Friedli W G, Cohen L, Hallett M, Stanhope S, Simon S R
Department of Orthopedic Surgery, Children's Hospital Medical Center, Boston, MA.
J Neurol Neurosurg Psychiatry. 1988 Feb;51(2):232-43. doi: 10.1136/jnnp.51.2.232.
Normal subjects performed bilaterally symmetric rapid elbow flexions or extensions ("focal movements") while standing. Specific patterns of electromyographic activity in leg and trunk muscles ("associated postural adjustments") were seen for each type of movement. The biomechanical significance of these postural adjustments was analysed by means of the ground reaction forces and motion of the various body segments. Experimental data were compared with that from a theoretical model of the body consisting of a six segment kinetic chain with rigid links. Distinct patterns of the ground reaction forces with elbow flexion were opposite in direction to those seen with elbow extension. Movements of the various body segments were small and specific for a certain focal movement. Dynamic perturbations arising from the arm movement in an anteroposterior direction were found to be compensated by postural adjustments, whereas vertical perturbations were not compensated. The muscular activity acting about different joints in the different movements was found to correlate with the predictions of activity needed to compensate for net joint reaction moments arising from the focal movement. Motion of the various body segments could be understood as resulting from the interplay of the net reaction moments and the net muscular moments at the different joints. Dynamic postural requirements are accomplished by a precise active compensation initiated before the focal movement.
正常受试者站立时进行双侧对称的快速肘部屈伸(“局部运动”)。每种运动类型都观察到腿部和躯干肌肉中特定的肌电活动模式(“相关姿势调整”)。通过地面反作用力和身体各节段的运动分析了这些姿势调整的生物力学意义。将实验数据与由具有刚性连接的六节段动力学链组成的人体理论模型的数据进行了比较。肘部屈曲时地面反作用力的明显模式与肘部伸展时的方向相反。身体各节段的运动较小,且针对特定的局部运动具有特异性。发现手臂前后方向运动产生的动态扰动通过姿势调整得到补偿,而垂直扰动未得到补偿。发现在不同运动中作用于不同关节的肌肉活动与补偿局部运动产生的净关节反应力矩所需活动的预测相关。身体各节段的运动可以理解为不同关节处净反应力矩和净肌肉力矩相互作用的结果。动态姿势要求通过在局部运动之前启动的精确主动补偿来实现。