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姿势预备性调整在姿势代偿控制中的作用:1. 肌电图分析。

The role of anticipatory postural adjustments in compensatory control of posture: 1. Electromyographic analysis.

机构信息

Department of Physical Therapy, University of Illinois at Chicago, IL 60612, USA.

出版信息

J Electromyogr Kinesiol. 2010 Jun;20(3):388-97. doi: 10.1016/j.jelekin.2009.06.006. Epub 2009 Aug 5.

Abstract

Anticipatory (APAs) and compensatory (CPAs) postural adjustments are the two principal mechanisms that the central nervous system uses to maintain equilibrium while standing. We studied the role of APAs in compensatory postural adjustments. Eight subjects were exposed to external predictable and unpredictable perturbations induced at the shoulder level, while standing with eyes open and closed. Electrical activity of leg and trunk muscles was recorded and analyzed during four epochs representing the time duration typical for anticipatory and compensatory postural control. No anticipatory activity of the trunk and leg muscles was seen in the case of unpredictable perturbations; instead, significant compensatory activation of muscles was observed. When the perturbations were predictable, strong anticipatory activation was seen in all the muscles: such APAs were associated with significantly smaller compensatory activity of muscles and COP displacements after the perturbations. The outcome of the study highlights the importance of APAs in control of posture and points out the existence of a relationship between the anticipatory and the compensatory components of postural control. It also suggests a possibility to enhance balance control by improving the APAs responses during external perturbations.

摘要

预期性姿势调整(APAs)和代偿性姿势调整(CPAs)是中枢神经系统在站立时维持平衡的两种主要机制。我们研究了 APAs 在代偿性姿势调整中的作用。8 名受试者在睁眼和闭眼两种状态下,于肩部水平接受外部可预测和不可预测的干扰。在代表预期性和代偿性姿势控制时间持续典型的四个时期,记录和分析腿部和躯干肌肉的电活动。在不可预测的干扰情况下,观察不到躯干和腿部肌肉的预期性活动;相反,观察到肌肉的显著代偿性激活。当干扰是可预测的时候,所有肌肉都表现出强烈的预期性激活:这种 APAs 与干扰后肌肉和 COP 位移的显著较小的代偿性活动相关。研究结果强调了 APAs 在姿势控制中的重要性,并指出了姿势控制的预期性和代偿性成分之间存在关系。它还表明,通过在外力干扰期间改善 APAs 反应,有可能增强平衡控制。

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