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Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
 
Exp Brain Res. Author manuscript; available in PMC 2011 January 1.
Published in final edited form as:
PMCID: PMC2861904
NIHMSID: NIHMS193580

Spinal cord modularity: evolution, development, and optimization and the possible relevance to low back pain in man

“(1) Evolution is a passage from the most to the least organized; that is to say, from the lowest, well-organized centers, up to the highest, least-organized centers; putting this otherwise, the progress is from centers comparatively well organized at birth up to those, the highest centers, which are continually organizing through life. (2) Evolution is a passage from the most simple to the most complex; again from the lowest to the highest centers…[these] being at the same time most complex and least organized. (3) Evolution is a passage from the most automatic to the most voluntary.”

John Hughlings Jackson, ‘Evolution and dissolution of the nervous system’,

Croonian Lectures, Royal College of Physicians, March 1884.

Introduction

The words of Hughlings Jackson in 1884 were inspired by a consideration of what was then the recent work of Darwin on evolution. In the quoted article he applied this perspective to CNS evolution, development and subsequent neurological damage. His overall framework likely remains relevant today. Our paper’s goal is to review current perspectives on motor modularity and its mechanisms, especially at the spinal level (for Jackson ‘well-organized’, ‘simpler’ and ‘more automatic’), but also beyond. Modularity can be defined as the use of designs employing standardized components or units, allowing easy assembly, repair and flexible arrangements of the components. The simplest modules in a system, from which other larger modules might be made, can be termed primitives. This term derives from a combination of the biological definition of primitive as ‘occurring in or characteristic of an early stage of development or evolution’, the definition of primitive as an element assumed as a basis, and the computer science definition of ‘a basic or fundamental unit of machine instruction’. Like Jackson, we will argue that these modules and primitives are in significant part already organized at birth. At the end of this review, we discuss how these issues in spinal modularity and protective reflex structure may relate to trunk control and low back pain mechanisms in humans.

The degrees of freedom problem

Modularity is observed in motor control across a range of tasks, in many contexts and in most species (see Giszter, 2008). However, its origins and basis in the motor system remain controversial. There are two competing perspectives on modularity (see below), but both arise from a consideration of the degrees of freedom (DOF) problem in motor control. The DOF problem was first succinctly described by Bernstein (1967), and remains relevant in modern perspectives (Wolpert et al., 2001; Ting 2007; Todorov et al., 2005). The problem arises from an embarrassment of riches in the motor apparatus. For example, for arm reaching movements there are more degrees of freedom in the limb joint space than are needed to define the hand effector position and orientation in space, and there are more muscles operating about these joints than in principle needed to actuate the joints. This redundancy of joints and musculature necessarily causes ill-posed, or non-unique mappings and transformations to arise in motor control. These define ‘null-spaces’, as recognized and formally analyzed in robotics literature (Asada and Slotine,1986). Within the null-space there are multiple limb configurations and muscle activations that are equivalent, and solutions are non-unique. This poses problems for choosing how to move. Redundancy problems in the motor system extend beyond these arising from the limb design, and arise in equal measure within the CNS. The numbers of ways of activating, controlling and altering the patterned behavior of the limb and redundant muscles, through the interneuronal networks and the limb feedback systems are equally complex in the motor systems of mammals. Spinal circuitry presents a dazzling array of options: descending controls can act directly on muscles’ motor pools, or on the sensitivity of muscle spindles through the gamma motoneuron system, or can act on a number of complex networks of interneuronal feedback and outflow systems, e.g., the well-identified Ia, Ib, Renshaw and FRA systems. This span of options combined with distributed network organization presents numerous control difficulties (see Abbott, 2006 for examples of this issue), as well as possibilities (see Todorov et al. 2005). The complexity and richness available in motor control means there are likely to be many more actions available to an animal, and many more ways of potentially executing these actions, than the actions needed. These options may greatly exceed the total of those that will be actively used by the animal through its lifetime. This richness allows the ‘motor equivalence’ of Bernstein - the execution of the same action in numerous ways with different degrees of freedom engaged. The richness also potentially allows invention of novel motor actions, and extension of action in novel ways. This immense flexibility and its utilization is a large part of what we value in human motor control, e.g., in skilled sports, and the performing arts. However, any individual animal is unable to explore the full richness of these possibilities. Indeed for many animals the problem of selection and optimization of action in this vast search space may present acute and serious issues for its survival.

The tension between the acute need to act quickly when faced with a predator, or a prey opportunity, and the ability to act flexibly is at the heart of the alternative perspectives on modularity.

Perspectives on modularity: flexibility versus rapid response

Modularity is generally proposed to be a means for managing the redundancy and complexity described above (e.g. Callebaut and Raaskin-Gutman, 2005; Ting 2007; Giszter et al. 2007). Modularity can solve the combined problem of allowing the rapid deployment of actions in real-time and the flexible development of new actions on longer time-scales that are needed to extend a repertoire. The idea is that a modular and extensible basis set, or collection of ‘primitives’, can provide a library for the composition of movements and support optimal control and/or simpler control heuristics. Primitives can be rapidly deployed, and may simplify aspects of control if well chosen. The two competing perspectives on modularity each provide different accounts of the ontogeny of these modular basis sets and primitives, and present differing perspectives on how labile the bases and primitives are.

One perspective suggests that a set of primitives might be built into the motor system a priori by evolution, and these are available at birth as suggested in the Jackson quote. Such primitives have co-evolved with, and are matched to, the motor apparatus and matched to the actions commonly needed by every individual of a species in order to survive and thrive. An intuitive support for this perspective can be argued from a Darwinian point of view. Although some animals such as humans and other primates, and various carnivores provide the nurturing necessary for extensive trial and error practice and motor ‘play’, this is a relatively rare luxury. There is an evolutionary need for extremely rapid organization of effective action comparatively early in development in many species such as the turtle, or wildebeest, or chick (Bradley et al. 2005, 2008; and see Bradley 2003). The sea turtle must rapidly locomote immediately after hatching and leave the beach on which its egg incubated or quickly become food for a variety of predators. Built-in modules and pattern generation mechanisms provide a motor infrastructure to support this rapid development (Grillner et al., 1976; Fentress 1973).

The second competing perspective focuses strongly on plasticity and learning. It suggests that the motor system is organized to discover optimal feedback controllers and the matching optimal basis sets for motor tasks (Loeb et al. 1989, 1990; Todorov, 2004). Movement is organized flexibly via an optimal control procedure of some kind, and any resemblance of modules across tasks simply represents the constraints implicit in the chosen biomechanics and task, and not any built-in neural constraints, or the re-use of fixed modules (though re-use of learned solution sets is not excluded). An intuitive support for this perspective arises from the great flexibility of adult humans and of many mammalian behaviors, and the success of optimality principles and approaches in motor control on many levels (see Todorov, 2004).

The two positions can clearly be reconciled in a hybrid framework like that posited by Jackson: Low-level primitives built in by evolution were historically crucial to survival and even in more complex animals they likely remain very useful. They can seed early motor development and provide a rapidly deployed set of basic actions appropriate to survival and motor behaviors like locomotion that are common across all individuals. However, in complex animals such as man, they are subsequently subsumed, suppressed or modified in support of more individualized and novel elaborations of skilled actions, and likely novel basis sets for these skills are constructed de novo (e.g., see Todorov et al. 2005). We will here review the data supporting both perspectives and thus this hybrid framework.

Types of modules

Modularity has been defined in various ways, as functional actions, or as kinematic units within actions (i.e., neglecting movement execution details), or as kinetic execution elements. All definitions provide compositional bases and bootstraps for motor construction, albeit on different time-scales, and these compositions may be nested. These can also be analyzed in the Marr framework as representing modularity at levels of Task, Algorithm or Implementation (Marr 1983). Modules for movement could simply represent ‘task-oriented’ controls that are organized in motor patterns (i.e. learned), or could represent more direct ‘implementation’ features, represented a priori in the biomechanics, anatomical design and the structure and connectivity of the motor circuitry (i.e. built-in).

