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坐着时的预期姿势调整:不同腿部支撑的影响。

Anticipatory postural adjustments while sitting: the effects of different leg supports.

作者信息

Aruin Alexander, Shiratori Takako

机构信息

Department of Physical Therapy (M/C 898), University of Illinois at Chicago, 1919 West Taylor Street, Chicago, IL 60612, USA.

出版信息

Exp Brain Res. 2003 Jul;151(1):46-53. doi: 10.1007/s00221-003-1456-y. Epub 2003 May 10.

Abstract

The aim of this study was twofold, to analyze the effects of changes in body position and changes in the location of body supports on anticipatory postural adjustments (APAs). Eight healthy subjects were studied while sitting and standing. Subjects exerted upward or downward vertical force against an object attached to a rigid frame and released the object with a fast bilateral shoulder abduction movement. While sitting, four support conditions were studied: with and without feet support, and with anterior or posterior lower-leg supports. The electromyographic activity of leg and trunk muscles was recorded and quantified for APA activity. APAs in sitting with feet support were attenuated in the leg muscles (tibialis anterior, soleus, rectus femoris, and biceps femoris) but not in trunk muscles (erector spinae, rectus abdominis) when compared with standing. In the sitting task, series with and without feet support showed no difference in APAs. Anterior or posterior supports to the lower legs while sitting were associated with enhanced anticipatory activity in biceps femoris and rectus femoris muscles, respectively. However, trunk muscles showed similar anticipatory patterns across all the support conditions. We conclude that the central nervous system uses flexible, adaptive control strategies to adjust APAs to particular mechanical conditions induced by modification of a leg support.

摘要

本研究的目的有两个,即分析身体姿势变化和身体支撑位置变化对预期姿势调整(APA)的影响。对8名健康受试者在坐姿和站姿下进行了研究。受试者对附着在刚性框架上的物体施加向上或向下的垂直力,然后通过快速的双侧肩部外展动作释放该物体。在坐姿下,研究了四种支撑条件:有无脚部支撑,以及小腿前侧或后侧支撑。记录并量化腿部和躯干肌肉的肌电活动以分析APA活动。与站立相比,有脚部支撑的坐姿下腿部肌肉(胫骨前肌、比目鱼肌、股直肌和股二头肌)的APA减弱,但躯干肌肉(竖脊肌、腹直肌)未减弱。在坐姿任务中,有和没有脚部支撑的系列在APA方面没有差异。坐姿时小腿前侧或后侧支撑分别与股二头肌和股直肌的预期活动增强有关。然而,在所有支撑条件下,躯干肌肉表现出相似的预期模式。我们得出结论,中枢神经系统使用灵活、适应性的控制策略来调整APA,以适应由腿部支撑改变引起的特定机械条件。

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