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坐姿全身振动对不稳定坐姿平衡期间躯干姿势控制的影响。

Effects of seated whole-body vibration on postural control of the trunk during unstable seated balance.

作者信息

Slota Gregory P, Granata Kevin P, Madigan Michael L

机构信息

The Kevin P. Granata Musculoskeletal Biomechanics Laboratory, Virginia Polytechnic Institute and State University, 219 Norris Hall (0219), Blacksburg, VA 24061, USA.

出版信息

Clin Biomech (Bristol). 2008 May;23(4):381-6. doi: 10.1016/j.clinbiomech.2007.11.006. Epub 2008 Feb 21.

Abstract

BACKGROUND

Low back disorders and their prevention is of great importance for companies and their employees. Whole-body vibration is thought to be a risk factor for low back disorders, but the neuromuscular, biomechanical, and/or physiological mechanisms responsible for this increased risk are unclear. The purpose of this study was to measure the acute effect of seated whole-body vibration on the postural control of the trunk during unstable seated balance.

METHODS

Twenty-one healthy subjects (age: 23 years (SD 4 years)) were tested on a wobble chair designed to measure trunk postural control. Measurements of kinematic variance and non-linear stability control were based on seat angle before and after 30 min of seated whole-body vibration (bandwidth=2-20 Hz, root-mean-squared amplitude=1.15m/s(2)).

FINDINGS

All measures of kinematic variance of unstable seated balance increased (P<0.05) after vibration including: ellipse area (35.5%), root-mean-squared radial lean angle (17.9%), and path length (12.2%). Measures of non-linear stability control also increased (P<0.05) including Lyapunov exponent (8.78%), stability diffusion analysis (1.95%), and Hurst rescaled range analysis (5.2%).

INTERPRETATION

Whole-body vibration impaired postural control of the trunk as evidenced by the increase in kinematic variance and non-linear stability control measures during unstable sitting. These findings imply an impairment in spinal stability and a mechanism by which vibration may increase low back injury risk. Future work should investigate the effects of whole-body vibration on the anatomical and neuromuscular components that contribute to spinal stability.

摘要

背景

下背部疾病及其预防对公司及其员工至关重要。全身振动被认为是下背部疾病的一个风险因素,但导致这种风险增加的神经肌肉、生物力学和/或生理机制尚不清楚。本研究的目的是测量坐姿全身振动对不稳定坐姿平衡期间躯干姿势控制的急性影响。

方法

21名健康受试者(年龄:23岁(标准差4岁))在一个旨在测量躯干姿势控制的摇摆椅上进行测试。运动学方差和非线性稳定性控制的测量基于坐姿全身振动30分钟(带宽=2 - 20赫兹,均方根振幅=1.15米/秒²)前后的座椅角度。

结果

振动后,不稳定坐姿平衡的所有运动学方差测量值均增加(P<0.05),包括:椭圆面积(35.5%)、均方根径向倾斜角度(17.9%)和路径长度(12.2%)。非线性稳定性控制的测量值也增加(P<0.05),包括李雅普诺夫指数(8.78%)、稳定性扩散分析(1.95%)和赫斯特重标极差分析(5.2%)。

解读

全身振动损害了躯干的姿势控制,这在不稳定坐姿期间运动学方差和非线性稳定性控制测量值的增加中得到证明。这些发现意味着脊柱稳定性受损,以及振动可能增加下背部受伤风险的一种机制。未来的工作应研究全身振动对有助于脊柱稳定性的解剖学和神经肌肉成分的影响。

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