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对侧运动和伸肌力量产生会改变蹬踏时的屈曲阶段肌肉协调。

Contralateral movement and extensor force generation alter flexion phase muscle coordination in pedaling.

作者信息

Ting L H, Kautz S A, Brown D A, Zajac F E

机构信息

Rehabilitation Research and Development Center (153), Veterans Affairs Palo Alto Health Care System, Palo Alto 94304-1200, California.

出版信息

J Neurophysiol. 2000 Jun;83(6):3351-65. doi: 10.1152/jn.2000.83.6.3351.

Abstract

The importance of bilateral sensorimotor signals in coordination of locomotion has been demonstrated in animals but is difficult to ascertain in humans due to confounding effects of mechanical transmission of forces between the legs (i.e., mechanical interleg coupling). In a previous pedaling study, by eliminating mechanical interleg coupling, we showed that muscle coordination of a unipedal task can be shaped by interlimb sensorimotor pathways. Interlimb neural pathways were shown to alter pedaling coordination as subjects pedaling unilaterally exhibited increased flexion-phase muscle activity compared with bilateral pedaling even though the task mechanics performed by the pedaling leg(s) in the unilateral and bilateral pedaling tasks were identical. To further examine the relationship between contralateral sensorimotor state and ipsilateral flexion-phase muscle coordination during pedaling, subjects in this study pedaled with one leg while the contralateral leg either generated an extensor force or relaxed as a servomotor either held that leg stationary or moved it in antiphase with the pedaling leg. In the presence of contralateral extensor force generation, muscle activity in the pedaling leg during limb flexion was reduced. Integrated electromyographic activity of the pedaling-leg hamstring muscles (biceps femoris and semimembranosus) during flexion decreased by 25-30%, regardless of either the amplitude of force generated by the nonpedaling leg or whether the leg was stationary or moving. In contrast, rectus femoris and tibialis anterior activity during flexion decreased only when the contralateral leg generated high rhythmic force concomitant with leg movement. The results are consistent with a contralateral feedforward mechanism triggering flexion-phase hamstrings activity and a contralateral feedback mechanism modulating rectus femoris and tibialis anterior activity during flexion. Because only muscles that contribute to flexion as a secondary function were observed, it is impossible to know whether the modulatory effect also acts on primary, unifunctional, limb flexors or is specific to multifunctional muscles contributing to flexion. The influence of contralateral extensor-phase sensorimotor signals on ipsilateral flexion may reflect bilateral coupling of gain control mechanisms. More generally, these interlimb neural mechanisms may coordinate activity between muscles that perform antagonistic functions on opposite sides of the body. Because pedaling and walking share biomechanical and neuronal control features, these mechanisms may be operational in walking as well as pedaling.

摘要

双侧感觉运动信号在运动协调中的重要性已在动物实验中得到证实,但由于双腿之间力的机械传递产生的混杂效应(即机械性腿间耦合),在人类中很难确定。在之前的一项蹬踏研究中,通过消除机械性腿间耦合,我们发现单腿任务的肌肉协调可由肢体间感觉运动通路塑造。研究表明,肢体间神经通路会改变蹬踏协调性,因为单侧蹬踏的受试者与双侧蹬踏相比,在屈曲阶段肌肉活动增加,尽管单侧和双侧蹬踏任务中蹬踏腿执行的任务力学相同。为了进一步研究蹬踏过程中对侧感觉运动状态与同侧屈曲阶段肌肉协调之间的关系,本研究中的受试者单腿蹬踏,同时对侧腿要么产生伸肌力量,要么放松,而伺服电机要么使该腿保持静止,要么使其与蹬踏腿反向运动。在对侧产生伸肌力量时,蹬踏腿在肢体屈曲期间的肌肉活动会降低。无论非蹬踏腿产生的力量幅度如何,也无论该腿是静止还是运动,蹬踏腿腘绳肌(股二头肌和半膜肌)在屈曲期间的肌电图积分活动都会降低25%-30%。相比之下,只有当对侧腿产生与腿部运动同步的高节奏力量时,股直肌和胫骨前肌在屈曲期间的活动才会降低。这些结果与一种对侧前馈机制触发屈曲阶段腘绳肌活动以及一种对侧反馈机制在屈曲期间调节股直肌和胫骨前肌活动相一致。由于仅观察到作为次要功能有助于屈曲的肌肉,因此无法知道这种调节作用是否也作用于主要的、单功能的肢体屈肌,或者是否特定于有助于屈曲的多功能肌肉。对侧伸展阶段感觉运动信号对同侧屈曲的影响可能反映了增益控制机制的双侧耦合。更一般地说,这些肢体间神经机制可能会协调身体两侧执行拮抗功能的肌肉之间的活动。由于蹬踏和行走具有共同的生物力学和神经控制特征,这些机制可能在行走以及蹬踏中都起作用。

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