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[正常受试者站立于泡沫垫上诱发干扰时姿势稳定性的感觉组织]

[The sensory organization in the posture stability with interruption induced by standing foam in normal subjects].

作者信息

Liu Bo, Kong Weijia, Zou Yu

机构信息

Department of Otolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Feb;21(4):162-5.

Abstract

OBJECTIVE

To investigate the sensory organization in the postural stability under sensory conflict induced by standing foam surface in normal individuals.

METHOD

One hundred and six normal subjects were tested using the computerized posturography under the firm surface and foam surface with eye open and eye closed for 30 seconds respectively. The standing foam surface was to interrupt the somatosensory and closing eyes was to interrupt the visual input in the postural stability. The sway velocity (SV) of body under different sensory conflict condition was recorded as parameter of postural stability and the effect of organization between the vestibular, visions and somatosensory was analyzed quantitatively.

RESULT

(1) The SV decreased when the visual cue or/and somatosensory cue be interrupted (P<0.01); (2) The decreased degrees of SV induced by the change of visual cue were (12.12+/-6.1)% and (30.58+/-9.69)% when the somatosensory cue be interrupted or not. The decreased degrees of SV induced by the change of somatosensory cue were (18.31+/-6.56)% and (36.25+/-8.90)% when the visual cue be interrupted or not. The decreased degrees of SV induced by the change of both somatosensory and visual cue were (46.21+/-8.67)%; (3) The most important sensory input for keeping balance is vestibular cue, followed by the somatosensory and visual cues and the relationship among these three sensory is nonlinear.

CONCLUSION

Through recording the postural stability quantitatively under different conditions of sensory conflict induced by standing foam surface or closing eyes, it is possible to evaluate the sensory organization of the three kinds of sensory input including the visual, somatosensory, and vestibular input in postural control. It exist the various balance strategy for keeping postural stability under sensory conflict in normal subjects. When one or two sensory input was interrupted in the static balance, the center nervous system has a complicated mechanism of sensory organization to keep balance even in the normal subject.

摘要

目的

研究正常个体在站立于泡沫表面引发的感觉冲突下姿势稳定性中的感觉组织情况。

方法

106名正常受试者分别在睁眼和闭眼状态下,于坚实表面和泡沫表面使用计算机化姿势描记法进行测试,各持续30秒。站立于泡沫表面会干扰躯体感觉,闭眼会干扰姿势稳定性中的视觉输入。记录不同感觉冲突条件下身体的摆动速度(SV)作为姿势稳定性参数,并定量分析前庭、视觉和躯体感觉之间的组织作用。

结果

(1)当视觉线索或/和躯体感觉线索被中断时,SV降低(P<0.01);(2)当躯体感觉线索未被中断和被中断时,视觉线索变化引起的SV降低程度分别为(12.12±6.1)%和(30.58±9.69)%。当视觉线索未被中断和被中断时,躯体感觉线索变化引起的SV降低程度分别为(18.31±6.56)%和(36.25±8.90)%。躯体感觉和视觉线索同时变化引起的SV降低程度为(46.21±8.67)%;(3)维持平衡最重要的感觉输入是前庭线索,其次是躯体感觉和视觉线索,这三种感觉之间的关系是非线性的。

结论

通过定量记录站立于泡沫表面或闭眼引发的不同感觉冲突条件下的姿势稳定性,有可能评估姿势控制中视觉、躯体感觉和前庭输入这三种感觉输入的感觉组织情况。正常受试者在感觉冲突下存在多种维持姿势稳定性的平衡策略。在静态平衡中,当一种或两种感觉输入被中断时,即使是正常受试者,中枢神经系统也有复杂的感觉组织机制来维持平衡。

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