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关于人类行走过程中支撑面突然下降所诱发的踝关节屈肌和伸肌的反射性共同激活。

On the reflex coactivation of ankle flexor and extensor muscles induced by a sudden drop of support surface during walking in humans.

作者信息

Nakazawa Kimitaka, Kawashima Noritaka, Akai Masami, Yano Hideo

机构信息

Motor Dysfunction Department, National Rehabilitation Center for the Disabled, Tokorozawa 359-8555, Japan.

出版信息

J Appl Physiol (1985). 2004 Feb;96(2):604-11. doi: 10.1152/japplphysiol.00670.2003. Epub 2003 Oct 3.

Abstract

Recent studies have revealed that the stretch reflex responses of both ankle flexor and extensor muscles are coaugmented in the early stance phase of human walking, suggesting that these coaugmented reflex responses contribute to secure foot stabilization around the heel strike. To test whether the reflex responses mediated by the stretch reflex pathway are actually induced in both the ankle flexor and extensor muscles when the supportive surface is suddenly destabilized, we investigated the electromyographic (EMG) responses induced after a sudden drop of the supportive surface at the early stance phase of human walking. While subjects walked on a walkway, the specially designed movable supportive surface was unexpectedly dropped 10 mm during the early stance phase. The results showed that short-latency reflex EMG responses after the impact of the drop (<50 ms) were consistently observed in both the ankle flexor and extensor muscles in the perturbed leg. Of particular interest was that a distinct response appeared in the tibialis anterior muscle, although this muscle showed little background EMG activity during the stance phase. These results indicated that the reflex activities in the ankle muscles certainly acted when the supportive surface was unexpectedly destabilized just after the heel strike during walking. These reflex responses were most probably mediated by the facilitated stretch reflex pathways of the ankle muscles at the early stance phase and were suggested to be relevant to secure stabilization around the ankle joint during human walking.

摘要

最近的研究表明,在人类行走的早期站立阶段,踝部屈肌和伸肌的牵张反射反应都会增强,这表明这些增强的反射反应有助于在足跟触地时确保足部稳定。为了测试当支撑面突然失稳时,牵张反射通路介导的反射反应是否真的在踝部屈肌和伸肌中诱发,我们研究了在人类行走早期站立阶段支撑面突然下降后诱发的肌电图(EMG)反应。当受试者在人行道上行走时,特制的可移动支撑面在早期站立阶段意外下降了10毫米。结果显示,在受干扰的腿的踝部屈肌和伸肌中均持续观察到下降冲击后短潜伏期的反射性肌电图反应(<50毫秒)。特别有趣的是,胫骨前肌出现了明显的反应,尽管该肌肉在站立阶段几乎没有背景肌电图活动。这些结果表明,当行走过程中足跟触地后支撑面意外失稳时,踝部肌肉中的反射活动确实发挥了作用。这些反射反应很可能是由早期站立阶段踝部肌肉的易化牵张反射通路介导的,并且被认为与人类行走过程中确保踝关节周围的稳定有关。

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