Iosa Marco, Fusco Augusto, Morone Giovanni, Paolucci Stefano
Clinical Laboratory of Experimental Neurorehabilitation, Fondazione Santa Lucia IRCCS, 00179 Rome, Italy.
ScientificWorldJournal. 2012;2012:974560. doi: 10.1100/2012/974560. Epub 2012 May 3.
Vision can improve bipedal upright stability during standing and affect spatiotemporal parameters during walking. However, little is known about the effects of visual deprivation on gait dynamic stability. We have tested 28 subjects during walking under two different visual conditions, full vision (FV) and no vision (NV), measuring their upper body accelerations. Lower accelerations were found in NV for the reduced walking speed. However, the normalized accelerations were higher in the NV than in the FV condition, both in anteroposterior (1.05 ± 0.21 versus 0.88 ± 0.16, P = 0.001) and laterolateral (0.99 ± 0.26 versus 0.78 ± 0.19, P < 0.001) directions. Vision also affected the gait anteroposterior harmony (P = 0.026) and, interacting with the environment, also the latero-lateral one (P = 0.017). Directly (as main factor of the ANOVA) or indirectly (by means of significant interactions with other factors), vision affected all the measured parameters. In conclusion, participants showed an environment-dependent reduction of upper body stability and harmony when deprived by visual feedback.
视觉可以改善站立时的双足直立稳定性,并影响行走过程中的时空参数。然而,关于视觉剥夺对步态动态稳定性的影响却知之甚少。我们对28名受试者在两种不同视觉条件下行走时进行了测试,即全视觉(FV)和无视觉(NV),测量他们上半身的加速度。在NV条件下,由于行走速度降低,加速度较低。然而,无论是在前后方向(1.05±0.21对0.88±0.16,P = 0.001)还是左右方向(0.99±0.26对0.78±0.19,P < 0.001),NV条件下的归一化加速度都高于FV条件。视觉还影响了步态的前后协调性(P = 0.026),并且与环境相互作用时,也影响了左右协调性(P = 0.017)。直接地(作为方差分析的主要因素)或间接地(通过与其他因素的显著相互作用),视觉影响了所有测量参数。总之,当被剥夺视觉反馈时,参与者表现出与环境相关的上半身稳定性和协调性降低。