Suppr超能文献

焦虑对姿势控制的影响:CO 挑战模型。

The impact of anxiety on postural control: CO challenge model.

机构信息

Department of Psychology, Aberystwyth University, Aberystwyth, UK.

Centre for Human Performance, Exercise and Rehabilitation, Brunel University London, London, UK.

出版信息

Psychophysiology. 2023 Mar;60(3):e14192. doi: 10.1111/psyp.14192. Epub 2022 Oct 6.

Abstract

Anxiety and balance and postural control are linked via common neural pathways, such as the parabrachial nucleus network. A laboratory-based model of general anxiety disorder (GAD) using the CO challenge, has potential to be used to observe this relationship, potentially mimicking subjective, autonomic, and neuropsychological features of GAD. The current feasibility study used the CO challenge to explore postural control changes in healthy adults. It was predicted that during the CO condition, participants would show increased postural sway path length and decreased sway stability, compared with a normal air breathing condition. To assess this, heart and breathing rate, quiet standing postural sway path length, sway dynamic stability, and subjective measures of emotion were measured either before and after or during and after the inhalation conditions. Results demonstrated that CO inhalation led to both an increase in sway path length and reduced sway stability compared to the air breathing conditions; the effect on sway path lasted after the inhalation of CO had ceased. Additionally, replication of HR and subjective measures of emotion were observed when comparing air and CO conditions. This provides experimental evidence that CO inhalation can affect balance, suggestive of shared mechanisms between anxiety and balance performance, as well as indicating that the CO model of GAD is suitable to look at changes in balance performance in healthy adults. Future use of this model to explore factors that can reduce the influence of GAD on balance would be beneficial as would a more detailed exploration of the neural pathways associated with the associated comorbidity.

摘要

焦虑与平衡和姿势控制通过共同的神经通路相关联,例如脑桥臂旁核网络。使用 CO 挑战的广泛性焦虑障碍 (GAD) 的基于实验室的模型具有用于观察这种关系的潜力,可能模拟 GAD 的主观、自主和神经心理学特征。当前的可行性研究使用 CO 挑战来探索健康成年人的姿势控制变化。预测在 CO 条件下,与正常空气呼吸条件相比,参与者将表现出更大的姿势摆动路径长度和降低的摆动稳定性。为了评估这一点,测量了心率和呼吸率、安静站立姿势摆动路径长度、摆动动态稳定性以及情绪的主观测量值,要么在吸入条件之前和之后,要么在吸入条件期间和之后。结果表明,与空气呼吸条件相比,CO 吸入导致摆动路径长度增加和摆动稳定性降低;CO 吸入停止后,摆动路径的影响仍然存在。此外,当比较空气和 CO 条件时,观察到 HR 和情绪主观测量的复制。这提供了实验证据,表明 CO 吸入会影响平衡,提示焦虑和平衡表现之间存在共同机制,并且表明 GAD 的 CO 模型适合观察健康成年人平衡表现的变化。未来使用这种模型来探索可以减轻 GAD 对平衡影响的因素将是有益的,更详细地探索与相关共病相关的神经通路也是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/10078562/089b7de57c94/PSYP-60-0-g003.jpg

相似文献

1
The impact of anxiety on postural control: CO challenge model.
Psychophysiology. 2023 Mar;60(3):e14192. doi: 10.1111/psyp.14192. Epub 2022 Oct 6.
2
Anxiety does not always affect balance: the predominating role of cognitive engagement in a video gaming task.
Exp Brain Res. 2021 Jun;239(6):2001-2014. doi: 10.1007/s00221-021-06104-w. Epub 2021 Apr 28.
4
The influence of age, anxiety and concern about falling on postural sway when standing at an elevated level.
Hum Mov Sci. 2016 Oct;49:206-15. doi: 10.1016/j.humov.2016.06.014. Epub 2016 Jul 16.
5
Subjective stability perception is related to postural anxiety in older subjects.
Gait Posture. 2019 Feb;68:538-544. doi: 10.1016/j.gaitpost.2018.12.043. Epub 2019 Jan 2.
6
Visuomotor control dynamics of quiet standing under single and dual task conditions in younger and older adults.
Neurosci Lett. 2021 Sep 14;761:136122. doi: 10.1016/j.neulet.2021.136122. Epub 2021 Jul 19.
7
Postural control processes during standing and step initiation in autism spectrum disorder.
J Neurodev Disord. 2020 Jan 6;12(1):1. doi: 10.1186/s11689-019-9305-x.
8
The direction of postural threat alters balance control when standing at virtual elevation.
Exp Brain Res. 2020 Nov;238(11):2653-2663. doi: 10.1007/s00221-020-05917-5. Epub 2020 Sep 17.
9
The effects of pain and a secondary task on postural sway during standing.
Hum Mov Sci. 2021 Oct;79:102863. doi: 10.1016/j.humov.2021.102863. Epub 2021 Aug 18.
10

本文引用的文献

1
Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic.
Lancet. 2021 Nov 6;398(10312):1700-1712. doi: 10.1016/S0140-6736(21)02143-7. Epub 2021 Oct 8.
2
The Relationship between Postural Control and Muscle Quality in Older Adults.
J Mot Behav. 2022;54(3):363-371. doi: 10.1080/00222895.2021.1977602. Epub 2021 Sep 24.
3
Visuomotor control dynamics of quiet standing under single and dual task conditions in younger and older adults.
Neurosci Lett. 2021 Sep 14;761:136122. doi: 10.1016/j.neulet.2021.136122. Epub 2021 Jul 19.
4
Nonlinear Measures to Evaluate Upright Postural Stability: A Systematic Review.
Entropy (Basel). 2020 Nov 30;22(12):1357. doi: 10.3390/e22121357.
6
'Excess anxiety' and 'less anxiety': both depend on vestibular function.
Curr Opin Neurol. 2020 Feb;33(1):136-141. doi: 10.1097/WCO.0000000000000771.
7
Cerebellar White Matter Damage Is Associated With Postural Sway Deficits in People With Multiple Sclerosis.
Arch Phys Med Rehabil. 2020 Feb;101(2):258-264. doi: 10.1016/j.apmr.2019.07.011. Epub 2019 Aug 26.
8
Dynamics of postural control during bilateral stance - Effect of support area, visual input and age.
Hum Mov Sci. 2019 Oct;67:102462. doi: 10.1016/j.humov.2019.05.007. Epub 2019 Jul 19.
9
Generalized Anxiety Disorder.
Ann Intern Med. 2019 Apr 2;170(7):ITC49-ITC64. doi: 10.7326/AITC201904020.
10
Generalised anxiety disorder and hospital admissions: findings from a large, population cohort study.
BMJ Open. 2018 Oct 27;8(10):e018539. doi: 10.1136/bmjopen-2017-018539.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验