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Differences in Lower-Extremity Joint Coordination During Two Landing Phases of a Drop Jump Task. 落体跳跃任务中两个着地阶段下肢关节协调性的差异。
IF 0.9 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-03-08 Print Date: 2024-07-01 DOI: 10.1123/mc.2023-0121
JiaWei Wang, Ye Liu

The aim of the present study was to compare the differences in joint coordination patterns and variability in the lower extremity between the first and second landing phases of the drop jump. Eighteen resistance-trained men (age: 22.8 ± 1.8 years) performed drop jumps from a height of 0.40 m. An eight-camera motion capture system was utilized to record kinematic trajectories. Modified vector coding technique and circular statistics were used to determine the coordination pattern and variability of the following joint couples during the first and second landings: hip frontal-knee frontal (HfKf), hip sagittal-knee frontal (HsKf), hip sagittal-knee sagittal (HsKs), knee frontal-ankle frontal (KfAf), knee sagittal-ankle frontal (KsAf), and knee sagittal-ankle sagittal (KsAs). Statistical differences in the distribution frequencies of coupling angles and variability between the dominant and nondominant limbs across the two landing phases were compared using two-way repeated analysis of variance and Wilcoxon rank-sum tests. During the second landing phase, the proportion of HsKs, KfAf, and KsAs showing in-phase coordination was reduced but the proportion of KfAf and KsAs showing proximal joint (knee) coordination was increased (p < .05). Significant differences in bilateral asymmetry were observed only for the HfKf and KfAf patients (p < .05). HsKs, KfAf, and KsAf varied considerably during the second landing phase (p < .05). Joint coordination patterns during the second landing phase of the drop jump differed considerably from those during the first landing phase, thereby increasing the risk of knee and ankle injuries.

本研究旨在比较落体跳第一和第二着地阶段下肢关节协调模式和变异性的差异。研究使用八摄像头运动捕捉系统记录运动轨迹。使用修正的矢量编码技术和循环统计来确定第一和第二次着地时以下关节耦合的协调模式和变异性:髋关节额-膝关节额(HfKf)、髋关节矢-膝关节额(HsKf)、髋关节矢-膝关节矢(HsKs)、膝关节额-踝关节额(KfAf)、膝关节矢-踝关节额(KsAf)和膝关节矢-踝关节矢(KsAs)。使用双向重复方差分析和 Wilcoxon 秩和检验比较了优势肢和非优势肢在两个着地阶段的耦合角分布频率和变异性的统计差异。在第二着地阶段,HsKs、KfAf 和 KsAs 显示同相协调的比例降低了,但 KfAf 和 KsAs 显示近关节(膝关节)协调的比例增加了(p < .05)。只有 HfKf 和 KfAf 患者在双侧不对称方面存在显著差异(P < .05)。在第二着地阶段,HsKs、KfAf 和 KsAf 的差异很大(p < .05)。落体跳第二着地阶段的关节协调模式与第一着地阶段的关节协调模式差异很大,从而增加了膝关节和踝关节受伤的风险。
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引用次数: 0
Quantifying Human Gait Symmetry During Blindfolded Treadmill Walking. 量化蒙眼跑步机行走时的人体步态对称性
IF 0.9 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-02-24 Print Date: 2024-07-01 DOI: 10.1123/mc.2023-0028
Otella Shoja, Masoumeh Shojaei, Hamidollah Hassanlouei, Farzad Towhidkhah, Lei Zhang

Bilateral gait symmetry is an essential requirement for normal walking since asymmetric gait patterns increase the risk of falls and injuries. While human gait control heavily relies on the contribution of sensory inputs, the role of sensory systems in producing symmetric gait has remained unclear. This study evaluated the influence of vision as a dominant sensory system on symmetric gait production. Ten healthy adults performed treadmill walking with and without vision. Twenty-two gait parameters including ground reaction forces, joint range of motion, and other spatial-temporal gait variables were evaluated to quantify gait symmetry and compared between both visual conditions. Visual block caused increased asymmetry in most parameters of ground reaction force, however mainly in the vertical direction. When vision was blocked, symmetry of the ankle and knee joint range of motion decreased, but this change did not occur in the hip joint. Stance and swing time symmetry decreased during no-vision walking while no significant difference was found for step length symmetry between the two conditions. This study provides a comprehensive analysis to reveal how the visual system influences bilateral gait symmetry and highlights the important role of vision in gait control. This approach could be applied to investigate how vision alters gait symmetry in patients with disorders to help better understand the role of vision in pathological gaits.

