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Central pattern generators also contribute to locomotion in humans. In 1994, Calancie, et al. described the "first well-defined example of a central rhythm generator for stepping in the adult human." The subject was a 37-year-old male who suffered an injury to the cervical spinal cord 17 years prior.
The spinal cord executes rhythmical and sequential activation of muscles in locomotion. The central pattern generator (CPG) provides the basic locomotor rhythm and synergies by integrating commands from various sources that serve to initiate or modulate its output to meet the requirements of the environment.
The central pattern generators responsible for locomotion in vertebrates reside as half-center modules in the cervical and lumbar region of the spinal cord. Each CPG generates a basic motor output pattern that is responsible for the rhythmic contractions of flexor - extensor muscles that correspond to the forelimbs and hindlimbs . [ 3 ]
A motor program is an abstract metaphor of the central organization of movement and control of the many degrees of freedom involved in performing an action. Biologically realistic alternatives to the metaphor of the "motor program" are represented by central pattern generators.
Somatic Experiencing (SE) is a form of alternative therapy aimed at treating trauma and stress-related disorders, such as post-traumatic stress disorder (PTSD). The primary goal of SE is to modify the trauma-related stress response through bottom-up processing.
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [1] [2] [3] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
Once a person has had a psychological evaluation and deemed an appropriate candidate for SCS, a temporary implant is placed, called a trial, to determine the best stimulation pattern, and the person is sent home for three to ten days with an external pulse generator. If pain control and increased activity was achieved, a permanent system, with ...
The four commonly used central pain stimuli are: the trapezius squeeze - which involves gripping and twisting a portion of the trapezius muscle in the patient's shoulder [1] mandibular pressure - this is the manual stimulation of the mandibular nerve, located within the angle of the jaw