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At least 433 records · Page 24Linked to original sources
PubMed1997

Interaction of leg stiffness and surfaces stiffness during human hopping.

When mammals run, the overall musculoskeletal system behaves as a single linear "leg spring". We used force platform and kinematic measurements to determine whether leg spring stiffness (k(leg)) is adjusted to accommodate changes in surface stiffness (ksurf) when humans hoop in place, a good experimental model for examining adjustments to k(leg) in bouncing gaits. We found that k(leg) was greatly increased to accommodate surfaces of lower stiffnesses. The series combination of k(leg) and ksurf [total stiffness (ktot)] was independent of ksurf at a given hopping frequency. For example, when humans hopped at a frequency of 2 Hz, they tripled their k(leg) on the least stiff surface (ksurf = 26.1 kN/m; k(leg) = 53.3 kN/m) compared with the most stiff surface (ksurf = 35,000 kN/m; k(leg) = 17.8 kN/m). Values for ktot were not significantly different on the least stiff surface (16.7 kN/m) and the most stiff surface (17.8 kN/m). Because of the k(leg) adjustment, many aspects of the hopping mechanics (e.g., ground-contact time and center of mass vertical displacement) remained remarkably similar despite a > 1,000-fold change in ksurf. This study provides insight into how k(leg) adjustments can allow similar locomotion mechanics on the variety of terrains encountered by runners in the natural world.

Aged↗
PubMed2006

Regional differences in glucose clearance: effects of insulin and resistance training on arm and leg glucose clearance in older hypertensive individuals.

The purpose of this study was to compare insulin's ability to stimulate glucose uptake in the arm and leg in a group of older hypertensive individuals (n = 13, 66 +/- 2 yr old). We also examined the effect of a 4-mo whole body resistance-training (RT) program on arm and leg glucose clearance (GC) during a hyperinsulinemic-euglycemic clamp. During the hyperinsulinemic-euglycemic clamp, GC was assessed by simultaneous measurement of arm and leg blood flow (BF) and assessment of fractional glucose extraction (GE) in blood samples from the brachial artery, brachial vein, and popliteal vein. At baseline, a significant main effect (arm vs. leg) demonstrated greater GC and BF in the arm than in the leg (P = 0.006 for GC and P = 0.012 for BF). Insulin significantly increased GE, BF, and GC in the arm and leg (main effects: P = 0.0001 for GE, P = 0.0001 for BF, and P = 0.0001 for GC) at baseline. However, the effect of insulin was similar in the arm and leg. After RT, a significant main effect (baseline vs. RT) demonstrated greater GE and GC in the leg (P = 0.024 for GE and P = 0.053 for GE), but not in the arm (P = 0.31 for GE and P = 0.14 for GC). No significant main effect (baseline vs. RT) for BF in the arm or leg was observed after RT. In conclusion, the greater GC in the arm than in the leg at baseline is primarily due to enhanced arm BF. Furthermore, whole body RT appears to increase GC in the leg but not in the arm.

Aged↗
PubMed1996

Is the regulation of the center of mass maintained during leg movement under microgravity conditions?

1. Investigations on stance regulation have already suggested that the body's center of mass is the variable controlled by the CNS to maintain equilibrium. The aim of this study was to determine how the center of mass of the body is regulated when leg movements are made under different gravitoinertial force conditions. 2. Kinematic and electromyographic (EMG) recordings were made during both straight-and-level flight (earth-normal gravity condition, nG) and periods of weightlessness in parabolic flight (microgravity condition, microG). The standing subjects were restrained to the floor (kept from floating away in microG) and were instructed to raise one leg laterally to an angle of 45 degrees as fast as possible. 3. Two modes of center of mass (CM) control were identified during leg movement in nG: a "shift mode" and a "stabilization mode." The shift mode served to transfer the CM toward the supporting side before the leg raising, and it preceded the phase of single limb support. The stabilization mode took place after the CM shift was completed and was aimed at stabilizing the CM during raising of the leg. In this phase, the movement of the raising leg is counterbalanced by a lateral inclination of the trunk in the opposite direction. As a consequence, CM position did not change with respect to the position reached before the leg raising, and its projection on the ground remained within the support area delineated by the stance foot. 4. Under microG, the CM position did not change before the leg raising. Moreover, gastrocnemius medialis activity observed in the moving leg under nG, preceding the initiation of the body weight transfer toward the supporting leg, was greatly reduced. While the leg is raising, the simultaneous and opposite lateral trunk movement was still present in microG. 5. Results suggest that the body weight transfer corresponding to the shift mode, might depend on the gravity constraints, whereas the stabilization mode, which remains unchanged in microG, might be a motor stereotype that does not depend on the gravity conditions.

