Rondot P
Hôpital Sainte Anne, Paris, France.
J Neurol. 1991 Dec;238(8):411-9. doi: 10.1007/BF00314646.
Movement is preceded, accompanied and followed by reactions which give to the primary action its correct execution and ensure that the body's axis, together with the limbs, maintains the right balance. If these reactions are interfered with, incoordination of movement, lack of balance, hypertonia or dystonia may all appear. In the case of dystonia, postural mechanisms tend to become dominant and take over from the kinetic component of movement. In the upper limbs, the dystonic posture follows patterns analogous to those used by monkeys for postural purposes. Thus, while the initial mechanisms of movement represent highly sophisticated processes thoroughly adapted to living in an upright state, the reactions that go with the movement are more primitive and probably have a less helpful role.
运动之前、之中及之后会伴随各种反应,这些反应使基本动作得以正确执行,并确保身体轴线与四肢保持正确的平衡。如果这些反应受到干扰,可能会出现运动不协调、平衡失调、张力亢进或张力障碍。就张力障碍而言,姿势机制往往会占主导地位,并取代运动的动力成分。在上肢,张力障碍姿势遵循与猴子用于姿势目的的模式类似的模式。因此,虽然运动的初始机制代表了高度复杂的过程,完全适应直立状态下的生活,但伴随运动的反应更为原始,可能作用较小。