Marigold Daniel S, Misiaszek John E
Département de Physiologie, Université de Montréal, Montréal, Québec, Canada.
Neuroscientist. 2009 Feb;15(1):36-46. doi: 10.1177/1073858408322674.
Humans are one of the unique species that utilize bipedal gait to ambulate in our environment. Despite this fact, coordination of the arms with the legs and the rest of body is essential for many daily activities. As such, whole-body responses have emerged as the preferred strategy following perturbations to balance during both standing and walking. Complex neural circuitry may allow for this coordination through the use of propriospinal pathways linking lumbar and cervical pattern generators in the spinal cord, with supraspinal centers altering this control depending on the context of the situation. Based on these findings, we argue that whole-body reactions may be exploited for rehabilitation purposes. Preliminary results have indicated training programs designed to elicit whole-body responses are effective in reducing falls and improving functional mobility in older adults with and without neurological impairment.
人类是利用双足步态在环境中行走的独特物种之一。尽管如此，手臂与腿部以及身体其他部位的协调对于许多日常活动至关重要。因此，在站立和行走过程中，全身反应已成为平衡受到干扰后的首选策略。复杂的神经回路可能通过使用脊髓中连接腰段和颈段模式发生器的脊髓固有通路来实现这种协调，而上位神经中枢则根据具体情况改变这种控制。基于这些发现，我们认为全身反应可用于康复目的。初步结果表明，旨在引发全身反应的训练计划对于减少有或没有神经损伤的老年人跌倒以及改善其功能活动能力是有效的。