Modularity of actions: functional units in ethology and physiology

Both physiologists (Sherrington 1961) and ethologists (Hinde, 1970 ) have striven to identify units of functional action. Both the reflex, as conceptualized by Sherrington, the pattern generator as conceptualized by Brown, Wilson and Grillner, (see Marder and Bucher, 2001) and the fixed action pattern of the ethologists represent modular functional units within the larger behavior of the organism. These modules are situated, ecologically relevant and compositional. For ethologists, behavior is frequently described as pre-specified structures, organized through evolution. Such pre-specification combined with some ontogenetic plasticity can anticipate the specific needs and problems encountered in ontogeny, and through the lifecycle. Reflexes are similar: they combine pre-specification with some ontogenetic flexibility (Sherrington 1961, Schouenborg 2004, Wolpaw 2007). ‘Primitive reflexes’ continue to exist in mammals, including man, e.g. routing reflexes for seeking the nipple in the infant (e.g., see Zafeirou, 2004). The approaches of spinal physiologists and ethologists can thus in principle meet at the level of motor execution, and in some instances they have (e.g., Fentress, 1974). However, the complexity of the motor apparatus and the issue of motor equivalence raised by Bernstein (1967) have generally frustrated efforts aimed at a simple completion of this type of programme of strong reductionism at the level of action (e.g. see Hinde, 1970).

Kinematic modularity: strokes and limit cycles

Strokes

A range of unitary kinematic characteristics have been identified in primate and other limb movements, leading to the idea of kinematic primitives. Kinematic strokes (or ‘kinematic primitives’) are kinematic patterns identified in trajectory patterns. These were first introduced as a basis for the analysis and decomposition of multiple and figured movements (Viviani and Terzuolo, 1982). The trajectory of the hand or limb tip in reaching movements tend to be relatively straight and smooth, conforming to a minimum jerk principle (Hogan 1984; Flash and Hogan, 1985) and also several other optimality formulations (e.g., see Todorov 2004; Todorov and Jordan, 2002). Deriving from these observations, an account of movement construction as a series of kinematic strokes has been proposed. Several laboratories have developed careful decompositions of limb motions in terms of such individual trajectory strokes (e.g., Figure 1). For detailed accounts see Flash and Hogan, 1985; Burdet and Milner, 1998; Sanger, 2000; Rohrer et al. 2002, 2004; Sosnik et al., 2004. These provide a strong descriptive account of the planning of motion and trajectory structure. These trajectory organization principles hold across legged vertebrates. Similar characteristics in isochronous trajectories have been shown to occur in the cat (Martin et al., 1995) and frog (Kargo and Giszter, 2000a,b). In a still more comparative approach, Flash has shown that some features of such kinematic primitives may be broadly conserved across phyla, occurring in cephalopods possessing neither an endo- nor an exoskeleton (e.g., see Sumbre et al. 2006). The octopus tentacle tip motions show kinematic similarities to those seen in the jointed limb motions. Do these common principles imply mechanistic similarities?

Figure 1
Kinematic strokes or primitives in man. Panel 1. Elegant skilled movement is expected to arise from a coarticulation of unitary kinematic primitives and depend on the hand motion task. Coarticulation occurs in A in a quadrilateral with an obtuse concave ...

Equilibrium models and kinematic planning

It is known that the execution of kinematic strokes requires more complex and less unitary kinetics and muscle patterns. This is true even for single joint motions, and especially for full upper limb motions (Gottlieb 1998; D’Avella et al 2006, 2008). Efforts to unify kinematic modules directly with their execution have been attempted. How do the necessary supporting muscle patterns emerge for a unitary stroke or kinematic primitive? Is a unitary scheme possible? The strongest ideas that offered a possible solution to this control were notions of equilibrium point transitions (Feldman 2009; Feldman and Levin, 2009; Polit and Bizzi, 1979). The idea that posture and movement could both be achieved under a common and uniform execution scheme was very attractive. The notion was that smooth equilibrium transitions in an impedance controlled limb could account for trajectory dynamics, and kinematic stroke organization. Simple planning of motion and external mechanical interactions as series of equilibrium transitions was then possible. However, the generality of these frameworks has since lost significant credibility as a result of the lack of motion equifinality in coriolos fields (Lackner and Dizio, 1994, 2005, 2009; Dizio and Lackner, 1995 ), and cumulative results obtained in the adaptation paradigm first initiated by Shadmehr and Mussa-Ivaldi (1994). Any explicit representations of equilibrium trajectory, postures or strokes per se, have also now been questioned on computational grounds (e.g., see Todorov 2004). Further, it has been shown that there are anticipatory switches in control that occur in the transitions from free-limb motion to contact tasks, well in advance of contact. These occur both in the more automatic feline locomotion (Gorassini et al. 1994; ) and in the more skilled voluntary hand and finger behaviors of man (Venkadesan and Valero-Cuevas, 2008). Thus the unitary account posited by the equilibrium framework for controlling both kinematics and contact properties in a simple fashion is under question, though the importance of impedance control as advanced by Hogan and colleagues is not in doubt.

Acceleration fields and limit cycles

A bipartite scheme of modular kinematics, and subsequent execution and interaction planning, remains interesting, and has been used in robotics. In this scheme, kinematic planning is separated from an execution layer. Explicit trajectory plans are not formulated. Instead, acceleration fields are defined, from which motion emerges. The modular acceleration field framework captures features of both flexible motion planning and imitation learning in a general way (Schaal et al., 2003; Ijspeert et al., 2003). The modules include (1) discrete point-to-point kinematic motion primitives, with static attractor fields (similar to unitary strokes and equilibria described above), and (2) limit-cycle motion primitives. These can be used separately or in combination. Execution emerges from the combinations of these used together with a lower-level kinetic control layer comprised of a PID (proportional, integral, derivative) or other limb/body controller. This hierarchy of rhythmic and discrete kinematic planning over an execution layer has features in common with the hierarchical physiological perspective of MCrea and Rybak (2007). The rhythmic kinematic primitives in the Schaal-Ijspeert framework form compact dynamical representations of multi-joint tasks and/ or planning kinematics that guarantee task behaviors and kinematic stability. They can be used to support flexible imitation learning. The potentially close relations of acceleration fields and the spinal force-field primitives frameworks (described below) has not been carefully explored to date.

Returning to a neuroethological perspective, it should be noted that most functional behaviors involve both free kinematics and interaction phases in which force is exerted on the ground or an object. Terrestrial locomotion, food acquisition, biting, chewing and many other activities of importance to animals involve discrete or rhythmic transitions among phases of this type. Equilibriium point control attempted a unitary description of these phases. Kinematic schemes alone deal with the kinematics but do not specify the forces needed. A plausible modular basis for action construction should readily span both kinematic motion tasks, force application tasks and hybrid tasks. Execution modularity approaches explicitly attempt to do this.

Execution modularity: synergies and primitives

A modular basis that can be used seamlessly to control both kinetic and kinematic tasks, and manage environmental interactions may be ideal. Limb force-fields, and motor or muscle synergies have been proposed as such compositional bases. Modularity based on combining muscle activations and their effects in groups as primitives or synergies would be classified in a Marr scheme of task decomposition as operating at either the algorithmic or the implementation level. Muscle and force-based modular compositions are appealing because, in the limit, the basis of arbitrary force and motion generation must be the fractionated activation of individual muscles and their control of resultant joint torques and properties. Coalescing and constraining these properties into functionally useful groupings is likely to be a computationally natural and parsimonious approach to the degrees of freedom problem.

Force/torque field patterns

Under isometric conditions limb force-fields can be measured following spinal cord stimulation or attempted spinal behaviors. Acceleration fields have been proposed as a basis by Schaal and Ijspeert as described above. Muscle-generated torque-fields, and interaction force-fields combine with the passive viscoeleastic properties of the limb and its inertia to determine the limb acceleration. A force-field modularity and the associated muscle synergy modularity has gradually gained experimental support from a range of experiments (Bizzi et al. 1991; Giszter et al. 1993; Tresch and Bizzi, 1999; Kargo and Giszter, 2000,2008; Kargo, Hart, Ramakrishnan, Rome and Giszter, 2009).

Identified force-field primitives: primitives and synchronous muscle synergies

Force-field modularity makes strong predictions about muscle use and control (see Kargo and Giszter, 2008, Appendix). A synergistic use of muscles is necessary to generate modular force-fields. The muscle synergies generate the joint torques, stiffnesses, and viscosities, that with the limb configuration and velocity determine the end-point or effector force transmission, and the whole limb visco-elastic field. These properties form the basis for movement. A force-field therefore cannot be fully specified outside a consideration of the limb configuration, motion, muscle moment arms and the length and shortening velocity variations of muscles that are activated in muscle synergies. A description of force and torque generation in the limb necessarily depends on biomechanics, and the force-field description combines the muscle synergy activation with these biomechanics.

