健康青年静态立位平衡功能的研究
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摘要
目的:完善健康青年静态立位平衡参数常模和探讨人处于不利站立条件下姿势控制变化规律。方法:从某军校本科学员中随机抽取108名,对8种不同站立条件下的立位平衡功能进行测试,同时比较不同站立姿势下重心晃动的变化。结果:与睁眼站立相比,闭眼站立和闭眼站立于脚垫上,人体重心会不自主地向脚掌移动,同时重心晃动的轨迹长度和面积明显增加,而单位面积轨迹长度明显降低。另外,人体前后方向晃动的程度较大,而左右晃动的程度稍小。结论:健康人姿势控制由视觉、前庭和下肢本体感觉等共同维持的,任何系统受到限制,都会影响平衡功能。当人处于不利站立条件时,人的身体会本能地向前倾斜来维持平衡,同时本研究为涉及人体立位平衡方面的研究提供了新的研究方法和思路。
Objective: To measure static standing balance function of health young people,and find out the effect of adverse standing postures on balance function. Methods: 108 college students were recruited form X military university randomly,and their balance function was measured by balance testing system at 8 different standing postures. And then we compared sway of center of body mass among those postures. Results: Compared with standing with eyes open,body tended to lean forward,and the whole path length and area of center of mass track increased,meanwhile unit area path length decreased under condition of standing with eyes closed or standing on pad. Besides,body sway on the anterior-posterior axis was worse than on the lateral axis. Conclusion: Visual signals,vestibule stimulus and somato-sensory input or muscular control are indispensable for good posture control of health people. That any subsystem was restricted would affect balance function. And body would lean forward to regain balance instinctively when being in adverse standing postures,and meantime our work showed a new method to study some issues involving standing balance function.
Objective: To measure static standing balance function of health young people,and find out the effect of adverse standing postures on balance function. Methods: 108 college students were recruited form X military university randomly,and their balance function was measured by balance testing system at 8 different standing postures. And then we compared sway of center of body mass among those postures. Results: Compared with standing with eyes open,body tended to lean forward,and the whole path length and area of center of mass track increased,meanwhile unit area path length decreased under condition of standing with eyes closed or standing on pad. Besides,body sway on the anterior-posterior axis was worse than on the lateral axis. Conclusion: Visual signals,vestibule stimulus and somato-sensory input or muscular control are indispensable for good posture control of health people. That any subsystem was restricted would affect balance function. And body would lean forward to regain balance instinctively when being in adverse standing postures,and meantime our work showed a new method to study some issues involving standing balance function.
引文
[1]Ma J,Yao Y J,Ma R M,et al.Effects of sleep deprivation on human postural control,subjective fatigue assessment and psychomotor performance[J].J Int Med Res,2009,37(5):1311-1320
[2]Ortuno-Cortes M A,Martin-Sanz E,Barona-De G R.Static posturography versus clinical tests in elderly people with vestibular pathology[J].Acta Otorrinolaringol Esp,2008,59(7):334-340
[3]Morad Y,Azaria B,Avni I,et al.Posturography as an indicator of fatigue due to sleep deprivation[J].Aviat Space Environ Med,2007,78(9):859-863
[4]Faraldo-Garcia A,Santos-Perez S,Labella-Caballero T,et al.Influence of gender on the sensory organisation test and the limits of stability in healthy subjects[J].Acta Otorrinolaringol Esp,2011,62(5):333-338
[5]Gribble P A,Tucker W S,White P A.Time-of-day influences on static and dynamic postural control[J].J Athl Train,2007,42(1):35-41