Adult↗
PubMedDate not supplied

The benefit of a single-leg strength training program for the muscles around the untrained ankle.

Severe ankle injuries can require extended periods of immobilization that adversely affect the strength of the ankle muscles. We have investigated a single-leg strength training program of the muscles surrounding the ankle to determine if it produces a crossover benefit for the contralateral ankle muscles. Twenty subjects without any history of ankle injuries were randomly divided into a control and a training group. Both groups underwent isokinetic testing of the ankle muscles at the beginning and end of an 8-week period. The control group maintained normal activities between the tests. Half of the training group trained the dominant leg only and the other half trained the nondominant leg only for the 8-week period, three times per week. The subjects who trained the dominant leg improved peak torque values by 8.5% in the trained leg and 1.5% in the untrained leg. Similarly, the subjects who trained the nondominant leg improved peak torque values by 9.3% in the trained leg and 3.5% in the untrained leg. In contrast, the control group showed no significant change in peak torque, power, or endurance between the initial and final tests. With improvements in peak torque as high as 40% in the trained leg and a crossover benefit of 19% in the untrained leg in eccentric inversion, this strength training technique deserves further investigation in an injured population where the benefits may be more substantial.

Adolescent↗
PubMed2006

Exercise-related leg pain in female collegiate athletes: the influence of intrinsic and extrinsic factors.

BACKGROUND: Exercise-related leg pain is a common complaint among athletes, but there is little evidence regarding risk factors for this condition in female collegiate athletes. PURPOSE: To examine prospectively the effect of selected extrinsic and intrinsic factors on the development of exercise-related leg pain in female collegiate athletes. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Subjects were 76 female collegiate athletes participating in fall season sports, including cross-country running, field hockey, soccer, and volleyball. Athletes were seen for a pre-season examination that included measures of height, weight, foot pronation, and calf muscle length as well as a questionnaire for disordered eating behaviors. Body mass index was calculated from height and weight (kg/m(2)). Those athletes who developed exercise-related leg pain during the season were seen for follow-up. All athletes who developed the condition and a matched group without such leg pain underwent bone mineral density and body composition testing. Statistical analyses of differences and relationships were conducted. RESULTS: Of the 76 athletes, 58 (76%) reported a history of exercise-related leg pain, and 20 (26%) reported occurrence of exercise-related leg pain during the season. A history of this condition was strongly associated with its occurrence during the season (odds ratio, 13.2). Exercise-related leg pain was most common among field hockey and cross-country athletes and least common among soccer players. There were no differences between athletes with and without such leg pain regarding age, muscle length, self-reported eating behaviors, body mass index, menstrual function, or bone mineral density. Athletes with exercise-related leg pain had significantly (P < .05) greater navicular drop compared with those without. CONCLUSION: Exercise-related leg pain was common among this group of female athletes. The results suggest that there are certain factors, including foot pronation, sport, and a history of this condition, that are associated with an increased risk of exercise-related leg pain.

Adult↗
PubMed2005

Performance and postural interactions during synchronous pointing and leg flexion.