Synchronous drive to several muscles in combination with features of limb state will specify the properties of a viscoelastic force-field module. Neglecting the short-term stress/strain history of the muscle, the force and torque resulting from the muscle’s activation depend on the length and velocity of stretch of the muscle and the moment arms of the muscles. These derive from limb configuration, and joint velocities. These several transforms can be mapped as a force-field or torque-field description of the synergy muscle effects, across the configuration and velocity space of the limb. At the most fundamental level, the idea of force-field primitives thus implies modular linearly covarying muscle use (Bizzi et al. 1991; Giszter et al. 1993, Mussa-Ivaldi et al., 1994). Each synchronous muscle synergy defines such a mapping, and a set of synchronous drives and synergies thus define a set of visco-elastic force-fields. Such fields can be used as a basis set of motor primitives, in order to build the actuation patterns for a limb (Mussa-Ivaldi 1992, Mussa-Ivaldi and Giszter 1992). If pulsed activation dynamics of the synchronous muscle synergies are used then the non-linear and history-dependent stress/strain effects in muscle may be better predicted. Such pulses have been observed in experimental data (Kargo and Giszter, 2008; Hart and Giszter, 2004; Kargo and Giszter 2000b). In summary, a basis of force-field primitives necessitates a specific structure of synchronous muscle synergies and reflexes, if they are to be compositional elements that are re-usable in a simple fashion. The force-field description, and synchronous synergies, thus imply specific quantitative and testable hypotheses about premotor drive, feedback organization, and the construction of movement(Kargo and Giszter 2008; Giszter et al. 2007).

Many of these features have been experimentally confirmed in muscle synergy analyses across species.

Muscle synergies and muscle level analyses: what features should define a synergy?

Muscle synergies as premotor drive pulses and primitives have been discussed. These are a particular case of muscle-synergy-based modularity. Muscle synergy modularity has also been used much more broadly, often finessing the roles of biomechanics and force-production details, focusing on patterns of use.

Synchronous and Time-varying synergies

Muscle Synergies represent co-occuring or, more strongly, covarying muscle use, on some timescale. Bernstein emphasized this idea of coalescing degrees of freedom into synergies. Today there are sometimes quite different usages of the term ‘synergy’ (e.g., Gottlieb, 1998; D’Avella et al., 2003; Hart and Giszter, 2004; Capellini et al., 2006; Torres-Oviedo et al., 2006; Gorniak et al. 2009). A central reduction in degrees of freedom is inferred in all uses. The term synergy has been used to cover a wide range of motor control possibilities and as a result is a very weak term if not carefully defined and qualified. A ‘muscle synergy’ could represent muscles activated by a common drive, muscles recruited together in time but controlled separately, or muscles controlled in a stereotypic (but not necessarily synchronous) temporal pattern. Each of these three types of descriptions implies different things about motor patterns, underlying circuitry and subsequent force generation. Each generates different motor pattern statistics, and thus different statistical decomposition methods may be best suited to their examination. Each implies different circuitry and thus physiology. For example, synchronous muscle synergies recruited with a common drive will be best separated in electromyographic (EMG) analysis by simpler matrix factorization methods (e.g., Independent Components Analysis, ICA, or non-negative matrix factorization, or Varimax Factor Analysis, see Tresch et al. 2006; Hart and Giszter, 2004; Torres-Oviedo and Ting, 2006,7; Capellini et al. 2006). Muscles with common onsets but independent regulation of amplitudes within the subsequent burst will be best analyzed using timing-based methods of decomposition (e.g., Krouchev et al., 2006). Time varying synergies will need more complex analyses. Time-varying synergies (non-synchronous patterns) analyses require significantly more data, as compared to other analyses, because of the need for use of a joint time-amplitude decomposition to extract the time-varying patterns and to compare fit quality with the other analyses with confidence (e.g., see Discussion in Cheung et al. 2009).

Statistical data fitting techniques support modularity. Not all are ‘doomed to succeed’ as has often been a criticism (e.g. see Hart and Giszter, 2004; Giszter et al. 2007). The extracted modules can be used to test computational ideas (e.g. Ting 2007; Kargo et al. 2009; Berniker et al. 2009). However, rather than data fitting, and modeling with statistically determined bases, the larger hope of modularity research is to identify neural mechanisms. In this effort physiology is likely preferable to statistical methods. In synchronous synergy descriptions at spinal levels we may be closest to identifying such physiological mechanisms.

Physiological testing of synchronous muscle synergies and primitives

We have used synchronous muscle synergies and force-fields to analyze spinal frog behaviors (Figure 2 and Giszter et al. 1993; Kargo and Giszter, 2000b, 2008), and these can be shown to be competent to generate frog behaviors using simple feedback based heuristics (Kargo, Hart, Ramakrishnan, Rome and Giszter, 2009).

Figure 2
Synchronous burst synergies and force-field primitives in a spinal behavior. The wiping behavior can be examined in free kinematics (Panel 2 and 4) or measuring isometric force (Panel 1). The manipulations in free kinematics show cutaneous sensing of ...

Force-field primitives have been shown to be recruited in fixed duration or bounded duration bursts at spinal levels (Kargo and Giszter 2000b; Hart and Giszter, 2004). The force-field primitives can be demonstrated to be regulated by feedback systems as units during trajectory generation by frog spinal cord (Kargo and Giszter, 2008). They are regulated, added or deleted independently of other such units comprising the pattern (Kargo and Giszter 2000a; Giszter and Kargo 2000b; Kargo and Giszter, 2008) and combined by vector superposition of forces/torques (Mussa-Ivaldi et al. 1994; Kargo and Giszter, 2000b). This co-regulation of the muscles grouped in a synergy and the consequent behavior of the associated force-fields as units can be seen using classical physiological techniques such as muscle vibration (Kargo and Giszter, 2008). Unitary behavior of primitives holds true at both muscle synergy and force field measurement levels, and in all testing in the spinal frog so far, with durations of pulses conserved. It seems that at isolated spinal levels, modules comprised of pulsed synchronous drives may be the rule. These likely lie in a pattern shaping relationship to rhythm generation and pattern generation (see McCrea and Rybak, 2007).

Competence of Muscle synergies and Force-field primitives in behaviors

Force-field primitives1 and associated motor bursts may underlie the great flexibility of spinal generated behaviors. A trajectory correction response that uses vector summation of a force-field primitive has been identified in the frog (Kargo and Giszter, 2000b). Correction of hindlimb wipes in frogs demonstrates use of primitives in a real behavior (Figure 2). This analysis of correction behaviors has the significant advantage that, like physiological testing, it does not require any statistical decomposition. The correction primitive represents one element from a set of 6 primitives identified by other means. This primitive is added into the motor pattern denovo following a collision as a unitary pulse of about 275ms duration. This pulse duration was also observed in vibration (Kargo and Giszter 2008) and in motor pattern decomposition (Hart and Giszter, 2004). Muscles covary cleanly within the added pulse. This pulse of premotor drive and the resultant viscoelastic force-field addition acts to modify the trajectory generation so as to circumvent the encountered obstacle. In the spinalized frog this adjustment is generated entirely at the spinal level. As a result the limb reaches the target within 50ms of what would have been its unperturbed arrival time. The primitive is only recruited when collision occurs during the period in the motion when its superposition can successfully achieve the correction. For example, it is no longer recruited after the hip extensors’ activation, at which time the hip flexor correction response would be overpowered and ineffective. The spinal cord thus assembles the primitives based on their utility for goal attainment. In some way the cord represents the contingent relationships among the primitives and task. The degree to which this result should be thought of as representing the existence of a predictive model of the task, or an optimal control is currently unclear, but is an interesting issue. The competence of this framework for more general motion has been tested in a reduced planar version of the Kargo and Rome (2002) frog model and is near optimal (Berniker et al. 2009). The capacity of the physiological mechanisms and muscle groups identified to use simple spindle patterns to organized full 3D wiping motions in a 5DOF limb has been tested by Kargo and colleagues (Kargo et al. 2009). The compositional results in frog wiping are broadly similar to blending in turtle scratch (Earhart and Stein, 2000). Deletions of primitives have also been shown (Giszter and Kargo, 2000), and are similar to deletions observed earlier in the turtle (see Stein 2005) and to deletions also seen in fictive cat locomotion (Lafreniere-Roula and McCrea, 2005). A neural underpinning of the primitives in frog has now also been identified in extracellular multielectrode single-unit recordings (Hart and Giszter, 2009), with activity patterns resembling those of Berkowitz (2008) and Stein (2005) in turtle.

