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老年人双侧手臂屈曲时小腿姿势肌的激活时间及姿势干扰预测

Activation timing of postural muscles of lower legs and prediction of postural disturbance during bilateral arm flexion in older adults.

作者信息

Yaguchi Chie, Fujiwara Katsuo, Kiyota Naoe

机构信息

Department of Rehabilitation, Japan Health Care College, 6-17-3 Megumino-nishi, Eniwa, 061-1373, Japan.

Department of Sports and Health, Kanazawa Gakuin University, 10 Sue-machi, Kanazawa, 920-1392, Japan.

出版信息

J Physiol Anthropol. 2017 Dec 22;36(1):44. doi: 10.1186/s40101-017-0160-8.

Abstract

BACKGROUND

Activation timings of postural muscles of lower legs and prediction of postural disturbance were investigated in young and older adults during bilateral arm flexion in a self-timing task and an oddball task with different probabilities of target presentation. Arm flexion was started from a standing posture with hands suspended 10 cm below the horizontal level in front of the body, in which postural control focused on the ankles is important.

METHODS

Fourteen young and 14 older adults raised the arms in response to the target sound signal. Three task conditions were used: 15 and 45% probabilities of the target in the oddball task and self-timing. Analysis items were activation timing of postural muscles (erector spinae, biceps femoris, and gastrocnemius) with respect to the anterior deltoid (AD), and latency and amplitude of the P300 component of event-related brain potential.

RESULTS

For young adults, all postural muscles were activated significantly earlier than AD under each condition, and time of preceding gastrocnemius activation was significantly longer in the order of the self-timing, 45 and 15% conditions. P300 latency was significantly shorter, and P300 amplitude was significantly smaller under the 45% condition than under the 15% condition. For older adults, although all postural muscles, including gastrocnemius, were activated significantly earlier than AD in the self-timing condition, only activation timing of gastrocnemius was not significantly earlier than that of AD in oddball tasks, regardless of target probability. No significant differences were found between 15 and 45% conditions in onset times of all postural muscles, and latency and amplitude of P300.

CONCLUSION

These results suggest that during arm movement, young adults can achieve sufficient postural preparation in proportion to the probability of target presentation in the oddball task. Older adults can achieve postural control using ankle joints in the self-timing task. However, in the oddball task, older adults experience difficulty predicting the timing of target presentation, which could be related to deteriorated cognitive function, resulting in reduced use of the ankle joints for postural control.

摘要

背景

在一项自我计时任务和一个目标呈现概率不同的奇偶数任务中,研究了年轻人和老年人在双侧手臂屈曲过程中小腿姿势肌的激活时机以及姿势干扰的预测情况。手臂屈曲从站立姿势开始,双手悬于身体前方水平线下10厘米处,此时以脚踝为重点的姿势控制很重要。

方法

14名年轻人和14名老年人根据目标声音信号抬起手臂。使用了三种任务条件:奇偶数任务中目标概率分别为15%和45%以及自我计时。分析项目包括姿势肌(竖脊肌、股二头肌和腓肠肌)相对于三角肌前部(AD)的激活时机,以及事件相关脑电位P300成分的潜伏期和波幅。

结果

对于年轻人,在每种条件下,所有姿势肌的激活均显著早于AD,且腓肠肌提前激活的时间在自我计时、45%和15%条件下依次显著延长。45%条件下P300潜伏期显著缩短,P300波幅显著小于15%条件下。对于老年人,虽然在自我计时条件下,包括腓肠肌在内的所有姿势肌的激活均显著早于AD,但在奇偶数任务中,无论目标概率如何,只有腓肠肌的激活时机不比AD显著提前。在所有姿势肌的起始时间、P300的潜伏期和波幅方面,15%和45%条件之间未发现显著差异。

结论

这些结果表明,在手臂运动过程中,年轻人能够根据奇偶数任务中目标呈现的概率进行充分的姿势准备。老年人在自我计时任务中能够利用踝关节实现姿势控制。然而,在奇偶数任务中,老年人在预测目标呈现时机方面存在困难,这可能与认知功能下降有关,导致用于姿势控制的踝关节使用减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df85/5741865/ce3c275c2106/40101_2017_160_Fig1_HTML.jpg

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