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直线前后平移过程中的头-躯干协调性。

Head-trunk coordination during linear anterior-posterior translations.

作者信息

Keshner Emily A

机构信息

Sensory Motor Performance Program, Rehabilitation Institute of Chicago and Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA.

出版信息

J Neurophysiol. 2003 Apr;89(4):1891-901. doi: 10.1152/jn.00836.2001.

Abstract

The purpose of this study was to evaluate the relative contributions of inputs from the vestibular system and the trunk to head-trunk coordination. Twelve healthy adults and 6 adults with diminished bilateral labyrinthine input (LD) were seated with their trunk either fixed to the seat or free to move. Subjects received 10-cm, 445-cm/s(2) anterior-posterior ramps and 0.35- to 4.05-Hz sum-of-sines translations while performing a mental distraction task in the dark. Kinematics of the head and trunk were derived from an Optotrak motion analysis system and a linear accelerometer placed on the head. EMG signals were collected from neck and paraspinal muscles. Data were tested for significance with multivariate ANOVA (MANOVA) and Bonferroni post hoc analyses. Initial linear and angular head acceleration directions differed in healthy subjects when the trunk was fixed or free, but did not differ in LD subjects. Peak head angular accelerations were significantly greater with the trunk fixed than when free, and were greater in LD than in control subjects. EMG response latencies did not differ when the trunk was fixed or free. Low-frequency phase responses in the healthy subjects were close to 90 degrees and had a delayed descent as frequency increased, suggesting some neural compensation that was absent in the LD subjects. Results of this study revealed a strong initial reliance on system mechanics and on signals from segmental receptors. The vestibular system may act to damp later response components and to monitor the position of the head in space secondary to feedback from segmental proprioceptors rather than to generate the postural reactions.

摘要

本研究的目的是评估前庭系统和躯干的输入对头部-躯干协调性的相对贡献。12名健康成年人以及6名双侧迷路输入减少(LD)的成年人坐在座位上,其躯干要么固定在座位上,要么可以自由移动。受试者在黑暗中执行一项心理干扰任务时,接受10厘米、445厘米/秒²的前后斜坡运动以及0.35至4.05赫兹的正弦波总和平移运动。头部和躯干的运动学数据来自Optotrak运动分析系统以及放置在头部的线性加速度计。肌电信号从颈部和脊柱旁肌肉采集。数据通过多变量方差分析(MANOVA)和Bonferroni事后分析进行显著性检验。在健康受试者中,当躯干固定或自由时,初始线性和角向头部加速度方向有所不同,但在LD受试者中没有差异。躯干固定时的头部角向加速度峰值显著大于自由时,且LD受试者中的峰值大于对照组受试者。当躯干固定或自由时,肌电反应潜伏期没有差异。健康受试者中的低频相位反应接近90度,且随着频率增加下降延迟,这表明存在一些LD受试者中不存在的神经补偿。本研究结果揭示了对系统力学和节段性感受器信号的强烈初始依赖。前庭系统可能起到抑制后续反应成分的作用,并在节段性本体感受器反馈之后监测头部在空间中的位置,而不是产生姿势反应。

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