These properties of synergies and primitives in lower vertebrates appear to hold in mammals. In cat and human postural responses, it has also been shown that synergy decompositions provide compact descriptions of adjustments. In awake cats, locomotion patterns can also be considered composed of a few burst patterns which can be identified through ICA, Factor Analysis or burst onset analyses (Krouchev et al. 2006). Finally, in both walking and running in human locomotion, and in a range of additional activities, EMG can be statistically decomposed into a series of pulses of synchronous drives (Capellini et al. 2006). These are reorganized in phase and elements added and deleted across activities (Figure 3 rearranged from Capellini et al. 2006). This organization and rearrangement of modules occurs in a manner analogous to the lower vertebrates such as turtle (Stein, 2009) and frog (Giszter et al., 2007) where similar phase changes, deletions and corrections account for spinal movements. However, in contrast to spinal frogs, the burst durations in human locomotion are dilated and scale with step cycle duration.

Figure 3
Burst structure in adult human locomotion. Cappelini et al. have decomposed walking and running patterns in many muscles (Panel 1) using multiple statistical methods. In panel the similar results of factor analysis (FA), Independent Components Analysis ...

The origins of Modularity

Taken together, the data reviewed here provide substantial evidence for modular controls across a variety of tasks, and suggest modularity may be used in relatively stereotyped ways across limbed species. A number of important questions arise about the origins of modularity: Is there a common generalizable basis in every individual, or are there many special-purpose bases, perhaps each being unique to individual animals? Are bases and primitives in some way optimal and if so how? Do bases and primitives have a structural basis in the CNS or are they an emergent property? Are modular ‘primitives’ in different species builtin by evolution, or constructed de-novo in development and as learned task solutions? Examining these questions and their implications occupies the remainder of this review.

How does biomechanical design impact modularity: is anatomy destiny?

A key element of any account of modularity is the biomechanics of the controlled body and limbs. Limb structure determines the feasible task sets, modularity, and optimal controls. Bernstein considered system of many independent degrees of freedom in his discussions. However, in reality there are many anatomical constraints in biology. Muscles span multiple joints, aponeuroses couple degrees of freedom and so on. Anatomical constraints that couple degrees of freedom always potentially reduce the range of available actions, and the ranges of end-point force and joint torque relations, as elaborated by Valero-Cuevas (2009). In real-world biomechanics the apparent degrees of freedom in joint configuration and independence of actuation may be lower than it initially appears (Clewley et al., 2008; Valero-Cuevas, 2009). Multi-articular muscles and complex aponeuroses couple degrees of freedom and constrain possible patterns of use in the human hand (Valero Cuevas 2009; Valero-Cuevas et al., 2007). The body is thus not a general purpose mechanism, but is itself mechanically specialized. Significant control may be embedded in the body biomechanics and these specializations. Muscle, aponeuroses, and ligament structure and properties form ‘preflexes’ and organize mechanical ‘computations’ (Full and Koditschek 1999; Dickinson et al. 2000; Valero Cuevas et al. 2007). The feasible torque set and associated feasible force set are reduced in size by any coupling constraints. These mechanical constraints in the anatomy may initially help define robust and important behaviors, and seed learning and motor search. Both neural structure and anatomical design (Valero-Cuevas 2009) in the segmental motor system may play such a role and initially conspire against a flexible and arbitrary utilization of the motor apparatus degrees of freedom. However, to optimally use the motor apparatus there is need to transcend these mechanical and neural constraints.

Valero-Cuevas argues that the problem of the human CNS is actually elaborating flexible and optimal action in the face of the various constraints, more than the degrees of freedom problem and the associated search space issues! The CNS must learn to identify, anticipate and bypass these relatively ‘hard’ anatomical constraints so as to most fully span the capabilities of the motor apparatus. The CNS must eventually incorporate, or circumvent the constraints of anatomical structure. The construction and extension of a motor repertoire must also involve control and management of any low-level neural structures historically built-in by evolution like those in lower vertebrates. Any mechanical or neural structure that is predefined by evolution will both seed motor learning, by constraining initial motor actions, but must be overcome or bypassed for the fullest flexibility (see Wagner et al., 2007). This perspective thus contrasts strongly with that arising from a view of the motor apparatus as a truly general purpose mechanism. It is likely both anatomical and circuit constraints have been incorporated that limit the initial options for use of the motor system. The issue of how to seed motor learning in this way, and how new actions can best be elaborated in the face of these constraints, may determine what kinds of modules should form an initial compositional system for movement construction. Such modules should robustly support expansion to the entire range of learning encountered. Module structures in the initial basis should also be closely matched to limb mechanical properties as suggested by the simulations of Berniker et al. 2009 in the frog.

Only the ability to arbitrarily control muscles, so as to overcome any biomechanical or neural constraints, allows full access to the motor apparatus. This is a prerequisite for optimal controls with arbitrary task and optimality criteria. As suggested by Jackson in his 1887 quote, automaticity, structure and simplicity must eventually give way to complexity and flexibility.

Alternate perspectives: timescales for the optimization and selection of modularity

Computational frameworks enabling discovery and generation of rich optimal controls in the motor system have been proposed and explored in various ways in motor control (Loeb et al., 1989, 1990, 1999; Sanger 1994; and Lohmiller, 2001; Todorov 2004; Scott 2008). Optimal feedback control frameworks may shed light on a number of issues in motor control. To apply optimal feedback control frameworks, it is necessary to specify the family of admissible control laws, the plant structure and model to be controlled, and the quantitative task performance metrics and cost function.

In Darwin’s 200th year, like Hughlings Jackson, it may be useful to re-examine the implications of his work. From the Darwinian perspective there is a natural cost-function defined through selection in evolution. McFarland and Houston suggest the ultimate cost function of all animal behavior is inclusive fitness (as defined by Hamilton 1964): inclusive fitness is the classical fitness of the individual in combination with an adjusted fitness of the closely related individuals of partly shared genotypes which are aided by the individual. However, as they discuss, this restatement of Darwin offers little direct experimental insight into the animal’s goal function (i.e., its methods and ability to estimate and use this evolutionary cost) nor the behavior and motor control needed to implement it. Indeed the structure of this fitness ‘landscape’ may be unusual compared with the needs of conventional engineering formulations (e.g., Stadler et al., 2001). Further, the relationship of selection, fitness and observed morphology and behavior remains controversial (e.g., Dawkins ; Gould and Lewontin, 1979; Pigliuci and Kaplan 2000; Calabretta et al. 2003; Freeling and Thomas 2006). However, as an example of evolutionary construction of important structure and controls, feeding motor patterns and control structures in vertebrates are strongly conserved and/or have been very stable over evolutionary time scales (Wainwright 2002; Nishikawa et al. 1992). It seems clear that near-optimal mechanisms of modularity could be constructed on an evolutionary timescale by selection processes. They could also be constructed on ontogenetic and learned behavior timescales. However, assumptions of near-optimality need to be applied with caution for evolved biological systems. There is a potential danger of falling into the adaptationist fallacies described by Gould and Lewontin (1979) and revisited by Pigliuci and Kaplan (2000). Nonetheless optimal control approaches to motor control offer significant insights.

Optimal control approaches to modularity and selection of bases?

Optimization or constraint satisfaction approaches to motor behavior must currently be attacked in a piece-meal way, and must be focused on more tractable and localized tasks than a whole animal’s fitness. Recent optimal control successes in focused areas include predicting cosine tuning and truncated cosine tuning using a combination of signal dependent noise, accuracy, and energetics in a cost function (Todorov, 2002). Optimization has been used to examine modular postural mechanisms (Lockhart and Ting, 2007), and re-adaptation of trajectories (Izawa et al. 2008). Appropriate optimal controls choices and designs are usually Bayesian, and support the idea of some types of internal models. Optimal control algorithms can develop reduced dimensionality representations (i.e., modular or primitive-like controls) as a part of the on-line solution. Optimization frameworks thus provide both accounts and predictions about the de-novo construction of modules and dimensionality reduction. The framework also provides accounts of uncontrolled manifolds in high DOF movements (Todorov, 2004). Uncontrolled manifolds arise naturally in the models. These represent null-spaces for the task in which control effort is wasted and thus costly. Further, with signal-dependent noise, variance in the uncontrolled manifold cannot be reduced without an incurred cost of increased variance in task dimensions. The framework leads naturally to the minimum intervention principle. The predictions in this area have some experimental verification, most centered on motor control in the primate hand and arm (Liu and Todorov, 2007; Kutch et al. 2008; Valero-Cuevas et al. 2009). Explicit reference trajectories are not necessary in newer optimal control frameworks and a range of on-line correction phenomena are thereby captured. The great successes and importance of these perspectives are indisputable, and they provide a possible ontogeny for primitives. However, these approaches have not yet been able to shed light on the relative importance of historical and ontogenetic timescales (or nature/nurture issues) for the optimization and construction of motor modularity.

