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老年人平衡与身体稳定性的远距离感受性和本体感受性控制

Telereceptive and proprioceptive control of balance vs. body stability in elderly people.

作者信息

Famuła Anna, Nowotny-Czupryna Olga, Brzek Anna, Nowotny Janusz, Kita Beata

机构信息

Kinesiology Division, Silesian Medical University, Katowice.

出版信息

Ortop Traumatol Rehabil. 2008 Jul-Aug;10(4):384-95.

Abstract

BACKGROUND

Maintaining functional fitness is an important problem in elderly people. Effective balance control is one of its main aspects. Evaluation and diagnosis of the weakest link in balance control (especially in this age group) facilitates appropriate prevention and rehabilitation. The goal of this study was to determine the role of the optic teleceptor and proprioception in maintaining body stability of elderly people.

MATERIAL AND METHODS

Balance control effectiveness and body stability was examined in 43 elderly people aged 65 and over by exposure to changing stimuli affecting tele- and proprioception. The participants were given false suggestions as to the vertical and horizontal planes of reference, and the position of the base was changed in different directions. Stabilographic parameters were acquired using an AccuGait platform. The results were compared with a control group of 53 healthy people under 30 years old. All study data were subjected to a statistical analysis.

RESULTS

Proprioceptive impulsation coming from the base was the key factor in body balance control. The results show a higher risk of falls in elderly people, especially during backwards inclination.

CONCLUSIONS

Changing spatial points of reference and position of the base activate body balance regulation mechanisms. The efficiency of these mechanisms in maintaining body stability is lower among elderly people, which indicates a need to implement appropriate prophylactic programmes in this age group.

摘要

背景

维持功能性体能是老年人面临的一个重要问题。有效的平衡控制是其中的一个主要方面。评估和诊断平衡控制中最薄弱的环节(尤其是在这个年龄组)有助于进行适当的预防和康复。本研究的目的是确定视觉感受器和本体感觉在维持老年人身体稳定性中的作用。

材料与方法

通过暴露于影响视觉和本体感觉的变化刺激,对43名65岁及以上的老年人的平衡控制效果和身体稳定性进行了检查。研究人员向参与者提供关于垂直和水平参考平面以及底座位置在不同方向上变化的错误提示。使用AccuGait平台获取稳定图参数。将结果与53名30岁以下健康人的对照组进行比较。所有研究数据均进行了统计分析。

结果

来自底座的本体感觉冲动是身体平衡控制的关键因素。结果显示老年人跌倒风险更高,尤其是在向后倾斜时。

结论

改变空间参考点和底座位置会激活身体平衡调节机制。这些机制在维持身体稳定性方面的效率在老年人中较低,这表明需要在这个年龄组实施适当的预防方案。

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