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单次抛球练习对老年人预期姿势调整能力的增强作用。

Enhancement of anticipatory postural adjustments in older adults as a result of a single session of ball throwing exercise.

作者信息

Aruin Alexander S, Kanekar Neeta, Lee Yun-Ju, Ganesan Mohan

机构信息

Department of Physical Therapy (MC 898), University of Illinois at Chicago, 1919 W. Taylor St., Chicago, IL, 60612, USA,

出版信息

Exp Brain Res. 2015 Feb;233(2):649-55. doi: 10.1007/s00221-014-4144-1. Epub 2014 Nov 26.

Abstract

The aim of the study was to investigate the role of short-term training in improvement of anticipatory postural adjustments (APAs) and its effect on subsequent control of posture in older adults. Nine healthy older adults were exposed to self-initiated and predictable external perturbations before and after a single training session consisting of throwing a medicine ball. EMG activity of eight trunk and leg muscles and ground reaction forces were recorded before and immediately after the training session. Muscle onsets and center of pressure displacements were analyzed during the anticipatory and compensatory phases of postural control. The training involving throwing of a medicine ball resulted in enhancement of the generation of APAs seen as significantly early onsets of leg and trunk muscle activity prior to the bilateral arm flexion task. Significantly early activation of postural muscles observed prior to the predictable external perturbation, the task that was not a part of training, indicates the transfer of the effect of the single training session. The observed training-related improvements of APAs suggest that APA-focused rehabilitation could be effective in improving postural control, functional balance, mobility, and quality of life in the elderly.

摘要

该研究的目的是调查短期训练在改善老年人预期姿势调整(APA)中的作用及其对后续姿势控制的影响。九名健康的老年人在进行一次包含投掷药球的训练课程前后,接受了自我发起且可预测的外部扰动。在训练课程前后,记录了八块躯干和腿部肌肉的肌电图活动以及地面反作用力。在姿势控制的预期和补偿阶段分析了肌肉起始时间和压力中心位移。涉及投掷药球的训练导致APA生成增强,表现为在双侧手臂屈曲任务之前腿部和躯干肌肉活动显著提前起始。在可预测的外部扰动(该任务不是训练的一部分)之前观察到姿势肌肉的显著早期激活,表明单次训练课程的效果发生了转移。观察到的与训练相关的APA改善表明,以APA为重点的康复可能对改善老年人的姿势控制、功能平衡、移动性和生活质量有效。

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