Zeynalzadeh Ghoochani Bahareh, Hosseini Seyed Ali, Talebian Saeed, Biglarian Akbar, Zeinalzadeh Afsaneh, Nazary-Moghadam Salman, Derakhshanrad Seyed Alireza
Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and rehabilitation Sciences, Tehran, Iran.
Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and rehabilitation Sciences, Tehran, Iran; Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Health Promot Perspect. 2016 Oct 1;6(4):207-212. doi: 10.15171/hpp.2016.34. eCollection 2016.
In line with health promotion plans, early intervention and fall prevention in geriatric population, it is important to study healthy individuals balance mechanisms. The aim of this research was to investigate the effect of adding and removing visual input and dual task on elderly balance. Twenty healthy elderly recruited from four different senior citizen health club centers and from the University of Social Welfare and Rehabilitation Sciences (USWR) participated in this analytic cross-sectional study. At USWR's Motor Control Laboratory, the participants' postural sway were assessed using force plate in 4 distinct double leg standing conditions with and without presence of visual input and Stroop dual task. Postural and Stroop variables were compared. Findings indicated that when the elderly encountered with either dual task or absence of visual input, they can still manage the situation in a way that changes in sway parameter would not become significant. But, when these two conditions occurred simultaneously, the participant's balance strategy fluctuated. Therefore, the mean velocity showed a significant difference between the "single quiet standing" condition and the condition of standing with eyes closed while the participants were answering Stroop dual task (Mean difference = -0.007, 95% CI = -0.012, -0.002). It appears that velocity parameter is sensitive to small changes, so it is recommended that researchers include this parameter in their future analyses. Balance in elderly can be manipulated by dual task and visual input deprivation.
根据健康促进计划、老年人群的早期干预和跌倒预防,研究健康个体的平衡机制很重要。本研究的目的是调查添加和去除视觉输入以及双重任务对老年人平衡的影响。从四个不同的老年健康俱乐部中心和社会福利与康复科学大学(USWR)招募的20名健康老年人参与了这项分析性横断面研究。在USWR的运动控制实验室,使用测力板在4种不同的双腿站立条件下评估参与者的姿势摆动,包括有无视觉输入和Stroop双重任务。比较姿势和Stroop变量。研究结果表明,当老年人遇到双重任务或没有视觉输入时,他们仍然能够以一种使摆动参数变化不显著的方式应对这种情况。但是,当这两种情况同时出现时,参与者的平衡策略会波动。因此,平均速度在“单脚安静站立”条件与参与者在回答Stroop双重任务时闭眼站立的条件之间显示出显著差异(平均差异=-0.007,95%置信区间=-0.012,-0.002)。似乎速度参数对小的变化很敏感,因此建议研究人员在未来的分析中纳入这个参数。老年人的平衡可以通过双重任务和视觉输入剥夺来操控。