In vertebrates, possibly also in man, the pattern of activation of muscles
during locomotion can be generated by the spinal cord (locomotor CPG, centr
al pattern generator). However, sensory feedback is crucial to adapt the fu
nctioning of the CPG to the external requirements during gait. It is postul
ated that afferent input from skin and muscles can contribute to the EMG ac
tivation patterns as observed in various limb muscles during gait. The acti
vity of the hamstrings at end swing may be partially due to stretch reflexe
s of these muscles. At end stance the hamstring activity may be assisted by
reflexes from natural skin activation from the dorsum of the foot. In addi
tion, more specific actions are also incorporated. For example, sural nerve
stimulation induces an activation of biceps femoris (BF) whereas a suppres
sion is usually obtained for semitendinosus (ST), indicating that the induc
ed activation is aimed at exorotation of the lower leg. Similarly, the pref
erential activation of medial versus lateral gastrocnemius (GM versus CL) i
n sural nerve induced reflexes could favor such exorotation. It is conclude
d that the present evidence points towards a possible contribution of vario
us reflexes to the motor output seen during gait for movements both inside
and outside the sagittal plane.