Feil and Oberfeld/CRIR Research Center of the Jewish Rehabilitation Hospital, 3205 Place Alton Goldbloom, Laval, QC, Canada H7V 1R2.
Hum Mov Sci. 2011 Apr;30(2):153-71. doi: 10.1016/j.humov.2010.04.002. Epub 2010 Jun 26.
Modulation of lower limb somatosensory information by tendon or plantar vibration produces directionally specific, vibration-induced falling reactions that depend on the tendon or the region of the sole that is vibrated. This study characterized the effects of different patterns of plantar cutaneo-muscular vibration and bilateral Achilles tendon vibration (ATV) on the postural strategies observed during quiet and perturbed stance. Twelve healthy young participants stood barefooted, with their vision blocked, on two sets of plantar vibrators placed on two AMTI force plates embedded in a moveable support surface. Two other vibrators were positioned over the Achilles tendons. Participants were randomly exposed to different patterns of plantar cutaneo-muscular and ATV. Tilts of the support surface in the toes-up (TU) and toes-down (TD) directions were given 5-8s after the beginning of vibration. Body kinematics in 3D and ground reaction forces were recorded. Bilateral ATV applied with or without rearfoot vibration (RFV) during quiet stance resulted in a whole-body backward leaning accompanied by an increase in trunk extension and hip and knee flexion. RFV alone produced a forward whole-body tilt with increased flexion in trunk, hip, and ankle. When stance was perturbed by TU tilts, the center of mass (CoM) and center of pressure (CoP) displacements were larger in the presence of RFV or ATV and associated with increased peak trunk flexion. TD tilts with or without ATV resulted in no significant difference in CoM and CoP displacements, while larger trunk extension and smaller distal angular displacements were observed during ATV. RFV altered the magnitude of the balance reactions, as observed by an increase in CoP displacements and variable response in trunk displacement. Significant interactions between ATV and RFV were obtained for the peak angular excursions for both directions of perturbations, where ATV either enhanced (for TU tilts) or attenuated (for TD tilts) the influence of RFV. Manipulating somatosensory information from the plantar cutaneo-muscular and muscle spindle Ia afferents thus results in altered and widespread postural responses, as shown by profound changes in body kinematics and CoM and CoP displacements. This suggests that the CNS uses plantar cutaneo-muscular and ankle spindle afferent inputs to build an appropriate reference of verticality that influences the control of equilibrium during quiet and perturbed stance.
足底皮肤-肌肉振动和双侧跟腱振动(ATV)对安静和受扰站立时观察到的姿势策略的影响。12 名健康年轻参与者赤脚站在两个足底振动器上,他们的视线被挡住,这两个振动器放在嵌入可移动支撑表面的两个 AMTI 力板上。另外两个振动器放在跟腱上。参与者被随机暴露于不同模式的足底皮肤-肌肉和 ATV。在振动开始后 5-8 秒,支撑表面向脚趾向上(TU)和脚趾向下(TD)倾斜。记录 3D 身体运动学和地面反作用力。在安静站立时施加双侧 ATV 而不施加后足振动(RFV)会导致整个身体向后倾斜,同时增加躯干伸展和髋部和膝部弯曲。单独施加 RFV 会导致整个身体向前倾斜,躯干、髋部和踝关节弯曲增加。当 TU 倾斜使姿势受到干扰时,在存在 RFV 或 ATV 的情况下,质心(CoM)和压力中心(CoP)的位移更大,并且与峰值躯干屈曲增加相关。TD 倾斜无论是否存在 ATV,CoM 和 CoP 的位移均无明显差异,而 ATV 时观察到更大的躯干伸展和更小的远端角度位移。RFV 改变了平衡反应的幅度,这可以通过 CoP 位移的增加和躯干位移的可变响应来观察到。对于两种扰动方向的峰值角偏移,都获得了 ATV 和 RFV 之间的显著相互作用,其中 ATV 增强(对于 TU 倾斜)或减弱(对于 TD 倾斜)RFV 的影响。从足底皮肤-肌肉和肌梭 Ia 传入纤维中操纵感觉信息会导致姿势反应发生改变和广泛分布,如身体运动学和 CoM 和 CoP 位移的深刻变化所示。这表明中枢神经系统使用足底皮肤-肌肉和踝关节梭内传入输入来建立适当的垂直参考,从而影响安静和受扰站立时的平衡控制。
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