals. In cats, for instance, BW gait is
This scheme is compatible with these findings if one as- often associated with preparation for fight. A change of
sumes that CPGs control limb segment motion instead of the geometric shape of the body and limbs relative to the
joint muscles and that they can encode the waveforms of standard shape could be appropriate for conveying to the
the elevation angles. These could be output in a direct or opponent a message of readiness to fight. On the other
time-reversed form (such as a motor tape) depending on the hand, preactivation of a set of muscles similar to those
gait direction. The cross-correlation analysis also confirmed used in FW gait could be useful in view of a FW step
that the phase coupling among these kinematic patterns is or jump. In fact, detailed studies in this animal species
maintained with a simple reversal of the delay on the reversal demonstrated that the instantaneous geometric configura-
of walking direction, in agreement with Grillner’s hypothesis tions of the limbs and body in BW gait are essentially

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
1884 R. GRASSO, L. BIANCHI, AND F. LACQUANITI

unrelated to those of FW gait ( Buford et al. 1990a ) , Brain Theory and Neural Networks, edited by M. A. Arbib. Cambridge,
whereas the direct patterns of activity of many limb mus- MA: MIT Press, 1995, p. 600–605.
DE VITA, P. AND STIRLING, J. Low extremity joint kinetics and energetics
cles are similar irrespective of walking direction ( Buford during backward running. Med. Sci. Sports Exerc. 23: 602–610, 1991.
et al. 1990b; Pratt et al. 1996 ) . FERRIGNO, G., BORGHESE, N. A., AND PEDOTTI, A. Pattern recognition in
When humans step back, instead, they usually need not 3D automatic human motion analysis. ISPRS J. Photogram. Remote Sens.
change shape of the body and legs. Time reversal of FW 45: 227–246, 1990.
kinematics to generate BW steps could then follow from a FLANDERS, M. Temporal patterns of muscle activation for arm movements
in three-dimensional space. J. Neurosci. 11: 2680–2693, 1991.
principle of conservation of geometric shape. Walking style FLANDERS, M. AND HERRMANN, U. Two components of muscle activation:
represents a complex Gestalt whose significance encom- scaling with the speed of arm movement. J. Neurophysiol. 67: 931–943,
passes both the mechanical requirements of gait (such as 1992.
equilibrium, progression, speed, and energy) as well as the FLANDERS, M., SOECHTING, J. F., BUNEO, C. A., AND HERRMANN, U. Kinetic
constraints on the neural control of reaching. In: Three-Dimensional Kine-
expressive and emotional aspects of life (Bianchi et al. 1998; matics of Eye, Head and Limb Movements, edited by M. Fetter, T. Hasl-
Thomas 1940). Although the reversal of gait direction does wanter, H. Misslisch, and D. Tweed, Amsterdam: Harwood Academic, 1997.
not seem to violate the locomotor Gestalt of lower limb FLYNN, T. W., CONNERY, S. M., SMUTOK, M. A., ZEBALLOS, R. J., AND
movements, other task constraints, such as walking stooped, WEISMAN, I. M. Comparison of cardiopulmonary responses to forward
may well do so (see Trank et al. 1996). and backward running. Med. Sci. Sports Exer. 26: 89–94, 1994.
GLASER, E. M. AND RUCHKIN, D. S. Principles of Neurobiological Signal
Analysis. New York: Academic, 1976, chap. 5.
We thank D. Angelini and D. Prissinotti for skillful technical help in GRILLNER, S. Control of locomotion in bipeds, tetrapods, and fish. In: Hand-
performing the experimental work and Prof. C. Terzuolo and Dr. J. McIntyre book of Physiology. The Nervous System. Motor Control. Bethesda, MD:
for stimulating discussions.
Am. Physiol. Soc., 1981, sect. 1, vol. II, p. 1179–1236.
This work was partially supported by grants from the Italian Health
GRILLNER, S., DELIAGINA, T., EKEBERG, Ö., EL MANIRA, A., HILL, R. H.,
Ministry, Space Agency, and Ministero dell’ Università e della Ricerca
LANSNER, G. N., ORLOVSKY, G. N., AND WALLÉN, P. Neural networks
Scientifica e Tecnologica.
that co-ordinate locomotion and body orientation in lamprey. Trends
Address for reprint requests: R. Grasso, Fisiologia umana, Istituto Scien-
Neurosci. 18: 270–279, 1995.
tifico Santa Lucia, Centre National de la Recherche, via Ardeatina 306,
HALBERTSMA, J. M. The step cycle of the cat: the modeling of locomotion
00179 Roma, Italy.
by computerized analysis of automatic recordings. Acta Physiol. Scand.
Received 9 February 1998; accepted in final form 9 June 1998. Suppl. 21: 1–71, 1983.
KRAMER, J. F. AND REID, D. C. Backward walking: a cinematographic and
