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姿势反应与步幅起始的调整:目标导向姿势交互作用的证据

Modification of postural responses and step initiation: evidence for goal-directed postural interactions.

作者信息

Burleigh A L, Horak F B, Malouin F

机构信息

R. S. Dow Neurological Sciences Institute, Portland, Oregon 97209.

出版信息

J Neurophysiol. 1994 Dec;72(6):2892-902. doi: 10.1152/jn.1994.72.6.2892.

DOI:10.1152/jn.1994.72.6.2892
PMID:7897497
Abstract
  1. In this study, the interaction between anticipatory postural adjustments for step initiation and automatic postural responses to an external perturbation were investigated by having subjects initiate a voluntary forward step while perturbed by a backward surface translation, which caused forward sway of the body. The postural adjustments for step initiation act to move the body center of mass (COM) forward, whereas the automatic postural responses act to move the COM backward to restore stance equilibrium. Because the postural behaviors are in opposition, we asked whether a temporal hierarchy exists in which automatic postural responses are executed to restore equilibrium and followed by stereotypic postural adjustments for step initiation, or whether the interaction between these two postural behaviors is more dynamic. 2. Lower extremity electromyographs (EMGs), ground reaction forces, and kinematics were recorded from 10 subjects during three conditions: to quantify the anticipatory postural adjustments for step initiation, subjects stepped forward as soon as they felt a proprioceptive cue; to quantify the automatic postural responses to perturbation, subjects maintained stance equilibrium in response to a backward surface translation under both feet; and to quantify the interaction between the postural adjustments for the voluntary step and the automatic responses to the perturbation, subjects were exposed to a backward surface translation and instructed to step forward as soon as they felt the platform begin to move. 3. The anticipatory adjustments for step initiation included tibialis activation [stance limb = 163 +/- 28 (SE) ms; swing limb = 173 +/- 33 ms] and soleus inhibition resulting in center of foot pressure (COP) moving backward and lateral toward the swing limb to propel the COM forward over the stance limb. Subsequently, activation of the swing limb gastrocnemius resulted in heel-off. In contrast, the automatic postural adjustments for maintenance of stance equilibrium during a backward surface translation included activation of soleus and gastrocnemius (104 +/- 23 ms and 115 +/- 14 ms, respectively) resulting in a symmetrical forward displacement of the COP that moved the COM back to its original position with respect to the feet. 4. When a forward step was initiated in response to the translation, the automatic postural responses were reduced in amplitude bilaterally in soleus and in the stance limb gastrocnemius. When present the postural response occurred at the same latency when the goal was to initiate a step as when the goal was to maintain standing.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在本研究中,通过让受试者在受到向后的表面平移干扰(这会导致身体向前晃动)时发起一次自愿向前迈步,来研究起始步的预期姿势调整与对外部干扰的自动姿势反应之间的相互作用。起始步的姿势调整旨在使身体重心(COM)向前移动,而自动姿势反应则旨在使重心向后移动以恢复站立平衡。由于姿势行为相互对立,我们提出疑问:是否存在一种时间层级关系,即先执行自动姿势反应以恢复平衡,随后进行起始步的刻板姿势调整;或者这两种姿势行为之间的相互作用更加动态。2. 在三种情况下记录了10名受试者的下肢肌电图(EMG)、地面反作用力和运动学数据:为了量化起始步的预期姿势调整,受试者一旦感觉到本体感觉提示就向前迈步;为了量化对干扰的自动姿势反应,受试者在双脚受到向后的表面平移时保持站立平衡;为了量化自愿迈步的姿势调整与对干扰的自动反应之间的相互作用,受试者受到向后的表面平移,并被指示一旦感觉到平台开始移动就向前迈步。3. 起始步的预期调整包括胫骨前肌激活[支撑腿 = 163 ± 28(标准误)毫秒;摆动腿 = 173 ± 33毫秒]和比目鱼肌抑制,导致足底压力中心(COP)向后并向摆动腿外侧移动,以推动重心在支撑腿上方向前移动。随后,摆动腿腓肠肌的激活导致脚跟离地。相比之下,在向后的表面平移过程中维持站立平衡的自动姿势调整包括比目鱼肌和腓肠肌的激活(分别为104 ± 23毫秒和115 ± 14毫秒),导致COP对称向前位移,使重心相对于双脚回到其原始位置。4. 当响应平移发起向前迈步时,比目鱼肌和支撑腿腓肠肌的自动姿势反应双侧幅度减小。当目标是起始步时,姿势反应出现的潜伏期与目标是保持站立时相同。(摘要截断于400字)

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