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足底感觉缺失时H反射参数对姿势变化的适应性降低。

The Reduced Adaptability of H-Reflex Parameters to Postural Change With Deficiency of Foot Plantar Sensitivity.

作者信息

Sun Mengzi, Lewis Kelsey, Choi Jung Hun, Zhang Fangtong, Qu Feng, Li Li

机构信息

Biomechanics Laboratory, Beijing Sport University, Beijing, China.

Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, United States.

出版信息

Front Physiol. 2022 Jun 29;13:890414. doi: 10.3389/fphys.2022.890414. eCollection 2022.

Abstract

The project was to examine the influence of peripheral neuropathy (PN) severity on the relationship between Hoffmann-reflex (H-reflex) and postures. A total of 34 participants were recruited. H-reflex (H/M ratio and H-index) during prone, standing, and the heel-contact phase of walking was tested, along with foot sole sensitivity. The participants were divided into three groups based on the severity of the foot sole sensitivity deficit: control, less (LA), and more (MA) affected with both feet 5.07 monofilament test scores ranging 10, 0-5, and 6-9, respectively. A significant group by the posture interaction was observed in the H/M ratio (F = 2.904, = 0.046, = 0.172). In the control group, the H/M ratio of prone (22 ± 7%) was greater than that of the standing (13 ± 3%, = 0.013) and heel-contact phase (10 ± 2%, = 0.004). In the MA group, the H/M ratio of standing (13 ± 3%) was greater than that of the heel-contact phase (8 ± 2%, = 0.011). The H-index was significantly different among groups (F = 5.711, = 0.008, and 0.290). analysis showed that the H-index of the control group (80.6 ± 11.3) was greater than that of the LA (69.8 ± 12.1, = 0.021) and MA groups (62.0 ± 10.6, = 0.003). In a non-PN population, the plantar sensory input plays an important role in maintaining standing postural control, while as for the PN population with foot sole sensitivity deficiency, type Ⅰ afferent fibers reflex loop (H-reflex) contributes more to the standing postural control. The H-index parameter is an excellent method to recognize the people with and without PN but not to distinguish the severity of PN with impaired foot sole sensitivity.

摘要

该项目旨在研究周围神经病变(PN)严重程度对霍夫曼反射(H反射)与姿势之间关系的影响。共招募了34名参与者。测试了俯卧位、站立位以及步行足跟触地阶段的H反射(H/M比值和H指数),同时还测试了足底敏感性。根据足底敏感性缺陷的严重程度,将参与者分为三组:对照组、轻度(LA)组和重度(MA)组,双足5.07单丝试验评分分别为10、0 - 5和6 - 9。在H/M比值中观察到姿势交互作用的显著组间差异(F = 2.904,P = 0.046,η² = 0.172)。在对照组中,俯卧位的H/M比值(22 ± 7%)大于站立位(13 ± 3%,P = 0.013)和足跟触地阶段(10 ± 2%,P = 0.004)。在MA组中,站立位的H/M比值(13 ± 3%)大于足跟触地阶段(8 ± 2%,P = 0.011)。H指数在组间存在显著差异(F = 5.711,P = 0.008,η² = 0.290)。分析表明,对照组的H指数(80.6 ± 11.3)大于LA组(69.8 ± 12.1,P = 0.021)和MA组(62.0 ± 10.6,P = 0.003)。在非PN人群中,足底感觉输入在维持站立姿势控制中起重要作用,而对于存在足底敏感性缺陷的PN人群,Ⅰ型传入纤维反射环(H反射)对站立姿势控制的贡献更大。H指数参数是识别有无PN人群的优秀方法,但不能区分足底敏感性受损的PN严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb11/9277460/3ea76653f2e9/fphys-13-890414-g001.jpg

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本文引用的文献

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Hoffmann Reflex Measured From Lateral Gastrocnemius Is More Reliable Than From Soleus Among Elderly With Peripheral Neuropathy.
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Front Sports Act Living. 2020 Jun 19;2:69. doi: 10.3389/fspor.2020.00069. eCollection 2020.
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