双侧步态对称是正常行走的基本要求,因为不对称的步态模式会增加跌倒和受伤的风险。虽然人类步态控制在很大程度上依赖于感觉输入的贡献,但感觉系统在产生对称步态中的作用仍不清楚。本研究评估了视觉作为主导感觉系统对对称步态产生的影响。十名健康成年人分别在有视觉和无视觉的情况下进行了跑步机行走。对包括地面反作用力、关节运动范围和其他时空步态变量在内的 22 个步态参数进行了评估,以量化步态对称性,并对两种视觉条件进行了比较。视觉阻断导致地面反作用力的大多数参数的不对称性增加,但主要是在垂直方向。视觉受阻时,踝关节和膝关节运动范围的对称性降低,但髋关节没有发生这种变化。在无视觉行走时,姿态和摆动时间的对称性下降,而步长的对称性在两种情况下没有发现显著差异。本研究通过全面分析,揭示了视觉系统如何影响双侧步态对称性,并强调了视觉在步态控制中的重要作用。这种方法可用于研究视觉如何改变障碍患者的步态对称性,以帮助更好地理解视觉在病态步态中的作用。
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引用次数: 0
High-Intensity Forward-Backward Plyometrics After the Warm-Up Entail Better Sprint and Change-of-Direction Performance Than Low-Intensity Side-to-Side Plyometrics. 热身后的高强度前后分层训练比低强度左右分层训练有更好的冲刺和转向表现。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-11-06 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0050
Karim Ben Ayed, Raouf Hammami, Javier Gene-Morales, Amira Ajailia, Hanen Werfelli, Haithem Rebai, Pablo Jiménez-Martínez, Jorge Flandez, Juan C Colado

This study aimed to determine the acute effects of high-intensity forward-backward and low-intensity side-to-side plyometric jumps performed following the warm-up on sprint (5, 10, and 15 m) and change-of-direction (COD) (T-half test and repeated T-half tests) performance in youth volleyball players. After a familiarization week, 30 male volleyball players (age = 12.04 ± 1.03 years) performed three randomized conditions (no-plyometrics, high-intensity plyometrics, and low-intensity plyometrics) in three sessions. In a within-subject design, three sets of six repetitions of forward-backward 30-cm hurdle jumps (high-intensity) and side-to-side 20-cm hurdle jumps (low-intensity) were completed. Sprint and COD were tested after each of the conditions with a 2-min rest. A significant effect of the plyometric condition was observed on sprint (p < .001, ηp2 range: .56-.70) and COD (p < .01, ηp2=.24), but not on repeated COD. More specifically, the high-intensity plyometric condition exhibited significantly better results compared with the low-intensity plyometric (Cohen's d range: 0.73-1.21) and control conditions (Cohen's d range: 0.91-2.21). Due to the importance of speed and COD in volleyball, these results suggest that young volleyball players may benefit from high-intensity forward-backward plyometric protocols following the warm-up to improve subsequent performance.

本研究旨在确定热身后进行的高强度前后跳和低强度左右跳对青少年排球运动员短跑(5米、10米和15米)和转向(COD)(T半测试和重复T半测试)表现的急性影响。在熟悉一周后,30名男排球运动员(年龄=12.04±1.03岁)分三个阶段进行了三种随机条件(无强化训练、高强度强化训练和低强度强化训练)。在受试者内部设计中,完成了三组六次重复的前向-后向30厘米栏跳(高强度)和侧向-侧向20厘米栏跳跃(低强度)。在每种条件下休息2分钟后测试Sprint和COD。观察到增强型条件对Sprint(p<.001,ηp2范围:.56-.70)和COD(p<.01,ηp2=.24)的显著影响,但对重复COD没有显著影响。更具体地说,与低强度增强型(Cohen’s d范围:0.73-1.21)和对照条件(Cohen‘s d范围为0.91-2.21)相比,高强度增强型条件表现出明显更好的结果。由于速度和COD在排球中的重要性,这些结果表明,年轻的排球运动员可能会从热身后的高强度前后增强训练中受益,以提高随后的表现。
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引用次数: 0
The Influence of a Warm-Up on Vigilance in University Students. 热身对大学生警惕性的影响。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-11-06 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0027
Francisco Tomás González-Fernández, Alfonso Castillo-Rodriguez, Sixto González-Víllora, David Hortigüela-Alcalá

