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特发性脊柱侧凸青少年的感觉剥夺与平衡控制

Sensory deprivation and balance control in idiopathic scoliosis adolescent.

作者信息

Simoneau Martin, Richer Nadia, Mercier Pierre, Allard Paul, Teasdale Nomand

机构信息

Faculté de Médecine, Division de kinésiologie, Université Laval, PEPS, G1K 7P4, Québec, QC, Canada.

出版信息

Exp Brain Res. 2006 Apr;170(4):576-82. doi: 10.1007/s00221-005-0246-0. Epub 2005 Nov 24.

Abstract

Balance control is influenced by the availability and integrity of sensory inputs as well as the ability of the balance control mechanisms to tailor the corrective action to the gravitational torque. In this study, to challenge balance control, visual and ankle proprioceptive information were perturbed (eyes closed and/or tendon vibration). We masked sensory inputs in order: (1) to test the hypothesis that adolescent idiopathic scoliosis (AIS), compared to healthy adolescent, relies more on ankle proprioception and/or visual inputs to regulate balance and (2) to determine whether it is the variation or the amplitude of the balance control commands of AIS that leads to greater body sway oscillations during sensory deprivation. By manipulating the availability of the sensory inputs and measuring the outcomes, center of pressure (CP) range and velocity variability, we could objectively determine the cost of visual and/or ankle proprioception deprivation on balance control. The CP range was larger and the root mean square (RMS) of the CP velocity was more variable for AIS than for control participants when ankle proprioception was perturbed. This was observed regardless of whether vision was available or not. The analysis of the sway density curves revealed that the amplitude rather than the variation of the balance control commands was related to a larger CP range and greater RMS CP velocity for AIS. The present results suggest that AIS, compared to control participants, relies much more on ankle proprioception to control the amplitude of the balance control commands.

摘要

平衡控制受感觉输入的可用性和完整性以及平衡控制机制根据重力扭矩调整纠正动作能力的影响。在本研究中,为了挑战平衡控制,对视觉和踝关节本体感觉信息进行了干扰(闭眼和/或肌腱振动)。我们按顺序屏蔽感觉输入:(1)检验青少年特发性脊柱侧凸(AIS)与健康青少年相比,是否更多地依赖踝关节本体感觉和/或视觉输入来调节平衡的假设;(2)确定是AIS平衡控制指令的变化还是幅度导致在感觉剥夺期间身体摆动振荡更大。通过操纵感觉输入的可用性并测量结果,即压力中心(CP)范围和速度变异性,我们可以客观地确定视觉和/或踝关节本体感觉剥夺对平衡控制的影响。当踝关节本体感觉受到干扰时,AIS的CP范围比对照组参与者更大,CP速度的均方根(RMS)变化也更大。无论视觉是否可用,均观察到这种情况。对摆动密度曲线的分析表明,对于AIS,平衡控制指令的幅度而非变化与更大的CP范围和更大的RMS CP速度相关。目前的结果表明,与对照组参与者相比,AIS在控制平衡控制指令幅度方面更多地依赖踝关节本体感觉。

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