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探究认知任务对青年平衡表现的影响。

Investigation of the effects of cognitive tasks on balance performance in young adults.

机构信息

Department of Audiology, Faculty of Health Sciences, Hacettepe University, 06100 Ankara, Turkey.

Department of Audiology, Faculty of Health Sciences, Hacettepe University, 06100 Ankara, Turkey; Dizziness and Balance Disorders Research and Application Center, Hacettepe University, 06100 Ankara, Turkey.

出版信息

Am J Otolaryngol. 2020 Nov-Dec;41(6):102663. doi: 10.1016/j.amjoto.2020.102663. Epub 2020 Aug 15.

Abstract

INTRODUCTION

Individuals routinely perform cognitive tasks concurrent to balance functions. The attention is one of the most important cognitive functions and it has effects on vestibular system. This study aims to investigate the connection between balance and cognitive tasks under different conditions.

METHODS

Visual attention tasks (VAT) and auditory attention tasks (AAT) were given to 30 healthy adults (40.42 ± 11.22 years) during functional balance tasks. Sensory Organization Test (SOT) and Adaptation Test (ADT) were used for the evaluation of postural stability and adaptation. The sounds were presented from the computer speakers in AATs, and VATs were presented in the virtual reality (VR) environment.

RESULTS

The first SOT condition had a statistically significant difference between all dual VAT (DT-VAT) and single task (ST) (p < 0.001), but there was no statistically significant difference between ST and DT-AAT (p = 1.00). In the fourth SOT condition, there was a statistically significant difference between all DT-VATs versus ST and DT-VA (p < 0.001); there was no statistically significant difference between ST and DT-AA scores (p = 0.80). While there was a significant difference between DT-VA and ST and DT-AA (p < 0.001), no statistically significant difference was observed between ST and DT-AA in the ADT (p = 0.321).

CONCLUSIONS

Balance performance gets worse with VAT in a VR environment. VR technology can be used to effectively evaluate balance and cognitive performance. The use of experimental environments in standard postural evaluations increases the efficiency of the postural stability tests.

摘要

简介

个体在进行平衡功能的同时通常会执行认知任务。注意力是最重要的认知功能之一,它会对前庭系统产生影响。本研究旨在探究不同条件下平衡与认知任务之间的关系。

方法

在进行功能性平衡任务时,向 30 名健康成年人(40.42±11.22 岁)提供视觉注意力任务(VAT)和听觉注意力任务(AAT)。感觉组织测试(SOT)和适应测试(ADT)用于评估姿势稳定性和适应能力。在 AAT 中,声音从计算机扬声器中发出,而 VAT 则在虚拟现实(VR)环境中呈现。

结果

在第一个 SOT 条件下,所有双 VAT(DT-VAT)与单任务(ST)之间存在统计学上的显著差异(p<0.001),但 ST 与 DT-AAT 之间无统计学差异(p=1.00)。在第四个 SOT 条件下,所有 DT-VAT 与 ST 和 DT-VA 之间存在统计学上的显著差异(p<0.001);ST 与 DT-AA 评分之间无统计学差异(p=0.80)。虽然 DT-VA 与 ST 和 DT-AA 之间存在显著差异(p<0.001),但在 ADT 中,ST 与 DT-AA 之间无统计学差异(p=0.321)。

结论

在 VR 环境中进行 VAT 会导致平衡表现恶化。VR 技术可用于有效评估平衡和认知表现。在标准姿势评估中使用实验环境可提高姿势稳定性测试的效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516e/7428438/a289aa995208/gr1_lrg.jpg

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