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冷诱导足底感觉减退时,轻触手指对直立姿势下姿势稳定性的影响。

Influence of light finger touch on postural stability during upright stance with cold-induced plantar hypoesthesia.

作者信息

Oshita Kazushige, Yano Sumio

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2017 Jul;2017:2526-2529. doi: 10.1109/EMBC.2017.8037371.

Abstract

The present study investigated the influence of light finger touch on postural stability during an upright stance with or without cold-induced plantar hypoesthesia. Participants were 21 healthy right-handed men (20-33 years), randomly assigned to a normal temperature group (NML-group; n = 11) or cold-induced plantar hypoesthesia group (COLD-group; n = 10). Participants performed two standing tasks with their eyes closed: 1) stand upright with the feet comfortably apart (normal standing); and 2) with the feet together in a side-by-side stance (Romberg standing). The order of the tasks was randomized across participants. After a rest period, they were asked to perform each standing task and let their right index finger lightly touch the fixed surface. Before the each task, participants in the COLD group were conducted a plantar intermediate hypothermic exposure. Postural sway was decreased by providing additional haptic sensory input through the light touching regardless of standing task difficulty with a normal plantar temperature. Although postural sway under plantar hypoesthesia is decreased by light touching, the effect was greater during the difficult posture task. These results suggest that, when the sensory information from the plantar surface is decreased, additional haptic input from the hand or finger might provide supplementary information about the relative changes in one's own body orientation. Therefore, sensory information provided by touching became relatively more important to maintaining postural control during the relatively difficult postural task performed under the reduced plantar sensitivity condition.

摘要

本研究调查了在有或没有冷诱导足底感觉减退的直立姿势下,轻触手指对姿势稳定性的影响。参与者为21名健康的右利手男性(20 - 33岁),随机分为常温组(NML组;n = 11)或冷诱导足底感觉减退组(COLD组;n = 10)。参与者闭眼进行两项站立任务:1)双脚舒适分开直立站立(正常站立);2)双脚并拢并排站立(罗姆伯格站立)。任务顺序在参与者中随机安排。休息一段时间后,要求他们执行每项站立任务,并让右手食指轻轻触摸固定表面。在每项任务之前,对COLD组的参与者进行足底中度低温暴露。在正常足底温度下,通过轻触提供额外的触觉感觉输入,无论站立任务难度如何,姿势摆动都会减少。虽然轻触可减少足底感觉减退时的姿势摆动,但在困难姿势任务中效果更明显。这些结果表明,当来自足底表面的感觉信息减少时,来自手或手指的额外触觉输入可能会提供有关自身身体方位相对变化的补充信息。因此,在足底敏感性降低的情况下执行相对困难的姿势任务时,触摸提供的感觉信息对于维持姿势控制变得相对更加重要。

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