Čuj Jakub, Lenková Denisa, Gajdoš Miloslav, Lukáčová Eva, Macej Michal, Hnátová Katarína, Nechvátal Pavol, Demjanovič Kendrová Lucia
Department of Physiotherapy, Faculty of Health Care, University of Prešov in Prešov, 080 01 Prešov, Slovakia.
J Funct Morphol Kinesiol. 2025 May 21;10(2):185. doi: 10.3390/jfmk10020185.
The aim of this study was to investigate the immediate effects of deep core muscle training in the plank position, using the Icaros system, integrated with virtual reality (VR), on selected posturographic parameters. To meet the stated objective, we utilized the Icaros therapeutic system (Icaros GmbH, Martinsried, Germany) for VR-based exercise. The posturographic parameters were measured using the FootScan force platform (Materialise Motion, Paal, Belgium). A representative sample of 30 healthy participants, 13 females and 17 males (age: 22.5 ± 2.1 years; weight: 65 ± 2.9 kg; height: 1.68 ± 0.4 m; BMI: 23.04 ± 1.75) was included in the study. All participants had no prior experience with VR. The selected posturographic parameters were the ellipse area (mm) and traveled distance (mm), assessed four times at five-minute intervals, following a 15 min VR-based training session on the Icaros system. The results revealed that the participants experienced a sense of instability after completing the 15 min VR session, as objectively demonstrated by changes in the measured parameters. Both the ellipse area and traveled distance showed a worsening trend during the first three measurements: immediately post-exercise, at 5 min, and at 10 min post-exercise. A downward trend was observed in the fourth measurement, taken 15 min after exercise. Statistically significant differences were found between both parameters: ellipse area ( = 0.000) and traveled distance ( = 0.000). Post hoc analysis further confirmed significant differences between the time points. Based on the findings, it is recommended that trainers and physiotherapists supervising athletes or patients using the Icaros VR system allow for a minimum rest period of 15 min in a seated or lying position following exercise. This recovery period appears essential to mitigate the sensation of instability and to reduce the risk of complications or injury due to potential falls.
本研究的目的是调查在平板支撑姿势下使用与虚拟现实（VR）集成的Icaros系统进行深层核心肌肉训练对选定的姿势描记参数的即时影响。为实现既定目标，我们使用Icaros治疗系统（德国马丁斯里德的Icaros GmbH公司）进行基于VR的运动。使用FootScan力平台（比利时帕尔的Materialise Motion公司）测量姿势描记参数。本研究纳入了30名健康参与者的代表性样本，其中13名女性和17名男性（年龄：22.5±2.1岁；体重：65±2.9千克；身高：1.68±0.4米；体重指数：23.04±1.75）。所有参与者此前均无VR体验。选定的姿势描记参数为椭圆面积（毫米）和移动距离（毫米），在Icaros系统上进行15分钟的基于VR的训练课程后，每隔五分钟评估四次。结果显示，参与者在完成15分钟的VR课程后会经历不稳定感，测量参数的变化客观地证明了这一点。椭圆面积和移动距离在前三次测量中均呈恶化趋势：运动后即刻、运动后5分钟和运动后10分钟。在运动后15分钟进行的第四次测量中观察到下降趋势。在两个参数之间均发现了统计学上的显著差异：椭圆面积（P = 0.000）和移动距离（P = 0.000）。事后分析进一步证实了各时间点之间的显著差异。基于这些发现，建议监督使用Icaros VR系统的运动员或患者的教练和物理治疗师，在运动后让他们在坐姿或躺姿下至少休息15分钟。这段恢复期对于减轻不稳定感以及降低因潜在跌倒导致并发症或受伤的风险似乎至关重要。
