Skilled Walking Injuries

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Functional motor deficits from a SCI occur when there is an interruption to the tracts in the ascending and descending pathways. In this case, the pyramidal tracts in the motor pathways, which originate in the brain and descend to the spinal cord, are affected. The corticospinal tracts (CST), which are located in the descending motor pathways, are a bundle of nerve fibers that are involved with voluntary motor movement and skilled limb movements. The effects of damage to the corticospinal tracts depend on the location in which the damage occurs. Most of the axons of upper motor neurons from the primary motor cortex project to the neurons in the spinal cord are contained in the lateral corticospinal tract (Vogelaar and Estrada 2016). As a result, damage to this area can lead to motor impairment in the form of paresis or paralysis (Maraka et al. 2014). When axons from …show more content…

These tests are useful in revealing performance changes during functional recovery. One of the most commonly used skilled walking tests is the horizontal ladder test. The horizontal ladder task has been shown to be a sensitive tool for assessing locomotor and sensorimotor deficits in brain and spinal cord injury models and is useful in assessing the skilled locomotion of rats (Fagoe et al., 2016; Metz & Whishaw, 2009). For example, the horizontal ladder task detects deficits in the hindlimb and forelimb resulting from lesions in the sensorimotor cortex (Soblosky et al. 1997) and includes impairments in limb placement, stepping and coordination (Metz and Whishaw 2009). Additionally, the ladder is sensitive in detecting differences between forelimb and hindlimb motor deficits after a spinal cord injury - more errors are seen during hindlimb placement on the horizontal ladder than the forelimb after a cervical spinal cord injury (Muir et al.

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