Evolution of modularity

A range of different evolutionary pressures can impact motor tasks and modularity and the ‘design’ of a low-level basis. For example, in control of terrestrial locomotion, an animal might at different times be most concerned with mechanical efficiency, with specific patterns of energy delivery and recovery, with motion symmetry, with foot placement, with joint and muscle wear and tear, with balance and stability to perturbation, with terrain tracking, with steering, or with the efficacy of its pursuit or avoidance strategies. Can simple bases of primitives support such a range of needs? Several of these listed task constraints may in practice be handled as much by physical design of the body as by active neural control (e.g., Kuo et al., 2005; and earlier discussion here). Many of the task features desirable in a limb may also be near-optimized simultaneously using appropriate controls matched with the evolutionarily constructed biomechanics (Collins, 1995).

Animals must perform well across a range of significant body size changes, on a range of terrains, with various orientations to gravity, and across a range of speeds. These performance ranges can radically alter the optimal strategies of control and roles of musculature. For example Full has shown the cockroach can run at speeds that preclude the use of feedback operating in the same way as it does at slower speeds (Full and Tu, 1991). Cockroaches can climb vertical walls and crawl upside down with radically altered body loading (Duch and Pfluger, 1995; Larsen et al., 1995). Cats also significantly alter their locomotor patterns on inclines (Smith and Carlson-Kuhta 1995). There is a clear need for flexibility and extensibility, and built-in support for on-line optimization of such behaviors. Any CNS modularity must be able to robustly support near-optimal behavior across the full range of tasks, conditions and the motor adaptations used. Low-level neural structures might be evolved to ‘anticipate’ this range in their structural organization. Modularity supporting construction of simple optimal feedback control strategies across the repertoire is likely needed. The work of Berniker et al. 2009 supports this view that observed primitives may have near-optimal properties of some kind. It remains to be clearly established what the relative contributions of nature or nurture are to construction of such modular primitives.

The idea of incorporation and modularizing of structural innovations and optima by natural selection has been explored by researchers in the evolution of modularity and complexity, and may relate also to investigation of the idea evolvability (see Brookfield, 2009, Draghi and Wagner, 2007). The ideas have first been explored in terms of cellular and anatomical complexity. An account of the evolution of modularity can be drawn from Thomas (2005), Wagner et al. (2007, 2005) and their considerations of skeletal and neural structures. An abbreviated account of the evolution of built-in modularity would go loosely as follows: First, we presume that the units of control, initially muscles and joints spanned, are also units of selection and can undergo several selection-related operations in their low-level control circuits. Examples would be deletion from use, control module duplication, merging of modules with other units, or splitting into sub-component units such as separate muscle compartments. Ab initio, given the definition of muscles as the finest grain of control and selection, we ignore splitting and changes in the skeletal structure. A modular system would evolve due to economies of scale from a system formerly composed of separated circuits and individuated motor controls. Under selection pressure, it would be energetically efficient for circuits supporting particularly useful movements to be merged where feasible (e.g., escape behaviors, mating behaviors etc). Instead of separate control circuits for these behaviors, a new modular basis for these would be built. This modular basis would necessarily provide a degree of generalization across the ethologically important behaviors from which its circuits were derived. The generalized basis could enable new behaviors, and be duplicated, or merged with other such bases and modules. These operations would result in further modularity within the system, while the generalization properties extend the use of these new modules to multiple contexts. The extension of use made possible would likely to occur on both evolutionary and ontogenetic timescales, allowing the modules to “span the space” of possible tasks. The ontogenetic plasticity of tasks enabled by modularity can provides ‘Baldwin effect’ : a selection for generalization learning enhancing the evolutionary plasticity. In such a model of motor evolution, increasing modularity and generalization of motor control becomes much more likely as new environmental contexts place new constraints and demands on the control and the physical plant. Finally, we re-emphasize that the repeated de novo learning of the same predictable optimization solutions over and over in each individual in a population, and in each generation is energetically inefficient. Search for optimal solutions, even if it is possible in real time, expends energy and wastes time and resources that could be devoted to other, more pressing tasks, or to better optimizing a task in the allotted time available if the solution were built-in. The first organism that short-cuts that search with (an appropriately general) hard-wired solution would be at an energetic (and temporal) advantage (see Wagner, 2007). The built-in solution clearly need not be fully optimal, but merely confer some speed up and fitness gain.

Evolution, nested modularity and construction of optimal controllers for novel motor behaviors

Often, the framework of optimality principles and the notion of built-in spinal primitives are characterized as in opposition, especially as modularity may be a control outcome from optimal controls. However, from an evolutionary perspective, mechanisms that improve motor function are unlikely to operate only on the timescale of the individual organism any more than on the timescale of a single movement, but rather on all. The motor system is a structure constructed historically by evolutionary processes. Built-in solutions may have advantages, as just discussed, provided flexibility is not severely compromised. Evolutionary processes layer onto, rescale and modify designs. Such historical continuity places additional structural constraints on how biological motor systems are built and organized on the timescale of the individual lifespan as well as on evolutionary timescales (e.g., see Wagner et al. 2007). On evolutionary time-scales new structures must be compatible with older structures. In contrast to industrial practice, when new evolutionary innovations in anatomical design or neural control principles occur, the biological systems cannot be retooled from the ground up to best implement or utilize the improvements, as an engineer might do with a new technology. Nonetheless, populations subject to selection can clearly search execution spaces much more thoroughly than their component individuals. For an individual organism the time for exploration (or play) in movement development may be severely limited. For example, there are significant selection pressures for rapidly elaborating successful movement in many organisms including mammals: a wildebeest calf must be ready to move with the herd within only a few hours at best if it is to survive. There are also tasks that are needed only briefly and transiently either in early or in later life with little or no practice opportunity available. There are needs for contingency behaviors that are only intermittently employed in individuals but are crucially important to survival (e.g., Tritonia escape behaviors, see Wyeth and Willows, 2006). The extent to which the degrees of freedom problem looms large in selection of the neural controls of these processes is a subject of debate. However, present engineering capabilities fall well short of designing either mechanisms and/or controllers that can rapidly and safely learn to control themselves in real-time and on-line when faced with, say, the high degrees of freedom of a locomoting wildebeest calf.

In summary, from a Darwinian perspective, built-in motor structures and their variability can significantly impact survival and are subject to selection. They are likely to have a structural basis and contain strong structural constraints, which can be both adaptive and/or historical accidents. These constraints can incorporate information related to the prior motor experiences of many generations. The resulting structures can potentially assist plastic motor behavior to operate in near-optimal and robust domains and provide for rare but survival critical eventualities. From an evolutionary perspective, avoiding long-term failure is more crucial than briefly succeeding in a task optimally. Appropriate structures can also potentially seed the motor development process, as they circumvent some problems of degrees of freedom, and thus support the more flexible learned motor behaviors that may be needed on an individual basis.

If evolution builds in prior anatomical and neural control structures, it would make sense that these should likely be modular and satisfy several criteria:

  1. provide a compositional basis, (a set of primitives and other motor infrastructure) adequate and possibly near optimal for the most common evolutionarily tasks.
  2. support survival critical tasks that are not readily or sufficiently quickly learned denovo. These include protective, escape and other emergency reflexes.
  3. provide a robust starting point for learning that can be generalized and optimized.

Given these features, optimal feedback control mechanisms that operate at a more abstract level in the upper motor hierarchy can then elaborate more sophisticated task controls for more arbitrary and specialized tasks. The motor system must learn to work with, through or around the prior built-in structures to construct these more optimal task controllers for novel behaviors.

