在帕金森病中为步行启动做准备的多肌肉协同作用
Ali Falaki1, Cristian Cuadra2, Mechelle M Lewis3
1Department of Neurosciences, University of Montreal, Montreal, Quebec, Canada.
概括
帕金森病患者在步行启动过程中表现出肌肉协同稳定性降低和预期协同调整. 这些障碍可能会在可观察到的步态问题和步态结之前发生在早期的PD阶段.
科学领域:
- 神经科学是一个神经科学.
- 生物力学 生物力学
- 运动障碍 运动障碍
背景情况:
- 步行启动是一个复杂的过程,涉及预期的姿势调整.
- 众所周知,帕金森病 (PD) 会影响运动控制和平衡.
- 在PD中早期发现步行障碍对于及时干预至关重要.
研究的目的:
- 为了研究帕金森病 (PD) 患者在步行开始前肌肉协同作用的变化.
- 评估视线转移对PD步态启动的影响.
- 探索PD中早期步行问题的定量标记.
主要方法:
- 参与者包括没有临床姿势不稳定的PD患者和年龄相匹配/年轻的对照.
- 步行启动是在先前头部凝视转移和没有进行的.
- 使用稳定性指数量化肌肉协同作用和预期协同作用调整 (ASA).
主要成果:
- 与对照组相比,PD患者的协同效应指数和ASA显著降低.
- 无论是PD还是年龄匹配的对照,都显示了先前的目光转移减少了ASA.
- 年轻的对照人群对视线转移操纵的影响较小.
结论:
- 没有明显的步态障碍的PD患者表现出压力稳定中心受损,并且在步态开始时预期调整减少.
- 稳定性指数和ASA可以作为PD前临床步态障碍的早期生物标志物.
- 减少的ASA可能与PD中步态结的发展有关.
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