Sozzi Stefania, Nardone Antonio, Schieppati Marco
Centro Studi Attività Motorie (CSAM), Istituti Clinici Scientifici Maugeri SB (Istituto di Ricovero e Cura a Carattere Scientifico, IRCCS), Pavia, Italy.
Neurorehabilitation and Spinal Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Istituti Clinici Scientifici Maugeri SB (Istituto di Ricovero e Cura a Carattere Scientifico, IRCCS), University of Pavia, Pavia, Italy.
Front Neurol. 2021 Nov 22;12:756984. doi: 10.3389/fneur.2021.756984. eCollection 2021.
We addressed postural instability during stance with eyes closed (EC) on a compliant surface in healthy young people. Spectral analysis of the centre of foot pressure oscillations was used to identify the effects of haptic information (light-touch, EC-LT), or vision (eyes open, EO), or both (EO-LT). Spectral median frequency was strongly reduced by EO and EO-LT, while spectral amplitude was reduced by all "stabilising" sensory conditions. Reduction in spectrum level by EO mainly appeared in the high-frequency range. Reduction by LT was much larger than that induced by the vision in the low-frequency range, less so in the high-frequency range. Touch and vision together produced a fall in spectral amplitude across all windows, more so in anteroposterior (AP) direction. Lowermost frequencies contributed poorly to geometric measures (sway path and area) for all sensory conditions. The same subjects participated in control experiments on a solid base of support. Median frequency and amplitude of the spectrum and geometric measures were largely smaller when standing on solid than on foam base but poorly affected by the sensory conditions. Frequency analysis but not geometric measures allowed to disclose unique tuning of the postural control mode by haptic and visual information. During standing on foam, the vision did not reduce low-frequency oscillations, while touch diminished the entire spectrum, except for the medium-high frequencies, as if sway reduction by touch would rely on rapid balance corrections. The combination of frequency analysis with sensory conditions is a promising approach to explore altered postural mechanisms and prospective interventions in subjects with central or peripheral nervous system disorders.
我们研究了健康年轻人在闭眼站立于顺应性表面时的姿势不稳定性。通过对足底压力振荡中心进行频谱分析,以确定触觉信息(轻触,闭眼 - 轻触)、视觉(睁眼,EO)或两者(睁眼 - 轻触)的影响。频谱中值频率在睁眼和睁眼 - 轻触时显著降低,而频谱幅度在所有“稳定”感觉条件下均降低。睁眼导致的频谱水平降低主要出现在高频范围内。在低频范围内,轻触导致的降低幅度远大于视觉引起的降低幅度,在高频范围内则较小。触觉和视觉共同作用使所有窗口的频谱幅度下降,在前后方向上更为明显。对于所有感觉条件,最低频率对几何测量指标(摆动路径和面积)的贡献较小。相同的受试者参与了在坚实支撑面上的对照实验。站立在坚实表面上时,频谱的中值频率和幅度以及几何测量指标大多比在泡沫表面上小,但受感觉条件的影响较小。频率分析而非几何测量能够揭示触觉和视觉信息对姿势控制模式的独特调节作用。在站立于泡沫表面时,视觉并未降低低频振荡,而触觉则减小了整个频谱,除了中高频,仿佛触觉引起的摆动减少依赖于快速的平衡校正。将频率分析与感觉条件相结合是探索中枢或外周神经系统疾病患者姿势机制改变及前瞻性干预措施的一种有前景的方法。