INTRODUCTION/PURPOSE: When several tasks are superimposed in a sequence, their associated postural dynamics interact, being either in opposition or in adequacy. The aim of this study was to test the influence of these postural interactions on the performance of each elementary task composing a sequence. METHODS: Seven subjects performed the following experimental conditions: pointing to a target; right leg flexion; left leg flexion; right leg flexion and pointing (ipsilateral leg sequence, IS); and left leg flexion and pointing (contralateral leg sequence, CS). Movements were performed on a large force plate. Wrist and trunk accelerations were detected with accelerometers. RESULTS: Analysis of the postural dynamics along the lateral axis showed that the direction of the anticipatory postural adjustments (APA) for the pointing was the same as for the contralateral leg flexion, and that it was opposite to that for the ipsilateral leg flexion; that is, APA of the elementary tasks were compatible or in opposition. The performance of the pointing (maximal wrist velocity) was higher in the isolated pointing than in both sequences, and it was higher in CS than in IS. The performance of the leg flexion (maximal vertical velocity of the center of gravity) was higher in both sequences than in the isolated leg flexion, and body weight transfer toward the stance leg was facilitated in CS as compared with IS. CONCLUSION: These results show that the performance of a task depends whether it is done in isolation or in combination with an associated task, and that there exists favorable combinations for task performance. These results are interpreted in terms of compatibility between the postural dynamics associated with each task of the sequence.

Adult↗
PubMed2002

Combined opto-electronic perometry and bioimpedance to measure objectively the effectiveness of a new treatment intervention for chronic secondary leg lymphedema.

Secondary lymphedema of the legs is a common sequela of patients treated for cancer of the reproductive, gastrointestinal, urinary systems and melanoma. From a clinical and research perspective it is of utmost importance to use techniques that objectively quantify leg volume and fluid composition as an indicator of lymphedema severity and response to treatment. Two techniques often used in both the clinical and research setting are leg perometry and multi-frequency bioimpedance. Although both techniques have been extensively validated, this trial aimed to cross correlate both measurement techniques to ascertain whether each or both could be used reliably for measurement of leg lymphedema. These measurements were utilized throughout a clinical trial that assessed the effectiveness of a new home based treatment program in the form of the Sun Ancon Aerobic Exerciser. This machine delivered both elevation and passive exercise to the legs, with participants using the machine over a three week period during which time their leg volumes were measured using both perometry and bioimpedance. The results demonstrated that leg volume measurements decreased using both perometry and bioimpedance. The reduction in body extracellular fluid as measured by bioimpedance correlated well with a reduction in leg volume as measured by perometry. Bioimpedance also recorded a reduction in weight, which was correlated with the reduction in leg volume as measured by perometry. This trial confirms that perometry and bioimpedance were both effective in independently showing a reduction in leg lymphedema using the Aerobic Exerciser therapy, and that both methods can be reliably used to measure and follow leg lymphedema.

Adult↗
PubMed1999

Leg autotomy in a spider has minimal costs in competitive ability and development.

A number of species have the ability to autotomize limbs voluntarily, but animals that have lost limbs often face substantial costs. We examined the frequency of leg loss and its effects on competitive ability and development in the spider Holocnemus pluchei (Araneae: Pholcidae), a family of spiders known for its readiness to autotomize legs. Leg loss was common in field populations, with 7.5% of all surveyed spiders missing at least one leg, most commonly one of the anterior pair. More spiders were missing multiple legs than expected by chance, suggesting that leg loss events are not independent. Large adult spiders were missing legs more frequently than were small spiders. The competitive ability of injured males was tested in three contexts. In the field, no effect of leg loss was found on the ability of spiders to remain in webs into which they were introduced. In the laboratory, no effect of leg loss was found on the ability to fight with a single opponent over a prey, except that injured spiders were more likely to lose high-intensity fights. There was no difference between intact and injured males in their ability to compete with three females for limited prey. Leg loss significantly affected development time. The moult interval during the instar in which the injury occurred increased by approximately 15%. However, the growth rate for injured spiders was slightly but not significantly faster in the instar following leg loss, and total development time of the two instars together did not differ significantly between treatments. No spider showed any signs of regeneration. We conclude that, although there were some statistically significant differences between intact and injured males, these are unlikely to have major impacts on fitness, in contrast to findings in other species. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗
PubMed1989

Walking in the American cockroach: the timing of motor activity in the legs during straight walking.

