一种与脊髓损伤后身体功能相关的工具。
A functionally relevant tool for the body following spinal cord injury.
机构信息
Department of Psychology, Sapienza University of Rome, Rome, Italy.
出版信息
PLoS One. 2013;8(3):e58312. doi: 10.1371/journal.pone.0058312. Epub 2013 Mar 6.
A tool such as a prosthetic device that extends or restores movement may become part of the identity of the person to whom it belongs. For example, some individuals with spinal cord injury (SCI) adapt their body and action representation to incorporate their wheelchairs. However, it remains unclear whether the bodily assimilation of a relevant external tool develops as a consequence of altered sensory and motor inputs from the body or of prolonged confinement sitting or lying in the wheelchair. To explore such relationships, we used a principal component analysis (PCA) on collected structured reports detailing introspective experiences of wheelchair use in 55 wheelchair-bound individuals with SCI. Among all patients, the regular use of a wheelchair induced the perception that the body's edges are not fixed, but are instead plastic and flexible to include the wheelchair. The PCA revealed the presence of three major components. In particular, the functional aspect of the sense of embodiment concerning the wheelchair appeared to be modulated by disconnected body segments. Neither an effect of time since injury nor an effect of exposure to/experience of was detected. Patients with lesions in the lower spinal cord and with loss of movement and sensation in the legs but who retained upper body movement showed a higher degree of functional embodiment than those with lesions in the upper spinal cord and impairment in the entire body. In essence, the tool did not become an extension of the immobile limbs; rather, it became an actual tangible substitution of the functionality of the affected body part. These findings suggest that the brain can incorporate relevant artificial tools into the body schema via the natural process of continuously updating bodily signals. The ability to embody new essential objects extends the potentiality of physically impaired persons and can be used for their rehabilitation.
一种像假肢这样可以扩展或恢复运动的工具,可能会成为其使用者身份的一部分。例如,一些患有脊髓损伤(SCI)的个体通过适应身体和动作来将轮椅融入其中。然而,目前尚不清楚相关外部工具的身体同化是由于身体的感觉和运动输入改变还是由于长时间坐在轮椅上或躺着而引起的。为了探索这些关系,我们对 55 名 SCI 轮椅使用者的详细自我报告进行了主成分分析(PCA)。在所有患者中,经常使用轮椅会使他们产生一种身体边缘不是固定的,而是具有可塑性和灵活性,可以容纳轮椅的感觉。PCA 揭示了三个主要成分的存在。特别是,关于轮椅的体现感的功能方面似乎受到断开的身体部位的调制。既没有检测到受伤时间的影响,也没有检测到暴露于/使用轮椅的影响。脊髓下部损伤且腿部失去运动和感觉但保留上半身运动的患者比脊髓上部损伤且整个身体受损的患者表现出更高程度的功能体现。从本质上讲,工具并没有成为无法移动的四肢的延伸;相反,它成为了受影响身体部位功能的实际有形替代品。这些发现表明,大脑可以通过不断更新身体信号的自然过程,将相关的人工工具纳入身体图式。体现新的基本对象的能力扩展了身体受损者的潜力,并可用于他们的康复。
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