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关于安静站立时前后(A/P)和左右(M/L)平衡的统一理论。

Unified theory regarding A/P and M/L balance in quiet stance.

作者信息

Winter D A, Prince F, Frank J S, Powell C, Zabjek K F

机构信息

Department of Kinesiology, University of Waterloo, Ontario, Canada.

出版信息

J Neurophysiol. 1996 Jun;75(6):2334-43. doi: 10.1152/jn.1996.75.6.2334.

DOI:10.1152/jn.1996.75.6.2334
PMID:8793746
Abstract
  1. Control of posture in quiet stance has been quantified by center of pressure (COP) changes in the anterior-posterior (A/P) and medial-lateral (M/L) directions from a single force platform. Recording from a single force platform, researchers are unable to recognize two separate mechanisms that become evident when two force platforms are used. Depending on the stance position taken, many combinations of an ankle mechanism and a hip (load/unload) mechanism are evident. In side-by-side stance, A/P balance is totally under ankle (plantar/dorsiflexor) control, whereas M/L balance is under hip (abductor/adductor) control. In tandem stance, the A/P balance is dominated by the hip mechanism, with mixed and small or sometimes negligible contributions by the ankle plantar/dorsiflexors: for M/L balance, the reverse is evident; ankle invertors/evertors dominate, with mixed and small contribution from the hip load/unload mechanism. In an intermediate 45 degrees stance position, both ankle and hip mechanisms contribute to the net balance control in totally different ways. In the M/L direction the two strategies reinforce, whereas in the A/P direction the ankle mechanism must overcome and cancel most of the inappropriate contribution by the hip load/unload mechanism. A spatial plot of the separate mechanisms reveals the fact that the random-looking COP scatter plot is nothing more than a spatial and temporal summation of two separate spatial plots. A straight line joining the individual COPs under each foot is the load/unload line controlled by the hip mechanism. At right angles to this load/unload line in the side-by-side and tandem positions is the independent control line by the ankle muscles. In an intermediate standing position, the separate control lines exist, but now the ankle control is not orthogonal to the load/unload line; rather, it acts at an angle of approximately 60 degrees. The direction of these ankle control and load/unload lines also allows us to pinpoint the muscle groups responsible at the ankle and hip in any of the stance positions.
摘要
  1. 通过单个测力平台测量前后(A/P)和内外侧(M/L)方向的压力中心(COP)变化,已对安静站立时的姿势控制进行了量化。从单个测力平台进行记录时,研究人员无法识别使用两个测力平台时明显的两种不同机制。根据所采取的站立姿势,踝关节机制和髋关节(加载/卸载)机制有多种组合。在并排站立时,A/P平衡完全由踝关节(跖屈/背屈肌)控制,而M/L平衡则由髋关节(外展肌/内收肌)控制。在前后站立时,A/P平衡由髋关节机制主导,踝关节跖屈/背屈肌的贡献混合且较小,有时可忽略不计;对于M/L平衡,情况则相反,踝关节内翻肌/外翻肌占主导,髋关节加载/卸载机制的贡献混合且较小。在中间45度站立姿势时,踝关节和髋关节机制都以完全不同的方式对净平衡控制做出贡献。在M/L方向上,两种策略相互加强,而在A/P方向上,踝关节机制必须克服并抵消髋关节加载/卸载机制的大部分不适当贡献。单独机制的空间图揭示了一个事实,即看似随机的COP散点图只不过是两个单独空间图的时空总和。连接每只脚下各个COP的直线是由髋关节机制控制的加载/卸载线。在并排和前后站立位置,与这条加载/卸载线成直角的是踝关节肌肉的独立控制线。在中间站立位置,单独的控制线存在,但此时踝关节控制与加载/卸载线不正交,而是以大约60度的角度起作用。这些踝关节控制和加载/卸载线的方向还使我们能够确定在任何站立姿势下踝关节和髋关节处起作用的肌肉群。

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