LORENZO FIORI

PhD Graduate

PhD program:: XXXV



Thesis title: A step over the horse race model: study of inhibitory control of gait initiation by a stop signal task

Walking towards desired locations in space supports the interaction with the environment. Sometimes, unpredictable changes require the cancellation of a planned step. Gait initiation triggers a chain of events leading our body to leave a stable position for an unstable one, in which the body's center of mass (CoM) moves from the center of the base of support (BoS) toward its perimeter, until it leaves the perimeter completely. When the distance between the COM and the centre of BoS in medio-lateral and anterior-posterior increases during the 500 ms of anticipatory postural adjustments (APA) that precede the step onset, a set of muscles is recruited both to lift the foot and to stabilise the body. Sometimes these adjustments need to be revised since external (environmental) changes will require to inhibit the prepared step and maintain the body in the initial position. The study of this form of motor inhibition, intensively analysed in action control of simple movements as a button press tasks, only recently has been extended to more complex actions. A tool used widely for studying the physiological correlates of this form of motor inhibition is the Stop Signal Task (SST). SST is a test requiring executing a movement in response to a go signal (Go trials) and inhibiting it when a stop signal suddenly occurs after the go (Stop trials). The outcome of the task is accounted for by a theoretical race between the Go and Stop processes, triggered by Go and Stop signals respectively. In a stop trial, movements are executed if the Go process runs sufficiently fast. This formulation of the model, mainly developed by studying movements completed in a very short period, such as saccades or finger (key press) movements, approximates the occurrence of movements at the end of the race. However, things can be different for movements evolving on longer timescales, such as gait initiation (GI). As a result, in this thesis we used a version of SST for GI, combined to the overtime recording of the CoM, CoP and muscle activity, to investigate how well the race model accounts for it, and searching for the signature of movements’ inhibition in the recorded signals. Twelve healthy participants were tested in the SST readapted for GI while the position of 33 markers fixed on their body, the ground reaction forces, and the activation of 16 muscles were simultaneously recorded. The recorded signals were used to quantify the temporal evolution of CoM and CoP trajectories, and they were linked to muscle activity during APAs in Go trials and correct (cST) and wrong (wST) Stop trials. All the biomechanical parameters were also used to estimate the reaction time to the go (RT) and stop (SSRT) signals trial by trial. As predicted by the model, even in the GI, the trials that escape inhibition were those with faster RTs, while those with slower RTs are inhibited. Interestingly, in Stop trials an intermediate behavior, called partially wrong stops (pwST), were found. A comparison between of the SSRT derived from the displacement of the CoM, the CoP or muscular contraction revealed that they were significantly lower in wST than in cST and pwST, further supporting the compliance of our measures with the theoretical model. Additionally, SSRT measured from biomechanical parameters correlates strongly with SSRT estimated by the model for cST and pwST. Overall, these findings indicate that if the inhibitory command is delivered sufficiently early in time, the maintenance of the starting position can be achieved. On the contrary, if inhibitory command is delivered later in time, even though it affects the muscle activity, it does not cancel the step initiation because of a higher distance between the CoM and the BoS. This suggests that a biomechanical point of non-return affects the correct inhibition of GI and that the adaptation of the race model to such as complex movement needs to account for the interaction between a set of biomechanical variables. The present results provide important insight for studying the control of complex actions to extend to the field of prevention of injuries and rehabilitation.

Research products

11573/1606425 - 2023 - Identification of gait unbalance and fallers among subjects with cerebellar ataxia by a set of trunk acceleration-derived indices of gait
Castiglia, Stefano Filippo; Trabassi, Dante; Tatarelli, Antonella; Ranavolo, Alberto; Varrecchia, Tiwana; Fiori, Lorenzo; Di Lenola, Davide; Cioffi, Ettore; Raju, Manikandan; Coppola, Gianluca; Caliandro, Pietro; Casali, Carlo; Serrao, Mariano - 01a Articolo in rivista
paper: THE CEREBELLUM (New York: Springer London: Martin Dunitz Ltd, 2002-) pp. - - issn: 1473-4222 - wos: WOS:000746782400001 (10) - scopus: 2-s2.0-85123493466 (9)

11573/1679366 - 2023 - Reward prospect affects strategic adjustments in stop signal task
Giuffrida, V.; Marc, I. B.; Ramawat, S.; Fontana, R.; Fiori, L.; Bardella, G.; Fagioli, S.; Ferraina, S.; Brunamonti, E.; Pani, P. - 01a Articolo in rivista
paper: FRONTIERS IN PSYCHOLOGY (Lausanne: Frontiers Editorial) pp. 1125066- - issn: 1664-1078 - wos: WOS:000961217800001 (0) - scopus: 2-s2.0-85152585440 (0)

