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健康成年人在姿势和意志任务期间线圈方向对躯干肌肉皮质脊髓兴奋性的影响。

Influence of coil orientation on corticospinal excitability of trunk muscles during postural and volitional tasks in healthy adults.

作者信息

Ma Wesley, Nemdharry Sheanil, Elgueta Cancino Edith, Chiou Shin-Yi

机构信息

School of Sport, Exercise and Rehabilitation Science, University of Birmingham, Birmingham, United Kingdom.

Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Science, Universidad Andrés Bello, Santiago, Chile.

出版信息

Front Hum Neurosci. 2023 Feb 1;17:1108169. doi: 10.3389/fnhum.2023.1108169. eCollection 2023.

Abstract

INTRODUCTION

Trunk muscles play a role in maintaining postural stability and performing goal-directed voluntary movements in activities of daily living. Evidence has shown that the primary motor cortex (M1) is involved in modulation of postural control and voluntary movements of the trunk. However, it remains unknown whether the neural circuits within the M1 were recruited to the same extent between a postural task and a goal-directed voluntary task.

METHODS

To address this, we examined latencies and amplitudes of motor evoked potentials (MEPs) of the erector spinae (ES) with transcranial magnetic stimulation (TMS) figure-of-eight coil oriented to induce latero-medial (LM), posterior-anterior (PA), and anterior-posterior (AP) currents in the M1 in twenty healthy participants during a dynamic shoulder flexion (DSF) task, a postural task requiring anticipatory postural adjustments (APAs), and during a static trunk extension (STE) task, a voluntary task without involvement of APAs.

RESULTS

We found that differences in the AP-LM latency of ES MEP were longer compared with the PA-LM latency in both tasks. Corticospinal excitability was overall greater during the DSF task than during the STE task irrespective of the coil orientation.

DISCUSSION

Our findings suggest that while the same neural circuits in the M1 were recruited to modulate both postural and voluntary control of the trunk, the contribution was greater to the postural task than the voluntary task, possibly due to the requirement of APAs in the task.

摘要

引言

躯干肌肉在维持姿势稳定性以及在日常生活活动中执行目标导向的自主运动方面发挥作用。有证据表明,初级运动皮层(M1)参与了姿势控制和躯干自主运动的调节。然而,M1内的神经回路在姿势任务和目标导向的自主任务之间是否以相同程度被募集仍不清楚。

方法

为了解决这个问题,我们在20名健康参与者进行动态肩部屈曲(DSF)任务(一项需要预期姿势调整(APA)的姿势任务)和静态躯干伸展(STE)任务(一项不涉及APA的自主任务)期间,使用经颅磁刺激(TMS)八字形线圈,以诱导M1中的外侧-内侧(LM)、后-前(PA)和前-后(AP)电流,检测竖脊肌(ES)运动诱发电位(MEP)的潜伏期和波幅。

结果

我们发现,在两项任务中,ES MEP的AP-LM潜伏期差异均比PA-LM潜伏期长。无论线圈方向如何,DSF任务期间的皮质脊髓兴奋性总体上高于STE任务期间。

讨论

我们的研究结果表明,虽然M1中的相同神经回路被募集来调节躯干的姿势和自主控制,但对姿势任务的贡献比对自主任务的贡献更大,这可能是由于任务中需要APA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6117/9929149/cbd19d14094b/fnhum-17-1108169-g0001.jpg

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