Mullerpatan Rajani, Shetty Triveni, van Deursen Robert
MGM Centre of Human Movement Science, MGM School of Physiotherapy, MGM Institute of Health Sciences, Plot Number 1&2, Sector1, Kamothe, Navi Mumbai, Maharashtra, India.
School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Ann Biomed Eng. 2025 Jul 8. doi: 10.1007/s10439-025-03785-0.
Segmental trunk control is indispensable to achieve upright posture, attenuate movement-related oscillations, and maintain postural stability during activities of daily living including walking. Yet, its role in postural control is incompletely understood because it is seldom measured. Yoga is known to improve postural control in the elderly and people with various neuromuscular disorders; however, its influence on segmental trunk control is unexplored. The present study reports the influence of yoga on segmental trunk control in trained yoga practitioners using 3D kinematic evaluation.
Ten yoga practitioners, practicing advanced yoga (>5 years), and 10 age-matched healthy adults were studied after ethical approval and informed consent. Segmental trunk control was described as motion of the trunk with respect to the pelvis, which was computed as the difference between displacement of sternum and pelvic marker in the sagittal and frontal planes.
Yoga practitioners demonstrated less variability in the displacement of sternum, pelvis, and ankle markers and greater segmental trunk control compared to controls (p < 0.001). Segmental trunk movement of yoga practitioners was 50% lower in the frontal plane (p < 0.001). Preliminary findings suggest that regular mind-body exercise in the form of yoga practice holds therapeutic potential to achieve greater segmental trunk control, which is essential to attenuate perturbations and negotiate challenges to develop postural stability.
Regular yoga practice demonstrated a positive influence on segmental trunk control and total body sway resulting in enhanced postural control. Therefore, yoga practice can be recommended to achieve greater trunk segmental control in patients with impaired ability to dissociate trunk over pelvis such as Parkinson's disease, stroke, cerebral palsy, and balance disorders including vestibular and neuro-musculoskeletal disorders.
节段性躯干控制对于实现直立姿势、减轻与运动相关的振荡以及在包括行走在内的日常生活活动中维持姿势稳定性至关重要。然而,由于其很少被测量,其在姿势控制中的作用尚未完全被理解。众所周知,瑜伽可以改善老年人和患有各种神经肌肉疾病的人的姿势控制;然而,其对节段性躯干控制的影响尚未得到探索。本研究报告了使用三维运动学评估对训练有素的瑜伽练习者节段性躯干控制的影响。
在获得伦理批准并获得知情同意后,对10名练习高级瑜伽(>5年)的瑜伽练习者和10名年龄匹配的健康成年人进行了研究。节段性躯干控制被描述为躯干相对于骨盆的运动,通过计算胸骨和骨盆标记在矢状面和额状面的位移差异来确定。
与对照组相比,瑜伽练习者在胸骨、骨盆和踝关节标记位移方面表现出较小的变异性,并且具有更大的节段性躯干控制能力(p<0.001)。瑜伽练习者在额状面的节段性躯干运动降低了50%(p<0.001)。初步研究结果表明,以瑜伽练习形式进行的定期身心锻炼具有实现更大节段性躯干控制的治疗潜力,这对于减轻干扰和应对挑战以发展姿势稳定性至关重要。
定期的瑜伽练习对节段性躯干控制和全身摆动产生了积极影响,从而增强了姿势控制。因此,对于诸如帕金森病、中风、脑瘫等躯干与骨盆分离能力受损的患者以及包括前庭和神经肌肉骨骼疾病在内的平衡障碍患者,可以推荐进行瑜伽练习以实现更大的躯干节段控制。