The timing of bursts of motor activity in extensor muscles in the coxae of pairs of legs in intact freely walking American cockroaches was studied. The timing of bursts in adjacent and non-adjacent leg pairs generally reflected the common alternating tripod gait of these insects. Detailed study of the timing further revealed two previously unreported features. 1) The timing of extensor bursts in the middle legs relative to bursts in the rear legs was more variable than it was relative to those in the front legs. This difference in variability was statistically significant for the means of bursts when all insects were considered together as well as for bursts in individual insects. An apparent difference in variability of the timing of burst starts compared to burst ends for any one leg pair was not significant. 2) There was a shift in the timing of motor bursts relative to one another when an insect walked fast such that motor bursts in the middle legs tended to lag farther behind those in the front legs, and those in the rear legs tended to lag farther behind those in the middle legs compared to the timing during slow walking. This shift was apparent in both burst starts and burst ends, although more obvious in the former. It occurred in both ipsilateral and contralateral leg pairs, and in both the mean data and the data for individual insects. The implications of these characteristics of the timing data are discussed in terms of the neural organization of insect walking.

Animals↗
PubMedDate not supplied

Predominant right leg dysfunction without asymmetric muscle inflammation in CD1 Swiss mice with coxsackievirus B1-induced myositis.

To establish the existence of predominant right leg involvement in Coxsackievirus B1-induced myositis (CB1 myositis) 189 neonatal CD1 Swiss mice were inoculated with 300 pfu CB1, and regularly observed for posture, mobility, and gait. After 2 and 4 weeks, quantitative comparison of motor dysfunction of right and left leg yielded an asymmetry score; on light microscopy mononuclear cell infiltration and muscle fiber necrosis were quantified in bilateral hamstring muscles, using a five-grade scale (0-4). Motor asymmetries were seen during acute viral myositis as soon as hind leg dysfunction appeared, and animals with a predominant dysfunction of one leg preserved that preference throughout the observation period. At 2 weeks, mice with predominant right leg dysfunction (n = 34) significantly outnumbered those with predominant left leg dysfunction (n = 11) (p = 0.01). At 2 and 4 weeks, infiltration and necrosis in hamstrings from legs with predominant dysfunction were not higher than in those from contralateral legs, and infiltration in right-sided hamstrings was not higher than in left-sided ones, nor was infiltration at 4 weeks. At 4 weeks right-sided muscles were more necrotic (mean +/- SD, 1.8 +/- 1.5) than left-sided muscles (1.1 +/- 1.2; p = 0.03). In the absence of predominant inflammatory disease of the right leg, we interpret the hind leg asymmetry as a preferential use of the left leg, due to left-leggedness, and suggest that in CD1 Swiss mice left-leggedness is associated with increased susceptibility to CB1 myositis.

Animals↗
PubMed2006

Differential Delta expression underlies the diversity of sensory organ patterns among the legs of the Drosophila adult.

