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来自足部的快速适应性皮肤传入神经的振动触觉刺激可调节踝关节的本体感觉。

Vibrotactile stimulation of fast-adapting cutaneous afferents from the foot modulates proprioception at the ankle joint.

作者信息

Mildren Robyn L, Bent Leah R

机构信息

University of Guelph, Guelph, Ontario, Canada

University of Guelph, Guelph, Ontario, Canada.

出版信息

J Appl Physiol (1985). 2016 Apr 15;120(8):855-64. doi: 10.1152/japplphysiol.00810.2015. Epub 2016 Jan 28.

Abstract

It has previously been shown that cutaneous sensory input from across a broad region of skin can influence proprioception at joints of the hand. The present experiment tested whether cutaneous input from different skin regions across the foot can influence proprioception at the ankle joint. The ability to passively match ankle joint position (17° and 7° plantar flexion and 7° dorsiflexion) was measured while cutaneous vibration was applied to the sole (heel, distal metatarsals) or dorsum of the target foot. Vibration was applied at two different frequencies to preferentially activate Meissner's corpuscles (45 Hz, 80 μm) or Pacinian corpuscles (255 Hz, 10 μm) at amplitudes ∼3 dB above mean perceptual thresholds. Results indicated that cutaneous input from all skin regions across the foot could influence joint-matching error and variability, although the strongest effects were observed with heel vibration. Furthermore, the influence of cutaneous input from each region was modulated by joint angle; in general, vibration had a limited effect on matching in dorsiflexion compared with matching in plantar flexion. Unlike previous results in the upper limb, we found no evidence that Pacinian input exerted a stronger influence on proprioception compared with Meissner input. Findings from this study suggest that fast-adapting cutaneous input from the foot modulates proprioception at the ankle joint in a passive joint-matching task. These results indicate that there is interplay between tactile and proprioceptive signals originating from the foot and ankle.

摘要

先前的研究表明,来自手部广泛皮肤区域的皮肤感觉输入可以影响手部关节的本体感觉。本实验测试了来自足部不同皮肤区域的皮肤输入是否会影响踝关节的本体感觉。在向目标足部的足底(足跟、远节跖骨)或足背施加皮肤振动时,测量被动匹配踝关节位置(17°和7°跖屈以及7°背屈)的能力。以两种不同频率施加振动,以优先激活迈斯纳小体(45 Hz,80μm)或帕西尼小体(255 Hz,10μm),振幅比平均感知阈值高约3 dB。结果表明,来自足部所有皮肤区域的皮肤输入都可以影响关节匹配误差和变异性,尽管足跟振动的影响最为明显。此外,每个区域的皮肤输入的影响受关节角度调节;一般来说,与跖屈匹配相比,振动对背屈匹配的影响有限。与先前在上肢的结果不同,我们没有发现证据表明帕西尼小体输入比迈斯纳小体输入对本体感觉的影响更强。本研究结果表明,在被动关节匹配任务中,来自足部的快速适应性皮肤输入会调节踝关节的本体感觉。这些结果表明,源自足部和踝关节的触觉信号和本体感觉信号之间存在相互作用。

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