肌电假体握力控制虚拟训练中反馈的效果。

Effect of feedback during virtual training of grip force control with a myoelectric prosthesis.

机构信息

University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands.

University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.

出版信息

PLoS One. 2014 May 27;9(5):e98301. doi: 10.1371/journal.pone.0098301. eCollection 2014.

Abstract

The aim of this study was to determine whether virtual training improves grip force control in prosthesis use, and to examine which type of augmented feedback facilitates its learning most. Thirty-two able-bodied participants trained grip force with a virtual ball-throwing game for five sessions in a two-week period, using a myoelectric simulator. They received either feedback on movement outcome or on movement execution. Sixteen controls received training that did not focus on force control. Variability over learning was examined with the Tolerance-Noise-Covariation approach, and the transfer of grip force control was assessed in five test-tasks that assessed different aspects of force control in a pretest, a posttest and a retention test. During training performance increased while the variability in performance was decreased, mainly by reduction in noise. Grip force control only improved in the test-tasks that provided information on performance. Starting the training with a task that required low force production showed no transfer of the learned grip force. Feedback on movement execution was detrimental to grip force control, whereas feedback on movement outcome enhanced transfer of grip force control to tasks other than trained. Clinical implications of these results regarding virtual training of grip force control are discussed.

摘要

本研究旨在确定虚拟训练是否能改善假肢使用中的握力控制,并探讨哪种增强反馈最有利于其学习。32 名健全人在两周内使用肌电模拟器进行了五次虚拟抛球游戏训练,以训练握力。他们接受的反馈要么是关于运动结果,要么是关于运动执行。16 名对照组接受的训练不专注于力量控制。使用 Tolerance-Noise-Covariation 方法检查学习过程中的变异性,并在五个测试任务中评估握力控制的转移,这些测试任务在预测试、后测试和保留测试中评估了力控制的不同方面。在训练过程中,表现提高,而表现的变异性降低,主要是通过降低噪声来实现。握力控制仅在提供关于性能的信息的测试任务中得到改善。从需要低力产生的任务开始训练,不会对手部握力控制的转移产生影响。运动执行的反馈对握力控制不利,而运动结果的反馈则增强了握力控制向训练以外任务的转移。关于握力控制的虚拟训练,这些结果对临床的影响将在讨论中进行阐述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bec2/4035328/047543e93b86/pone.0098301.g001.jpg

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