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站立状态下男性腿部肌肉自主收缩相关的姿势调整

Postural adjustments associated with voluntary contraction of leg muscles in standing man.

作者信息

Nardone A, Schieppati M

机构信息

Istituto di Fisiologia Umana II, Universita' degli Studi di Milano, Italy.

出版信息

Exp Brain Res. 1988;69(3):469-80. doi: 10.1007/BF00247301.

Abstract

The postural adjustments associated with a voluntary contraction of the postural muscles themselves have been studied in the legs of normal standing men. We focussed on the following questions. Do postural adjustments precede the focal movement as in the case of movements of the upper limb? Which muscle(s) are involved in the task of stabilizing posture? Can the same postural muscle be activated in postural stabilization and in voluntary movement at the same time, in spite of the opposite changes in activity possibly required by these conditions? Six subjects standing on a dynamometric platform were asked to rise onto the tips their toes by contracting their soleus muscles, or to rock on their heels by contracting their tibialis anterior muscles. The tasks were made in a reaction time (RT) situation or in a self-paced mode, standing either freely or holding onto a stable structure. Surface EMGs of leg and thigh muscles, and the foot-floor reaction forces were recorded. The following results were obtained in the RT mode, standing freely. 1. Rising onto toe tips: a striking silent period in soleus preceded its voluntary activation; during this silent period, a tibialis anterior burst could be observed in three subjects; these anticipatory activities induced a forward sway, as monitored by a change in the force exerted along the x axis of the platform. 2. Rocking on heels: an enhancement in tonic EMG of soleus was observed before tibialis anterior voluntary burst, at a mean latency from the go-signal similar to that of the silent period; this anticipatory activity induced a backward body sway. 3. Choice RT conditions showed that the above anticipatory patterns in muscle activity were pre-programmed, specific for the intended tasks, and closely associated with the focal movement. When both tasks were performed in a self-paced mode, all the above EMG and mechanical features were more pronounced and unfolded in time. If the subjects held onto the frame, the early features in the soleus or tibialis anterior EMG were absent, and the corresponding changes in the foot-floor reaction forces were lacking. The anticipatory phenomena observed are considered postural adjustments because they appear only in the free-standing situation, and induce a body sway in the appropriate direction to counteract the destabilizing thrust due to the voluntary contraction of soleus or tibialis anterior. The central organization and descending control of posture and movements are briefly discussed in the light of the short latency of the anticipatory phenomena and of their close association with the focal movement.

摘要

我们已经对正常站立男性腿部姿势肌肉自主收缩时相关的姿势调整进行了研究。我们关注以下问题。姿势调整是否像上肢运动那样先于焦点运动出现?哪些肌肉参与姿势稳定任务?尽管姿势稳定和自主运动可能需要相反的活动变化,但同一块姿势肌肉能否在姿势稳定和自主运动中同时被激活?让六名站在测力平台上的受试者通过收缩比目鱼肌踮起脚尖,或者通过收缩胫骨前肌用脚后跟摇晃。这些任务在反应时间(RT)情况下或自定节奏模式下进行,受试者可以自由站立或抓住一个稳定结构。记录腿部和大腿肌肉的表面肌电图以及脚底反作用力。在自由站立的RT模式下获得了以下结果。1. 踮起脚尖:比目鱼肌在自主激活之前有一个明显的静息期;在这个静息期,三名受试者的胫骨前肌出现爆发;这些预期活动导致向前摇晃,通过平台x轴上施加力的变化来监测。2. 用脚后跟摇晃:在胫骨前肌自主爆发之前,观察到比目鱼肌的强直肌电图增强,从开始信号起的平均潜伏期与静息期相似;这种预期活动导致身体向后摇晃。3. 选择反应时条件表明,上述肌肉活动中的预期模式是预先编程的,针对预期任务具有特异性,并且与焦点运动密切相关。当两个任务都在自定节奏模式下进行时,所有上述肌电图和力学特征都更加明显且随时间展开。如果受试者抓住框架,则比目鱼肌或胫骨前肌肌电图的早期特征不存在,并且脚底反作用力也没有相应变化。观察到的预期现象被认为是姿势调整,因为它们仅出现在自由站立的情况下,并在适当方向上引起身体摇晃,以抵消比目鱼肌或胫骨前肌自主收缩产生的不稳定推力。根据预期现象的短潜伏期及其与焦点运动的密切关联,简要讨论了姿势和运动的中枢组织及下行控制。

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