Morioka S, Okita M, Takata Y, Miyamoto S, Itaba H
Department of Physical Therapy, Kochi School of Allied Health and Medical Professions.
Department of Rehabilitation, Atago Hospital.
J Jpn Phys Ther Assoc. 2000;3(1):17-20. doi: 10.1298/jjpta.3.17.
Changing of standing position and visual blocking methods have been used as a convenient evaluation of standing balance by physical therapists. The purpose of this study was to investigate the effects of changes of foot positions on Romberg's quotient of postural sway and the tibialis anterior and gastrocnemius muscles activities in standing for normal men. Subjects were 45 college students. For the measurement of muscles activities, 15 subjects were selected at random from among the 45 students. The standing positions were standing with legs 10 cm apart, standing with legs together, tandem standing, standing on tiptoes, and standing on one leg with the eyes open and closed. Measurements were made using a center of foot pressure recorder and surface electromyography for 30 seconds. Romberg's quotient and the relative muscle activities of the leg were both found to be in the order standing with legs apart, standing with legs together, tandem standing, standing on tiptoes, standing on one leg. It has conventionally been considered that the instability of postural sway is increased when vision is blocked. The present results suggested that postural regulation by the physiological subsystem is indirectly affected by vision and somatosensory input.
改变站立姿势和视觉阻断方法已被物理治疗师用作评估站立平衡的便捷方法。本研究的目的是调查足部位置变化对正常男性站立时罗姆伯格姿势摆动商以及胫前肌和腓肠肌活动的影响。受试者为45名大学生。为测量肌肉活动,从45名学生中随机选取15名受试者。站立姿势包括双腿分开10厘米站立、双脚并拢站立、前后脚站立、踮脚尖站立以及单脚睁眼和闭眼站立。使用足底压力记录器和表面肌电图进行30秒的测量。结果发现,罗姆伯格商和腿部相对肌肉活动均呈现双腿分开站立、双脚并拢站立、前后脚站立、踮脚尖站立、单脚站立的顺序。传统上认为,视觉被阻断时姿势摆动的不稳定性会增加。目前的结果表明,生理子系统的姿势调节受到视觉和体感输入的间接影响。