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Armed against falls: the contribution of arm movements to balance recovery after tripping.

机译:防跌倒武装:绊倒后手臂运动对平衡恢复的作用。

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Arm movements after perturbations like tripping over an obstacle have been suggested to be aspecific startle responses, serve a protective function or contribute to balance recovery. This study aimed at determining if and how arm movements play a functional role in balance recovery after a perturbation. We tripped young subjects using an obstacle that suddenly appeared from the floor at exactly mid-swing. We measured arm muscle EMG, quantified body rotations after tripping, and established the effects of arm movements by calculating how the body would have rotated without arms. Strong asymmetric shoulder muscle responses were observed within 100 ms after trip initiation. Significantly faster and larger responses were found in the contralateral arm abductors on the non-tripped (right) side. Mean amplitudes were larger in the ipsilateral retroflexors and contralateral anteflexors. The resulting asymmetric arm movements had a small effect on body rotation in the sagittal and frontal planes, but substantially affected the body orientation in the transverse plane. With the enlargement of the ongoing arm swing, the arms contributed to balance recovery by postponing the transfer of arm angular momentum to the trunk. This resulted in an axial rotation of the lower segments of the body towards the non-tripped side, which increases the length of the recovery step in the sagittal plane, and therefore facilitates braking the impending fall.
机译:有人提出,在诸如绊倒障碍物之类的扰动之后,手臂的运动是一种特定的惊吓反应,起到保护作用或有助于恢复平衡。这项研究旨在确定手臂运动是否以及如何在摄动后的平衡恢复中发挥功能性作用。我们使用一个障碍物使年轻的受试者绊倒,该障碍物正好在摆动中时突然从地板上出现。我们测量了手臂肌肉的肌电图,定量了绊倒后的身体旋转,并通过计算没有手臂的身体旋转来确定手臂运动的影响。旅程开始后100毫秒内观察到强烈的不对称肩部肌肉反应。在未绊倒(右侧)的对侧手臂外展肌中发现明显更快,反应更大。同侧后屈肌和对侧前屈肌的平均振幅较大。产生的不对称手臂运动对矢状面和额面中的身体旋转影响不大,但在横向方向上却显着影响身体的方向。随着正在进行的手臂摆动的扩大,手臂通过推迟手臂角动量向躯干的转移,为平衡恢复做出了贡献。这导致主体的下部段朝着未绊倒的一侧轴向旋转,这增加了矢状面中恢复步骤的长度,因此有助于制动即将发生的跌倒。

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