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节段间动力学塑造了正常发育儿童抓握过程中的关节协调,但发育性协调障碍儿童并非如此。

Intersegmental dynamics shape joint coordination during catching in typically developing children but not in children with developmental coordination disorder.

作者信息

Asmussen Michael J, Przysucha Eryk P, Dounskaia Natalia

机构信息

McMaster University, Hamilton, Ontario, Canada;

出版信息

J Neurophysiol. 2014 Apr;111(7):1417-28. doi: 10.1152/jn.00672.2013. Epub 2014 Jan 8.

DOI:10.1152/jn.00672.2013
PMID:24401708
Abstract

Factors shaping joint coordination during multijoint movements were studied using a one-handed ball-catching task. Typically developing (TD) boys between 9 and 12 yr of age, at which catching becomes consistently successful, and boys with developmental coordination disorder (DCD) of the same age participated in the study. The arm was initially stretched down. Catching was performed by flexing the shoulder and elbow and extending the wrist in the parasagittal plane. Catching success rate was substantially lower in children with DCD. Amplitudes and directions of joint motions were similar in both groups. Group differences were found in shoulder and elbow coordination patterns. TD children performed the movement predominantly by actively accelerating into flexion, one joint at a time-first the elbow and then the shoulder-and allowing passive interaction torque (IT) to accelerate the other joint into extension. Children with DCD tended to accelerate both joints into flexion simultaneously, suppressing IT. The results suggest that the TD joint coordination was shaped by the tendency to minimize active control of IT despite the complexity of the emergent joint kinematics. The inefficient control of IT in children with DCD points to deficiency of the internal model of intersegmental dynamics. Together, the findings advocate that joint coordination throughout a multijoint movement is a by-product of the control strategy that benefits from movement dynamics by actively accelerating a single joint and using IT for rotation of the other joint. Reduction of control-dependent noise is discussed as a possible advantage of this control strategy.

摘要

采用单手接球任务研究了多关节运动过程中影响关节协调的因素。9至12岁通常发育正常(TD)的男孩(此时接球成功率持续提高)和同龄的发育性协调障碍(DCD)男孩参与了该研究。手臂最初向下伸展。接球动作通过在矢状旁平面内屈曲肩部和肘部以及伸展腕部来完成。DCD儿童的接球成功率显著较低。两组的关节运动幅度和方向相似。在肩部和肘部协调模式上发现了组间差异。TD儿童主要通过一次主动加速一个关节(先肘部后肩部)进入屈曲,并允许被动相互作用扭矩(IT)将另一个关节加速进入伸展来完成动作。DCD儿童倾向于同时将两个关节加速进入屈曲,抑制IT。结果表明,尽管出现的关节运动学较为复杂,但TD关节协调是由尽量减少对IT的主动控制的倾向所塑造的。DCD儿童对IT的控制效率低下表明节段间动力学内部模型存在缺陷。总之,这些发现表明,在整个多关节运动中,关节协调是控制策略的一个副产品,该策略通过主动加速单个关节并利用IT使另一个关节旋转而受益于运动动力学。减少控制相关噪声被认为是这种控制策略的一个可能优势。

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