Optimal feedback research in motor control can shed light on these extensions and expansions of function. Without explicit consideration of a notion of an evolutionary or ‘ecological’ basis set at lowest levels, similar issues have been discussed by Todorov. Hierarchical modularity and can be used as a way to cope with redundancy and to achieve near optimal feedback controls in such systems (see Todorov et al. 2005). Todorov shows how near optimal feedback controls can be constructed in such a hierarchical framework. Intuitively, in his framework the low-level controllers and plant form a new ‘augmented’ plant for the higher-level controller, and when well chosen allow near-optimal control by this higher-level controller (Figure 4, redrawn from Todorov, 2005). Successive nestings of this framework in principle allow a hierarchical control of a redundant plant supporting approximately optimal feedback controls. The characteristics of the low-level controllers in the motor system are likely to be highly significant in enabling such approaches, as discussed above. Low-levels should guarantee stability, e.g., by emulation of passive dynamics (Colgate and Hogan 1988) or design of more general contracting system structures (Wang and Slotine 2005; Richardson et al. 2005; Slotine and Lohmiller, 2001). Appropriate muscle synergy modularity may satisfy these criteria. Low level robustness and optimality would presumably be useful design criteria in the successive augmented plant structures in the hierarchy. Evolution of such a hierarchy may have largely hardwired the lowest levels’ neural components in such a scheme to provide a near optimal generalizable basis. The degree of plasticity and hardwiring ascending through the hierarchy would match that suggested by Jackson.

Figure 4
A hierarchical optimization scheme proposed by Todorov et al. 2005 has the structure shown (from Todorov 2005). The low-level control provides plant control u(v,x) and abstracts and delivers information suited to the high-level control y(x). The high-level ...

New motor behaviors could thus be built in such a hierarchical control (1) using the augmented plant by gradual extensions derived from the prior low level basis of built-in motor primitives, or (2) by adding controls and new sets of task-dependent primitives using the other control options presented by the augmented plant. Indeed to build a repertoire that fully utilizes the possibilities of the anatomical motor apparatus may need both approaches, for the reasons described above. In such a scheme many ‘task-dependent primitives’ might be constructed in the higher centers of the hierarchy. It has been argued that in cortex/cerebellar/basal ganglia systems there may be many more such ‘task-dependent primitives’ than muscles. This matches very well with Hughling Jackson’s perspective. However, presumably, in early learning, using the low level basis will initially be simpler than identifying controls de-novo from within the potentially highly redundant circuitry and biomechanics.

Spinal cord and corticospinal development and plasticity in relation to modularity in mammals

Low-level spinal control systems do show significant plasticity on several different time-scales. Mechanisms to alter spinal pathways fairly permanently as well as transiently exist (see Wolpaw, 2007). Many of these are supervisory descending controls. However, even the isolated spinal cord has plastic mechanisms supporting some local but ill-defined optimality (see Grau et al. 2006). The goals of intrinsic low-level or spinal plasticity may be simply to support motor execution by the evolutionarily defined structures. For example, in invertebrates, in stomatogastric ganglia of crustacean adult pattern generation may operate and self-adjust within a contiguous region of the adjustable neural parameter space (see Prinz 2006; Marder and Goaillard, 2006). However, we do not know if development and adult maintenance of low level motor patterns, in most animals, admit multiple solutions and allow significant parameter wandering. The circuitry could potentially remain in flux in a contiguous ‘null-space’ domain in the neural parameter space where pattern, primitive or task performance is unaffected. This has been suggested by Bizzi and colleagues in the cortex (Rokni et al. 2007) but might partly hold even in low-level spinal circuitry.

We do not know if solutions for movement for limbs and whole body control that arise early in development can seamlessly be modified and carry forward as behavior becomes complex (but see Bradley et al., 2005). In the development of the rat, (see Clarac et al., 2004) crawling skills may transfer continuously to waddling and finally to parasagittal limb use in walking, trotting and galloping. The later behaviors only mature in the context of developing corticospinal and cerebellar controls, and patterns and compensations mature very differently after spinalization (Giszter et al. 1998, 2007, 2008). However, from the outset, the spinal modular bases needed for a development like the rat’s across these variations might also have to be predictive of likely future needs across the task sets.

There is also strong evidence for precise and hardwired ‘scaffolding’ of the lowest elements of the motor system in spinal cord. Motor pools are segregated anatomically, with numbers proportional to their ultimate needs, into columns in stereotypic locations during development (Dasen et al., 2003). A relatively uniform fraction of the cells are then pruned by subsequent cell death. Primary afferent projections to motor pools are also relatively hard-wired. These observations suggest there are quite orderly genetic controls of several spinal cord structures that are ‘built in’ by evolution before any plastic tuning can occur. Projections are precisely ordered (e.g., Cabaj et al. 2006; Lundberg et al., 1987a,b). Some of these circuits may relate to described primitives (e.g., Lundberg 1987b).

Descending mechanisms that control, alter and tune spinal motor systems are likely to work best in the framework of some initial ordered connectivity and structure of their targets as suggested in the scheme of Todorov et al. (2005). Descending systems may first build an appropriate connectivity with the spinal apparatus of pattern generators and primitives constructed by evolution. They otherwise face a more complex problem of where to connect, of how to modulate pathways, and of making credit assignments to the control outcomes (e.g. see Abbott 2006).

Throughout life, further tuning, plasticity, and adaptation to ontogenetic variations and life history mishaps are also clearly needed in spinal cord and are used in most animals (e.g. see Loeb 1999; Wolpaw and Carp, 1993; Schouenborg, 2004; Martin et al., 2004; Rossignol, 2006; Grau, 2006; Wolpaw, 2007). Despite the exquisite plasticity available, and paralleling Hughling Jackson’s quote, for the reasons discussed above we suggest that employing relatively structured hardwiring of modularity at the low levels of motor control is favored by evolution. It initially simplifies learning and plasticity, and creates an appropriate scaffold and bootstrap for building motor function as efficiently as possible. It can also provide protective reflex infrastructure that anticipates the needs in trauma or excess stress. However, how quickly such low-level structures can evolve and alter in vertebrates is unknown.

Speculations on trunk control and low back pain in man from a perspective of evolution and modularity

Human low back pain may be an interesting place to consider these evolutionary, hierarchy, optimality and modularity issues. A set of well-organized modules and protective reflexes for trunk control may exist in man, which were built in by evolution. However, we speculate that these are best suited and organized for quadrupedal task functions. They are needed in developmental processes in infancy and have not yet been subject to enough selective pressure or modified by evolution sufficiently to best meet the needs of bipedalism. We suggest that such a disparity between the biomechanical and control needs of bipedalism and a protective modular motor infrastructure organized for quadrupedal function may conspire to slow or interfere with optimal motor recovery from low back pain and trauma.

Spinal column control and low back pain are areas of motor control in which a combination of many degrees of freedom, neurally ancient mechanisms, and motor learning and adaptation all interact. There has been little exploration of notions of evolution-determined reflex motor primitives, and learned motor primitives in trunk control in quadrupeds and man, and their potential interactions. The trunk is a basis for all limb motion, and trunk motion errors will propagate and are amplified to still larger limb end-point errors as discussed by Scott and Loeb, 1994. Trunk postural control is likely integral to understanding limb control, though it has not been as well explored. For example, the body is often actively turned at speeds of 20-30 rpm. In the Lackner and Dizio rotating room experiment (Lackner and Dizio 1994 ) this induces major coriolis forces and resulting pointing errors and requires considerable on-line adaptation, but the anticipation of these forces in day to day motion is seamless. A gradient of proprioceptive density in muscles reaches peaks in axial musculature and this gradient is consistent with error propagation concerns (Scott and Loeb, 1994). Learned control of spinal column motion is likely crucial in the transition from quadrupedal postures, with the spinal column acting as a catenary, to bipedal postures and locomotion in man, with the spinal column acting as an unstable column. This likely involves the reorganization, and suppression of a range of reflex responses and learning de-novo of a new set of spinal and voluntary responses in the trunk. The strategies and the quality of spine balancing may also vary, with concomitant alterations in muscle use (e.g., Claus et al. 2009). These bipedal controls must be learned on a background of ‘spinal infrastructure’ that evolved for quadrupedal locomotion and/or brachiation for much of primate history.

