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有外侧踝关节扭伤史的老年个体姿势控制可变性改变。

Altered postural control variability in older-aged individuals with a history of lateral ankle sprain.

机构信息

College of Sport and Health Science, Ritsumeikan University, Shiga, Japan.

Department of Rehabilitation Science, University of Kentucky, Lexington, KY, United States.

出版信息

Gait Posture. 2018 Feb;60:88-92. doi: 10.1016/j.gaitpost.2017.11.009. Epub 2017 Nov 12.

Abstract

The current study aimed to examine postural control performance during a single-leg balance task in elderly individuals with and without a previous history of lateral ankle sprain (LAS). Eighteen adults with a previous history of LAS (mean age = 66 years old) and 12 healthy controls (mean age = 65 years old) were included in the study. Participants performed three trials of a single-leg balance task during an eyes-opened condition for 20-s. Center of pressure (COP) trajectories in the anteroposterior (AP) and mediolateral (ML) directions were collected with a force plate. The following postural control measures were calculated in the AP and ML directions: 1) Sample Entropy (SampEn); 2) Approximate Entropy (ApEn); 3) mean of Time-to-Boundary minima (mean TTB); and 4) COP velocity (COPV). Older-age participants with a history LAS exhibited lower ApEn-AP, SampEn-AP, and SampEn-ML values compared to healthy controls (p < 0.05). The information gained from this investigation indicates more rigid postural control patterns, less adaptability, and more difficulty maintaining COP during a single-leg balance task in adults with a previous history of LAS. Our data suggest that there is a need to consider history of musculoskeletal injury when evaluating factors for postural control and fall risk in the elderly. Future investigations are needed to assess the effect of LAS on age-related declines in postural control and discern associations between potential risk factors of fall-related injuries and LAS in an elderly population.

摘要

本研究旨在探讨有和无既往外侧踝关节扭伤(LAS)病史的老年人在单腿平衡任务中的姿势控制表现。研究纳入了 18 名有既往 LAS 病史的成年人(平均年龄 66 岁)和 12 名健康对照组(平均年龄 65 岁)。参与者在睁眼状态下进行三次单腿平衡任务,持续 20 秒。使用测力板收集前-后(AP)和内-外(ML)方向的压力中心(COP)轨迹。在 AP 和 ML 方向计算以下姿势控制指标:1)样本熵(SampEn);2)近似熵(ApEn);3)最小边界时间均值(mean TTB);和 4)COP 速度(COPV)。与健康对照组相比,有 LAS 病史的老年参与者在 AP 方向的 ApEn-AP、SampEn-AP 和 SampEn-ML 值较低(p<0.05)。本研究结果表明,既往有 LAS 病史的成年人在单腿平衡任务中表现出更僵硬的姿势控制模式、适应性更差和更难维持 COP。我们的数据表明,在评估老年人的姿势控制和跌倒风险的因素时,需要考虑既往肌肉骨骼损伤的历史。未来的研究需要评估 LAS 对老年人姿势控制的年龄相关性下降的影响,并发现跌倒相关损伤的潜在危险因素与 LAS 之间的关联。

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