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指令、预测和传入感觉信息对步起始姿势组织的影响。

Influence of instruction, prediction, and afferent sensory information on the postural organization of step initiation.

作者信息

Burleigh A, Horak F

机构信息

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

出版信息

J Neurophysiol. 1996 Apr;75(4):1619-28. doi: 10.1152/jn.1996.75.4.1619.

DOI:10.1152/jn.1996.75.4.1619
PMID:8727400
Abstract
  1. Our previous study showed that two distinct postural modifications occurred when subjects were instructed to step, rather than maintain stance, in response to a backward surface translation: 1) the automatic postural responses to the surfaces perturbation were reduced in magnitude and 2) the anticipatory postural adjustments promoting foot-off were shortened in duration. This study investigates the extent to which task instruction, prediction of perturbation velocity, and afferent sensory information related to perturbation velocity are responsible for these postural modification. 2. Eleven human subjects were instructed in advance, to either maintain stance or step forward in response to a backward surface translation. Four different velocities of translation were used to perturb equilibrium. To assess the influence of predicted versus actual velocity information, the surface translations were presented in both a blocked order of increasing perturbation velocity (predictable) and a random order (unpredictable). Lower-extremity electromyographs (EMGs), ground reaction forces, and movement kinematics were quantified for both the automatic postural responses to perturbation and the anticipatory postural adjustments for step initiation. 3. The instruction to step was not solely responsible for the suppression of the automatic postural response. Prediction of perturbation velocity was required for significant suppression of the early automatic postural response when subjects stepped in response to the perturbation. When compared with the stance condition, the magnitude of the initial 50 ms of the automatic response in bilateral soleus and the left limb gastrocnemius (initial stance limb) was significantly reduced only when the perturbation velocities were presented in a blocked order. The magnitude of the automatic response was not reduced in the gastrocnemius of the right limb, which was always the initial swing limb and recruited for heel-off in the step conditions. This asymmetrical reduction of the gastrocnemius suggests that modification of the response was specific to the instruction, rather than a general decrease in the extensor muscle excitability. 4. The suppression of the early automatic postural response involved a change in the bias of the response. Despite the reduced magnitude during the predictable velocity step condition, the slope (i.e., gain) of the response with increasing velocities was not different from that of the stance condition. Thus the excitability of the automatic response was reduced by a relatively constant amount for each velocity when the perturbation velocity was predictable. 5. In contrast to the importance of velocity prediction for modification of the automatic postural response, actual velocity information was used for modification of the anticipatory postural adjustments when step was initiated in response to the surface perturbation. Regardless of whether the perturbation velocities were presented in a blocked or random order, the anticipatory postural adjustments were rapidly initiated and the duration of the postural adjustments for step initiation was shortened as the velocity of perturbation increased. 6. We conclude that the CNS uses prediction of perturbation velocity to modify the excitability of early automatic postural responses when the postural goal changes. In contrast, actual afferent velocity information can be used to modify the duration of the anticipatory postural adjustments for a voluntary step in response to perturbation. Thus the CNS utilizes feed-forward prediction to modify peripherally triggered postural responses, and utilizes immediate afferent information to modify the centrally initiated postural adjustments associated with voluntary movement.
摘要
  1. 我们之前的研究表明,当受试者被指示对向后的表面平移做出迈步动作而非保持站立姿势时,会出现两种不同的姿势调整:1)对表面扰动的自动姿势反应幅度减小;2)促进离地的预期姿势调整持续时间缩短。本研究探讨任务指令、扰动速度预测以及与扰动速度相关的传入感觉信息在多大程度上导致了这些姿势调整。2. 事先指示11名受试者,让他们在面对向后的表面平移时要么保持站立姿势,要么向前迈步。使用四种不同的平移速度来扰动平衡。为了评估预测速度信息与实际速度信息的影响,表面平移以扰动速度递增的分组顺序(可预测)和随机顺序(不可预测)呈现。对扰动的自动姿势反应以及迈步起始的预期姿势调整,均对下肢肌电图(EMG)、地面反作用力和运动学进行了量化。3. 迈步指令并非自动姿势反应受抑制的唯一原因。当受试者对扰动做出迈步反应时,要显著抑制早期自动姿势反应,需要预测扰动速度。与站立姿势条件相比,仅当扰动速度以分组顺序呈现时,双侧比目鱼肌和左下肢腓肠肌(初始站立肢体)的自动反应最初50毫秒的幅度才会显著降低。右下肢腓肠肌的自动反应幅度并未降低,在迈步条件下,右下肢总是初始摆动肢体并参与足跟离地动作。腓肠肌的这种不对称性降低表明反应的改变是特定于指令的,而非伸肌兴奋性的普遍降低。4. 早期自动姿势反应的抑制涉及反应偏差的改变。尽管在可预测速度的迈步条件下幅度减小,但反应随速度增加的斜率(即增益)与站立姿势条件下并无不同。因此,当扰动速度可预测时,自动反应的兴奋性会以相对恒定的量随每个速度降低。5. 与速度预测对自动姿势反应改变的重要性相反,当针对表面扰动开始迈步时,实际速度信息用于预期姿势调整的改变。无论扰动速度是以分组顺序还是随机顺序呈现,预期姿势调整都会迅速启动,并且随着扰动速度增加,迈步起始的姿势调整持续时间会缩短。6. 我们得出结论,当姿势目标改变时,中枢神经系统利用扰动速度预测来改变早期自动姿势反应的兴奋性。相反,实际传入速度信息可用于改变对扰动做出的自愿迈步的预期姿势调整的持续时间。因此,中枢神经系统利用前馈预测来改变外周触发的姿势反应,并利用即时传入信息来改变与自愿运动相关的中枢发起的姿势调整。

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