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婴儿期坐姿姿势反应的表观遗传发育。

Epigenetic development of postural responses for sitting during infancy.

作者信息

Hirschfeld H, Forssberg H

机构信息

Nobel Institute for Neurophysiology, Karolinska Institute, Stockholm, Sweden.

出版信息

Exp Brain Res. 1994;97(3):528-40. doi: 10.1007/BF00241546.

Abstract

This study examined whether postural responses emerge in children in a predetermined way before independent sitting is achieved, and in what respect postural responses in infants differ from those in adults. Children just able to sit independently and children not yet able to sit were exposed to surface perturbations (translation and rotation) while body movement and electromyographic (EMG) responses were recorded. Perturbations causing a backward sway of the body (i.e., forward translation and legs-up rotation), elicited consistent patterns of muscle activity in ventral hip, trunk, and neck muscles in the independently sitting children. A high tonic EMG background activity in trunk and neck extensor muscles was inhibited at the onset of the ventral muscle activity. Kinematic analysis revealed that backward rotation of the pelvis was the first detectable body movement, while head movements (linear and angular displacement) were irregular and occurred later than the pelvis movement. Perturbations in the opposite direction, causing a forward sway, evoked variable responses in dorsal trunk and neck muscles, suggesting that the excitability level for postural responses was set according to the stability limits of the body. Children not yet able to sit without support were tested when the support around the waist, given by the experimenter's hands, was released prior to the onset of the platform perturbation. Postural responses were elicited in ventral muscles following a backward sway in all children and in about 60% of all trials. Often, only some of the ventral muscles were activated. No distinct responses were evoked during perturbations imposing a forward sway. These results suggest that (1) backward rotation of the pelvis triggers the postural adjustments in the independently sitting children; (2) a basic form of the postural adjustment develops in a predetermined manner before children practice independent sitting; and (3) the basic structure of ventral muscle activation pattern resembles that of adults, while the activation of the dorsal muscles (inhibition) differs in several aspects. These findings are in agreement with a recent model of central pattern generators for postural responses consisting of two operative levels. At the first level, which is triggered by backward rotation of the pelvis, the basic activation pattern is generated. At the second level, the pattern is shaped and fine-tuned by multisensory interactions from all activated sensory systems.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

本研究探讨了在儿童能够独立坐立之前,姿势反应是否以预定方式出现,以及婴儿的姿势反应在哪些方面与成人不同。让刚能独立坐立的儿童和还不能坐立的儿童暴露于表面扰动(平移和旋转),同时记录身体运动和肌电图(EMG)反应。导致身体向后晃动的扰动(即向前平移和腿部向上旋转),在能够独立坐立的儿童中,引起了腹侧髋部、躯干和颈部肌肉一致的肌肉活动模式。在腹侧肌肉活动开始时,躯干和颈部伸肌的高张力肌电图背景活动受到抑制。运动学分析表明,骨盆向后旋转是第一个可检测到的身体运动,而头部运动(线性和角位移)不规则且发生在骨盆运动之后。相反方向的扰动,导致身体向前晃动,在背侧躯干和颈部肌肉中引起了可变反应,这表明姿势反应的兴奋性水平是根据身体的稳定极限设定的。当实验者的手给予的腰部支撑在平台扰动开始前松开时,对还不能独立坐立的儿童进行测试。在所有儿童中,约60%的试验中,向后晃动后腹侧肌肉会引发姿势反应。通常,只有一些腹侧肌肉被激活。在向前晃动的扰动过程中未引发明显反应。这些结果表明:(1)骨盆向后旋转触发了能够独立坐立的儿童的姿势调整;(2)在儿童练习独立坐立之前,姿势调整的基本形式以预定方式发展;(3)腹侧肌肉激活模式的基本结构与成人相似,而背侧肌肉的激活(抑制)在几个方面有所不同。这些发现与最近一个由两个操作水平组成的姿势反应中枢模式发生器模型一致。在第一个水平,由骨盆向后旋转触发,产生基本的激活模式。在第二个水平,该模式由所有激活的感觉系统的多感觉相互作用塑造和微调。(摘要截于400字)

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