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轻触可调节扰动后的平衡恢复:从快速反应到姿势重新稳定。

Light touch modulates balance recovery following perturbation: from fast response to stance restabilization.

作者信息

Martinelli Alessandra Rezende, Coelho Daniel Boari, Magalhães Fernando Henrique, Kohn André Fabio, Teixeira Luis Augusto

机构信息

Human Motor Systems Laboratory, School of Physical Education and Sport, University of São Paulo, Av. Prof. Mello Moraes, 65, Cidade Universitária, São Paulo, SP, 05508-030, Brazil,

出版信息

Exp Brain Res. 2015 May;233(5):1399-408. doi: 10.1007/s00221-015-4214-z. Epub 2015 Feb 3.

Abstract

Light fingertip touch of a static bar generates extra somatosensory information used by the postural control system to reduce body sway. While the effect of light touch has been studied in quiet stance, less attention has been given to its potential benefit for reactive postural responses. In the present study, we tested the effect of light fingertip touch of a stable surface on recovery of postural stability from a mechanical perturbation. Participants stood upright on a force plate touching a static rigid bar while being pulled backward by a load. Unpredictable release of the load induced fast anterior body sway, requiring a reactive response to recover balance. Effect of light touch on postural responses was assessed as a function of vision and malleability of the support surface, analyzing different epochs ranging from the pre-perturbation period to recovery of a relatively stable quiet stance. Results showed that light touch induced lower magnitude of muscular activation in all epochs. Center of pressure (CoP) displacement/sway was affected by interaction of light touch with manipulation of the other sensory information. For the periods associated with quiet stance, light touch led to decreased CoP sway in the malleable surface in the pre-perturbation epoch, and in the condition combining no vision and malleable surface in the balance restabilization and follow-up quiet stance epochs. For the fast reactive response epoch, light touch induced smaller amplitude of CoP displacement across conditions, and lower CoP maximum velocity in the condition combining no vision and rigid surface. These results showed that light touch modulates postural responses in all epochs associated with an unanticipated mechanical perturbation, with a more noticeable effect in conditions manipulating sensory information relevant for balance control.

摘要

对静态杆进行轻柔的指尖触摸会产生额外的躯体感觉信息,姿势控制系统会利用这些信息来减少身体晃动。虽然在安静站立时已经对轻触的效果进行了研究,但对于其对反应性姿势反应的潜在益处关注较少。在本研究中,我们测试了稳定表面的轻柔指尖触摸对从机械扰动中恢复姿势稳定性的影响。参与者站在力板上,触摸一根静态刚性杆,同时被一个负载向后拉。负载的不可预测释放会导致身体快速向前晃动,需要做出反应性反应来恢复平衡。根据视觉和支撑表面的可塑性,评估轻触对姿势反应的影响,分析从扰动前期到恢复相对稳定的安静站立的不同时间段。结果表明,在所有时间段内,轻触都会引起较低程度的肌肉激活。压力中心(CoP)位移/晃动受到轻触与其他感觉信息操纵相互作用的影响。在与安静站立相关的时间段内,在扰动前期,轻触会导致在可塑表面上的CoP晃动减少;在平衡重新稳定和后续安静站立时间段内,在无视觉和可塑表面相结合的情况下,轻触也会导致CoP晃动减少。在快速反应期,在所有条件下,轻触都会引起较小的CoP位移幅度,在无视觉和刚性表面相结合的条件下,CoP的最大速度较低。这些结果表明,轻触会调节与意外机械扰动相关的所有时间段内的姿势反应,在操纵与平衡控制相关的感觉信息的条件下,效果更为明显。

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