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慢性中风幸存者在双手协调时表现出运动变异性的任务依赖性调节。

Chronic stroke survivors show task-dependent modulation of motor variability during bimanual coordination.

机构信息

Department of Kinesiology, Michigan State University, East Lansing, Michigan.

Department of Mechanical Engineering, Michigan State University, East Lansing, Michigan.

出版信息

J Neurophysiol. 2019 Mar 1;121(3):756-763. doi: 10.1152/jn.00218.2018. Epub 2019 Jan 2.

Abstract

Stroke often results in hemiparesis, leaving one side of the body "affected" relative to the other side. Prior research has shown that the affected arm has higher variability; however, the extent to which this variability can be modulated is unclear. Here we used a shared bimanual task to examine the degree to which participants could modulate the variability in the affected arm after stroke. Participants with chronic stroke ( n = 11) and age-matched controls ( n = 11) performed unimanual and bimanual reaching movements to move a cursor on a screen to different targets. In the unimanual condition, the cursor was controlled only by the movement of a single arm, whereas, in the bimanual condition, the cursor position was "shared" between the two arms by using a weighted average of the two hand positions. Unknown to the participants, we altered the weightings of the affected and unaffected arms to cursor motion and examined how the movement variability on each arm changed depending on its contribution to the task. Results showed that stroke survivors had higher movement variability on the affected arm; however, like age-matched controls, they were able to modulate the variability in both the affected and unaffected arms according to the weighting condition. Specifically, as the weighting on a particular arm increased (i.e., it became more important to the task), the movement variability decreased. These results show that stroke survivors are capable of modulating variability depending on the task context, and this feature may potentially be exploited for rehabilitation paradigms. NEW & NOTEWORTHY We show that chronic stroke survivors, similar to age-matched controls, are able to modulate variability in their affected and unaffected limbs in redundant bimanual tasks as a function of how these limbs contribute to the task. Specifically, in both affected and unaffected limbs, the variability of the limb increases as its contribution to the task decreases. This feature may potentially be exploited in rehabilitation paradigms using bimanual tasks.

摘要

中风常导致偏瘫,使身体的一侧相对于另一侧“受到影响”。先前的研究表明,患侧手臂的变异性更高;然而,这种变异性可以被调节的程度尚不清楚。在这里,我们使用共享的双手任务来检查中风后参与者可以在多大程度上调节患侧手臂的变异性。11 名慢性中风患者(n=11)和年龄匹配的对照组(n=11)进行了单手和双手到达运动,以将光标移动到屏幕上的不同目标。在单手条件下,光标仅由单个手臂的运动控制,而在双手条件下,通过使用两个手位置的加权平均值,光标位置在两个手臂之间“共享”。参与者不知道的是,我们改变了患侧和健侧手臂对光标运动的权重,并检查了每个手臂的运动变异性如何根据其对任务的贡献而变化。结果表明,中风幸存者在患侧手臂上的运动变异性更高;然而,与年龄匹配的对照组一样,他们能够根据权重条件调节患侧和健侧手臂的变异性。具体来说,随着特定手臂的权重增加(即,对任务变得更加重要),运动变异性降低。这些结果表明,中风幸存者能够根据任务上下文调节变异性,并且这种特征可能潜在地用于康复范例。新的和值得注意的是,我们表明,慢性中风幸存者与年龄匹配的对照组一样,能够在冗余双手任务中根据这些肢体对任务的贡献来调节患侧和健侧肢体的变异性。具体来说,在患侧和健侧肢体中,肢体的变异性随着其对任务的贡献减少而增加。这种特征可能潜在地用于使用双手任务的康复范例。

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