通过冷却降低足底机械感受器感觉后,平衡控制的短期改变。

Short term alteration of balance control after a reduction of plantar mechanoreceptor sensation through cooling.

机构信息

GRAME, Faculté de médecine, Département de kinésiologie, Université Laval, Québec, Canada.

出版信息

Neurosci Lett. 2013 Feb 22;535:40-4. doi: 10.1016/j.neulet.2012.11.022. Epub 2013 Jan 7.

Abstract

Proprioceptive inputs from the plantar sole contribute to balance control during normal quiet standing. This study investigated the cooling of plantar sole mechanoreceptors through ice immersion and its effects on balance control and lower leg muscle activity. Ten healthy males participated in this study. Plantar sole sensitivity was tested using the two point discriminatory test and the Von Frey monofilaments test. Plantar sole cooling was achieved through foot immersion in ice water. Balance control was measured using a force platform with seven trials (30s) performed before and after ice water foot immersion. Lower limb balance control muscle activity was measured with electromyography. Ice cooling reduced the plantar sole sensitivity of the foot. A short term alteration in balance control was observed with only the first trial showing significantly greater speed and RMS of the velocity of the centre of pressure in the cooling condition when compared to control trials before cooling. Muscular activity increased following the first trial. The adaptation observed after the short term alteration of balance control, could result from sensory reweighting processes. It is suggested that the muscular activity increase is evidence of sensory reweighting and contributes to the regulation of balance control when the plantar sole sensation is partially inhibited.

摘要

足底本体感受输入有助于正常安静站立时的平衡控制。本研究通过冰敷来研究足底机械感受器的冷却及其对平衡控制和小腿肌肉活动的影响。十名健康男性参与了这项研究。使用两点辨别测试和冯·弗雷单丝测试来测试足底敏感度。通过将脚浸入冰水来实现足底冷却。使用带有七个试验(30 秒)的力平台来测量平衡控制,在冰水冷脚浸泡前后进行。通过肌电图测量下肢平衡控制肌肉活动。冰敷降低了足部的足底敏感度。仅在第一次试验中,与冷却前的对照试验相比,冷却条件下的压力中心速度的速度和 RMS 明显更大,观察到平衡控制的短期改变。第一次试验后肌肉活动增加。平衡控制的短期改变后的适应可能是由于感觉重新加权过程。有人认为,肌肉活动的增加是感觉重新加权的证据,并且当足底感觉部分受到抑制时,有助于平衡控制的调节。

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