肌肉协同收缩和协同激活在步行过程中的脑:一个范围审查
S Mohammadyari Gharehbolagh1, C Dussault-Picard1, D Arvisais2
1School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, University of Montreal, Canada; Research Center of the Sainte-Justine University Hospital (CRCHUSJ), Canada.
Gait & posture
|July 15, 2023
概括
与健康同龄人相比,患有脑 (CP) 的人在行走时肌肉联合激活 (MCo/MCa) 增加. 本综述综合了CP中MCo/MCa模式的发现,以提供更好的步态管理策略.
科学领域:
- 神经科学是一个神经科学.
- 生物力学 生物力学
- 康复科学 康复科学 康复科学
背景情况:
- 大脑 (CP) 涉及影响运动发育的脑损伤.
- 肌肉激活模式,特别是过度的肌肉共收缩/共激活 (MCo/MCa),在CP患者的行走过程中会受到干扰.
- 现有的关于MCo/MCa在CP步行的研究已经产生了不一致的结果,限制了理解.
研究的目的:
- 系统地审查和总结肌肉协同收缩/协同激活 (MCo/MCa) 在患有脑 (CP) 患者的行走过程中的模式.
- 将CP患者的MCo/MCa模式与健康个体的MCo/MCa模式进行比较.
主要方法:
- 该审查遵循乔安娜·布里格斯研究所 (JBI) 的指导方针和PRISMA-ScR建议.
- 在多个数据库中进行了全面的文献搜索,包括MEDLINE,EMBASE,CINAHL,SPORTDiscus和Web of Science.
- 包括21项研究,涉及337名患有CP的参与者和249名健康参与者.
主要成果:
- 在用电肌图 (EMG) 测量时,术语肌肉协同激活 (MCa) 优先于肌肉协同收缩 (MCo).
- 由于方法的差异 (例如,步态协议,计算方法),观察到MCo/MCa模式的广泛变化.
- 大多数研究证实,与对照人群相比,在行走期间CP患者的MCo/MCa增加.
结论:
- 增加肌肉协同激活 (MCo/MCa) 是一个一致的发现,在行走时患有脑的个体.
- 未来的研究应该解决MCo/MCa与特定步态偏差之间的关联.
- 需要进一步调查,以确定计算MCo/MCa.最合适的方法.
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