Pettorossi Vito Enrico, Panichi Roberto, Botti Fabio Massimo, Biscarini Andrea, Filippi Guido Maria, Schieppati Marco
Department of Experimental Medicine, University of Perugia, Italy.
Institute of Human Physiology, Catholic University, Roma, Italy.
Clin Neurophysiol. 2015 Oct;126(10):1886-900. doi: 10.1016/j.clinph.2015.02.057. Epub 2015 Mar 6.
To show that neck proprioceptive input can induce long-term effects on vestibular-dependent self-motion perception.
Motion perception was assessed by measuring the subject's error in tracking in the dark the remembered position of a fixed target during whole-body yaw asymmetric rotation of a supporting platform, consisting in a fast rightward half-cycle and a slow leftward half-cycle returning the subject to the initial position. Neck muscles were relaxed or voluntarily contracted, and/or vibrated. Whole-body rotation was administered during or at various intervals after the vibration train. The tracking position error (TPE) at the end of the platform rotation was measured during and after the muscle conditioning maneuvers.
Neck input produced immediate and sustained changes in the vestibular perceptual response to whole-body rotation. Vibration of the left sterno-cleido-mastoideus (SCM) or right splenius capitis (SC) or isometric neck muscle effort to rotate the head to the right enhanced the TPE by decreasing the perception of the slow rotation. The reverse effect was observed by activating the contralateral muscle. The effects persisted after the end of SCM conditioning, and slowly vanished within several hours, as tested by late asymmetric rotations. The aftereffect increased in amplitude and persistence by extending the duration of the vibration train (from 1 to 10min), augmenting the vibration frequency (from 5 to 100Hz) or contracting the vibrated muscle. Symmetric yaw rotation elicited a negligible TPE, upon which neck muscle vibrations were ineffective.
Neck proprioceptive input induces enduring changes in vestibular-dependent self-motion perception, conditional on the vestibular stimulus feature, and on the side and the characteristics of vibration and status of vibrated muscles. This shows that our perception of whole-body yaw-rotation is not only dependent on accurate vestibular information, but is modulated by proprioceptive information related to previously experienced position of head with respect to trunk.
Tonic proprioceptive inflow, as might occur as a consequence of enduring or permanent head postures, can induce adaptive plastic changes in vestibular-dependent motion sensitiveness. These changes might be counteracted by vibration of selected neck muscles.
证明颈部本体感觉输入可对前庭依赖的自我运动感知产生长期影响。
通过测量受试者在黑暗中追踪支撑平台全身偏航不对称旋转期间固定目标的记忆位置时的误差来评估运动感知,该旋转包括快速向右半周期和缓慢向左半周期,使受试者回到初始位置。颈部肌肉放松或自主收缩,和/或振动。在振动训练期间或之后的不同时间间隔进行全身旋转。在肌肉调节操作期间和之后测量平台旋转结束时的追踪位置误差(TPE)。
颈部输入使前庭对全身旋转的感知反应产生即时且持续的变化。左侧胸锁乳突肌(SCM)或右侧头夹肌(SC)振动,或通过等长颈部肌肉用力将头部向右侧旋转,可通过降低对缓慢旋转的感知来增强TPE。激活对侧肌肉则观察到相反的效果。如通过后期不对称旋转测试所示,SCM调节结束后效果持续存在,并在数小时内缓慢消失。通过延长振动训练持续时间(从1分钟到10分钟)、提高振动频率(从5赫兹到100赫兹)或收缩振动肌肉,后效应的幅度和持续时间会增加。对称偏航旋转引起的TPE可忽略不计,在此情况下颈部肌肉振动无效。
颈部本体感觉输入可引起前庭依赖的自我运动感知的持久变化,这取决于前庭刺激特征、振动的一侧和特征以及振动肌肉的状态。这表明我们对全身偏航旋转的感知不仅依赖于准确的前庭信息,还受到与头部相对于躯干先前经历位置相关的本体感觉信息的调节。
由于持久或永久性头部姿势可能产生的紧张性本体感觉输入,可在前庭依赖的运动敏感性方面诱导适应性可塑性变化。这些变化可能通过选择的颈部肌肉振动来抵消。