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唐氏综合征患者与正常受试者运动控制中“不变特征”的分析。

Analysis of "invariant characteristics" in the motor control of down's syndrome and normal subjects.

作者信息

Davis W E, Kelso J A

机构信息

The Motor Development Center, Kent State University, OH, USA.

出版信息

J Mot Behav. 1982 Sep;14(3):194-212. doi: 10.1080/00222895.1982.10735273.

Abstract

Following Asatryan and Fei'dman (1965), two experiments were conducted to describe the so-called invariant mechanical properties underlying movement control in Down's syndrome and normal subjects. The invariant characteristic is a curve on a graph of joint torque versus joint angle. The task required subjects to maintain a steady joint angle against an external load (torque). Torque was systematically changed via partial unloading in order to obtain torque by length (joint angle) functions at three separate initial joint angles. Instructions required subjects "not to intervene" when unloading occurred in Experiment 1 and to "tense" their muscles prior to unloading in Experiment 2. Both normal and Down's syndrome groups revealed systematic torque by length functions that might be expected according to a simple mass-spring system model. Although the gross organization of movement in Down's syndrome subjects was nearly the same as normals, important differences between the two groups were found. Down's syndrome subjects revealed underdamped motions relative to normals (as shown by differences in the degree of oscillation about the final equilibrium position) and were less able to regulate stiffness (as shown by differences in slope of the torque by angle functions in Experiment 2). We promote the notion that damping and stiffness may be sensitive indices of hypotonia-the most common description of neuromuscular deficiency in Down's syndrome

摘要

参照阿萨特良和费德曼(1965年)的研究,进行了两项实验,以描述唐氏综合征患者和正常受试者运动控制背后所谓的不变力学特性。这种不变特性是关节扭矩与关节角度关系图上的一条曲线。任务要求受试者在承受外部负载(扭矩)时保持稳定的关节角度。通过部分卸载系统地改变扭矩,以便在三个不同的初始关节角度下获得扭矩与长度(关节角度)的函数关系。在实验1中,当卸载发生时,指令要求受试者“不要干预”;在实验2中,要求受试者在卸载前“绷紧”肌肉。正常组和唐氏综合征组都呈现出根据简单的质量-弹簧系统模型预期的系统扭矩与长度函数关系。尽管唐氏综合征受试者的总体运动组织与正常人几乎相同,但发现两组之间存在重要差异。唐氏综合征受试者相对于正常人表现出欠阻尼运动(如最终平衡位置附近振荡程度的差异所示),并且调节刚度的能力较差(如实验2中扭矩与角度函数斜率的差异所示)。我们提出这样一种观点,即阻尼和刚度可能是肌张力减退的敏感指标,而肌张力减退是唐氏综合征中最常见的神经肌肉缺陷描述

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