Kimura Daisuke, Oku Kosuke, Ogasawara Issei, Ito Tomotaka, Nakata Ken
Department of Physical Therapy, Faculty of Rehabilitation, Kawasaki University of Medical Welfare: 288 Matsushima, Kurashiki-shi, Okayama 701-0193, Japan.
Department of Health and Sport Sciences, Graduate School of Medicine, Osaka University, Japan.
J Phys Ther Sci. 2024 Sep;36(9):481-487. doi: 10.1589/jpts.36.481. Epub 2024 Sep 5.
[Purpose] This study investigated differences in the convergence mode of post-step sway between young and older adults using a step-down task to identify fall causes in older adults and assess consecutive postural adjustments. [Participants and Methods] This study included 15 young and 15 older adults (nine females and six males in each group). The participants stepped down from a standing position to a force platform 10 cm lower and maintained a one-leg standing position. The center-of-pressure total trajectory length was assessed using a force plate and regression equations for time and sway were derived from the associated time-series data for both groups. [Results] An inversely proportional aspect was observed for both groups, with significantly different coefficients and constants. The center-of-pressure total trajectory length per second from foot contact was significantly different between 2-3 s and 4-5 s in the older group but not in the younger group. [Conclusion] The results suggest a difference in the convergence mode of dynamic balance between the two groups, with young adults exhibiting a more rapid balance-sway reduction than older adults. The novel computational approach used in this study may be useful for dynamic balance measurements.
[目的] 本研究采用下台阶任务,调查年轻和年长成年人在台阶后摇摆收敛模式上的差异,以确定老年人跌倒原因并评估连续的姿势调整。[参与者与方法] 本研究纳入15名年轻成年人和15名年长成年人(每组9名女性和6名男性)。参与者从站立位下到10厘米低的测力平台上,并保持单腿站立姿势。使用测力板评估压力中心总轨迹长度,并从两组相关的时间序列数据中得出时间和摇摆的回归方程。[结果] 两组均观察到反比例关系,系数和常数有显著差异。年长组在足部接触后2 - 3秒和4 - 5秒之间每秒的压力中心总轨迹长度有显著差异,而年轻组则无。[结论] 结果表明两组在动态平衡收敛模式上存在差异,年轻成年人比年长成年人表现出更快的平衡摇摆减少。本研究中使用的新型计算方法可能对动态平衡测量有用。