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主动自我纠正对特发性脊柱侧凸少女姿势控制的影响:附加心理任务的作用。

The Effects of Active Self-correction on Postural Control in Girls with Adolescent Idiopathic Scoliosis: The Role of an Additional Mental Task.

机构信息

Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Poland, Ul. Paderewskiego 35, 51-612 Wrocław, Poland.

Faculty of Physical Education and Physiotherapy, Opole University of Technology, ul. Prószkowska 76 b, 45-758 Opole, Poland.

出版信息

Int J Environ Res Public Health. 2020 Mar 3;17(5):1640. doi: 10.3390/ijerph17051640.

Abstract

Due to balance deficits that accompany adolescent idiopathic scoliosis (AIS), the potential interaction between activities of daily living and active self-correction movements (ASC) on postural control deserves particular attention. Our purpose was to assess the effects of ASC movements with or without a secondary mental task on postural control in twenty-five girls with AIS. It is a quasi-experimental within-subject design with repeated measures ANOVA. They were measured in four 20-s quiet standing trials on a force plate: no task, ASC, Stroop test, and both. Based on the center-of-pressure (COP) recordings, the COP parameters were computed. The ASC alone had no effect on any of the postural sway measures. Stroop test alone decreased COP speed and increased COP entropy. Performing the ASC movements and Stroop test together increased the COP speed and decreased COP entropy as compared to the baseline data. In conclusion, our results indicate that AIS did not interfere with postural control. The effects of the Stroop test accounted for good capacity of subjects with AIS to take advantage of distracting attentional resources from the posture. However, performing both tasks together exhibited some deficits in postural control, which may suggest the need for therapeutic consultation while engaging in more demanding activities.

摘要

由于青少年特发性脊柱侧凸(AIS)伴随平衡缺陷,日常生活活动和主动自我矫正运动(ASC)对姿势控制的潜在相互作用值得特别关注。我们的目的是评估在 25 名患有 AIS 的女孩中,带有或不带有次要心理任务的 ASC 运动对姿势控制的影响。这是一项具有重复测量方差分析的准实验性自身对照设计。他们在力板上进行了四次 20 秒的安静站立试验:无任务、ASC、Stroop 测试和两者都有。基于压力中心(COP)记录,计算了 COP 参数。单独的 ASC 运动对任何姿势摆动测量都没有影响。单独进行 Stroop 测试会降低 COP 速度并增加 COP 熵。与基线数据相比,一起执行 ASC 运动和 Stroop 测试会增加 COP 速度并降低 COP 熵。总之,我们的结果表明 AIS 不会干扰姿势控制。Stroop 测试的影响表明,患有 AIS 的受试者有很好的能力利用分散注意力的资源来维持姿势。然而,同时执行这两个任务会表现出一些姿势控制缺陷,这可能表明在从事更具挑战性的活动时需要进行治疗咨询。

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