Many studies have shown that morphological diversity among homologous animal structures is generated by the homeotic (Hox) genes. However, the mechanisms through which Hox genes specify particular morphological features are not fully understood. We have addressed this issue by investigating how diverse sensory organ patterns are formed among the legs of the Drosophila melanogaster adult. The Drosophila adult has one pair of legs on each of its three thoracic segments (the T1-T3 segments). Although homologous, legs from different segments have distinct morphological features. Our focus is on the formation of diverse patterns of small mechanosensory bristles or microchaetae (mCs) among the legs. On T2 legs, the mCs are organized into a series of longitudinal rows (L-rows) precisely positioned along the leg circumference. The L-rows are observed on all three pairs of legs, but additional and novel pattern elements are found on T1 and T3 legs. For example, at specific positions on T1 and T3 legs, some mCs are organized into transverse rows (T-rows). Our studies indicate that the T-rows on T1 and T3 legs are established as a result of Hox gene modulation of the pathway for patterning the L-row mC bristles. Our findings suggest that the Hox genes, Sex combs reduced (Scr) and Ultrabithorax (Ubx), establish differential expression of the proneural gene achaete (ac) by modifying expression of the ac prepattern regulator, Delta (Dl), in T1 and T3 legs, respectively. This study identifies Dl as a potential link between Hox genes and the sensory organ patterning hierarchy, providing insight into the connection between Hox gene function and the formation of specific morphological features.

Animals↗
PubMed2004

Differential expression patterns of the hox gene are associated with differential growth of insect hind legs.

Diversification of leg appendages is one of the hallmarks of morphological evolution in insects. In particular, insect hind (T3) legs exhibit a whole spectrum of morphological diversification, ranging from uniform to extremely modified. To elucidate the developmental basis of T3 leg evolution, we have examined the expression patterns of two homeotic genes, Ultrabithorax and abdominal-A (collectively referred to as UbdA), in a broad range of species. First, our results show that UbdA expression in hemimetabolous insects is localized only in specific T3 leg segments undergoing differential growth (compared to their foreleg counterparts). In contrast, in basal hexapod and insect lineages, the absence of the UbdA signal coincides with uniform leg morphology. The same situation exists in first instar larvae of holometabolous insects, in which absence of UbdA expression in the embryonic T3 legs is associated with the lack of larval T3 leg diversification. Second, there is a clear difference in the timing of expression between species with greatly enlarged T3 leg, such as crickets and grasshoppers, and species that exhibit more moderate enlargement of hind legs, such as mantids and cockroaches. In the former, the UbdA expression starts much earlier, coinciding with the elongation of T3 limb buds. In the latter, however, the UbdA expression starts at much later stages of development, coinciding with the establishment of distinct leg segments. These results suggest that diversification of insect hind legs was influenced by changes in both the spatial and temporal regulation of the UbdA expression.

Animals↗
PubMedDate not supplied

Well-leg compartment pressures during hemilithotomy position for fracture fixation.

OBJECTIVE: To evaluate the relationship between the well-leg compartment pressures and time during hemilithotomy position for fracture fixation. DESIGN: Prospective. SETTING: Level 1 trauma center. PATIENTS/PARTICIPANTS: Ten patients who underwent intramedullary nailing of a fractured femur in the hemilithotomy position (with a well-leg holder). INTERVENTION: Continuous pressure monitoring was achieved with in-dwelling slit catheters inserted into the calf compartments of the well leg. Baseline measurements were obtained in the supine position. After the leg was placed in the hemilithotomy position, compartment pressures were monitored throughout surgery. MAIN OUTCOME MEASUREMENTS: Calf compartment pressures at baseline, during hemilithotomy position, and post-hemilithotomy were compared. The association between body mass index and compartment pressure was analyzed. RESULTS: A consistent pattern was observed between compartment pressures and time. The curve was that of a step function in which the pressure increased as soon as the leg was placed in the well-leg holder and remained elevated until the leg was taken down. The pressure jumped from a baseline of 9.2 to 27.3 millimeters of mercury (mm Hg) (p<0.0001). While in the hemilithotomy position, the leg pressure trended slightly upward. Once the leg was taken down, the pressure immediately returned to a near-baseline level of 8.1 mm Hg (p<0.0001). A significant correlation was also found between the body mass index and leg pressure (R2 = 0.713; F = 0.002). CONCLUSIONS: The use of the well-leg holder to maintain hemilithotomy position increases the calf compartment pressures dramatically and significantly. Therefore, we recommend avoiding this position for fracture fixation in at-risk patients.

