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反复暴露于滑倒后步态稳定性适应的即时和潜在肢体间转移

Immediate and latent interlimb transfer of gait stability adaptation following repeated exposure to slips.

作者信息

Bhatt T, Pai Y-C

机构信息

Department of Physical Therapy, University of Illinois, Chicago, IL 60612, USA.

出版信息

J Mot Behav. 2008 Sep;40(5):380-90. doi: 10.3200/JMBR.40.5.380-390.

Abstract

The authors trained 21 participants by using blocked-and-mixed exposure to right-side slips and then caused them to slip unexpectedly on the untrained left side. Authors retested participants with a right slip and a left slip at 1 week, 2 weeks, 1 month, and 4 months. The authors found that preslip stability on the first untrained left slip improved and was significantly greater than that on the first right slip, which probably contributed to the reduction in incidence of falls from approximately 30% to approximately 10%. Postslip stability and base of support (BOS) slip velocity were similar to those on the first right slip and much lower than those on the last right slip. Increases in pre- and postslip stabilities and BOS slip velocity during the left slip led to reductions in backward balance loss (BLOB) from approximately 95% on initial left slip to approximately 60% and to approximately 25% on the 1st and 3rd retest sessions, respectively. In contrast, BLOB remained at a constant approximately 40% level on the right slip of the same retest sessions. The results indicate a partial immediate transfer and a possible latent transfer.

摘要

作者通过对右侧滑倒进行分组和混合暴露训练了21名参与者,然后让他们在未训练的左侧意外滑倒。作者在1周、2周、1个月和4个月时对参与者进行了右侧滑倒和左侧滑倒的重新测试。作者发现,第一次未训练的左侧滑倒前的滑倒稳定性有所提高,且显著高于第一次右侧滑倒时的稳定性,这可能是跌倒发生率从约30%降至约10%的原因。滑倒后的稳定性和支撑面(BOS)滑倒速度与第一次右侧滑倒时相似,远低于最后一次右侧滑倒时的水平。左侧滑倒过程中滑倒前和滑倒后的稳定性以及BOS滑倒速度的增加,导致向后平衡丧失(BLOB)从最初左侧滑倒时的约95%分别降至第一次和第三次重新测试时的约60%和约25%。相比之下,在相同重新测试的右侧滑倒中,BLOB保持在约40%的恒定水平。结果表明存在部分即时转移和可能的潜在转移。

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