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自主扰动后动态平衡恢复过程:年轻人和老年人的时间序列数据分析

Process of dynamic balance recovery after voluntary perturbation: a time-series data analysis of young and older adults.

作者信息

Kimura Daisuke, Oku Kosuke, Ogasawara Issei, Ito Tomotaka, Nakata Ken

机构信息

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.

出版信息

J Phys Ther Sci. 2024 Sep;36(9):481-487. doi: 10.1589/jpts.36.481. Epub 2024 Sep 5.

Abstract

[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.

摘要

[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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ba3/11374177/a11d686a2080/jpts-36-481-g001.jpg

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