11573/1669953 - 2023 - Restart errors reaction time of a two-step inhibition process account for the violation of the race model’s independence in multi-effector selective stop signal task
Marc, Isabel Beatrice; Giuffrida, Valentina; Ramawat, Surabhi; Fiori, Lorenzo; Fontana, Roberto; Bardella, Giampiero; Fagioli, Sabrina; Ferraina, Stefano; Pani, Pierpaolo; Brunamonti, Emiliano - 01a Articolo in rivista
paper: FRONTIERS IN HUMAN NEUROSCIENCE (Lausanne : Frontiers Research Foundation) pp. - - issn: 1662-5161 - wos: WOS:000937342100001 (1) - scopus: 2-s2.0-85148654336 (1)

11573/1659862 - 2022 - Indexes for motor performance assessment in job integration/reintegration of people with neuromuscular disorders: A systematic review
Chini, G; Fiori, L; Tatarelli, A; Varrecchia, T; Draicchio, F; Ranavolo, A - 01a Articolo in rivista
paper: FRONTIERS IN NEUROLOGY (Lausanne: Frontiers Research Foundation, 2010-) pp. - - issn: 1664-2295 - wos: WOS:000860335500001 (1) - scopus: 2-s2.0-85138529390 (1)

11573/1682673 - 2022 - Motor inhibition parameters are reflected in the kinetic and kinematic of gait initiation in a step version of the Stop Signal Task
Fiori, L.; Marc, I. B.; Ramawat, S.; Tatarelli, A.; Varrecchia, T.; Chini, G.; Ranavolo, A.; Draicchio, F.; Pani, P.; Ferraina, S.; Brunamonti, E. - 01h Abstract in rivista
paper: GAIT & POSTURE (editore attuale: ELSEVIER SCI IRELAND LTD, CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND Butterworth Heinemann Publishers:Linacre House Jordan Hill, Oxford OX2 8DP United Kingdom:011 44 1865 314569, EMAIL: bhmarketing@repp.co.uk, INTERNET: http://www.laxtonsprices.co.uk, Fax: 011 44 1865 314569) pp. 9- - issn: 0966-6362 - wos: (0) - scopus: (0)

11573/1621811 - 2021 - Failure of the race model accounting for inhibition in a stop signal selective task of upper and lower limb
Marc, I. B.; Romano, V.; Ramawat, S.; Fiori, L.; Andujar, M.; Londei, F.; Ceccarelli, F.; Ferraina, S.; Brunamonti, E. - 04f Poster
conference: 71st SIF National Congress (Milano (Online))
book: 71st SIF National Congress - ()

11573/1436843 - 2020 - Pelvic obliquity as a compensatory mechanism leading to lower energy recovery: Characterization among the types of prostheses in subjects with transfemoral amputation
Castiglia, S. F.; Ranavolo, A.; Varrecchia, T.; De Marchis, C.; Tatarelli, A.; Magnifica, F.; Fiori, L.; Conte, C.; Draicchio, F.; Conforto, S.; Serrao, M. - 01a Articolo in rivista
paper: GAIT & POSTURE (editore attuale: ELSEVIER SCI IRELAND LTD, CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND Butterworth Heinemann Publishers:Linacre House Jordan Hill, Oxford OX2 8DP United Kingdom:011 44 1865 314569, EMAIL: bhmarketing@repp.co.uk, INTERNET: http://www.laxtonsprices.co.uk, Fax: 011 44 1865 314569) pp. 280-284 - issn: 0966-6362 - wos: WOS:000548455400013 (7) - scopus: 2-s2.0-85086746717 (6)

11573/1402768 - 2020 - Impairment of Global Lower Limb Muscle Coactivation During Walking in Cerebellar Ataxias
Fiori, L.; Ranavolo, A.; Varrecchia, T.; Tatarelli, A.; Conte, C.; Draicchio, F.; Castiglia, S. F.; Coppola, G.; Casali, C.; Pierelli, F.; Serrao, M. - 01a Articolo in rivista
paper: THE CEREBELLUM (New York: Springer London: Martin Dunitz Ltd, 2002-) pp. - - issn: 1473-4222 - wos: WOS:000533027600002 (10) - scopus: 2-s2.0-85084844943 (10)

11573/1445142 - 2020 - Back and Shoulder Biomechanical Load in Curbside Waste Workers
Silvetti, A.; Fiori, L.; Tatarelli, A.; Ranavolo, A.; Draicchio, F. - 04b Atto di convegno in volume
conference: AHFE Virtual Conference on Physical Ergonomics and Human Factors, the Virtual Conference on Social and Occupational Ergonomics, and the Virtual Conference on Cross-Cultural Decision Making, 2020 (usa)
book: Advances in Intelligent Systems and Computing - (978-3-030-51548-5; 978-3-030-51549-2)

11573/1402772 - 2020 - Global muscle coactivation of the sound limb in gait of people with transfemoral and transtibial amputation
Tatarelli, A.; Serrao, M.; Varrecchia, T.; Fiori, L.; Draicchio, F.; Silvetti, A.; Conforto, S.; De Marchis, C.; Ranavolo, A. - 01a Articolo in rivista
paper: SENSORS (Basel : Molecular Diversity Preservation International (MDPI), 2001-) pp. 1-14 - issn: 1424-8220 - wos: WOS:000537106200107 (13) - scopus: 2-s2.0-85084276480 (15)

