Fusimotor control of proprioceptive feedback during locomotion and balancing: can simple lessons be learned for artificial control of gait?

The possibilities for central control of primary spindle afferents through fusimotor efferents for gain control in motor control mechanisms are briefly reviewed. While the existence of separate pathways for independent control of static and dynamic gamma-motoneurones is well established, it proved more difficult to demonstrate that gain control of spindle feedback, attributable to alterations in static and dynamic fusimotor drive, indeed took place in voluntary movements. However, earlier qualitative indications, that Ia sensitivity (and hence the balance of static over dynamic drive) was adjusted differently in different motor tasks, have recently been confirmed in experimental simulation studies, in which the fusimotor activation profiles, that were required to reproduce chronically recorded spindle Ia discharge patterns, were reconstructed. These studies indicated that Ia sensitivity and dynamic gamma-drive were low in routine movements (walking), but that they could be dramatically increased in motor tasks which were either difficult or unfamiliar (landing from falls, balancing on narrow walk beams, adjustment to imposed disturbances). This suggested that sensitization of spindle feedback could play a significant role in motor adaptation. In line with this, studies in patients with large fibre sensory (including proprioceptive) neuropathies indicated that long-term motor deficits (affecting motor adaptation and learning) could be at least as serious as short-term motor dysfunction (due to loss of reflex control). It is suggested that spindle Ia feedback may play a dual role: in addition to its contribution to short-term reflex control of posture and movement, it may also be used for optimization or maintenance of motor programs, especially if its gain is increased by significant dynamic fusimotor drive.(ABSTRACT TRUNCATED AT 250 WORDS)