Adolescent↗
PubMed1990

Gamma-Aminobutyric Acid-Inhibitory Motor Innervation of Leg Muscles of the Shore Crab.

The inhibitory motor innervation of a crustacean leg was studied in the crab, Carcinus maenas. In in vitro preparations of the central nervous system and the proximal leg nerves, motor nerve recordings demonstrate the presence of a single common inhibitory motor neuron which elicits picrotoxin-sensitive inhibitory junction potentials in a distal leg muscle, the accessory flexor. This inhibitor is the common inhibitor (CI). Immunohistochemical detection of the inhibitory motor neuron neurotransmitter, gamma-aminobutyric acid (GABA), allows us to identify three immunoreactive motor neuron axons in sections of the distal leg nerves and of proximal leg nerves. One corresponds to the CI whereas the other two are the specific inhibitors, one to the stretcher and one to the opener muscles. After nickel chloride backfills of the CI in proximal leg nerves, GABA immunodetection fails and thus confirms that CI is the single inhibitor having branches in proximal leg nerves. These results demonstrate that the inhibitory motor innervation of a crab leg comprises three and only three inhibitors: the common inhibitor innervating all leg muscles and the two specific inhibitors, each innervating a single distal leg muscle. Further conclusions can be drawn: first, a muscle innervated by more than one excitatory axon has no specific inhibitor; second, sensory afferents are not mediated by GABA. Finally, during locomotion, the leg muscles receive two very distinct types of motor input: (1) one common to all the muscles coming from the common inhibitor which was previously shown by other authors to prevent build-up of tension in the muscles, thus allowing each muscle to contract according to (2) the specific motor input it receives from its own excitors.

Journal Article↗
PubMed2004

Efficacy of IDET for relief of leg pain associated with discogenic low back pain.

Intradiscal electrothermal annuloplasty (IDET) is an effective treatment for chronic discogenic low back pain (LBP). However, efficacy of IDET for the treatment of referred leg pain has not been examined. This study was performed to assess the long-term efficacy of IDET for the treatment of referred leg pain in chronic discogenic LBP patients. Data were retrospectively analyzed as an IDET case series from January 1999 to December 2000. The IDET procedure was performed at 1-3 symptomatic levels confirmed by pressure-controlled discography. General pain outcome was evaluated by Visual Analog Scale (VAS). LBP and leg pain were assessed separately using five-point pain scales (subsets of the North American Spine Society [NASS] LBP outcome assessment instrument: 0 = no pain, 4 = worst pain) at the 18-month follow-up. Among 129 patients who underwent IDET, 30 patients underwent subsequent back surgery and were excluded from the study, giving a total of 99 patients. Eighty-three patients (83.8%) had leg pain without sciatica. Fifty-two (52.5%), 21 (21.2%), and 8 (8.0%) patients showed LBP > leg pain, LBP = leg pain and LBP < leg pain, respectively. Fifty-three out of 83 patients (63.9%) showed post-IDET improvement in pain, with a mean VAS score of 3.28 +/- 2.31. Thirty patients (36.1%) showed no improvement. A statistically significant (P < 0.05) improvement in subjective back and referred leg pain was observed. Improvements in back and referred leg pain were well-correlated (r = 0.721, P < 0.01). A relatively large number of LBP patients who underwent IDET (84%) presented with referred leg pain without sciatica. The IDET procedure afforded improvements in leg pain that correlated well with improvements in back pain (0.75/4 and 0.88/4, respectively). These data suggest that IDET may relieve associated limb pain in chronic discogenic LBP patients.

Journal Article↗
PubMed2006

Oxidative stress contributes to chronic leg vasoconstriction in estrogen-deficient postmenopausal women.