electromyographic pilot study. Physioter. Can. 33: 77–86, 1981.
REFERENCES
LACQUANITI, F. Central representations of human limb movements as re-
ALEXANDER, R. MC N. Optimization and gaits in the locomotion of verte- vealed by studies on drawing and handwriting. Trends Neurosci. 12:
brates. Physiol. Rev. 69: 1199–1227, 1989. 287–291, 1989.
ALEXANDROV, A., FROLOV, A., AND MASSION, J. Axial synergies during LACQUANITI, F., FERRIGNO, G., PEDOTTI, A., SOECHTING, J. F., AND TERZU-
human upper trunk bending. Exp. Brain Res. 118: 210–220, 1998. OLO, C. Changes in spatial scale in drawing and handwriting: kinematic
ATKESON, C. G. AND HOLLERBACH, J. M. Kinematic features of unrestrained contributions by proximal and distal joints. J. Neurosci. 7: 819–828,
vertical arm movements. J. Neurosci. 5: 2318–2330, 1985. 1987.
BIANCHI, L., ANGELINI, A., ORANI, G. P., AND LACQUANITI, F. Kinematic LACQUANITI, F., LETAILLANTER, M., LOPIANO, L., AND MAIOLI, C. The
coordination in human gait: relation to mechanical energy cost. J. Neuro- control of limb geometry in cat posture. J. Physiol. (Lond.) 426: 177–
physiol. 79: 2155–2170, 1998. 192, 1990.
BORGHESE, A., BIANCHI, L., AND LACQUANITI, F. Kinematic determinants LACQUANITI, F. AND MAIOLI, C. Independent control of limb position
of human locomotion. J. Physiol. (Lond.) 494: 863–879, 1996. and contact forces in cat posture. J. Neurophysiol. 72: 1476 – 1495,
BOSCO, G. AND POPPELE, R. E. Representation of multiple kinematic param- 1994a.
eters of the cat hindlimb in the spinocerebellar activity. J. Neurophysiol. LACQUANITI, F. AND MAIOLI, C. Coordinate transformations in the control
78: 1421–1432, 1997. of cat posture. J. Neurophysiol. 72: 1496–1515, 1994b.
BOSCO, G., RANKIN, A., AND POPPELE, R. A representation of passive hind- LACQUANITI, F., MAIOLI, C., AND FAVA, E. Cat posture on a tilted platform.
limb postures in cat spinocerebellar activity. J. Neurophysiol. 76: 715– Exp. Brain Res. 57: 82–88, 1984.
726, 1996. LACQUANITI, F., SOECHTING, J. F., AND TERZUOLO, C. Some factors pertinent
BUFORD, J. A. AND SMITH, J. S. Adaptive control for backward quadrupedal to the organization and control of arm movements. Brain Res. 252: 394–
walking. II. Hindlimb muscle synergies. J. Neurophysiol. 64: 756–766,
397, 1982.
1990b.
LACQUANITI, F., SOECHTING, J. F., AND TERZUOLO, C. Path constraints on
BUFORD, J. A., ZERNICKE, R. F., AND SMITH, J. Adaptive control for back-
point-to-point arm movements in three-dimensional space. Neuroscience
ward quadrupedal walking. I. Posture and kinematics. J. Neurophysiol.
64: 745–755, 1990a. 17: 313–324, 1986.
CARTER, M. C. AND SHAPIRO, D. C. Control of sequential movements: evi- MAH, C. D., HULLIGER, M., LEE, R. G., AND O’CALLAGHAN I. S. Quantita-
dence for generalized motor programs. J. Neurophysiol. 52: 787–796, tive analysis of human movement synergies: constructive pattern analysis
1984. for gait. J. Motor Behav. 26: 83–102, 1994.
CHALLIS, R. E. AND KITNEY, R. I. Biomedical signal processing. 1. Time- MINETTI, A. E. AND ARDIGÒ, L. P. The transmission efficiency (effective-
domain methods. Med. Biol. Eng. Comput. 28: 509–524, 1990. ness) of backward walking at different gradients. In: Proceedings of the
CHALLIS, R. E. AND KITNEY, R. I. Biomedical signal processing. 2. The XXXIII International Congress of Physiological Sciences (Abstract), St.
frequency transforms and their inter-relationships. Med. Biol. Eng. Com- Petersburg, FL, 30 June-5 July, 1997, p. P073.16.
put. 29: 1–17, 1991. NILSSON, J., THORNSTENSSON, A., AND HALBERTSMA, J. Changes in leg move-
CHATFIELD, C. The Analysis of Time Series. An Introduction. London: ments and muscle activity. Acta Physiol. Scand. 123: 457–475, 1985.
Chapman and Hall, 1989. PEARSON, K. G. Common principles of motor control in vertebrates and
D’ AMICO, M. AND FERRIGNO, G. Technique for the evaluation of deriva- invertebrates. Annu. Rev. Neurosci. 16: 265–297, 1993.
tives from noisy biomechanical displacement data using a model- PRATT, C. A., BUFORD, J. A., AND SMITH, J. L. Adaptive control for back-
based bandwidth-selection procedure. Med. Biol. Eng. Comput. 28: ward quadrupedal walking. V. Mutable activation of bifunctional thigh
407 – 415, 1990. muscles. J. Neurophysiol. 75: 832–842, 1996.
DAS, P. AND MCCOLLUM, G. Invariant structure in locomotion. Neurosci- ROSSIGNOL, S. Neural control of stereotypic limb movements. In: Handbook
ence 25: 1023–1034, 1988. of Physiology. Exercise: Regulation and Integration of Multiple Systems.
DEAN, J. AND CRUSE H. Motor pattern generation. In: The Handbook of Washington, DC: Am. Physiol. Soc., 1996, sect. 12, p. 173–216.