11573/1444455 - 2020 - Global lower limb muscle coactivation during walking in trans-femoral and trans-tibial amputees
Tatarelli, A.; Serrao, M.; Varrecchia, T.; Fiori, L.; Silvetti, A.; De Marchis, C.; Ranaldi, S.; Draicchio, F.; Conforto, S.; Ranavolo, A. - 04b Atto di convegno in volume
conference: 15th IEEE International Symposium on Medical Measurements and Applications, MeMeA 2020 (ita)
book: IEEE Medical Measurements and Applications, MeMeA 2020 - Conference Proceedings - (978-1-7281-5386-5)

11573/1403024 - 2019 - Comparative analysis of the assessment methods of the rehabilitative-prosthetic path of the patient with lower limb prosthesis
Draicchio, F.; Tatarelli, A.; Castellano, S.; Poni, I.; Fiori, L.; Silvetti, A.; Rossi, P. - 04b Atto di convegno in volume
conference: AHFE International Conference on Social and Occupational Ergonomics, 2019 (usa)
book: Advances in Intelligent Systems and Computing - (978-3-030-20144-9; 978-3-030-20145-6)

11573/1402643 - 2019 - Ergonomic risk assessment of sea fisherman part III: Manual handling and static posture
Silvetti, A.; Munafo, E.; Ranavolo, A.; Tatarelli, A.; Fiori, L.; Iavicoli, S.; Di Palma, P.; Draicchio, F. - 04b Atto di convegno in volume
conference: AHFE International Conference on Social and Occupational Ergonomics, 2019 (usa)
book: Advances in Intelligent Systems and Computing - (978-3-030-20144-9; 978-3-030-20145-6)

11573/1402995 - 2019 - Common and specific gait patterns in people with varying anatomical levels of lower limb amputation and different prosthetic components
Varrecchia, T.; Serrao, M.; Rinaldi, M.; Ranavolo, A.; Conforto, S.; De Marchis, C.; Simonetti, A.; Poni, I.; Castellano, S.; Silvetti, A.; Tatarelli, A.; Fiori, L.; Conte, C.; Draicchio, F. - 01a Articolo in rivista
paper: HUMAN MOVEMENT SCIENCE (Elsevier BV:PO Box 211, 1000 AE Amsterdam Netherlands:011 31 20 4853757, 011 31 20 4853642, 011 31 20 4853641, EMAIL: nlinfo-f@elsevier.nl, INTERNET: http://www.elsevier.nl, Fax: 011 31 20 4853598) pp. 9-21 - issn: 0167-9457 - wos: WOS:000480664000002 (10) - scopus: 2-s2.0-85062893156 (14)

11573/1402894 - 2018 - Biomechanical overload evaluation in manufacturing: A novel approach with sEMG and inertial motion capture integration
Monaco, M. G. L.; Fiori, L.; Marchesi, A.; Greco, A.; Ghibaudo, L.; Spada, S.; Caputo, F.; Miraglia, N.; Silvetti, A.; Draicchio, F. - 04b Atto di convegno in volume
conference: 20th Congress of the International Ergonomics Association, IEA 2018 (ita)
book: Advances in Intelligent Systems and Computing - (978-3-319-96097-5; 978-3-319-96098-2)

11573/1402965 - 2018 - Biomechanical load evaluation by means of wearable devices in industrial environments: An inertial motion capture system and semg based protocol
Monaco, M. G. L.; Marchesi, A.; Greco, A.; Fiori, L.; Silvetti, A.; Caputo, F.; Miraglia, N.; Draicchio, F. - 04b Atto di convegno in volume
conference: AHFE 2018 International Conferences on Human Factors and Wearable Technologies, and Human Factors in Game Design and Virtual Environments, 2018 (USA)
book: Advances in Intelligent Systems and Computing - (978-3-319-94618-4; 978-3-319-94619-1)

11573/1403017 - 2018 - sEMG Activity Contribution to Risk Assessment for PRM Assistance Workers
Silvetti, A.; Fiori, L.; Chini, G.; Ranavolo, A.; Tatarelli, A.; Gismondi, M.; Draicchio, F. - 04b Atto di convegno in volume
conference: 20th Congress of the International Ergonomics Association, IEA 2018 (ita)
book: Advances in Intelligent Systems and Computing - (978-3-319-96088-3; 978-3-319-96089-0)

11573/1403021 - 2018 - Applied forces and sEMG activity contribution to risk assessment for assistance workers helping passengers with restricted mobility
Silvetti, A.; Fiori, L.; Chini, G.; Ranavolo, A.; Tatarelli, A.; Gismondi, M.; Nardi, V.; Draicchio, F. - 04d Abstract in atti di convegno
conference: AHFE 2018 International Conference on Social and Occupational Ergonomics, 2018 (usa)
book: Advances in Intelligent Systems and Computing - (978-3-319-93999-5; 978-3-319-94000-7)

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