Sensory Motor Performance Program, Rehabilitation Inst. of Chicago, 345 E. Superior St., Rm. 1406, Chicago, IL 60611, USA.
J Neurophysiol. 2010 Sep;104(3):1325-38. doi: 10.1152/jn.00604.2009. Epub 2010 Jun 23.
Humans with spinal cord injury (SCI) modulate locomotor output in response to limb load. Understanding the neural control mechanisms responsible for locomotor adaptation could provide a framework for selecting effective interventions. We quantified feedback and feedforward locomotor adaptations to limb load modulations in people with incomplete SCI. While subjects airstepped (stepping performed with kinematic assistance and 100% bodyweight support), a powered-orthosis created a dorisflexor torque during the "stance phase" of select steps producing highly controlled ankle-load perturbations. When given repetitive, stance phase ankle-load, the increase in hip extension work, 0.27 J/kg above baseline (no ankle-load airstepping), was greater than the response to ankle-load applied during a single step, 0.14 J/kg (P = 0.029). This finding suggests that, at the hip, subjects produced both feedforward and feedback locomotor modulations. We estimate that, at the hip, the locomotor response to repetitive ankle-load was modulated almost equally by ongoing feedback and feedforward adaptations. The majority of subjects also showed after-effects in hip kinetic patterns that lasted 3 min in response to repetitive loading, providing additional evidence of feedforward locomotor adaptations. The magnitude of the after-effect was proportional to the response to repetitive ankle-foot load (R(2) = 0.92). In contrast, increases in soleus EMG amplitude were not different during repetitive and single-step ankle-load exposure, suggesting that ankle locomotor modulations were predominately feedback-based. Although subjects made both feedback and feedforward locomotor adaptations to changes in ankle-load, between-subject variations suggest that walking function may be related to the ability to make feedforward adaptations.
脊髓损伤(SCI)患者会根据肢体负荷调节运动输出。了解负责运动适应的神经控制机制,可以为选择有效的干预措施提供框架。我们量化了不完全性 SCI 患者对肢体负荷变化的反馈和前馈运动适应。当受试者进行气动步(在运动辅助和 100%体重支持下进行的步)时,动力矫形器在特定步的“支撑阶段”产生背屈扭矩,从而产生高度受控的踝关节负荷干扰。当给予重复的支撑阶段踝关节负荷时,髋伸展功增加了 0.27 J/kg,高于基线(无踝关节负荷气动步),大于单个步骤中踝关节负荷的响应,0.14 J/kg(P=0.029)。这一发现表明,在髋关节水平,受试者产生了前馈和反馈运动调节。我们估计,在髋关节水平,对重复踝关节负荷的运动反应几乎同等地受到持续反馈和前馈适应的调节。大多数受试者在重复加载后还表现出持续 3 分钟的髋部动力学模式的后效,这为前馈运动适应提供了额外的证据。后效的幅度与重复踝关节足负荷的响应成正比(R²=0.92)。相比之下,在重复和单步踝关节负荷暴露期间,比目鱼肌 EMG 幅度的增加没有差异,这表明踝关节运动调节主要是基于反馈的。尽管受试者对踝关节负荷变化做出了反馈和前馈运动适应,但个体间的差异表明,行走功能可能与做出前馈适应的能力有关。