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对婴儿进行非加权处理揭示了隐藏的运动技能。

Unweighting infants reveals hidden motor skills.

机构信息

Department of Physical Therapy, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Division of Rehabilitation Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

出版信息

Dev Sci. 2023 Mar;26(2):e13279. doi: 10.1111/desc.13279. Epub 2022 Jun 9.

Abstract

We investigated the role of rate limiting factors in development using walking as a model system. The achievement of bipedal posture and locomotion are among the most significant achievements in an infant's first year, with poor balance and weak muscles long proposed as the rate limiting factors. Compensating for either may reveal upright motor skill that has not yet emerged in the infant's natural repertoire. To probe this question, we unweighted prewalking infants and measured their performance in various standing and walking behaviors while unweighted compared to baseline. Our secondary objective was to determine if the influence of unweighting was related to infants' locomotor experience. Infants stood unsupported for longer durations with 20% or 40% unweighting. Infants took more independent steps and more steps with one hand held with 40% unweighting. No differences in transition to/from standing were observed. Locomotor experience was related to the influence of unweighting during cruising and walking with a push toy. This is the first report of more advanced motor skills-longer periods of unsupported standing and the emergence of independent walking-revealed by unweighting infants. We interpret our observations to suggest that the refinement of motor control needed to support bipedal posture and locomotion precedes the functional emergence of these skills in infants. In other words, the musculoskeletal components required for walking are slower to develop than the neurological factors - and consequently may be the rate limiters. We further suggest that training regimens including unweighting should be explored in infants with motor delays.

摘要

我们研究了限制因素在发育中的作用,以行走作为模型系统。婴儿在第一年中取得的最大成就是能够实现双足姿势和行走,而平衡力差和肌肉力量弱一直被认为是限制因素。补偿这些因素可能会揭示出婴儿自然行为中尚未出现的直立运动技能。为了探究这个问题,我们对婴儿进行减重,并在减重和未减重状态下测量其在各种站立和行走行为中的表现。我们的次要目标是确定减重的影响是否与婴儿的运动经验有关。在 20%或 40%减重的情况下,婴儿能更长时间地无支撑站立。在 40%减重的情况下,婴儿可以更独立地迈出脚步,也可以在一只手被支撑的情况下迈出更多的脚步。在从站立到行走或从行走到站立的过渡中没有观察到差异。在使用推动玩具进行巡航和行走时,运动经验与减重的影响有关。这是第一个通过减重来揭示婴儿更高级运动技能的报告——更长时间的无支撑站立和独立行走的出现。我们的观察结果表明,支撑双足姿势和行走所需的运动控制的完善先于这些技能在婴儿中的功能出现。换句话说,用于行走的骨骼肌肉成分比神经因素发育得更慢,因此可能是限制因素。我们进一步建议,应该在运动发育迟缓的婴儿中探索包括减重在内的训练方案。

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