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基于行走过程中的前庭信号对脊柱水平特异性的脊旁肌活动进行调节。

Vertebral level specific modulation of paraspinal muscle activity based on vestibular signals during walking.

机构信息

Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Department of Rehabilitation Sciences, Leuven, KU, Belgium.

出版信息

J Physiol. 2024 Feb;602(3):507-525. doi: 10.1113/JP285831. Epub 2024 Jan 22.

Abstract

Evoking muscle responses by electrical vestibular stimulation (EVS) may help to understand the contribution of the vestibular system to postural control. Although paraspinal muscles play a role in postural stability, the vestibulo-muscular coupling of these muscles during walking has rarely been studied. This study aimed to investigate how vestibular signals affect paraspinal muscle activity at different vertebral levels during walking with preferred and narrow step width. Sixteen healthy participants were recruited. Participants walked on a treadmill for 8 min at 78 steps/min and 2.8 km/h, at two different step width, either with or without EVS. Bipolar electromyography was recorded bilaterally from the paraspinal muscles at eight vertebral levels from cervical to lumbar. Coherence, gain, and delay of EVS and EMG responses were determined. Significant EVS-EMG coupling (P < 0.01) was found at ipsilateral and/or contralateral heel strikes. This coupling was mirrored between left and right relative to the midline of the trunk and between the higher and lower vertebral levels, i.e. a peak occurred at ipsilateral heel strike at lower levels, whereas it occurred at contralateral heel strike at higher levels. EVS-EMG coupling only partially coincided with peak muscle activity. EVS-EMG coherence slightly, but not significantly, increased when walking with narrow steps. No significant differences were found in gain and phase between the vertebral levels or step width conditions. In summary, vertebral level specific modulation of paraspinal muscle activity based on vestibular signals might allow a fast, synchronized, and spatially co-ordinated response along the trunk during walking. KEY POINTS: Mediolateral stabilization of gait requires an estimate of the state of the body, which is affected by vestibular afference. During gait, the heavy trunk segment is controlled by phasic paraspinal muscle activity and in rodents the medial and lateral vestibulospinal tracts activate these muscles. To gain insight in vestibulospinal connections in humans and their role in gait, we recorded paraspinal surface EMG of cervical to lumbar paraspinal muscles, and characterized coherence, gain and delay between EMG and electrical vestibular stimulation, during slow walking. Vestibular stimulation caused phasic, vertebral level specific modulation of paraspinal muscle activity at delays of around 40 ms, which was mirrored between left, lower and right, upper vertebral levels. Our results indicate that vestibular afference causes fast, synchronized, and spatially co-ordinated responses of the paraspinal muscles along the trunk, that simultaneously contribute to stabilizing the centre of mass trajectory and to keeping the head upright.

摘要

电前庭刺激(EVS)诱发肌肉反应有助于了解前庭系统对姿势控制的贡献。尽管脊柱旁肌肉在姿势稳定性中起作用,但在行走过程中,这些肌肉的前庭-肌肉耦合很少被研究。本研究旨在探讨在以不同步宽行走时,前庭信号如何影响脊柱旁肌肉在不同节段的活动。招募了 16 名健康参与者。参与者在跑步机上以 78 步/分钟和 2.8 公里/小时的速度行走 8 分钟,步宽不同,有或没有 EVS。从颈椎到腰椎的 8 个椎体水平,双侧从脊柱旁肌肉记录双极肌电图。确定 EVS 和 EMG 响应的相干性、增益和延迟。在同侧和/或对侧脚跟撞击时发现 EVS-EMG 耦合具有统计学意义(P < 0.01)。这种耦合在躯干中线的左侧和右侧之间以及较高和较低的椎体水平之间镜像,即在较低水平发生同侧脚跟撞击时出现峰值,而在较高水平发生对侧脚跟撞击时出现峰值。EVS-EMG 耦合仅部分与肌肉活动峰值重合。当步宽变窄时,EVS-EMG 相干性略有但无统计学意义增加。在椎体水平或步宽条件下,增益和相位没有差异。总之,基于前庭信号的脊柱旁肌肉活动的椎体水平特异性调制可能允许在行走过程中沿躯干快速、同步和空间协调地做出反应。 关键点:步态的横向稳定性需要对身体状态进行估计,这受到前庭传入的影响。在行走过程中,沉重的躯干段由相位性脊柱旁肌肉活动控制,在啮齿动物中,内侧和外侧前庭脊髓束激活这些肌肉。为了深入了解人类的前庭脊髓连接及其在步态中的作用,我们在缓慢行走时记录了颈至腰脊柱旁表面肌电图,并描述了肌电图和电前庭刺激之间的相干性、增益和延迟。前庭刺激导致脊柱旁肌肉活动在大约 40 毫秒的延迟处产生相位性、椎体水平特异性调制,在左侧、下部和右侧、上部椎体水平之间镜像。我们的结果表明,前庭传入引起的脊柱旁肌肉快速、同步和空间协调的反应沿躯干同时有助于稳定质心轨迹并保持头部直立。

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