Lee Caitriona, Fleming Neil, Donne Bernard
Department of Anatomy and Physiology, School of Medicine, Trinity College Dublin, IRELAND.
Int J Exerc Sci. 2021 Apr 1;14(3):76-92. doi: 10.70252/YPEF5513. eCollection 2021.
Postural control is a major falls risk factor, therefore identifying protective mechanisms is essential. Physical activity enhances postural stability but effect duration has been minimally researched. The current study investigated if prolonged early life training exposure protected neuromuscular balance processes later in life. Static and dynamic balance variables were assessed in 77 healthy adults. Two age ranges (18 - 35yr, young; > 50yr, retired) were divided into weight bearing athlete and control groups; young athlete (YA), young control (YC), retired athlete (RA) and retired control (RC). Static balance was quantified using force platform derived sway velocity (mm.s) and C90area (mm) data (stable and unstable surfaces, eyes open and closed) Dynamic balance was assessed using the Y balance test (YBT). Results demonstrated significant age effect across groups. However, an athletic effect was evident only assessing dynamic balance and static time to error variables. Mean time to error data (YA, 27.8 ± 5.8; YC, 20.5 ± 11.1; RA, 9.4 ± 8.5; RC, 8.6 ± 9.1 s) recorded significant age and athletic effects for the most challenging condition completed (single leg stance, eyes closed, stable surface). Mean maximum YBT composite score (YA, 90.0 ± 5.4%; YC, 83.6 ± 6.5%; RA, 80.8 ± 10.7%; RC, 72.4 ± 15.5%) demonstrated an age effect, and also identified a group effect in the retired cohorts. The current study supports research highlighting declined balance with ageing. Overall, former athleticism did not significantly enhance static balance in later life. Dynamic balance incorporates muscle strength possibly inferring a protective role in former athletes.
姿势控制是跌倒的一个主要风险因素,因此识别保护机制至关重要。体育活动可增强姿势稳定性,但对其效果持续时间的研究极少。本研究调查了早年长期训练暴露是否能在晚年保护神经肌肉平衡过程。对77名健康成年人的静态和动态平衡变量进行了评估。两个年龄范围(18 - 35岁,年轻人;>50岁,退休人员)被分为负重运动员组和对照组;年轻运动员(YA)、年轻对照组(YC)、退休运动员(RA)和退休对照组(RC)。使用力平台得出的摆动速度(mm·s)和C90面积(mm)数据(稳定和不稳定表面,睁眼和闭眼)对静态平衡进行量化。使用Y平衡测试(YBT)评估动态平衡。结果表明各年龄组间存在显著的年龄效应。然而,仅在评估动态平衡和静态出错时间变量时,运动效应才明显。在最具挑战性的完成条件(单腿站立,闭眼,稳定表面)下记录的平均出错时间数据(YA,27.8±5.8;YC,20.5±11.1;RA,9.4±8.5;RC,8.6±9.1秒)显示出显著的年龄和运动效应。平均最大YBT综合得分(YA,90.0±5.4%;YC,83.6±6.5%;RA,80.8±10.7%;RC,72.4±15.5%)显示出年龄效应,并且在退休人群中也发现了组间效应。本研究支持了强调平衡能力随年龄下降的研究。总体而言,过去的运动能力在晚年并没有显著增强静态平衡。动态平衡包含肌肉力量,这可能在前运动员中起到了保护作用。