The present study aimed to analyze the effects of conducting a warm-up (WC) or not (WWC) on students of the Science Degree in Physical Activity and Sport before starting a practical class. Thirty-two students of the Science Degree in Physical Activity and Sport (age: 22.38 ± 1.81 years; height: 176.09 ± 8.52 cm; weight: 22.38 ± 1.81 kg; body fat: 25.17 ± 3.20%) participated in a counterbalanced cross-sectional study in which three conditions were tested: (a) basal lineal, (b) WC, and (c) WWC. Participants recorded longer times (worse performance) in the Illinois dribbling test (basal lineal condition [20.17 ± 1.35], WWC [20.13 ± 1.37], and WC [19.32 ± 1.35]) and the Psychomotor Vigilance Task test (basal lineal condition [397.88 ± 75.98 ms]; WWC [412.19 ± 91.39 ms], and WC [368.53 ± 68.65 ms]). The warm-up prior to physical activity classes had positive effects on vigilance linked to executive functioning, and physical performance. In this sense, more research on different types of warm-up may be in order to contrast them with each other, as well as to carry out attention measurements according to the content to be imparted after the warm-ups. The present study represents a big opportunity for all physical education teachers due to warm-up is a crucial aspect that occurs in all practical sessions, also linked to the attention processes and motivational factors of the students.

本研究旨在分析在开始实践课之前进行热身(WC)或不进行热身(WWC)对体育活动和运动科学学位学生的影响。32名体育活动和运动科学学位学生(年龄:22.38±1.81岁;身高:176.09±8.52厘米;体重:22.38士1.81公斤;体脂:25.17±3.20%)参加了一项平衡横断面研究,其中测试了三种条件:(a)基线、(b)WC和(c)WWC。参与者在伊利诺伊州盘带测试(基线条件[2017±1.35]、WWC[20.13±1.37]和WC[19.32±1.35])和心理运动警戒任务测试(基线情况[397.88±75.98 ms]、WWC[441.19±91.39 ms]和WC[368.53±68.65 ms])中记录的时间更长(表现更差)。体育活动课前的热身对警惕性有积极影响与执行功能和身体表现相关。从这个意义上说,对不同类型的热身进行更多的研究可能是为了相互对比,以及根据热身后要传授的内容进行注意力测量。本研究为所有体育教师提供了一个巨大的机会,因为热身是所有实践环节中发生的一个关键方面,也与学生的注意力过程和动机因素有关。
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引用次数: 0
Acute Effect of Brace Use on Upper-Extremity Functionality in Adolescent Individuals With Idiopathic Scoliosis: A Cross-Sectional Study. 青少年特发性脊柱侧凸患者使用支具对上肢功能的急性影响:一项横断面研究
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-10-24 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0040
Kamil Yilmaz, Fatih Celik, Bayram Sonmez Unuvar

It is well known that scoliosis adversely affects the functions of the upper extremities. However, the acute effect of rigid braces, which are widely used in the conservative treatment of scoliosis, on upper-extremity functionality remains unknown. The aim of this study was to investigate the acute effect of a rigid thoracolumbosacral brace use on upper-extremity functionality in individuals with adolescent idiopathic scoliosis (AIS). Thirty-eight individuals diagnosed with AIS participated in this cross-sectional study, with a mean age of 14.55 ± 1.90 years and a range of 10-18 years. The upper-extremity functionality was assessed using the Nine-Hole Peg Test and handgrip strength, with assessments conducted under both in-brace (with their own braces) and out-of-brace conditions. Nine-Hole Peg Test durations of the AIS patients for the nondominant side were significantly lower for in-brace conditions compared with out-of-brace conditions (p = .049, effect size = 0.136). The grip strength of the nondominant side was significantly higher for in-brace conditions compared with out-of-brace conditions (p = .025, effect size = 0.365). A weak negative correlation was found between the degree of curvature and the grip strength of the dominant side for in-brace conditions (r = -.323, p = .048). It was concluded that the brace had a positive effect on upper-extremity functionality on the nondominant side by both shortening the Nine-Hole Peg Test duration and increasing grip strength. In AIS patients, the brace may positively affect daily living by improving the functionality of the nondominant extremity.

