Department of Physical Therapy, University of Illinois at Chicago, 1919 W Taylor St (M/C 898), Chicago, IL, 60612, USA.
Sci Rep. 2021 Jul 29;11(1):15462. doi: 10.1038/s41598-021-94699-z.
Reactive stepping responses are essential to prevent falls after a loss of balance. It has previously been well described that both voluntary and reactive step training could improve the efficacy of reactive stepping in different populations. However, the effect of aging on neuromuscular control during voluntary and reactive stepping remains unclear. Electromyography (EMG) signals during both backward voluntary stepping in response to an auditory cue and backward reactive stepping elicited by a forward slip-like treadmill perturbation during stance were recorded in ten healthy young adults and ten healthy older adults. Using muscle synergy analysis, we extracted the muscle synergies for both voluntary and reactive stepping. Our results showed that fewer muscle synergies were used during reactive stepping than during voluntary stepping in both young and older adults. Minor differences in the synergy structure were observed for both voluntary and reactive stepping between age groups. Our results indicate that there is a low similarity of muscle synergies between voluntary stepping and reactive stepping and that aging had a limited effect on the structure of muscle synergies. This study enhances our understanding of the neuromuscular basis of both voluntary and reactive stepping as well as the potential effect of aging on neuromuscular control during balance tasks.
反应性跨步反应对于防止平衡丧失后的跌倒至关重要。先前已经很好地描述了,自愿和反应性步训都可以改善不同人群的反应性跨步的效果。然而,衰老对自愿和反应性跨步期间的神经肌肉控制的影响尚不清楚。在站立时,我们记录了十个健康的年轻人和十个健康的老年人对听觉提示进行向后自愿跨步和向前滑倒跑步机扰动引发的向后反应性跨步的肌电图(EMG)信号。使用肌肉协同分析,我们提取了自愿和反应性跨步的肌肉协同。我们的结果表明,年轻人和老年人在反应性跨步中使用的肌肉协同比自愿性跨步少。在年龄组之间,自愿性和反应性跨步的协同结构存在较小的差异。我们的结果表明,自愿性跨步和反应性跨步之间的肌肉协同相似性较低,并且衰老对平衡任务期间神经肌肉控制的协同结构的影响有限。这项研究增强了我们对自愿性和反应性跨步的神经肌肉基础以及衰老对平衡任务期间神经肌肉控制的潜在影响的理解。