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Sway-dependent changes in standing ankle stiffness caused by muscle thixotropy

机译:肌肉触变性引起的站立式踝关节僵硬的摇摆依赖性变化

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Quiet standing is achieved through a combination of active and passive mechanisms, consisting of neural control and intrinsic mechanical stiffness of the ankle joint, respectively. The mechanical stiffness is partly determined by the calf muscles. However, the viscoelastic properties of muscle are highly labile, exhibiting a strong dependence on movement history. By measuring the effect of sway history upon ankle stiffness, the present study determines whether this lability has consequences for the passive stabilization of human standing. Ten subjects stood quietly on a rotating platform whose axis was collinear with the ankle joint. Ankle sway was increased by slowly tilting this platform in a random fashion, or decreased by fixing the body to a board. Ankle stiffness was measured by using the same platform to simultaneously apply small, brief perturbations (<0.6deg; 140ms) at the same time as the resulting torque response was recorded. The results show that increasing sway reduces ankle stiffness by up to 43% compared to the body-fixed condition. Normal quiet stance was associated with intermediate values. The effect was most apparent when using smaller perturbation amplitudes to measure stiffness (0.1 vs. 0.6deg). Furthermore, torque responses exhibited a biphasic pattern, consisting of an initial steep rise followed by a shallower increase. This transition occurred earlier during increased levels of ankle sway. These results are consistent with a movement-dependent change in passive ankle stiffness caused by thixotropic properties of the calf muscle. The consequence is to place increased reliance upon active neural control during times when increased sway renders ankle stiffness low.
机译:安静站立是通过主动和被动机制的组合来实现的,主动和被动机制分别由踝关节的神经控制和固有机械刚度组成。机械刚度部分由小腿肌肉决定。然而,肌肉的粘弹性非常不稳定,表现出对运动历史的强烈依赖性。通过测量摇摆历史对踝关节僵硬的影响,本研究确定了这种不稳定性是否会对人体站立的被动稳定产生影响。十名受试者安静地站在旋转平台上,该平台的轴与踝关节共线。通过以任意方式缓慢倾斜此平台可以增加踝关节摇摆,或者通过将身体固定到板上来减小踝摇摆。通过使用相同的平台在记录所产生的扭矩响应的同时,同时施加小而短暂的扰动(<0.6deg; 140ms),来测量踝关节的刚度。结果表明,与固定状态相比,增加摇摆可将踝部僵硬程度降低多达43%。正常的安静姿态与中间值有关。当使用较小的摄动幅度来测量刚度(0.1与0.6度)时,效果最为明显。此外,扭矩响应呈现出两相模式,包括最初的陡峭上升和随后的较浅上升。这种过渡发生在踝关节水平增加的早期。这些结果与小腿肌肉的触变性引起的被动踝关节僵硬的运动相关变化是一致的。结果是在摇摆增加导致踝部刚度降低的时候增加了对主动神经控制的依赖。

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