众所周知,脊柱侧弯会对上肢功能产生不利影响。然而,广泛用于脊柱侧弯保守治疗的刚性支架对上肢功能的急性影响尚不清楚。本研究的目的是研究青少年特发性脊柱侧弯(AIS)患者使用刚性胸腰骶支架对上肢功能的急性影响。38名被诊断为AIS的患者参与了这项横断面研究,平均年龄为14.55±1.90岁,年龄范围为10-18岁。使用九孔钉测试和握力评估上肢功能,在支架内(使用自己的支架)和支架外条件下进行评估。非优势侧AIS患者的九孔桩测试持续时间在支架内条件下显著低于支架外条件(p=0.049,效应大小=0.136)。非优势侧的握力在支架内情况下显著高于支架外条件下(p=0.025,效应大小=0.365)。发现弱负相关在支架内条件下,弯曲度和优势侧的握力之间(r=-0.323,p=.048)。得出的结论是,支架通过缩短九孔桩试验持续时间和增加握力对非优势侧的上肢功能有积极影响。在AIS患者中,支架可以通过改善非优势肢体的功能对日常生活产生积极影响。
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引用次数: 0
The Effect of an Overhead External Load Lifting and Lowering on Dynamic Postural Control in Subgroups of Low Back Pain. 顶置外负荷提升和降低对腰痛亚组动态姿势控制的影响。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-10-24 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0035
Majid Shahbazi, Javad Sarrafzadeh, Ismail Ebrahimi Takamjani, Hossein Negahban

Background: Understanding postural control in low back pain (LBP) subgroups can help develop targeted interventions to improve postural control. The studies on this topic are limited. Therefore, the primary purpose of this study was to compare the postural control of LBP subgroups with healthy individuals during overhead load lifting and lowering.

Methods: In this cross-sectional study, the participants were 52 with LBP and 20 healthy. The LBP patients were classified based on the O'Sullivan classification system into 21 flexion patterns and 31 active extension patterns. The participants lifted the box from their waists to their overheads and lowered it to their waists. Changes in postural control parameters were measured with a force plate system.

Results: The results of the analysis of variance showed that during load lifting, the mediolateral phase plane (p = .044) and the mean total velocity (p = .029) had significant differences between flexion patterns and healthy. Also, the load-lowering results showed that active extension patterns, compared with healthy, had significant differences in the anteroposterior-mediolateral phase plane (p = .042). The patients showed less postural sway than the healthy.

Conclusions: The results in this work highlight the importance of identifying the homogenous subgroups in LBP and support the classification of heterogeneous LBP. Different subgroups exhibit different postural control behaviors. These behaviors can be due to the loading of various tissues during different tasks.

背景:了解腰痛(LBP)亚组的姿势控制有助于制定有针对性的干预措施,以改善姿势控制。关于这个主题的研究是有限的。因此,本研究的主要目的是比较LBP亚组与健康个体在头顶负荷升降过程中的姿势控制。方法:在这项横断面研究中,参与者为52名LBP患者和20名健康人。根据奥沙利文分类系统将LBP患者分为21种屈曲模式和31种主动伸展模式。参与者将盒子从腰部举到头顶,然后放低到腰部。用力板系统测量姿势控制参数的变化。结果:方差分析结果显示,在负荷提升过程中,屈曲模式和健康模式之间的内侧相平面(p=.044)和平均总速度(p=.029)存在显著差异。此外,负荷降低结果显示,与健康人相比,主动伸展模式在前后中外侧相平面上有显著差异(p=.042)。患者的姿势摆动比健康人少。结论:这项工作的结果强调了识别LBP中同质亚组的重要性,并支持异质性LBP的分类。不同的亚组表现出不同的姿势控制行为。这些行为可能是由于不同任务期间各种组织的负载造成的。
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引用次数: 0
Motor Transfer and Proactive Interference in Cycling With a Noncircular Chainring. 非圆链环自行车运动中的电机传递与主动干扰。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-10-24 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0011
Thomas Haab, Peter Leinen, Stefan Panzer

Athletes must transfer their performance when changing equipment due to innovative developments in sports technology. This kind of transfer has received only moderate attention. The aim of this study was to examine whether a mechanical change in sports equipment disturbs an athlete's performance and affects biomechanical and neurophysiological parameters. Therefore, an experiment was conducted in which 36 participants in three groups pedaled at 70 rounds per minute on a cycling ergometer with a circular and a noncircular (NC) chainring. The dependent variables were the total variability of the cadence, torque effectiveness, and muscle cocontraction (electromyographic cocontraction) of four antagonistic acting muscle pairs. Data were recorded during an acquisition phase, a transfer phase, and a retention phase. The results revealed that practice on a circular chainring induces a positive transfer on the NC chainring for total variability without a proactive interference effect. Torque effectiveness did not change within or between groups during the acquisition, transfer, and retention phases. Torque effectiveness and electromyographic cocontraction were not affected when the chainrings were altered from Day 1 to Day 2. During the retention phase, electromyographic cocontraction was higher when using the NC chainring, but the difference was small in absolute terms. The results regarding transfer and proactive interference seem to be strongly dependent on the movement task and the change in sports equipment. Transfer from the circular to NC chainring indicates refined neuromuscular control and improved movement coordination.

