Rozumalski Adam, Steele Katherine M, Schwartz Michael H
Gillette Children's Specialty Healthcare, St. Paul, MN, United States.
University of Washington, Seattle, WA, United States.
J Biomech. 2017 Nov 7;64:112-119. doi: 10.1016/j.jbiomech.2017.09.002. Epub 2017 Sep 14.
The aim of this study was to determine whether changes in synergies relate to changes in gait while walking on a treadmill at multiple speeds and slopes. The hypothesis was that significant changes in movement pattern would not be accompanied by significant changes in synergies, suggesting that synergies are not dependent on the mechanical constraints but are instead neurological in origin.
Sixteen typically developing children walked on a treadmill for nine combinations (stages) of different speeds and slopes while simultaneously collecting kinematics, kinetics, and surface electromyography (EMG) data. The kinematics for each stride were summarized using a modified version of the Gait Deviation Index that only includes the sagittal plane. The kinetics for each stride were summarized using a modified version of the Gait Deviation Index - Kinetic which includes sagittal plane moments and powers. Within each synergy group, the correlations of the synergies were calculated between the treadmill stages.
While kinematics and kinetics were significantly altered at the highest slope compared to level ground when walking on a treadmill, synergies were similar across stages.
The high correlations between synergies across stages indicate that neuromuscular control strategies do not change as children walk at different speeds and slopes on a treadmill. However, the multiple significant differences in kinematics and kinetics between stages indicate real differences in movement pattern. This supports the theory that synergies are neurological in origin and not simply a response to the biomechanical task constraints.
本研究的目的是确定在跑步机上以多种速度和坡度行走时,协同作用的变化是否与步态变化相关。假设是运动模式的显著变化不会伴随着协同作用的显著变化,这表明协同作用不依赖于机械约束,而是起源于神经学。
16名发育正常的儿童在跑步机上以不同速度和坡度的九种组合(阶段)行走,同时收集运动学、动力学和表面肌电图(EMG)数据。每个步幅的运动学数据使用仅包括矢状面的步态偏差指数的修改版本进行总结。每个步幅的动力学数据使用步态偏差指数 - 动力学的修改版本进行总结,该版本包括矢状面力矩和功率。在每个协同作用组内,计算跑步机各阶段之间协同作用的相关性。
在跑步机上行走时,与平地相比,最高坡度时运动学和动力学有显著改变,但各阶段的协同作用相似。
各阶段协同作用之间的高相关性表明,当儿童在跑步机上以不同速度和坡度行走时,神经肌肉控制策略不会改变。然而,各阶段运动学和动力学的多个显著差异表明运动模式存在实际差异。这支持了协同作用起源于神经学而非仅仅是对生物力学任务约束的反应这一理论。