Motor modules are largely unaffected by pathological walking biomechanics: a simulation study

Abstract Background Motor module (a.k.a. muscle synergy) analysis has frequently been used to provide insight into changes in muscle coordination associated with declines in walking performance, to evaluate the effect of different rehabilitation interventions, and more recently, to control exoskelet...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohammad Rahimi Goloujeh, Jessica L. Allen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-025-01561-8
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832571954138185728
author Mohammad Rahimi Goloujeh
Jessica L. Allen
author_facet Mohammad Rahimi Goloujeh
Jessica L. Allen
author_sort Mohammad Rahimi Goloujeh
collection DOAJ
description Abstract Background Motor module (a.k.a. muscle synergy) analysis has frequently been used to provide insight into changes in muscle coordination associated with declines in walking performance, to evaluate the effect of different rehabilitation interventions, and more recently, to control exoskeletons and prosthetic devices. However, it remains unclear whether changes in muscle coordination revealed via motor module analysis stem from abnormal walking biomechanics or neural control. This distinction has important implications for the use of motor module analysis for rehabilitation interventions and device design. Thus, this study aims to elucidate the extent to which motor modules emerge from pathological walking biomechanics, i.e. abnormal walking biomechanics commonly observed in individuals with neurological disease and/or injury. Methods We conducted a series of computer simulations using OpenSim Moco to simulate pathological walking biomechanics by manipulating speed, asymmetry, and step width in a three-dimensional musculoskeletal model. We focused on these spatiotemporal metrics because they are commonly altered in individuals with Parkinson’s disease, stroke survivors, etc. and have been associated with changes in motor module number and structure. We extracted motor modules using nonnegative matrix factorization from the muscle activations from each simulation. We then examined how alterations in walking biomechanics influenced the number and structure of extracted motor modules and compared the findings to previous experimental studies. Results The motor modules identified from our simulations were similar to those identified from previously published experiments of non-pathological walking. Moreover, our findings indicate that the same motor modules can be used to generate a range of pathological-like waking biomechanics by modulating their recruitment over the gait cycle. These results contrast with experimental studies in which pathological-like walking biomechanics are accompanied by a reduction in motor module number and alterations in their structure. Conclusions This study highlights that pathological walking biomechanics do not necessarily require abnormal motor modules. In other words, changes in number and structure of motor modules can be a valuable indicator of alterations in neuromuscular control and may therefore be useful for guiding rehabilitation interventions and controlling exoskeletons and prosthetic devices in individuals with impaired walking function due to neurological disease or injury.
format Article
id doaj-art-c54ed78df3c44e859093652dbc86b7c4
institution Kabale University
issn 1743-0003
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of NeuroEngineering and Rehabilitation
spelling doaj-art-c54ed78df3c44e859093652dbc86b7c42025-02-02T12:11:47ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032025-01-0122111810.1186/s12984-025-01561-8Motor modules are largely unaffected by pathological walking biomechanics: a simulation studyMohammad Rahimi Goloujeh0Jessica L. Allen1Department of Mechanical and Aerospace Engineering, University of FloridaDepartment of Mechanical and Aerospace Engineering, University of FloridaAbstract Background Motor module (a.k.a. muscle synergy) analysis has frequently been used to provide insight into changes in muscle coordination associated with declines in walking performance, to evaluate the effect of different rehabilitation interventions, and more recently, to control exoskeletons and prosthetic devices. However, it remains unclear whether changes in muscle coordination revealed via motor module analysis stem from abnormal walking biomechanics or neural control. This distinction has important implications for the use of motor module analysis for rehabilitation interventions and device design. Thus, this study aims to elucidate the extent to which motor modules emerge from pathological walking biomechanics, i.e. abnormal walking biomechanics commonly observed in individuals with neurological disease and/or injury. Methods We conducted a series of computer simulations using OpenSim Moco to simulate pathological walking biomechanics by manipulating speed, asymmetry, and step width in a three-dimensional musculoskeletal model. We focused on these spatiotemporal metrics because they are commonly altered in individuals with Parkinson’s disease, stroke survivors, etc. and have been associated with changes in motor module number and structure. We extracted motor modules using nonnegative matrix factorization from the muscle activations from each simulation. We then examined how alterations in walking biomechanics influenced the number and structure of extracted motor modules and compared the findings to previous experimental studies. Results The motor modules identified from our simulations were similar to those identified from previously published experiments of non-pathological walking. Moreover, our findings indicate that the same motor modules can be used to generate a range of pathological-like waking biomechanics by modulating their recruitment over the gait cycle. These results contrast with experimental studies in which pathological-like walking biomechanics are accompanied by a reduction in motor module number and alterations in their structure. Conclusions This study highlights that pathological walking biomechanics do not necessarily require abnormal motor modules. In other words, changes in number and structure of motor modules can be a valuable indicator of alterations in neuromuscular control and may therefore be useful for guiding rehabilitation interventions and controlling exoskeletons and prosthetic devices in individuals with impaired walking function due to neurological disease or injury.https://doi.org/10.1186/s12984-025-01561-8Muscle coordination complexityGait analysisComputer modelingOptimal controlTrajectory optimizationDirect collocation
spellingShingle Mohammad Rahimi Goloujeh
Jessica L. Allen
Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
Journal of NeuroEngineering and Rehabilitation
Muscle coordination complexity
Gait analysis
Computer modeling
Optimal control
Trajectory optimization
Direct collocation
title Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
title_full Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
title_fullStr Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
title_full_unstemmed Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
title_short Motor modules are largely unaffected by pathological walking biomechanics: a simulation study
title_sort motor modules are largely unaffected by pathological walking biomechanics a simulation study
topic Muscle coordination complexity
Gait analysis
Computer modeling
Optimal control
Trajectory optimization
Direct collocation
url https://doi.org/10.1186/s12984-025-01561-8
work_keys_str_mv AT mohammadrahimigoloujeh motormodulesarelargelyunaffectedbypathologicalwalkingbiomechanicsasimulationstudy
AT jessicalallen motormodulesarelargelyunaffectedbypathologicalwalkingbiomechanicsasimulationstudy