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证据表明,躯干前屈与躯干姿势控制障碍之间存在暴露-反应关系。

Evidence for an exposure-response relationship between trunk flexion and impairments in trunk postural control.

机构信息

Virginia Tech-Wake Forest School of Biomedical Engineering and Sciences, Virginia Tech, Blacksburg, VA 24061, USA.

出版信息

J Biomech. 2013 Sep 27;46(14):2554-7. doi: 10.1016/j.jbiomech.2013.07.021. Epub 2013 Jul 26.

Abstract

Prolonged trunk flexion alters passive and active trunk tissue behaviors, and exposure-response relationships between the magnitude of trunk flexion exposure and changes in these behaviors have been reported. This study assessed whether similar exposure-response relationships exist between such exposures and impairments in trunk postural control. Twelve participants (6 M, 6 F) were exposed to three distinct trunk flexion conditions (and a no-flexion control condition), involving different flexion durations with/without an external load, and which induced differing levels of passive tissue creep. Trunk postural control was assessed prior to and immediately following trunk flexion exposures, and during 10 min of standing recovery, by tracking center of pressure (COP) movements during a seated balance task. All COP-based sway measures increased following each flexion exposure. In the anteroposterior direction, these increases were larger with increasing exposure magnitude, whereas such a relationship was not evident for mediolateral sway measures. All measures were fully recovered following 10 min of standing. The present results provide evidence for an exposure-response relationship between trunk flexion exposures and impairments in trunk postural control; specifically, larger impairments following increased exposures (i.e., longer flexion duration and presence of external load). Such impairments in trunk postural control may result from some combination of reduced passive trunk stiffness and altered/delayed trunk reflex responses, and are generally consistent with prior evidence of exposure-dependent alterations in trunk mechanical and neuromuscular behaviors assessed using positional trunk perturbations. Such evidence suggests potential mechanistic pathways through which trunk flexion exposures may contribute to low-back injury risk.

摘要

长时间的躯干弯曲会改变被动和主动的躯干组织行为,并且已经报道了躯干弯曲暴露的幅度与这些行为变化之间的暴露-反应关系。本研究评估了这些暴露与躯干姿势控制障碍之间是否存在类似的暴露-反应关系。12 名参与者(6 名男性,6 名女性)接受了三种不同的躯干弯曲条件(和无弯曲对照条件),涉及不同的弯曲持续时间,有/没有外部负载,并且诱导了不同程度的被动组织蠕变。在进行躯干弯曲暴露之前、之后以及在 10 分钟的站立恢复期间,通过在坐姿平衡任务中跟踪中心压力(COP)运动,评估躯干姿势控制。在每个弯曲暴露后,所有基于 COP 的摆动测量值均增加。在前后方向上,这些增加与暴露幅度的增加成正比,而在横向摆动测量中则没有这种关系。在站立 10 分钟后,所有指标均完全恢复。本研究结果为躯干弯曲暴露与躯干姿势控制障碍之间的暴露-反应关系提供了证据;具体来说,随着暴露量的增加(即弯曲持续时间更长且存在外部负载),损伤更大。这种躯干姿势控制障碍可能是由于被动躯干刚度降低以及躯干反射反应改变/延迟的综合作用造成的,并且通常与先前使用位置性躯干扰动评估的躯干机械和神经肌肉行为的依赖于暴露的改变相一致。这些证据表明,躯干弯曲暴露可能导致下腰痛风险增加的潜在机制途径。

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