Rosenblatt Noah J, Eckardt Nils, Kuhman Daniel, Hurt Christopher P
Dr. William M. Scholl College of Podiatric Medicine's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA.
Department of Sport and Movement Science, Institute of Sport Science, Carl Von Ossietzky University of Oldenburg, Oldenburg, Germany.
Exp Brain Res. 2020 Jun;238(6):1441-1454. doi: 10.1007/s00221-020-05822-x. Epub 2020 May 8.
Motor flexibility, the ability to employ multiple motor strategies to meet task demands, may facilitate ambulation in complex environments that constrain movements; loss of motor flexibility may impair mobility. The purpose of this study was to determine the effects of obesity (a specific model of mobility impairment) and advanced age on motor flexibility during a task that constrained foot placement while walking. Twenty-one community-dwelling obese (OB) and 25 normal weight (NW) older adults (46 total older adults-OA) and 10 younger adults (YA) walked normally on a treadmill (baseline) then walked while stepping on lighted cues projected onto the treadmill at locations corresponding to average foot placement during normal walking (cued). The uncontrolled manifold (UCM) analysis was used to partition total variance in a set of seven lower-limb segment angles into components that did ("bad" variance) and did not ("good" variance) affect step-to-step variance in the trajectory of the swing foot. Motor flexibility was operationalized as an increase (baseline to cued) in total variance with an increase in good variance that exceeded the change in bad variance. There was no significant group × walking task interaction for total and good variance for OB vs NW, but there was a strong and significant interaction effect for OA vs YA (p < 0.01; Cohen's d > 1.0). Whereas YA reduced both good and bad variance, OA increased good variance beyond the change in bad variance. In OA, these changes were associated with several functional measures of mobility. Cued walking may place greater demands on OA requiring greater reliance on motor flexibility, although otherwise healthy older obese adults may be able to compensate for functional and cognitive declines associated with obesity by increasing motor flexibility under such tasks. The extent to which motor flexibility is employed during novel or constrained tasks may be a biomarker of healthy aging and a target for (re)habilitation.
运动灵活性,即运用多种运动策略以满足任务需求的能力,可能有助于在限制动作的复杂环境中行走;运动灵活性的丧失可能会损害行动能力。本研究的目的是确定肥胖(一种行动能力受损的特定模型)和高龄对步行时限制脚部放置任务中的运动灵活性的影响。21名社区居住的肥胖(OB)老年人和25名正常体重(NW)老年人(共46名老年人 - OA)以及10名年轻人(YA)在跑步机上正常行走(基线),然后在对应于正常行走时平均脚部放置位置的跑步机上踩踏亮起的提示物的同时行走(提示)。非控制流形(UCM)分析用于将一组七个下肢节段角度的总方差划分为影响(“不良”方差)和不影响(“良好”方差)摆动脚轨迹中步间方差的成分。运动灵活性通过总方差(从基线到提示)的增加以及良好方差的增加超过不良方差的变化来衡量。对于OB与NW,在总方差和良好方差方面没有显著的组×行走任务交互作用,但对于OA与YA存在强烈且显著的交互作用效应(p < 0.01;科恩d > 1.0)。虽然YA同时减少了良好方差和不良方差,但OA增加的良好方差超过了不良方差的变化。在OA中,这些变化与几种行动能力的功能测量指标相关。提示行走可能对OA提出更高要求,需要更大程度地依赖运动灵活性,尽管在其他方面健康的老年肥胖成年人可能能够通过在这类任务中增加运动灵活性来补偿与肥胖相关的功能和认知衰退。在新颖或受限任务中运用运动灵活性的程度可能是健康衰老的生物标志物以及(康复)治疗的目标。