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人体对支撑面小幅度倾斜和平移的摇摆稳态反应——两种刺激叠加的影响。

Human body-sway steady-state responses to small amplitude tilts and translations of the support surface - Effects of superposition of the two stimuli.

作者信息

Lippi Vittorio, Maurer Christoph, Mergner Thomas

机构信息

Institute of Digitalization in Medicine, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.

Clinic of Neurology and Neurophysiology, Medical Centre-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.

出版信息

Gait Posture. 2023 Feb;100:139-148. doi: 10.1016/j.gaitpost.2022.12.003. Epub 2022 Dec 9.

Abstract

BACKGROUND

For humans, control of upright standing posture is a prerequisite for many physical activities. Experimentally, this control is often challenged by the motion of the support surface presented as tilt or translation, or some combination thereof. In particular, we have investigated subjects balancing in situations where tilt and translation stimuli were presented in isolation and compared it to a situation where such stimuli occurred simultaneously.

RESEARCH QUESTIONS

Is the human posture control system in the case of two or more superimposed external disturbances responding to these as if it were dealing with one disturbance? Or does it identify the disturbances individually and as such and respond to them specifically, as suggested in a current concept of disturbance-specific estimations and compensations?

METHODS

We had healthy human subjects controlling their balancing of upright stance on a motion platform while we presented them with different combinations of pseudorandom support surface tilt and translation stimuli alone or in superposition (with peak-to-peak amplitude of 0.5° and 1° for tilt, and 0.8 cm and 1.5 cm for translation). In one set of trials they kept their eyes closed and in a second set open. Furthermore, a simulation was performed to qualitatively evaluate the impact of sensory non-linearities and joint stiffness modulation.

RESULTS

We found that the experimental conditions 'eyes open' vs. 'eyes closed' always created significant differences (p < 0.05) between the frequency response functions. In contrast to this, with different combinations of the tilt and translation stimuli, significant differences between the responses were observed only in 5 cases over the 24 that have been tested. Significance The superposition of translation and tilt can be used to characterize the responses to both stimuli with one trial. When the amplitude of the stimuli is unbalanced (e.g. very small tilt superimposed with a larger translation) the effect of stiffness modulation can be studied.

摘要

背景

对人类而言,控制直立姿势是许多身体活动的先决条件。在实验中,这种控制常常受到支撑面运动的挑战,支撑面运动表现为倾斜或平移,或二者的某种组合。特别是,我们研究了受试者在单独呈现倾斜和平移刺激的情况下保持平衡的情况,并将其与同时出现此类刺激的情况进行了比较。

研究问题

在存在两种或更多叠加外部干扰的情况下,人体姿势控制系统对这些干扰的反应是否就如同应对一种干扰一样?或者,它是否会像当前干扰特异性估计和补偿概念所表明的那样,分别识别这些干扰并做出特定反应?

方法

我们让健康的人类受试者在运动平台上控制其直立姿势的平衡,同时向他们单独或叠加呈现伪随机支撑面倾斜和平移刺激的不同组合(倾斜的峰峰值幅度为0.5°和1°,平移的峰峰值幅度为0.8厘米和1.5厘米)。在一组试验中,他们闭上眼睛,在另一组试验中则睁开眼睛。此外,还进行了模拟,以定性评估感觉非线性和关节刚度调制的影响。

结果

我们发现,“睁眼”与“闭眼”这两种实验条件在频率响应函数之间总是产生显著差异(p < 0.05)。与此形成对比的是,对于倾斜和平移刺激的不同组合,在测试的24种情况中,仅在5种情况下观察到反应之间存在显著差异。意义平移和倾斜的叠加可用于通过一次试验来表征对两种刺激的反应。当刺激幅度不平衡时(例如,非常小的倾斜叠加较大的平移),可以研究刚度调制的效果。

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