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对因血管受压引起的足部躯体感觉障碍的姿势控制的关注。

Attention of postural control on foot somatosensor disturbance caused by the compression of blood vessels.

作者信息

Demura Shinichi, Yamaji Shunsuke, Kitabayashi Tamotsu, Yamada Takayoshi, Uchiyama Masanobu

机构信息

Department of Physical Education, Kanazawa University, Kakuma, Kanazawa 920-1192, Japan.

出版信息

J Hum Ergol (Tokyo). 2008 Dec;37(2):91-102.

Abstract

This study aimed to compare the center of foot pressure (CFP) during different ischemia periods by cuff compression. Ten healthy young adult males held their CFP for 1 min before and after cuff compression (250 mmHg) of lower limb blood vessels during two different compression periods (10 min and 26 min). Two-point discrimination thresholds and electric stimulus perception thresholds of each subject's right foot sole were measured during cuff compression to examine changes in the perceived level of cutaneous and proprioceptive sensation by blood flow inhibition. In addition, oxygenation kinetics in the anterior tibial muscle tissue was examined by near-infrared spectroscopy during cuff compression. The CFP was evaluated by using 36 parameters. CFP deflection tended to increase after cuff compression and to be larger over a long ischemic time (26 min) as compared with a short ischemic time (10 min). The proprioceptive perception threshold using electric stimulation showed a significant interaction and was higher after 26 min ischemia than at the initial timepoint and after 10 min ischemia. The delta[Oxy Hb/Mb], delta[Deoxy Hb/Mb] and Tissue oxygenation index (TOI) changed significantly after both ischemic conditions than at the initial condition. There was no significant difference in the Tissue oxygenation index and delta[Deoxy Hb/Mb] between both ischemic conditions. Many parameters regarding the deflection velocity and anteroposterior and lateral deflection had significantly larger values after 26 min ischemia than at the initial time point and after 10 min ischemia. Postural deflection may not be affected by the oxygen deficiency of muscle tissues caused by the compression of blood vessels for 10 min, but strongly affected by the cutaneous and proprioceptive sensation disturbances occurring from compression lasting over 10 min.

摘要

本研究旨在通过袖带压迫比较不同缺血期的足部压力中心(CFP)。10名健康的年轻成年男性在下肢血管袖带压迫(250 mmHg)的两个不同压迫期(10分钟和26分钟)前后保持其CFP 1分钟。在袖带压迫期间测量每个受试者右足底的两点辨别阈值和电刺激感知阈值,以检查血流抑制引起的皮肤和本体感觉水平的变化。此外,在袖带压迫期间通过近红外光谱检查胫前肌组织中的氧合动力学。使用36个参数评估CFP。袖带压迫后CFP偏移倾向于增加,并且与短缺血时间(10分钟)相比,在长缺血时间(26分钟)时更大。使用电刺激的本体感觉阈值显示出显著的相互作用,并且在缺血26分钟后高于初始时间点和缺血10分钟后。两种缺血情况后的δ[氧合血红蛋白/肌红蛋白]、δ[脱氧血红蛋白/肌红蛋白]和组织氧合指数(TOI)与初始情况相比均有显著变化。两种缺血情况之间的组织氧合指数和δ[脱氧血红蛋白/肌红蛋白]没有显著差异。许多关于偏移速度以及前后和侧向偏移的参数在缺血26分钟后比初始时间点和缺血10分钟后有显著更大的值。姿势偏移可能不受血管压迫10分钟引起的肌肉组织缺氧的影响,但受持续超过10分钟的压迫引起的皮肤和本体感觉障碍的强烈影响。

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