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膝关节的运动控制与年龄和活动范围的关系。

Motor control of the knee as a function of age and range of motion.

作者信息

Williamson Elizabeth M, Marshall Philip H

机构信息

Department of Physical Therapy, Missouri State University, 901 South National Avenue, Springfield, MO 65897, USA.

出版信息

Exp Aging Res. 2009 Oct;35(4):457-68. doi: 10.1080/03610730903175790.

DOI:10.1080/03610730903175790
PMID:20183101
Abstract

The purpose of this study was to extend the findings of age-related changes in force fluctuation of musculature of the lower extremity by examining whether accuracy of movement differs between young, middle-aged, and older adults depending on the angular position of the lower leg when completing a continuous tracking task. Participants were 24 healthy young adults (17 to 25 years of age), 24 middle-aged adults (40 to 50 years of age), and 24 older adults (65 to 75 years of age). Performance was assessed during active leg flexion and extension movements within end (10 to 40 degrees flexion) and mid (60 to 90 degrees flexion) ranges of knee motion. Older individuals performed more poorly on the motor task, as indicated by a greater mean absolute deviation from the target (mean [M] = 31.96 mm, standard deviation [SD] = 23.83 mm) compared with the young group (M = 10.59 mm, SD = 10.51 mm) and middle-aged group (M = 9.09 mm, SD = 4.55 mm). There was no interaction between age and range of motion. Although clear age-related differences in performance were obtained, there was no evidence that age-related differences in dynamic position sense affected voluntary motor control performance as measured in this study. Whatever factors contribute to age-related changes in motor performance control appear to have consistent affect on performance throughout the range of motion of the knee.

摘要

本研究的目的是通过考察在完成连续跟踪任务时,年轻人、中年人和老年人之间的运动准确性是否因小腿的角度位置不同而有所差异,从而扩展有关下肢肌肉力量波动与年龄相关变化的研究结果。参与者包括24名健康的年轻人(17至25岁)、24名中年人(40至50岁)和24名老年人(65至75岁)。在膝关节运动的末端(屈曲10至40度)和中间(屈曲60至90度)范围内进行主动腿部屈伸运动时评估表现。与年轻组(均值[M]=10.59毫米,标准差[SD]=10.51毫米)和中年组(M=9.09毫米,SD=4.55毫米)相比,老年人在运动任务中的表现更差,表现为与目标的平均绝对偏差更大(M=31.96毫米,SD=23.83毫米)。年龄与运动范围之间没有交互作用。尽管在表现上获得了明显的与年龄相关的差异,但没有证据表明在本研究中测量的动态位置觉的年龄相关差异会影响自主运动控制表现。无论导致运动性能控制与年龄相关变化的因素是什么,它们似乎在膝关节的整个运动范围内对表现都有一致的影响。

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