Basal whole leg blood flow and vascular conductance are reduced in estrogen-deficient postmenopausal compared with premenopausal women. The underlying mechanisms are unknown, but oxidative stress could be involved. We studied 9 premenopausal [23 +/- 1 yr (mean +/- SE)] and 20 estrogen-deficient postmenopausal (55 +/- 1 yr) healthy women. During baseline control, oxidized low-density lipoprotein (LDL), a marker of oxidative stress, was 50% greater in the postmenopausal women (P < 0.001). Basal whole leg blood flow (duplex ultrasound of femoral artery) was 34% lower in the postmenopausal women because of a 38% lower leg vascular conductance (P < 0.0001); mean arterial pressure was not different. Intravenous administration of a supraphysiological dose of the antioxidant ascorbic acid increased leg blood flow by 15% in the postmenopausal women as a result of an increase in leg vascular conductance (both P < 0.001), but it did not affect leg blood flow in premenopausal controls or mean arterial pressure in either group. In the pooled subjects, the changes in leg blood flow and leg vascular conductance with ascorbic acid were related to baseline plasma oxidized LDL (r = 0.46 and 0.53, P < 0.01) and waist-to-hip ratio and total body fat (r = 0.41-0.44, all P < 0.05). Our results are consistent with the hypothesis that oxidative stress contributes to chronic leg vasoconstriction and reduced basal whole leg blood flow in estrogen-deficient postmenopausal women. This oxidative stress-related suppression of leg vascular conductance and blood flow may be linked in part to increased total and abdominal adiposity.

Adult↗
PubMed1988

Motor activity in the stump of an amputated leg during free walking in cockroaches.

1. A rhythmic pattern of motor activity was recorded in the stump of an amputated leg during free walking in cockroaches. 2. During relatively rapid walking, extensor (depressor) and flexor (elevator) muscles in the intact coxa of the amputated leg showed one burst of activity during each cycle of bursting in an adjacent, intact leg. However, during slower walking these muscles could show two or three bursts of activity during each cycle of bursting in an intact leg. 3. Motor bursts in the stump of an amputated leg showed features similar to those of bursts recorded from intact legs. Burst duration increased with an increase in period, and the bursts generally showed consistent timing (phase) relative to bursts in most of the intact legs. 4. The motor pattern recorded in a stump was very like that recorded in an intact leg during walking, and unlike that recorded during searching for a foothold (defined in the text). It is concluded that after the amputation of most of a leg, motor neurones innervating muscles in the stump of the amputated leg continue to be driven by the interneurones that normally drive the intact leg during walking. Analysis of the motor pattern in the stump may therefore reveal important features of the locomotor control system.

Amputation Stumps↗
PubMed1979

The painful chronic anterior lower leg syndrome. A prospective clinical and experimental study.

A presumed painful chronic anterior lower leg syndrome was diagnosed in 51 patients (73 legs), 30 women and 21 men, aged 11 to 70 years, over a 2-year period. The duration of the syndrome varied from 1 month to 10 years. The patients' main complaint was pain when walking located in the medial ventral muscle compartment of the lower leg. In addition 10 of the patients (15 legs) had leg pain at rest as well and 12 (15 legs) had paresis of the extensor muscles. Thirty-four paired intracompartmental pressure recordings with the wick technique in 6 patients suggest that the more severe the syndrome the lower the pressure in the tibialis anterior muscle. Blind diathermic fasciotomy in 25 patients (36 legs) with a typical history relieved the pain and paresis completely or partly in 33 (92 per cent) out of 36 legs. No postoperative complications worth mentioning were observed. It is concluded that: 1) a chronic painful anterior lower leg syndrome should be suspected in patients with pain on walking and at rest located in the ventral part of the lower leg; 2) intracompartmental pressure measurements seem to be of little preoperative diagnostic value in non-selected patients; 3) blind diathermic fasciotomy of the anterior, medial compartment of the lower leg, including the extensor retinaculum, gives relief from pain and paresis in most patients with a typical history.

Adolescent↗