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利用外部机械功降低代谢成本:分带跑步机行走的力学和能量学。

Taking advantage of external mechanical work to reduce metabolic cost: the mechanics and energetics of split-belt treadmill walking.

机构信息

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, 90033, USA.

Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, British Columbia, Canada, V5A 1S6.

出版信息

J Physiol. 2019 Aug;597(15):4053-4068. doi: 10.1113/JP277725. Epub 2019 Jul 3.

Abstract

KEY POINTS

The neuromotor system generates flexible motor patterns that can adapt to changes in our bodies or environment and also take advantage of assistance provided by the environment. We ask how energy minimization influences adaptive learning during human locomotion to improve economy when walking on a split-belt treadmill. We use a model-based approach to predict how people should adjust their walking pattern to take advantage of the assistance provided by the treadmill, and we validate these predictions empirically. We show that adaptation to a split-belt treadmill can be explained as a process by which people reduce step length asymmetry to take advantage of the work performed by the treadmill to reduce metabolic cost. Our results also have implications for the evaluation of devices designed to reduce effort during walking, as locomotor adaptation may serve as a model approach to understand how people learn to take advantage of external assistance.

ABSTRACT

In everyday tasks such as walking and running, we often exploit the work performed by external sources to reduce effort. Recent research has focused on designing assistive devices capable of performing mechanical work to reduce the work performed by muscles and improve walking function. The success of these devices relies on the user learning to take advantage of this external assistance. Although adaptation is central to this process, the study of adaptation is often done using approaches that seem to have little in common with the use of external assistance. We show in 16 young, healthy participants that a common approach for studying adaptation, split-belt treadmill walking, can be understood from a perspective in which people learn to take advantage of mechanical work performed by the treadmill. Initially, during split-belt walking, people step further forward on the slow belt than the fast belt which we measure as a negative step length asymmetry, but this asymmetry is reduced with practice. We demonstrate that reductions in asymmetry allow people to extract positive work from the treadmill, reduce the positive work performed by the legs, and reduce metabolic cost. We also show that walking with positive step length asymmetries, defined by longer steps on the fast belt, minimizes metabolic cost, and people choose this pattern after guided experience of a wide range of asymmetries. Our results suggest that split-belt adaptation can be interpreted as a process by which people learn to take advantage of mechanical work performed by an external device to improve economy.

摘要

要点

神经系统生成灵活的运动模式,能够适应身体或环境的变化,并利用环境提供的辅助。我们研究了能量最小化如何影响人类在分动跑步机上行走时的适应性学习,以提高行走经济性。我们使用基于模型的方法来预测人们应该如何调整行走模式以利用跑步机提供的辅助,并通过实证验证了这些预测。结果表明,适应分动跑步机可以解释为人们减小步长不对称性以利用跑步机完成的功来降低代谢成本的过程。我们的研究结果还对评估旨在降低行走时用力的设备具有启示意义,因为运动适应可以作为一种理解人们如何学习利用外部辅助的模型方法。

摘要

在日常任务(如行走和跑步)中,我们经常利用外部源完成的功来减少用力。最近的研究集中于设计能够完成机械功以减少肌肉做功并改善行走功能的辅助设备。这些设备的成功依赖于用户学习利用这种外部辅助的能力。尽管适应是这个过程的核心,但对适应的研究通常使用与利用外部辅助关系不大的方法。我们在 16 名年轻健康的参与者中证明,一种用于研究适应的常用方法(分动跑步机行走)可以从人们学习利用跑步机完成的机械功的角度来理解。在分动跑步机行走的初始阶段,人在慢带上向前迈出的步比快带长,我们将这种步长差异定义为负步长不对称,但这种不对称性会随着练习而减小。我们证明,不对称性的减小使得人可以从跑步机中提取出正功,减少腿部的正功,从而降低代谢成本。我们还证明,步长不对称性为正(快带上的步长更长)的行走模式可使代谢成本最小化,并且在经过广泛的不对称性引导经验后,人们会选择这种模式。我们的结果表明,分动带适应可以被解释为人们学习利用外部设备完成的机械功来提高经济性的过程。

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