The proposed framework

Low back pain is one of the most costly disorders in western society. It tends to afflict middle aged humans, who are possibly beyond the evolutionarily usual ‘expiration dates’ of the even recent past. The stabilization of the spine in vertical postures must be active (Panjabi 1992) and motor activity alters in back pain (e.g., van Dieen et al,2003) . There are several proposed models to account for low back pain, motor patterns in low back pain and recurrence patterns. Current models of low back pain include (1) the pain-spasm-pain model (Roland), in which pain increases muscle activity, causing further loading of damaged tissues and increasing pain, (2) the pain adaptation model (Lund) in which agonist activity is reduced, antagonist activity increased so as to slow motions and reduce range to protect tissues. Neither model is unambiguously supported by the literature on motor patterns (van Dieen et al. 2003) or the clinical community. Motor activity may increase or decrease in different studies and instances. The most consistent changes are reduction of activity and anticipatory action in the deepest axial and trunk muscles, specifically the multifidus and tranverse abdominis (Hodges and Moseley 2003, MacDonald et al. 2006). Another alternative model (3) is that all changes are geared to stabilization to cope with problems of instability due to poorer mechanical, muscular coordination, or muscular power generation (van Dieen et al. 2003). A framework which might reconcile these notions and some of the disparities may be obtained by reframing the clinical problems in an evolutionary and comparative framework. Bipedalism likely developed in early hominids as a learned behavior well prior to cortical expansion (Jablonski and Chaplin, 1993). We hypothesize that biomechanical protective mechanisms and reflexes, especially damage related ones, are likely built into the motor system and hardwired by evolution. Moreover, they may have evolved further only very slowly in man following the development of bipedalism. In support of this, many aspects of the basic musculo-skeletal plant structure in man shows remarkable anatomical similarity to that of quadrupeds despite human bipedalism (Schilling et al. 2005). Many anatomical peripheral and central mechanisms seem somewhat conserved in mammalian trunk and proximal limb evolution (Fischer and Witte 2007). Locomotor mechanisms are strongly conserved (see review of Dietz, 2002). A range of ligament and spindle based motor reflexes and protective reflexes clearly exist in the feline (e.g., Stubbs et al. 1998; Holm et al. 2002). Some of the grosser of such elements are seen in early human development or revealed in stroke (e.g. Galant reflex, see Zafeirou, 2004). How much the quadruped system of trunk reflexes is altered or lost in man is unknown. CNS genetic change in man may be slowed compared with other primates (Wang et al. 2007). If we assume there has been significant conservation of many trunk structures and controls as our departure point, this points toward several possibilities

  1. Quadrupedal protective and locomotor control structures remain as a built-in predisposition in the human motor system. Among these are protective reflexes that were evolved as a protection for a spinal column that acted as a loaded catenary between two points of suspension from which the abdomen was suspended. They come into play instead in bipedal humans in a spinal column loaded in compression along its axis and intrinsically unstable.
  2. Quadrupedal locomotor control mechanisms available at birth are gradually coopted or suppressed by a higher level control in support of the learning and development of voluntary control of bipedalism. An example would be the infant Galant or trunk incurvation reflex.
  3. The spinal column protective reflexes (derived by evolution for quadrupedal biomechanics) remain available, but dormant or covert, in the absence of pain and inflammation. They can later be released by physical trauma or degenerative damage. They then act to interfere with voluntary bipedal control: they ‘stabilize’ the spine in a manner best suited to quadrupedal not bipedal locomotion (i.e., adapted for a different mechanical task set), and thereby exacerbate pain and instability conditions.
  4. Protective neural reflex mechanisms never before experienced can re-assert themselves after later-life back trauma. These mechanisms present the motor control system with a unique interference problem - one not readily anticipated during the ontogeny of bipedal control. A new complex high-dimensional dynamics is imposed on the normal trunk controls by the previously dormant protective reflexes well after critical periods and the high plasticity of early development. As a result learning is slower: the newly experienced but evolutionary determined mechanisms need to be identified de-novo by the human motor control system and their management must be learned anew in the traumatized axial neuromechanical plant. This may be a nearly unsolvable motor problem (e.g., see Sanger, 2004).

This framework is diagrammed schematically in Figure 5. How does it impact ideas about low back pain in man?

Figure 5
The synthesis of high-level and optimal feedback controls (A) with low-level built-in compositional units (C). The optimal feedback controller A can suppress spinal reflexes, recruit pattern/rhythm generation, pattern shaping primitives, or motor pools, ...

The biped human spine: anatomical constraints

The spine is a complex biomechanical linkage composed of many joints and muscles. Despite the transition to bipedalism, only minor evolutionary changes of this region are reported: shortening of the lumbar spine; widening of the pelvis; reduction of the cross sectional area of the lumbar extensor musculature; and development of a lumbar lordosis (Schilling et al., 2005). It is well accepted that this complex structure of bones, ligaments and intervertebral discs (passive structures) is inherently unstable in man without the contribution of the spinal musculature (Panjabi 1992; Cholewicki & McGill 1996). Devoid of muscles, the thoracolumbar spine will buckle under a 20N compressive load (Lucas & Bresler 1960). Therefore, trunk muscle activation is necessary to stabilize this complex linkage (Cholewicki & McGill, 1996) However, neuromuscular control of spine stability must also integrate with control of spine movement, respiration and continence functions. Task conflicts can occur among maintenance of spine posture, whole body equilibrium with respect to gravity, coordination of trunk and extremity motion and control of intervertebral motion (linkage stability). The CNS must continually organize controls to overcome predictable and unpredictable challenges to the system using appropriately timed and modulated responses.

Muscle synergies in posture

For ease of understanding the roles of specific trunk muscles a functional separation was proposed by Bergmark (1989). This model differentiates contribution of the musculature to stability and movement roles, based upon their anatomical characteristics. The ‘local’ muscles are those muscles that cross only a few intervertebral segments, have small moment arms and are suited to control intervertebral motion (stability). These include the lumbar multifidus, intertransverse and interspinal muscles along with the transverse abdominis. The ‘global’ muscles are much larger with significant moment arms and torque generating capacity with attachments spanning from the pelvis to the thorax, and thus crossing multiple intervertebral segments. These muscles appear better suited for control of trunk motion and orientation (erector spinae, rectus abdominus and obliquus abdominis muscles). In addition, the quadratus lumborum and psoas major have been described as both stabilizers and prime movers. These former limb muscles in quadrupeds, now serve to stabilize and control frontal and sagittal plane movement (Schilling et al., 2005). While this description is likely an oversimplification of the trunk muscle system it has contributed to an appreciation of why the CNS uses many different control strategies. The CNS has to integrate competing functions to accomplish a defined task, and functional muscle synergies may be constructed to reduce the multiple degrees of freedom and manage muscle and skeletal redundancy. This has been supported in part by Torres-Oviedo and Ting, (Torres-Oviedo and Ting, 2007) who identified several robust muscle synergies that reproduced the reported “hip/trunk” strategy used by subjects during multidirectional platform perturbations and by work in our lab that identified several muscle synergies consistent across subjects and tasks that reconstructed control of trunk forward bending and reaching tasks. (Silfies, Hart, Cannella and Giszter, 2009).

Development of low back pain

So how are muscle synergies developed for bipedalism and balance of a now vertically oriented spine? The development of postural control of the trunk is essential to the development of standing balance and gait. The progression of control in infants moves from the head (mapped to visual and vestibular reflexes), to coordination of head-trunk in sitting (mapping head sensorimotor control to the trunk). As muscle strength increases, infants move to exploration of the environment via a more primitive crawling. They then begin to develop upper extremity reaching, standing and walking (integrating control of the leg muscles and the trunk). Finally this sets the stage for adaptive capabilities that allow us to modify these strategies to changes in the environment, or changes in the task, moving gradually from skills of the toddler to those of the expert soccer player. This progression largely holds for both the reflex-hierarchial and the systems model clinical accounts of balance and gait development. The role of reflex and low-level development may be to provide the framework on which to build the more plastic learned sensory and motor relationships.

In keeping with the suggestions of Todorov, Scott, Wolpert, Shadmehr and colleagues, a range of new optimal feedback mechanisms and new synergies may be constructed through development, to subsume the low level primitives and mechanisms available at birth. Across individuals we likely develop very similar feedback controls and synergies that are used in the most common positional changes (sit to stand, stand to walk), anticipatory and reactive balance, (ankle and hip strategies), and gait activities. We also build more specialized motor synergies used for specific but specialized tasks repeated in our work, sporting and leisure activities. The relative strength of these synergies is likely dependent upon the frequency of their use and the health of the physical plant. However, in some cases the excessive repetition of specific patterns of movement and motor tasks may result in asymmetrical loading to tissues and physical plant injuries.

Starting in the third decade, the passive structures of the spine begin to show degenerative changes. This along with an increasingly sedentary lifestyle can result in gradual muscle deconditioning and alteration in weight distributions that further challenges the controller and plant limits, and this could lead to altered control strategies that eventually result in development of low back pain (Cholewicki, 1997; Panjabi, 1992). If we consider degenerative changes or injury to the physical plant as the primary pathway to development of low back pain, then the pain may recruit and support the emergence of unanticipated and more ancient protective behaviors in the spinal controller or ‘augmented spinal cord trunk plant’. The symptoms, reflex interference and biomechanical alterations or inaccurate afferent information may precipitate maladaption of constructed muscle synergies, or result in new reliance on the noxious protective reflexes to manage control and linkage stability of the complex vertebral column. For example, cyclical or static trunk flexion results in reflex changes to the paraspinal musculature that lasts long after the activity is completed (Granata, 2005; Rogers, 2006). These reflex changes may contribute to an increased risk of injury (via altered mechanoreceptor input to the controller). Repetition of these prolonged trunk flexion task may also result in changes to muscle synergies that place a person at risk for development of low back pain.

