Ahlgrén-Rimpiläinen Aulikki, Lauerma Hannu, Kähkönen Seppo, Aalto Heikki, Pyykkö Ilmari, Palmgren Kaj, Rimpiläinen Ilpo
Espoo City Social and Health Services, Mental Health and Addiction Care, Kalaonnentie 8, P.O. Box 2314, FI-02070 ESPOO.
J Nerv Ment Dis. 2010 Aug;198(8):601-3. doi: 10.1097/NMD.0b013e3181ea16bc.
Lateralized motor and attentional abnormalities contribute to schizophrenia, but little is known about possible abnormalities in neural machinery involved in postural control. We examined postural stability of 22 patients with schizophrenia taking medication and 14 healthy control participants using computerized force platform posturography. The shift in the center point of pressure in the condition of eyes open versus eyes closed characterizes the effect of visual information on body posture. Closing the eyes had less of an effect on the center point of velocity (velocity sm/s) in the patients with schizophrenia than in the control group (median change, 36% vs. 70%, p = 0.0006). Change in the body position during eye closure tended to be directed rightwards in the control group but leftwards in the group with schizophrenia (p = 0.025). The results show that visual component had less dominance in the balance control of these patients with schizophrenia. The lateralized effect of visual information on posture was also impaired.
运动和注意力的偏侧化异常与精神分裂症有关,但对于参与姿势控制的神经机制中可能存在的异常却知之甚少。我们使用计算机化测力平台姿势描记法,检查了22名正在服药的精神分裂症患者和14名健康对照参与者的姿势稳定性。睁眼与闭眼条件下压力中心点的变化表征了视觉信息对身体姿势的影响。与对照组相比,闭眼对精神分裂症患者压力中心点速度(速度,sm/s)的影响较小(中位数变化,36% 对 70%,p = 0.0006)。对照组闭眼期间身体位置的变化倾向于向右,而精神分裂症组则向左(p = 0.025)。结果表明,视觉成分在这些精神分裂症患者的平衡控制中占主导地位的程度较低。视觉信息对姿势的偏侧化影响也受损。