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为了调节姿势平衡而对感觉电刺激进行最优利用,取决于参与者内在的平衡能力。

The optimal exploitation of sensory electrical stimulation for regulating postural balance depends on participants' intrinsic balance abilities.

机构信息

Université de Pau et des Pays de l'Adour, E2S UPPA, MEPS, Tarbes, France.

Université de Pau et des Pays de l'Adour, E2S UPPA, MEPS, Tarbes, France.

出版信息

J Clin Neurosci. 2021 Nov;93:88-91. doi: 10.1016/j.jocn.2021.09.009. Epub 2021 Sep 15.

Abstract

BACKGROUND

The sensory electrical stimulation applied to the postural muscles provides additional sensory information that improves postural balance but this improvement seems to be highly subject-dependent.

RESEARCH QUESTION

The first aim was to analyse the effects of sensory electrical stimulation on postural balance and the second aim was to analyse these effects depending on intrinsic postural balance abilities of subjects.

METHODS

Twenty healthy young male participants completed a monopedal postural task with sensory electrical stimulation (1 ms; 10 Hz; 7 ± 2 mA i.e., twice the intensity corresponding to the sensory threshold) and without sensory electrical stimulation. Pearson's product-moment correlations were performed on centre of pressure parameters to assess whether the participant's balance abilities at baseline were related to the beneficial effects of sensory electrical stimulation.

RESULTS

The results showed positive correlations for all the variables measured (i.e., with r from 0.32 to 0.35). Evidence suggests that subjects' abilities to take advantage from electrically induced additional afferents depended on participants' intrinsic balance abilities. In fact, subjects who exhibited the worst postural balance at baseline (i.e. without stimulation) benefited more from the effects of sensory electrical stimulation than subjects who displayed the best postural balance at baseline.

SIGNIFICANCE

In physically impaired subjects, as part of functional rehabilitation, sensory electrical stimulation would be particularly interesting in order to limit their risk of falling.

摘要

背景

作用于姿势肌的感觉电刺激提供了额外的感觉信息,从而改善姿势平衡,但这种改善似乎高度依赖于个体差异。

研究问题

第一个目的是分析感觉电刺激对姿势平衡的影响,第二个目的是分析这些影响取决于受试者内在的姿势平衡能力。

方法

20 名健康的年轻男性参与者在单足姿势任务中完成了感觉电刺激(1 ms;10 Hz;7 ± 2 mA,即两次对应感觉阈值的强度)和没有感觉电刺激的情况。使用皮尔逊积差相关分析对中心压力参数进行分析,以评估参与者在基线时的平衡能力是否与感觉电刺激的有益效果有关。

结果

结果显示所有测量变量均呈正相关(即 r 值从 0.32 到 0.35)。这表明,受试者从电诱导的额外传入中受益的能力取决于他们内在的平衡能力。事实上,与基线时(即无刺激时)姿势平衡最差的受试者相比,基线时姿势平衡最佳的受试者从感觉电刺激的效果中获益更多。

意义

在身体功能受损的受试者中,感觉电刺激作为功能康复的一部分,对于降低跌倒风险特别有意义。

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