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.
MOTOR PATTERNS FOR HUMAN GAIT 1885

SCHMIDT, R. A. Motor Control and Learning. A Behavioral Emphasis. THOMAS, A. Equilibre et Equilibration. Paris: Masson, 1940.
Champaign, IL: Human Kinetics, 1982, p. 689. THORSTENSSON, A. How is the normal locomotor program modified to
SHEN, L. AND POPPELE, R. E. Kinematic analysis of cat hindlimb stepping. produce backward walking? Exp. Brain Res. 61: 664–668, 1986.
J. Neurophysiol. 74: 2266–2280, 1995. TRANK, T. V., CHEN, C., AND SMITH, J. L. Forms of forward quadrupedal
SOECHTING, J. F. AND LACQUANITI, F. Invariant characteristics of a pointing locomotion. I. A comparison of posture, hindlimb kinematics, and motor
movement in man. J. Neurosci. 1: 710–720, 1981. patterns for normal and crouched walking. J. Neurophysiol. 76: 2316–
SOECHTING, J. F. AND FLANDERS, M. Arm movements in three-dimensional 2326, 1996.
space: computation, theory, and observation. Exerc. Sports Sci. Rev. 19: VANDEN-ABEELE, J. Comments on the functional asymmetries of the lower
389–418, 1991. extremities. Cortex 16: 325–329, 1980.
SOECHTING, J. F. AND LACQUANITI, F. An assesment of the existence of VILENSKY, J. A., BANCKIEWICZ, E., AND GEHLSEN, G., A kinematic compari-
muscle synergies in the response to load perturbations of the human arm. son of backward and forward walking in humans. J. Hum. Mov. Stud.
Exp. Brain Res. 74: 535–548, 1989. 13: 29–50, 1987.
SOECHTING, J. F., LACQUANITI, F., AND TERZUOLO, C. Coordination of arm WINTER, D. A. Biomechanics and Motor Control of Human Movement.
movements in three-dimensional space. Sensorimotor mapping during New York: Wiley, 1990.
drawing movement. Neuroscience 17: 295–311, 1986. WINTER, D. A. Human movement: a system-level approach. In: The Hand-
SOECHTING, J. F. AND TERZUOLO, C. An algorithm for the generation of book of Brain Theory and Neural Networks, edited by M. A. Arbib,
curvilinear wrist motion in an arbitrary plane in three-dimensional space. Cambridge, MA: MIT Press, 1995, p. 600–605.
Neuroscience 19: 1395–1405, 1986. WINTER, D. A., PLUCK, N., AND YANG, J. F. Backward walking: a simple
TAYLOR, C. R. AND HEGLUND, N. C. Energetics and mechanics of terrestrial reversal of forward walking? J. Mot. Behav. 21: 291–305, 1989.
locomotion. Annu. Rev. Physiol. 44: 97–107, 1982. ZERNICKE, R. F. AND SMITH, J. L. Biomechanical insights into neural control
TERZUOLO, C. A. AND VIVIANI, P. The central representation of learned of movement. In: Handbook of Physiology. Exercise: Regulation and
motor patterns. In: Posture and Movement, edited by R. E. Talbott and Integration of Multiple Systems. Washington, DC: Am. Physiol. Soc.,
D. R. Humphrey. New York: Raven, 1979, p. 113–121. 1996, sect. 12, p. 293–330.

/ 9k2d$$oc18
Downloaded from J093-8
www.physiology.org/journal/jn 09-17-98 13:33:47 ${individualUser.surname}
by ${individualUser.givenNames} neupa LP-Neurophys
(091.204.015.069) on August 1, 2018.
Copyright © 1998 American Physiological Society. All rights reserved.

You might also like