Hsu Wei-Li
School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan.
PLoS One. 2014 Oct 17;9(10):e108667. doi: 10.1371/journal.pone.0108667. eCollection 2014.
Motor abundance is an essential feature of adaptive control. The range of joint combinations enabled by motor abundance provides the body with the necessary freedom to adopt different positions, configurations, and movements that allow for exploratory postural behavior. This study investigated the adaptation of postural control to joint immobilization during multi-task performance. Twelve healthy volunteers (6 males and 6 females; 21-29 yr) without any known neurological deficits, musculoskeletal conditions, or balance disorders participated in this study. The participants executed a targeting task, alone or combined with a ball-balancing task, while standing with free or restricted joint motions. The effects of joint configuration variability on center of mass (COM) stability were examined using uncontrolled manifold (UCM) analysis. The UCM method separates joint variability into two components: the first is consistent with the use of motor abundance, which does not affect COM position (VUCM); the second leads to COM position variability (VORT). The analysis showed that joints were coordinated such that their variability had a minimal effect on COM position. However, the component of joint variability that reflects the use of motor abundance to stabilize COM (VUCM) was significant decreased when the participants performed the combined task with immobilized joints. The component of joint variability that leads to COM variability (VORT) tended to increase with a reduction in joint degrees of freedom. The results suggested that joint immobilization increases the difficulty of stabilizing COM when multiple tasks are performed simultaneously. These findings are important for developing rehabilitation approaches for patients with limited joint movements.
运动丰富性是适应性控制的一个基本特征。运动丰富性所允许的关节组合范围为身体提供了采取不同姿势、构型和运动的必要自由度,从而实现探索性的姿势行为。本研究调查了多任务执行过程中姿势控制对关节固定的适应性。12名无任何已知神经功能缺损、肌肉骨骼疾病或平衡障碍的健康志愿者(6名男性和6名女性;年龄21 - 29岁)参与了本研究。参与者在关节自由或受限运动的情况下站立时,单独或与球平衡任务相结合执行目标任务。使用非控制流形(UCM)分析来检查关节构型变异性对质心(COM)稳定性的影响。UCM方法将关节变异性分为两个分量:第一个分量与运动丰富性的使用一致,不影响COM位置(VUCM);第二个分量导致COM位置变异性(VORT)。分析表明,关节相互协调,使得它们的变异性对COM位置的影响最小。然而,当参与者在关节固定的情况下执行联合任务时,反映利用运动丰富性来稳定COM的关节变异性分量(VUCM)显著降低。导致COM变异性的关节变异性分量(VORT)倾向于随着关节自由度的减少而增加。结果表明,当同时执行多项任务时,关节固定会增加稳定COM的难度。这些发现对于为关节活动受限的患者开发康复方法具有重要意义。