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单侧下肢短期石膏固定和身体不活动会导致健康年轻男性站立时的姿势不稳定。

Short-Term Cast Immobilization of a Unilateral Lower Extremity and Physical Inactivity Induce Postural Instability during Standing in Healthy Young Men.

作者信息

Ikeda Takuro, Oka Shinichiro, Tokuhiro Junya, Suzuki Akari, Matsuda Kensuke

机构信息

Department of Physical Therapy, Faculty of Medical Sciences, Fukuoka International University of Health and Welfare, Fukuoka 814-0001, Japan.

Department of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, Fukuoka 811-0213, Japan.

出版信息

Healthcare (Basel). 2023 Sep 13;11(18):2525. doi: 10.3390/healthcare11182525.

Abstract

Previous studies have reported an increased postural sway after short-term unilateral lower limb movement restriction, even in healthy subjects. However, the associations of motion limitation have not been fully established. The question of whether short-term lower limb physical inactivity and movement restriction affect postural control in the upright position remains. One lower limb of each participant was fixed with a soft bandage and medical splint for 10 h while the participant sat on a manual wheelchair. The participants were instructed to stand still for 60 s under eyes-open (EO) and eyes-closed (EC) conditions. Using a single force plate signal, we measured the center of pressure (COP) signal in the horizontal plane and calculated the total, anterior-posterior (A-P), and medial-lateral (M-L) path lengths, sway area, and mean COP displacements in A-P and M-L directions. The COP sway increased and the COP position during the upright stance shifted from the fixed to the non-fixed side after cast removal, compared to before the cast application, under both EO and EC conditions. These findings indicated that 10 h of unilateral lower limb movement restriction induced postural instability and postural control asymmetry, suggesting the acute adverse effects of cast immobilization.

摘要

以往的研究报告称,即使在健康受试者中,短期单侧下肢运动受限后姿势摆动也会增加。然而,运动受限的关联尚未完全确立。短期下肢不活动和运动受限是否会影响直立姿势下的姿势控制仍是一个问题。每位参与者的一条下肢用软绷带和医用夹板固定10小时,期间参与者坐在手动轮椅上。参与者被要求在睁眼(EO)和闭眼(EC)条件下静止站立60秒。我们使用单个测力板信号,测量了水平面内的压力中心(COP)信号,并计算了总路径长度、前后(A-P)和内外侧(M-L)路径长度、摆动面积以及A-P和M-L方向上的平均COP位移。与石膏固定前相比,在EO和EC条件下,拆除石膏后直立站立时COP摆动增加,且COP位置从固定侧移向非固定侧。这些发现表明,10小时的单侧下肢运动受限会导致姿势不稳定和姿势控制不对称,提示石膏固定的急性不良影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aec2/10531174/bc1b7f5fdf36/healthcare-11-02525-g001.jpg

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