Carzoli Joseph P, Koger Kelsey, Amato Alessandra, Enoka Roger M
Department of Integrative Physiology, University of Colorado Boulder, Boulder, USA.
Health Promotion and Cognitive Sciences, Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
Exp Brain Res. 2022 Nov;240(11):3049-3060. doi: 10.1007/s00221-022-06477-6. Epub 2022 Oct 13.
The force steadiness capabilities of the hip abductors and ankle dorsiflexors can explain a significant amount of the variance in postural sway during four types of standing balance tests. Control over balance, as well as force steadiness, generally worsens with aging, although the latter can be improved with unique training interventions. The purpose of our study was to assess how tempo-controlled, light-load resistance training of the hip abductors and ankle dorsiflexors influences performance in clinical movement tests, postural sway, muscle strength, and force steadiness in older adults. Participants (n = 28, 70 ± 7 years, 8 men) completed nine training sessions for either the hip abductors or ankle dorsiflexors in the nondominant leg. Training involved lifting a load equal to 15% of the maximal force achieved during an isometric contraction. Linear mixed-effects models revealed no changes (p > 0.05) in Sit-To-Stand test, Timed Up-and-Go test, maximal voluntary contraction (MVC) torque, or postural sway from before to after either training intervention. Only the dorsiflexor group significantly improved nondominant leg dorsiflexion force steadiness, but this did not translate to any other tasks. However, absolute and relative measures of MVC torque and force steadiness of the hip abductors and ankle dorsiflexors in the dominant and nondominant legs could predict sway-area rate in each of the four standing balance conditions. The responsiveness of leg muscles to light-load steadiness training in older adults appears to depend on the type of exercises performed during the intervention.
髋外展肌和踝背屈肌的力量稳定性能力可以解释四种站立平衡测试中姿势摆动差异的很大一部分。随着年龄增长,平衡控制以及力量稳定性通常会变差,不过通过独特的训练干预,后者可以得到改善。我们研究的目的是评估对髋外展肌和踝背屈肌进行节奏控制的轻负荷阻力训练如何影响老年人在临床运动测试、姿势摆动、肌肉力量和力量稳定性方面的表现。参与者(n = 28,70±7岁,8名男性)对非优势腿的髋外展肌或踝背屈肌完成了九次训练课程。训练包括举起相当于等长收缩过程中所达到最大力量15%的负荷。线性混合效应模型显示,在坐立试验、定时起立试验、最大自主收缩(MVC)扭矩或姿势摆动方面,两种训练干预前后均无变化(p>0.05)。只有背屈肌群显著提高了非优势腿背屈力量的稳定性,但这并未转化为其他任何任务的改善。然而,优势腿和非优势腿的髋外展肌和踝背屈肌的MVC扭矩和力量稳定性的绝对和相对测量值可以预测四种站立平衡条件下的摆动面积率。老年人腿部肌肉对轻负荷稳定性训练的反应性似乎取决于干预期间所进行的运动类型。