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人类运动皮层有助于重力补偿,以维持姿势和在伸展过程中的稳定。

The human motor cortex contributes to gravity compensation to maintain posture and during reaching.

机构信息

Departments of Human Performance and Neuroscience, Rockefeller Neuroscience Center, West Virginia University, Morgantown, West Virginia.

Department of Medicine, Imperial College London, London, United Kingdom.

出版信息

J Neurophysiol. 2023 Jan 1;129(1):83-101. doi: 10.1152/jn.00367.2021. Epub 2022 Nov 30.

Abstract

The neural control of posture and movement is interdependent. During voluntary movement, the neural motor command is executed by the motor cortex through the corticospinal tract and its collaterals and subcortical targets. Here we address the question of whether the control mechanism for the postural adjustments at nonmoving joints is also involved in overcoming gravity at the moving joints. We used single-pulse transcranial magnetic stimulation to measure the corticospinal excitability in humans during postural and reaching tasks. We hypothesized that the corticospinal excitability is proportional to background muscle activity and the gravity-related joint moments during both static postures and reaching movements. To test this hypothesis, we used visual targets in virtual reality to instruct five postures and three movements with or against gravity. We then measured the amplitude and gain of motor evoked potentials in multiple arm and hand muscles at several phases of the reaching motion and during static postures. The stimulation caused motor evoked potentials in all muscles that were proportional to the muscle activity. During both static postures and reaching movements, the muscle activity and the corticospinal contribution to these muscles changed in proportion with the postural moments needed to support the arm against gravity, supporting the hypothesis. Notably, these changes happened not only in antigravity muscles. Altogether, these results provide evidence that the changes in corticospinal excitability cause muscle cocontraction that modulates limb stiffness. This suggests that the motor cortex is involved in producing postural adjustments that support the arm against gravity during posture maintenance and reaching. Animal studies suggest that the corticospinal tract and its collaterals are crucial for producing postural adjustments that accompany movement in limbs other than the moving limb. Here we provide evidence for a similar control schema for both arm posture maintenance and gravity compensation during movement of the same limb. The observed interplay between the postural and movement control signals within the corticospinal tract may help explain the underlying neural motor deficits after stroke.

摘要

姿势和运动的神经控制是相互依存的。在随意运动中,神经运动指令通过运动皮层通过皮质脊髓束及其分支和皮质下靶点来执行。在这里,我们探讨了一个问题,即在非运动关节的姿势调整的控制机制是否也参与到运动关节克服重力的过程中。我们使用单次经颅磁刺激来测量人类在姿势和伸手任务中的皮质脊髓兴奋性。我们假设皮质脊髓兴奋性与背景肌肉活动以及静态姿势和伸手运动期间与重力相关的关节力矩成正比。为了验证这一假设,我们使用虚拟现实中的视觉目标来指导 5 种姿势和 3 种有重力和无重力的运动。然后,我们在伸手运动的几个阶段以及静态姿势期间测量了多个手臂和手部肌肉的运动诱发电位的幅度和增益。刺激引起了所有肌肉的运动诱发电位,其幅度与肌肉活动成正比。在静态姿势和伸手运动期间,支撑手臂对抗重力所需的姿势力矩与这些肌肉的肌肉活动和皮质脊髓对这些肌肉的贡献成正比,这支持了假设。值得注意的是,这些变化不仅发生在抗重力肌肉中。总的来说,这些结果提供了证据,表明皮质脊髓兴奋性的变化导致肌肉协同收缩,从而调节肢体的刚性。这表明运动皮层参与产生姿势调整,以在姿势维持和伸手运动期间支撑手臂对抗重力。动物研究表明,皮质脊髓束及其分支对于产生伴随非运动肢体运动的姿势调整至关重要。在这里,我们为同一肢体运动期间的手臂姿势维持和重力补偿提供了类似的控制方案的证据。皮质脊髓束内的姿势和运动控制信号之间的观察到的相互作用可能有助于解释中风后的潜在神经运动缺陷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa40/9799140/826e58efd7d7/jn-00367-2021r01.jpg

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