However, we should also consider the possibility that the route to low back pain originates a-priori in sub-optimal coordination or dis-coordination. Some individuals may not discover and optimally adapt bipedal controls that are well matched to the built in evolutionary modular trunk controls, and so create less robust controls, vulnerability, increased skeletal stress and set the stage for development of low back pain. Evidence of altered motor strategies are reported for anticipatory postural responses in patients with current (Silfies, 2009) and previous low back pain (Hodges, 2001; 1996; 1998). Balance impairments in patients with low back pain are reported during both standing (Luoto, 1998; Bly & Sinnot, 1991; Henry, 2006) and sitting (Radebold,, 2001) and may indicate changes or differences in the accuracy of the postural control system. Changes in trunk control strategies have also been reported particularly related to altered amplitude modulation between ‘local’ and ‘global’ trunk musculature (O’Sullivan, 1997; Silfies, 2005). It has been hypothesized that the reported excessive ‘global’ muscle activity in patients with low back pain is an adaptation that results from poor passive structure or ‘local’ muscle control of the spine (Cholewicki, 1997).

Both reflex increases (Hodges et al, 2001; Zedka et al, 1999) and inhibition of muscle activity (Hides et al, 1994) have been reported in patients with low back pain. Patterns of co-contraction (protective splinting) have also been reported (Radebold et al, 2000; Lariviere et al, 2000; Lamoth, 2002). This co-contraction strategy has been associated with greater force variability and fatigue of trunk musculature that further impairs neuromuscular performance (Reeves et al. 2008). Inhibition of the lumbar multifidus muscles has been suggested as the reason for rapid atrophy in patients with acute low back pain (Hides et al, 1994; 1996), lumbar radiculopathy (Hyun et al, 2007) and those undergoing prolong muscle tissue retraction during spinal surgery (Gejo et al, 1999). These reflex changes in muscle behavior may force the controller to radically alter its behavior and use previously inhibited and abandoned reflexes, old muscle synergies or to create novel or altered muscle synergies to accomplish a specific task. In any event, it is clear that our optimal controls do not cope well. An example of an adaptation reported during gait is a reduction in axial trunk rotation and an increase in-phase movement of the trunk and lower extremity (Lamoth, 2005). If trunk rotation is a trigger for timing of leg synergies, as suggested by Allum (1995) this adaptation may affect other muscle synergies and controls used in the specific task, and present the optimal feedback controllers for limb and trunk motion with a massive and high-dimensional challenge.

Motor adaptations initiated during the acute pain period of a low back injury may remain in place after injury resolution or elimination of pain and may play a key role in recurrence of symptoms (Hides, 1996 and 2001; Rasmussen-Barr, 2003). These new controls may result in undue stress to spinal structures, and may contribute to a 73% (within 12 months) recurrence rate of low back pain symptoms (Pengle, 2003). A growing body of evidence suggests that poor muscular control of the lumbopelvic region is a significant impairment present in a large number of patients with recurrent low back pain (Cholewicki, 2003; O’Sullivan, 1997; Radebold, 2001; Silfies, 2005). In fact, previous history of low back pain appears to be the best predictor of recurrence (Greene, 2001; Cholewicki, 2005).

Current rehabilitation strategies and proposed directions

Despite data that identify altered trunk neuromuscular control strategies in patients with low back pain, the efficacy of current interventions to improve trunk control and stability are largely unknown. To date, exercise approaches for patients with low back pain attributed to poor trunk control have been developed by combining aspects of Panjabi’s (1992) theory of spinal dysfunction, Bergmark’s (1989) functional anatomical model of the trunk, and the research on spine stability and control (Cholewicki & McGill, 1996; Hodges & Richardson, 1996; Hodges 2001; McGill, 1997) resulting in rehabilitation programs that emphasize use of specific stabilizing muscles (transverse abdominis, internal oblique and lumbar multifidus) to restore active control and stability to the trunk (e.g. core stabilization, dynamic lumbar stabilization) (Jull & Richardson, 2000; Saal & Saal, 1989). The most widely used program emphasizes initial training of these stabilizing muscles using isometric co-contractions (Biely, 2006; Jull & Richardson, 2000; O’Sullivan et al., 2000). Following restored ability to co-contract the transverse abdominis and lumbar multifidus, exercises progress toward control of trunk position during extremity movements and functional activities. This approach serves as an opportunity for the CNS to reorganize its control: to remap and re-weight sensory information, trunk position/orientation and motor actions of the extremities. Giving patients the opportunity to practice this remapping with augmented and random feedback during different tasks (sitting, standing, walking, lifting) within different environments (open, restricted, noisy) and conditions (perturbed or unperturbed) may enhance recovery of efficacious muscle synergies. How long this process takes will depend upon the status of the physical plant, which protective neural reflexes or primitive synergies have taken over and what length of time the patient spent functioning with these suboptimal motor synergies. It will also depend on fundamental motor issues that are as yet unresolved, but reflected in Jackson’s quote. If flexible and near-optimal feedback controls operate at the higher levels of the CNS to support bipedal behaviors, how robustly and optimally can these cope with the high redundancy spinal column when faced with sudden perturbations to this core biomechanical structure and its low-level control? These low level perturbations in the core biomechanical structure will have sequelae that propagate throughout the biomechanical chains of the body.

The theory, methods and data analysis techniques discussed in this paper offer a new approach to characterizing the mechanisms underlying control of the human spine that may potentially benefit the study of low back pain. To date, little work has been completed on characterizing task-specific or task-independent trunk muscle synergies in both healthy individuals and in patients with the low back pain during common functional tasks. This approach may also provide a model from which to study the ability of current therapeutic exercises to change or optimize trunk muscle synergies and patient outcomes.

Conclusions

In summary, significant data across vertebrates support modularity in motor control. Without modules and primitives, the degrees of freedom problem may present a major impediment to motor learning and development. However, it is possible in primates and other mammals that instead, or in addition, there are neural computational mechanisms that can readily cope with the design of optimal high degree of freedom controllers. Optimal feedback controllers lead naturally to reduced degree of freedom representations, i.e., modularity or primitives, and may achieve various types of robustness desirable in biological motor control. However it seems unlikely that all modularity observed in mammals is constructed by optimal control processes acting on the timescale of the individual. The nervous system was historically constructed by Darwinian evolution, with a need for robust survivable behavior at every stage. An optimal and highly flexible construction of modularity may be achieved by historically more recent mechanisms like neocortex. However these strategies were presumably unavailable to historically earlier antecedent forms, and in current species without such computational apparatus. Instead, for these, near optimal modularity and robustness might be built-in on evolutionary timescales and constructed in hardwired structures. These might remain as a historical legacy or remain as a bootstrap even when very flexible motor control was layered over these as it was enabled in evolution by the additional or augmented neural circuitry. The conundrum currently faced is to what extent John Hughlings Jackson’s analysis is correct for human movement. To what extent does evolution-constructed modularity remain, either as a seed for motor learning, or as a submerged infrastructure emerging only in neurological deficits or as a result of trauma-elicited protective mechanisms? Some crucial comparative data needed to address question that are currently missing. However, we suggest here that nonetheless there is plenty of data to suggest that the evolved low-level structures have not disappeared. It is likely that they are available and can be active, for better or worse, in man. They cannot be ignored and may form an important part of any account of motor control. We need to not only explain why we can have exquisite human motor performance, but also explain why, in conditions like low back pain, we can sometimes have massively debilitating interference in motor control after relatively minor degenerative changes or trauma in our physical plants, while the clinical data also show that similar trauma can apparently leave other individuals completely asymptomatic. This may require an understanding of both high-level optimal motor learning, and the history-derived low-level composition of trunk and limb motor control systems.

Footnotes

1While muscle synergy, premotor drive burst, and motor primitive have been used as largely synonymous terms, we suggest that the term ‘primitive’ may best indicate the idea of a set of building blocks or a developmental bootstrap elements that is used in a constructive or compositional fashion. Synergy is a significantly broader term, while synchronous premotor drive burst is more specific and potentially narrower.

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