Ellmers Toby J, Durkin Morgan, Sriranganathan Karthigan, Harris David J, Bronstein Adolfo M
Centre for Vestibular Neurology, Department of Brain Sciences, Imperial College London, London, United Kingdom.
Public Health and Sport Sciences, University of Exeter Medical School, Exeter, United Kingdom.
J Neurophysiol. 2024 Mar 1;131(3):562-575. doi: 10.1152/jn.00364.2023. Epub 2024 Feb 7.
The ability to adapt our locomotion in a feedforward (i.e., "predictive") manner is crucial for safe and efficient walking behavior. Equally important is the ability to quickly deadapt and update behavior that is no longer appropriate for the given context. It has been suggested that anxiety induced via postural threat may play a fundamental role in disrupting such deadaptation. We tested this hypothesis, using the "broken escalator" phenomenon: Fifty-six healthy young adults walked onto a stationary walkway ("BEFORE" condition, 5 trials), then onto a moving walkway akin to an airport travelator ("MOVING" condition, 10 trials), and then again onto the stationary walkway ("AFTER" condition, 5 trials). Participants completed all trials while wearing a virtual reality headset, which was used to induce postural threat-related anxiety (raised clifflike drop at the end of the walkway) during different phases of the paradigm. We found that performing the locomotor adaptation phase in a state of increased threat disrupted subsequent deadaptation during AFTER trials: These participants displayed anticipatory muscular activity as if expecting the platform to move and exhibited inappropriate anticipatory forward trunk movement that persisted during multiple AFTER trials. In contrast, postural threat induced during AFTER trials did not affect behavioral or neurophysiological outcomes. These findings highlight that actions learned in the presence of postural threat-induced anxiety are strengthened, leading to difficulties in deadapting these behaviors when no longer appropriate. Given the associations between anxiety and persistent maladaptive gait behaviors (e.g., "overly cautious" gait, functional gait disorders), the findings have implications for the understanding of such conditions. Safe and efficient locomotion frequently requires movements to be adapted in a feedforward (i.e., "predictive") manner. These adaptations are not always correct, and thus inappropriate behavior must be quickly updated. Here we showed that increased threat disrupts this process. We found that locomotor actions learned in the presence of postural threat-induced anxiety are strengthened, subsequently impairing one's ability to update (or "deadapt") these actions when they are no longer appropriate for the current context.
以前馈(即“预测性”)方式调整我们的运动能力对于安全高效的行走行为至关重要。同样重要的是能够迅速消除适应并更新不再适用于给定情境的行为。有人提出,通过姿势威胁诱发的焦虑可能在破坏这种消除适应过程中起关键作用。我们利用“故障自动扶梯”现象对这一假设进行了测试:56名健康的年轻成年人先走上一条静止的人行道(“之前”条件,5次试验),然后走上一条类似于机场自动人行道的移动人行道(“移动中”条件,10次试验),之后再走上静止的人行道(“之后”条件,5次试验)。参与者在佩戴虚拟现实头戴设备的情况下完成所有试验,该设备用于在范式的不同阶段诱发与姿势威胁相关的焦虑(在人行道末端设置类似悬崖的落差)。我们发现,在威胁增加的状态下进行运动适应阶段会干扰随后“之后”试验中的消除适应:这些参与者表现出预期性肌肉活动,就好像预期平台会移动一样,并且表现出不适当的预期性前躯干运动,这种运动在多次“之后”试验中持续存在。相比之下,在“之后”试验中诱发的姿势威胁并不影响行为或神经生理结果。这些发现突出表明,在姿势威胁诱发的焦虑状态下习得的动作会得到强化,导致在不再适当时难以消除这些行为。鉴于焦虑与持续的适应不良步态行为(例如“过度谨慎”步态、功能性步态障碍)之间的关联,这些发现对理解此类病症具有启示意义。安全高效的运动通常需要以前馈(即“预测性”)方式调整动作。这些调整并不总是正确的,因此必须迅速更新不适当的行为。在此我们表明,威胁增加会扰乱这一过程。我们发现,在姿势威胁诱发的焦虑状态下习得的运动动作会得到强化,随后会损害个体在这些动作不再适用于当前情境时进行更新(或“消除适应”)的能力。