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衰老对行走过程中对步阶目标位移反应的影响。

Effects of ageing on responses to stepping-target displacements during walking.

作者信息

Zhang Yajie, Smeets Jeroen B J, Brenner Eli, Verschueren Sabine, Duysens Jacques

机构信息

Department of Rehabilitation Sciences, FaBer, KU Leuven, Leuven, Belgium.

Department of Human Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

出版信息

Eur J Appl Physiol. 2021 Jan;121(1):127-140. doi: 10.1007/s00421-020-04504-4. Epub 2020 Sep 29.

Abstract

PURPOSE

Human sensory and motor systems deteriorate with age. When walking, older adults may therefore find it more difficult to adjust their steps to new visual information, especially considering that such adjustments require control of balance as well as of foot trajectory. Our study investigates the effects of ageing on lower limb responses to unpredictable target shifts.

METHODS

Participants walked on a treadmill with projected stepping targets that occasionally shifted in the medial or lateral direction. The shifts occurred at a random moment during the early half of the swing phase of either leg. Kinematic, kinetic and muscle activity data were collected.

RESULTS

Older adults responded later and corrected for a smaller proportion of the shift than young adults. The order in which muscle activation changed was similar in both groups, with responses of gluteus medius and semitendinosus from about 120 to 140 ms after the shift. Most muscles responded slightly later to lateral target shifts in the older adults than in the young adults, but this difference was not observed for medial target shifts. Ageing delayed the behavioural responses more than it did the electromyographic (EMG) responses.

CONCLUSIONS

Our study suggests that older adults can adjust their walking to small target shifts during the swing phase, but not as well as young adults. Furthermore, muscle strength probably plays a substantial role in the changes in online adjustments during ageing.

摘要

目的

人类的感觉和运动系统会随着年龄增长而衰退。因此,老年人在行走时可能会发现更难根据新的视觉信息调整步伐,尤其是考虑到这种调整需要控制平衡以及脚部轨迹。我们的研究调查了衰老对下肢对不可预测目标偏移的反应的影响。

方法

参与者在跑步机上行走,跑步机上投射有步幅目标,这些目标偶尔会在内侧或外侧方向移动。偏移发生在任意一条腿摆动阶段前半段的随机时刻。收集运动学、动力学和肌肉活动数据。

结果

与年轻人相比,老年人的反应更迟缓,且对偏移的纠正比例更小。两组肌肉激活变化的顺序相似,臀中肌和半腱肌在偏移后约120至140毫秒做出反应。在老年人中,大多数肌肉对外侧目标偏移的反应比年轻人略晚,但在内侧目标偏移时未观察到这种差异。衰老对行为反应的延迟比对肌电图(EMG)反应的延迟更大。

结论

我们的研究表明,老年人能够在摆动阶段将行走调整至应对小目标偏移,但不如年轻人。此外,肌肉力量可能在衰老过程中的在线调整变化中起重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22d2/7815571/2b705ff5639b/421_2020_4504_Fig1_HTML.jpg

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