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肌腱振动引起的下肢本体感觉改变对适应分带式跑步机行走的影响。

Impact of altered lower limb proprioception produced by tendon vibration on adaptation to split-belt treadmill walking.

作者信息

Layne Charles S, Chelette Amber M, Pourmoghaddam Amir

机构信息

Department of Health and Human Performance, University of Houston , Houston, Texas , USA .

出版信息

Somatosens Mot Res. 2015;32(1):31-8. doi: 10.3109/08990220.2014.949007. Epub 2014 Aug 27.

Abstract

It has been proposed that proprioceptive input is essential to the development of a locomotor body schema that is used to guide the assembly of successful walking. Proprioceptive information is used to signal the need for, and promotion of, locomotor adaptation in response to environmental or internal modifications. The purpose of this investigation was to determine if tendon vibration applied to either the hamstrings or quadriceps of participants experiencing split-belt treadmill walking modified lower limb kinematics during the early adaptation period. Modifications in the adaptive process in response to vibration would suggest that the sensory-motor system had been unsuccessful in down weighting the disruptive proprioceptive input resulting from vibration. Ten participants experienced split-belt walking, with and without vibration, while gait kinematics were obtained with a 12-camera collection system. Bilateral hip, knee, and ankle joint angles were calculated and the first five strides after the split were averaged for each subject to create joint angle waveforms for each of the assessed joints, for each experimental condition. The intralimb variables of stride length, percent stance time, and relative timing between various combinations of peak joint angles were assessed using repeated measures MANOVA. Results indicate that vibration had very little impact on the split-belt walking adaptive process, although quadriceps vibration did significantly reduce percent stance time by 1.78% relative to the no vibration condition. The data suggest that the perceptual-motor system was able to down weight the disrupted proprioceptive input such that the locomotor body schema was able to effectively manage the lower limb patterns of motion necessary to adapt to the changing belt speed. Complementary explanations for the current findings are also discussed.

摘要

有人提出,本体感觉输入对于用于指导成功行走动作组合的运动身体图式的发展至关重要。本体感觉信息用于表明响应环境或内部变化而进行运动适应的必要性并促进这种适应。本研究的目的是确定在早期适应期,对进行分带跑步机行走的参与者的腘绳肌或股四头肌施加肌腱振动是否会改变下肢运动学。对振动做出反应的适应性过程中的变化将表明感觉运动系统未能降低因振动产生的干扰性本体感觉输入的权重。十名参与者在有振动和无振动的情况下进行分带行走,同时使用12台摄像机采集系统获取步态运动学数据。计算双侧髋关节、膝关节和踝关节角度,并对每个受试者在分带后的前五步进行平均,以针对每种实验条件为每个评估关节创建关节角度波形。使用重复测量多变量方差分析评估步幅长度、站立时间百分比以及不同峰值关节角度组合之间的相对时间等下肢内变量。结果表明,振动对分带行走的适应过程影响很小,尽管相对于无振动条件,股四头肌振动确实使站立时间百分比显著降低了1.78%。数据表明,感知运动系统能够降低受干扰的本体感觉输入的权重,从而使运动身体图式能够有效地管理适应变化的带速所需的下肢运动模式。本文还讨论了对当前研究结果的补充解释。

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