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单腿下落跳着陆任务后的姿势稳定性与单腿站立平衡任务期间的姿势稳定性有何关联?

How does postural stability following a single leg drop jump landing task relate to postural stability during a single leg stance balance task?

作者信息

Fransz Duncan P, Huurnink Arnold, Kingma Idsart, van Dieën Jaap H

机构信息

Research Institute MOVE Amsterdam, Faculty of Human Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands.

Research Institute MOVE Amsterdam, Faculty of Human Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands; Department of Nuclear Medicine, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

J Biomech. 2014 Sep 22;47(12):3248-53. doi: 10.1016/j.jbiomech.2014.06.019. Epub 2014 Jun 23.

Abstract

We aimed to verify whether the static phase after a single leg drop jump (DJ) landing on a force plate may serve as a proxy for a single leg stance (SLS) balance task, as this would increase the application possibilities of landing tasks in the evaluation of sensorimotor function in relation to injury rehabilitation or performance assessment. Twenty-five healthy participants performed two sessions of five valid trials for both tasks in a reproducibility-agreement design. Three postural stability outcome measures ('COP speed', 'COP sway' and 'Horizontal GRF') were calculated for DJ (5-20s after landing) and for SLS (15s), and were averaged per session. Paired T-tests revealed a learning effect of SLS for postural stability (4.6-6.1%; P-values <0.03), in contrast to DJ (P-values >0.27). Only session 2 resulted in superior postural stability for SLS compared to DJ for 'COP speed' (5.0%; P=0.017) and 'Horizontal GRF' (8.2%; P=0.001). Bland and Altman methods demonstrated inter-session SD's of difference for DJ of 11-12% and for SLS of 10-12%, while inter-task SD's of difference ranged 10-17%. Precision ('SD within') was better for SLS concerning 'COP speed' (14-15% vs 13%) and 'Horizontal GRF' (18-20% vs 14-15%). In conclusion, postural stability during DJ and SLS cannot be considered interchangeable, due to a learning effect for SLS and inferior precision for DJ. However, a DJ task may be used as a proxy for static postural stability, although more than three trials are needed to achieve individual errors similar to SLS for 'COP speed' (4) and 'Horizontal GRF' (5).

摘要

我们旨在验证单腿下落跳(DJ)落在测力板上后的静止阶段是否可作为单腿站立(SLS)平衡任务的替代指标,因为这将增加着陆任务在与损伤康复或运动表现评估相关的感觉运动功能评估中的应用可能性。25名健康参与者按照可重复性-一致性设计,对两项任务各进行了两阶段,每阶段五次有效试验。计算了DJ(着陆后5-20秒)和SLS(15秒)的三项姿势稳定性结果指标(“COP速度”、“COP摆动”和“水平GRF”),并对每个阶段进行平均。配对T检验显示,与DJ(P值>0.27)相比,SLS在姿势稳定性方面存在学习效应(4.6-6.1%;P值<0.03)。仅在第二阶段,与DJ相比,SLS在“COP速度”(5.0%;P=0.017)和“水平GRF”(8.2%;P=0.001)方面表现出更好的姿势稳定性。Bland和Altman方法显示,DJ阶段间差异的标准差为11-12%,SLS为10-12%,而任务间差异的标准差为10-17%。在“COP速度”(14-15%对13%)和“水平GRF”(18-20%对14-15%)方面,SLS的精度(“内部标准差”)更高。总之,由于SLS存在学习效应且DJ精度较低,DJ和SLS期间的姿势稳定性不能被视为可互换的。然而,DJ任务可作为静态姿势稳定性的替代指标,尽管需要超过三次试验才能使“COP速度”(4)和“水平GRF”(5)的个体误差与SLS相似。

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