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肌肉协同作用揭示了胸段脊髓损伤患者躯干肌肉协调策略受损。

Muscle synergies reveal impaired trunk muscle coordination strategies in individuals with thoracic spinal cord injury.

作者信息

Milosevic Matija, Yokoyama Hikaru, Grangeon Murielle, Masani Kei, Popovic Milos R, Nakazawa Kimitaka, Gagnon Dany H

机构信息

Department of Life Sciences, Graduate School of Arts and Sciences, University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan.

Department of Life Sciences, Graduate School of Arts and Sciences, University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan.

出版信息

J Electromyogr Kinesiol. 2017 Oct;36:40-48. doi: 10.1016/j.jelekin.2017.06.007. Epub 2017 Jul 1.

Abstract

Spinal cord injury (SCI) can result in paralysis of trunk muscles, which can affect sitting balance. The objective of this study was to analyze trunk muscle coordination of individuals with thoracic SCI and compare it to able-body individuals. A total of 27 individuals were recruited and subdivided into: (a) high thoracic SCI; (b) low thoracic SCI; and (c) able-body groups. Participants were seated and asked to lean their trunk in eight directions while trunk muscle activity was recorded. Muscle coordination was assessed using the non-negative matrix factorization (NMF) method to extract muscle modules, which are the synergistic trunk muscle activations, and their directional activation patterns. Our results showed that individuals with SCI used less muscle modules, more co-contractions, and less directional tuning, compared to able-bodied people. These results suggest impaired and simplified muscle coordination due to the loss of supraspinal input after SCI. Observed variability in muscle coordination within SCI groups also suggests that other mechanisms such as spasticity and muscle stretch reflexes or individual factors such as experience and training contributed to the postural muscle synergies. Overall, muscle coordination deficits revealed impaired neuromuscular strategies which provide implications for rehabilitation of trunk muscles during sitting balance after SCI.

摘要

脊髓损伤(SCI)可导致躯干肌肉麻痹,进而影响坐姿平衡。本研究的目的是分析胸段脊髓损伤患者的躯干肌肉协调性,并将其与健全个体进行比较。共招募了27名个体,分为:(a)高位胸段脊髓损伤组;(b)低位胸段脊髓损伤组;(c)健全组。参与者就座后,被要求将躯干向八个方向倾斜,同时记录躯干肌肉活动。使用非负矩阵分解(NMF)方法评估肌肉协调性,以提取肌肉模块,即协同的躯干肌肉激活及其方向激活模式。我们的结果表明,与健全个体相比,脊髓损伤患者使用的肌肉模块更少,共同收缩更多,方向调整更少。这些结果表明,脊髓损伤后由于脊髓上输入的丧失,肌肉协调性受损且简化。在脊髓损伤组中观察到的肌肉协调性差异也表明,其他机制如痉挛和肌肉牵张反射或个体因素如经验和训练对姿势肌肉协同作用有影响。总体而言,肌肉协调性缺陷揭示了神经肌肉策略受损,这为脊髓损伤后坐姿平衡时躯干肌肉的康复提供了启示。

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