Department of Experimental and Clinical Medicine, Section of Anatomy and Histology, University of Florence, 50134 Florence, Italy.
Department of Biosciences and Territory, University of Molise, 86090 Pesche, Italy.
Medicina (Kaunas). 2024 Jul 15;60(7):1136. doi: 10.3390/medicina60071136.
Vision significantly contributes to postural control, balance, coordination, and body kinematics, thus deeply influencing everyday functionality. Sight-impaired subjects often show upper body anatomofunctional and kinetic chain alterations negatively impacting daily living efficiency and autonomy. The present study aimed to investigate and train, for the first time, upper body sensorimotor control in an Italian blind baseball team to boost global and segmental functionality while contemporarily prevent injuries. The whole team underwent a validated test battery using both quantitative traditional tools, such as goniometric active range of motion and muscular/functional tests, and an innovative biofeedback-based device, a Libra proprioceptive board. Consequently, a 6-week adapted training protocol was designed and leaded to improve sensorimotor control and, hence, counteract disability-related deficits and sport-specific overuse syndromes. Statistically significant improvements were observed in all the investigated parameters. Noteworthy, an overall boost of global and segmental stability was detected through an orthostatic dynamic balance enhancement during the Y Balance test ( = 0.01) and trunk multiplanar control improvement on the Libra board ( = 0.01). Concurrently, the comparison of baseline vs. post-intervention outcomes revealed a consistent increase in upper body mobility ( < 0.05 for all the assessed districts), core recruitment ( = 0.01 for all the administered functional tests), and proprioceptive postural control ( = 0.01 for the Libra board validated test). Our findings suggest that a tailored sensorimotor training, conceived and led by an adapted physical activity kinesiologist, may effectively improve upper body functional prerequisites and global proprioceptive control, thus potentially promoting autonomy, quality of life, and physical activity/sport practice adherence in visually impaired individuals.
视力显著影响姿势控制、平衡、协调和身体运动学,从而深刻影响日常功能。视力障碍者常表现出上半身解剖功能和运动链改变,对日常生活效率和自主性产生负面影响。本研究旨在首次调查和训练意大利盲人棒球队的上半身感觉运动控制,以提高整体和节段功能,同时预防损伤。整个团队使用定量传统工具(如关节活动度的量角器主动活动范围和肌肉/功能测试)和创新的基于生物反馈的设备(Libra 本体感受板)进行了验证测试。因此,设计并领导了一个 6 周的适应性训练方案,以改善感觉运动控制,从而克服与残疾相关的缺陷和特定运动的过度使用综合征。所有研究参数均观察到统计学显著改善。值得注意的是,通过 Y 平衡测试( = 0.01)中直立动态平衡增强和 Libra 板上躯干多平面控制改善,检测到整体和节段稳定性的整体提高。同时,基线与干预后结果的比较显示上半身运动性(所有评估区域均<0.05)、核心募集(所有实施的功能测试均为 = 0.01)和本体感受姿势控制(Libra 板验证测试均为 = 0.01)均有一致增加。我们的研究结果表明,由适应性体育活动运动学家构思和领导的定制感觉运动训练可以有效地改善上半身功能前提和整体本体感受控制,从而可能促进视障个体的自主性、生活质量和体育活动/运动实践的坚持。