由于体育技术的创新发展,运动员在更换设备时必须转移他们的表现。这种转移只受到了适度的关注。本研究的目的是检验运动器材的机械变化是否会干扰运动员的表现,并影响生物力学和神经生理学参数。因此,进行了一项实验,其中三组36名参与者在带有圆形和非圆形(NC)链环的自行车测力计上以每分钟70圈的速度骑行。因变量是四对拮抗作用肌肉的节奏、扭矩有效性和肌肉收缩(肌电图收缩)的总变异性。在采集阶段、转移阶段和保留阶段记录数据。结果表明,在没有主动干扰效应的情况下,在圆形链环上的实践会在NC链环上引发总可变性的正传递。在获取、转移和保留阶段,组内或组间的扭矩有效性没有变化。当链环从第1天到第2天发生变化时,扭矩有效性和肌电图联合收缩没有受到影响。在保留期,当使用NC链环时,肌电图共同集中度较高,但绝对值差异较小。转移和主动干预的结果似乎强烈依赖于运动任务和运动装备的变化。从圆形链环到NC链环的转换表明神经肌肉控制得到了改善,运动协调性得到了改善。
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引用次数: 0
Balance Recovery Strategy in Children With and Without Hearing or Visual Impairments. 有听力或视力障碍和无听力或视力障碍儿童的平衡恢复策略。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-09-04 Print Date: 2024-01-01 DOI: 10.1123/mc.2023-0029
Hamed Zarei, Ali Asghar Norasteh, Lauren J Lieberman, Ali Brian

Purpose: The purpose of this study was to examine the balance recovery strategy in children with hearing (HI) and visual impairments (VI) compared with those without these disorders.

Materials and methods: This study featured a cross-sectional design with subjects (N = 45) placed within one of three equally stratified purposive groups (HI, VI, and comparison) within the age range of 9-13 years (mean = 11.43, SD = 1.5). Balance recovery strategy was measured in static and after-perturbation conditions by a four-camera Vicon system used to record three-dimensional lower body kinematic data. A repeated-measures analysis of variance (3 × 2, Group × Condition) was utilized to analyze data. Significance was set at p ≤ .05.

Results: In the static condition, the results of the study showed that there was no significant difference between the groups in the ankle joint sway (p > .05). In hip joint sway, VI children had greater sway compared with comparison (p = .001) and HI children (p = .02). Also, HI children had greater sways than comparison (p = .02). In the after-perturbation condition, the results showed that VI children had greater sway in the hip and ankle joints than HI children (p = .001) and comparison (p = .001) to restore and maintain balance.

Conclusion: It seems that comparison as well as higher proportion VI children use a hip strategy to maintain and restore balance. Also, it seems that HI children use a different strategy (ankle strategy) to maintain and restore balance compared with comparison and VI children.

目的:本研究旨在考察听力障碍(HI)和视力障碍(VI)儿童与无听力障碍和视力障碍儿童的平衡恢复策略:本研究采用横断面设计,将受试者(N = 45)分为三组(听障组、视障组和对比组),每组年龄在 9-13 岁之间(平均值 = 11.43,标准差 = 1.5)。平衡恢复策略是在静态和扰动后条件下通过四摄像头 Vicon 系统记录下半身三维运动学数据进行测量的。数据分析采用重复测量方差分析(3 × 2,组别 × 条件)。显著性设定为 p≤ .05:结果:在静态条件下,研究结果表明,各组之间在踝关节摇摆方面没有显著差异(p > .05)。在髋关节摇摆方面,VI 儿童的摇摆幅度大于对比组(p = 0.001)和 HI 儿童(p = 0.02)。此外,HI 儿童的摇摆幅度也比对比组大(p = .02)。在扰动后的条件下,结果显示在恢复和保持平衡方面,VI 儿童的髋关节和踝关节比 HI 儿童(p = .001)和对比儿童(p = .001)有更大的摇摆:结论:在保持和恢复平衡时,对比组和更高比例的 VI 儿童似乎都使用髋关节策略。此外,与对比组和 VI 组儿童相比,HI 组儿童似乎使用不同的策略(踝关节策略)来保持和恢复平衡。
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引用次数: 0
Use of Target Information for Preparing Initial Motor Command of Target Force Production Task. 利用目标信息编制目标部队生产任务的初始机动指令。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-08-29 Print Date: 2023-10-01 DOI: 10.1123/mc.2023-0023
Koichi Hiraoka, Keita Hashimoto, Takumi Fukuchi

