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老年人在跨越障碍物时稳定脚趾位置的运动灵活性:一项使用非控制流形分析的调查。

Motor flexibility to stabilize the toe position during obstacle crossing in older adults: an investigation using an uncontrolled manifold analysis.

作者信息

Suda Yuki, Kodama Kentaro, Nakamura Takahito, Sakazaki Juntaro, Higuchi Takahiro

机构信息

Department of Health Promotion Science, Tokyo Metropolitan University, Tokyo, Japan.

Japan Society for the Promotion of Science, Tokyo, Japan.

出版信息

Front Sports Act Living. 2024 Mar 22;6:1382194. doi: 10.3389/fspor.2024.1382194. eCollection 2024.

Abstract

INTRODUCTION

An age-related decrease in the ability to exploit the abundant degrees of freedom of the body, referred to as motor flexibility, leads to a heightened fall risk. The present study investigated motor flexibility to stabilize the toe position during obstacle crossing in older adults and its correlation with the magnitude of foot elevation.

METHODS

Twenty-six older adults (70.9 ± 7.4 years old) and 21 younger adults (25.4 ± 5.0 years old) walked and crossed an obstacle, during which the dominant limb was always the leading limb. An uncontrolled manifold (UCM) analysis was used to quantify the flexibility during obstacle crossing as the synergy index, with the vertical toe position being regarded as the performance variable and the segment angles of the lower limbs as the elemental variables.

RESULTS AND DISCUSSION

The results showed that older participants had a significantly lower synergy index for the trailing limb before the moment of obstacle crossing than younger participants, suggesting reduced flexibility in part. The results also showed that, regardless of age, foot elevation was negatively correlated with the synergy index, suggesting that a so-called "conservative strategy" (i.e., a tendency to show extraordinarily high foot elevation to ensure collision avoidance) may be related to their reduced motor flexibility.

摘要

引言

随着年龄增长,利用身体丰富自由度的能力下降,即运动灵活性降低,会导致跌倒风险增加。本研究调查了老年人在跨越障碍物时稳定脚趾位置的运动灵活性及其与足部抬高幅度的相关性。

方法

26名老年人(70.9±7.4岁)和21名年轻人(25.4±5.0岁)行走并跨越一个障碍物,在此过程中优势肢体始终为领先肢体。采用非控制流形(UCM)分析,将垂直脚趾位置视为性能变量,下肢节段角度视为基本变量,以协同指数量化跨越障碍物时的灵活性。

结果与讨论

结果显示,在跨越障碍物时刻之前,老年参与者后肢的协同指数显著低于年轻参与者,这表明其部分灵活性有所降低。结果还表明,无论年龄大小,足部抬高与协同指数呈负相关,这表明一种所谓的“保守策略”(即倾向于表现出异常高的足部抬高以确保避免碰撞)可能与其运动灵活性降低有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafd/10995316/49ddd81833b3/fspor-06-1382194-g001.jpg

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