Lozano-Quijada Carlos, Poveda-Pagán Emilio J, Segura-Heras José V, Hernández-Sánchez Sergio, Prieto-Castelló María J
Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Physiotherapy Area, Miguel Hernandez University of Elche, Alicante, Spain.
Center for Translational Research in Physiotherapy, Department of Pathology and Surgery, Physiotherapy Area, Miguel Hernandez University of Elche, Alicante, Spain.
J Manipulative Physiol Ther. 2017 Sep;40(7):467-476. doi: 10.1016/j.jmpt.2017.06.005. Epub 2017 Oct 13.
The purpose of this study was to assess the effectiveness of a single session of global postural reeducation (GPR) in postural sway in young adult university students who use data visualization screens.
A randomized controlled trial with 2 parallel groups was performed. Sixty-four subjects were randomized in the experimental group (12 men and 20 women) who underwent the GPR session, and a control group (13 men and 19 women) that did not receive any intervention was included. Center of pressure (COP) was assessed using a stabilometric platform, with eyes open and eyes closed before, immediately after, 48 hours after, and 7 days after intervention in both groups.
In the interaction of time and gender, statistically significant differences were found for the area covered by COP (P = .020) and for the standard deviation (SD) in the mediolateral axis (P = .035). Considering the complete interaction time, gender, and group, statistically significant differences were found (P = .015) for the anteroposterior rate covered by COP and the SD in the anteroposterior axis (P = .033). In eyes closed condition, the intersubject analysis showed statistically significant differences for the interaction between group and gender for the variable mediolateral SD (P = .043). Considering the interaction of time with group, statistically significant differences were found for full length covered by COP (P = .017).
Changes in postural sway were observed after a single GPR session, mainly at 48 hours, with different behaviors between men and women.
本研究旨在评估单次整体姿势再教育（GPR）对使用数据可视化屏幕的青年大学生姿势摆动的有效性。
进行了一项有两个平行组的随机对照试验。64名受试者被随机分为实验组（12名男性和20名女性），该组接受了GPR训练，还有一个对照组（13名男性和19名女性），该组未接受任何干预。使用稳定测量平台评估两组在干预前、干预后即刻、干预后48小时和干预后7天睁眼和闭眼时的压力中心（COP）。
在时间和性别的交互作用方面，发现COP覆盖面积（P = 0.020）和中外侧轴标准差（SD）（P = 0.035）存在统计学显著差异。考虑完整的时间、性别和组的交互作用，发现COP覆盖的前后速率（P = 0.015）和前后轴标准差（P = 0.033）存在统计学显著差异。在闭眼条件下，受试者间分析显示，中外侧SD变量在组和性别之间的交互作用存在统计学显著差异（P = 0.043）。考虑时间与组的交互作用，发现COP覆盖的全长存在统计学显著差异（P = 0.017）。
单次GPR训练后观察到姿势摆动发生变化，主要在48小时时，且男女之间表现不同。