The present study examined how humans use the target information provided immediately before the onset of motor output to prepare the initial motor command in the target force production task. Twenty healthy individuals participated in this study. A target cursor indicating the target force, and a force cursor indicating the force produced with index finger flexion were presented, and participants produced force in response to the appearance of the force cursor so that it moved toward the target cursor as fast as possible. The rate of force development in a time window of 0-100 ms after the onset of force development, representing the intensity of the initial motor command without online feedback adjustment, was measured. The present findings support the hypotheses that humans use the target information provided immediately before the onset of motor output to prepare the initial motor command, and they simultaneously prepare the initial motor command for the intermediate of multiple potential targets using the information of targets provided in previous trials. Another hypothesis, that humans use the information of the target or motor process of the trial immediately before the current trial to prepare the initial motor command, was not supported.

本研究考察了人类如何使用在运动输出开始前立即提供的目标信息来准备目标部队生产任务中的初始运动命令。20名健康个体参与了这项研究。呈现了指示目标力的目标光标和指示食指弯曲产生的力的力光标,参与者响应力光标的出现产生力,从而使其尽可能快地向目标光标移动。测量力发展开始后0-100ms的时间窗口中的力发展速率,该速率表示没有在线反馈调节的初始电机命令的强度。目前的研究结果支持这样的假设,即人类使用在运动输出开始前立即提供的目标信息来准备初始运动命令,并且他们使用先前试验中提供的目标的信息同时为多个潜在目标的中间物准备初始运动命令。另一种假设是,人类在当前试验之前立即使用试验的目标或运动过程的信息来准备最初的运动命令,但这一假设不被支持。
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引用次数: 0
Increased Risk of Falling in Older Adults When Coordinating Obstacle Avoidance and Grasping. 协调避障和抓握时老年人跌倒风险增加。
IF 1.1 4区 医学 Q2 Medicine Pub Date : 2023-08-26 Print Date: 2023-10-01 DOI: 10.1123/mc.2023-0008
Janine Carvalho Valentino Camargos, Gabriela Vigorito Magalhães, Letícia Munhoz Avellar, Anselmo Frizera, Natalia Madalena Rinaldi

This study aimed to investigate the kinematic changes in obstacle avoidance and prehension tasks performed simultaneously by older adults with a history of falls at different levels of task difficulty. Twenty-six older adults were divided into faller and nonfaller groups. The experimental protocol was divided into two different tasks: walking with obstacle avoidance and walking with obstacle avoidance combined with a reach-to-grasp task. Two types of sensors (Kinect v2 and Leap Motion Controller, respectively) were used to analyze gait and grasp. Fallers presented kinematic changes associated with the grasping task during obstacle avoidance, such as a decrease in the velocity of the center of mass and the step length, an increase in the step width, a decrease in toe-obstacle horizontal distance, and an increase in vertical foot clearance distance, and an increase in movement time in the grasping task compared with nonfallers. To cope with the obstacle avoidance demands of both walking and grasping, fallers turned to a specific sequencing strategy. While slowing down, they attended first to the grasping task and then to crossing the obstacle on the floor.

本研究旨在调查有跌倒史的老年人在不同难度的任务中同时执行避障和抓握任务的运动学变化。26名老年人被分为跌倒组和非跌倒组。实验方案分为两个不同的任务:避障行走和避障行走结合伸手抓地任务。两种类型的传感器(分别为Kinect v2和Leap Motion Controller)用于分析步态和抓握。在避障过程中,跌倒者表现出与抓握任务相关的运动学变化,如质心速度和步长的降低、步长的增加、脚趾障碍物水平距离的减小、垂直足部间隙距离的增加,以及与非跌倒者相比抓握任务中运动时间的增加。为了应对行走和抓握的避障需求,跌倒者转向了一种特定的排序策略。在减速的同时,他们首先完成抓握任务,然后越过地板上的障碍物。
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Motor Control
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