Ledin Torbjörn, Fransson P A, Magnusson M
Department of OtoRhinoLaryngology, Head and Neck Surgery, Linköping University Hospital, S-581 85 Linköping, Sweden.
Gait Posture. 2004 Apr;19(2):184-93. doi: 10.1016/S0966-6362(03)00061-4.
One of the main issues for balance control is the ability to generate enough forces to execute motions and uphold stability. This study aimed to investigate whether induced fatigue of the triceps surae muscles and decreased muscle force due to temporary additional body weight affected the ability to withstand balance perturbations. Another aim was to examine whether postural control adaptation over time was able to compensate for the changes induced by fatigue and additional body weight. Eleven normal subjects were exposed to vibratory proprioceptive stimulation during three test conditions; a baseline test during normal condition; when the body weight was increased by 20%, by adding additional weight load; and when the triceps surae muscles were fatigued. The tests were performed both with eyes open and closed. The body movements were evaluated by analyzing the anteroposterior and lateral torques induced towards the supporting surface measured with a force platform. Postural control was substantially affected both by the additional body weight, and by muscle fatigue in the triceps surae muscles. The anteroposterior and lateral body sway were larger both with added weight and fatigued muscles compared with the baseline test during quiet stance. However, the body sway induced by the vibratory stimulation was significantly larger with additional body weight compared with when the triceps surae muscles were fatigued. The differences between the test conditions were mostly pronounced during tests with eyes closed and in the high frequency body sway (>0.1 Hz). Postural control adaptation was able to reduce but not fully compensate for the changes induced by fatigue and additional body weight. Several hypotheses could account for these observations. (1) Fatigued muscles are less sensitive to muscle vibration, (2) muscle fatigue alters the muscle contractile efficiency and thus alters the ability to produce high-frequency, short-latency responses to balance perturbations.
平衡控制的主要问题之一是产生足够的力量来执行动作并维持稳定性的能力。本研究旨在调查腓肠肌的诱发疲劳以及因临时增加体重导致的肌肉力量下降是否会影响承受平衡扰动的能力。另一个目的是检查随着时间推移姿势控制适应性是否能够补偿由疲劳和额外体重引起的变化。11名正常受试者在三种测试条件下接受振动本体感觉刺激;正常状态下的基线测试;通过增加额外重量使体重增加20%时;以及腓肠肌疲劳时。测试在睁眼和闭眼两种情况下进行。通过分析用测力平台测量的朝向支撑面诱发的前后向和侧向扭矩来评估身体运动。姿势控制受到额外体重和腓肠肌肌肉疲劳的显著影响。与安静站立时的基线测试相比,增加体重和肌肉疲劳时的前后向和侧向身体摆动都更大。然而,与腓肠肌疲劳时相比,额外体重时振动刺激诱发的身体摆动明显更大。测试条件之间的差异在闭眼测试和高频身体摆动(>0.1Hz)时最为明显。姿势控制适应性能够减少但不能完全补偿由疲劳和额外体重引起的变化。有几个假设可以解释这些观察结果。(1)疲劳的肌肉对肌肉振动不太敏感,(2)肌肉疲劳会改变肌肉收缩效率,从而改变对平衡扰动产生高频、短潜伏期反应的能力。