Neurophysiological Basis and Regulation of Locomotion
The physiology of walking is based on a complex system of connections between neurons located in various segments of the spinal cord. This spinal network provides basic coordination—the timely and alternating contraction of flexor and extensor muscles.
Higher control over locomotion is exercised by cortical and brainstem structures. They are responsible for adapting movements, in particular, regulating step length and the frequency of muscle contractions. Descending motor pathways running from the brain to the spinal cord are functionally divided into two separate systems. Each of these systems assumes control over strictly defined muscle groups involved in moving the body through space.
Cyclicity and Periods of Walking
Movements during walking are not chaotic; they form a strict, constantly repeating sequence—the gait cycle. This cycle consists of alternating periods that smoothly transition into one another:
- Double-support period: the initial phase in which both feet simultaneously contact the support surface.
- Asymmetrical phase: the left leg enters the single-support period (bears weight), while the right leg is in the swing period (moves forward).
- Second double-support period: a brief return to support on both limbs.
- Role reversal: the right leg enters the single-support period, and the left leg performs the swing.
Interestingly, when changing pace (acceleration), the total duration of the cycle naturally decreases. However, this reduction occurs unevenly: time is saved exclusively by decreasing the stance period, while the duration of the swing phase remains practically constant.
Biomechanics of Periods: Stance and Swing
Each period of the walking cycle is characterized by a unique pattern of muscle activity and biomechanical changes.
Stance Period (The "Pillar Leg" Phenomenon) In this phase, the trunk rests on the limb, and the leg straightens completely, bearing the body's weight. Key roles are played by:
- Plantar flexors, which provide the necessary rotation of the foot around the ankle.
- Quadriceps femoris, responsible for the powerful extension of the knee joint.
Right before placement on the support, both flexors and extensors are activated. Their simultaneous (cocontraction) gives the leg maximum rigidity, turning it into a reliable support—a pillar.
Swing Period This phase combines active and passive biomechanical processes:
- Active movement: occurs due to the contraction of the iliopsoas muscle, which pulls the leg forward.
- Passive movement: concurrently, passive flexion of the limb occurs at the knee and hip joints.
Of particular importance is the completion of the swing phase. To prevent the leg from continuing to move forward by inertia, a sharp contraction of the m. biceps femoris occurs. It acts as a physiological brake, stopping limb movement right before it contacts the support.