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突发扰动后人体姿势的早期稳定:位移速率和幅度的影响

Early stabilization of human posture after a sudden disturbance: influence of rate and amplitude of displacement.

作者信息

Diener H C, Dichgans J, Bootz F, Bacher M

出版信息

Exp Brain Res. 1984;56(1):126-34. doi: 10.1007/BF00237448.

Abstract

The functional role of short-, medium- and long-latency responses for the maintenance of upright posture was investigated in twenty healthy subjects standing on a platform which could be rotated in pitch around the subject's ankle joints. Tilting the platform toe-up evokes a stretch reflex in the triceps surae muscle (TS, latency 55-65 ms) and at higher speeds and amplitudes of platform displacement a medium-latency response (latency 108-123 ms). Both responses functionally destabilize posture, since they enforce the induced backward displacement of the body. Compensation of body displacement in this situation is achieved by a long-latency EMG response in the anterior tibial muscle (TA 130-145 ms). Platform movement toe-down elicits a rather small medium-latency response in TA (103-118 ms), but no short-latency response. A late compensatory response occurs in the triceps surae muscle (latency 139-170 ms). The mean latency of the late antagonistic EMG response was significantly shorter than that of a voluntary movement triggered by a somatosensory stimulus. Integrals of rectified EMG responses from the two muscles were linearly related to the amplitude and to a smaller degree to the velocity of platform displacement. The slope of this function (gain) varied depending on the direction of ankle displacement and the functional importance of the subsequent EMG responses. Destabilizing short- and medium-latency responses of the stretched muscle had a lower gain relative to amplitude than the late stabilizing response of the antagonist. This functionally adaptive modulation of gain was not seen in relation to the rate of platform displacement.

摘要

在20名健康受试者站立于可绕受试者踝关节在俯仰方向旋转的平台上时,研究了短、中、长潜伏期反应对维持直立姿势的功能作用。使平台足尖向上倾斜会在小腿三头肌(TS,潜伏期55 - 65毫秒)诱发牵张反射,在平台位移速度和幅度更高时会诱发中潜伏期反应(潜伏期108 - 123毫秒)。这两种反应在功能上都会使姿势不稳定,因为它们会加剧身体诱发的向后位移。在这种情况下,身体位移的补偿是通过胫骨前肌的长潜伏期肌电图反应(TA,130 - 145毫秒)实现的。平台足尖向下移动会在TA中诱发相当小的中潜伏期反应(103 - 118毫秒),但没有短潜伏期反应。在小腿三头肌中会出现晚期补偿反应(潜伏期139 - 170毫秒)。晚期拮抗肌电图反应的平均潜伏期明显短于体感刺激触发的自主运动的潜伏期。来自两块肌肉的整流肌电图反应积分与平台位移的幅度呈线性相关,与位移速度的相关性较小。该函数的斜率(增益)根据踝关节位移方向和后续肌电图反应的功能重要性而变化。与拮抗剂的晚期稳定反应相比,被拉伸肌肉的不稳定短潜伏期和中潜伏期反应相对于幅度的增益较低。在与平台位移速率的关系中未观察到这种功能适应性增益调制。

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