[6]Costello K E,Matrangola S L,Madigan M L.Independent effects of adding weight and inertia on balance during quiet standing[J].Biomed Eng Online,2012,11:20
[7]Otmani S,Roge J,Muzet A.Sleepiness in professional drivers:effect of age and time of day[J].Accid Anal Prev,2005,37(5):930-937
[8]Rosker J,Markovic G,Sarabon N.Effects of vertical center of mass redistribution on body sway parameters during quiet standing[J].Gait Posture,2011,33(3):452-456
[9]Mcgregor S J,Armstrong W J,Yaggie J A,et al.Lower extremity fatigue increases complexity of postural control during a single-legged stance[J].J Neuroeng Rehabil,2011,8:43
[10]van Dieen J H,Luger T,van der Eb J.Effects of fatigue on trunk stability in elite gymnasts[J].Eur J Appl Physiol,2012,112(4):1307-1313
[11]Carrick F R,Oggero E,Pagnacco G,et al.Posturographic testing and motor learning predictability in gymnasts[J].Disabil Rehabil,2007,29(24):1881-1889
[12]Ma J,Yao Y J,Ma R M,et al.Effects of sleep deprivation on human postural control,subjective fatigue assessment and psychomotor performance[J].J Int Med Res,2009,37(5):1311-1320
[13]Forsman P,Haeggstrom E,Wallin A E,et al.Principal component analysis detects sleepiness-related changes in balance control[J].Gait Posture,2010,32(3):419-421
[14]王斌,马进,张利利,等.持续工作负荷所致脑力疲劳对静态平衡能力变化的影响[J].航天医学与医学工程,2012,25(4):251-255Wang Bin,Ma Jin,Zhang Li-li,et al.Effects of mental fatigueinduced by continuous workload on posturographic changes[J].Space Medicine&Medical Engineering,2012,25(4):251-255
[15]Borghini G,Astolfi L,Vecchiato G,et al.Measuring neurophysiological signals in aircraft pilots and car drivers for the assessment of mental workload,fatigue and drowsiness[J].Neurosci Biobehav Rev,2014,44:58-75
[16]李津强,胡文东.24h睡眠剥夺对人体平衡能力的影响[J].中国行为医学科学,2008,17(5):447-448Li Jin-qiang,Hu Wen-dong.Effects of 24 hours sleep deprivation on body balance[J].Chinese Journal of Behavioral Medical Science,2008,17(5):447-448
[17]马如梦,马进,李津强.24h睡眠剥夺前后平衡能力变化的初探[J].医学研究杂志,2010,39(10):26-27Ma Ru-meng,Ma Jin,Li Jin-qiang.Research of Changes in Balance Capability after 24 Sleep Depriration[J].J Med Res,2010,39(10):26-27
[18]Alpini D,Kohen-Ratz R,Braun R,et al.Falls in the Elderly:The Development of a Risk Questionnaire and Posturographic Findings[J].International Tinnitus Journal,2001,7(2):105-108
[19]张利利,胡文东,王涛,等.人体重心测试软件的设计与实现[J].医疗卫生装备,2012,33(4):30Zhang Li-li,Hu Wen-dong,Wang Tao,et al.Design and development on gravity center testing software of human body[J],Chinese Medical Equipment Journal,2012,33(4):30
[20]Avni N,Avni I,Barenboim E,et al.Brief posturographic test as an indicator of fatigue[J].Psychiatry Clin Neurosci,2006,60(3):340-346
[21]Patel M,Gomez S,Berg S,et al.Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation[J].Exp Brain Res,2008,185(2):165-173
[2]Ortuno-Cortes M A,Martin-Sanz E,Barona-De G R.Static posturography versus clinical tests in elderly people with vestibular pathology[J].Acta Otorrinolaringol Esp,2008,59(7):334-340
[3]Morad Y,Azaria B,Avni I,et al.Posturography as an indicator of fatigue due to sleep deprivation[J].Aviat Space Environ Med,2007,78(9):859-863
[4]Faraldo-Garcia A,Santos-Perez S,Labella-Caballero T,et al.Influence of gender on the sensory organisation test and the limits of stability in healthy subjects[J].Acta Otorrinolaringol Esp,2011,62(5):333-338
[5]Gribble P A,Tucker W S,White P A.Time-of-day influences on static and dynamic postural control[J].J Athl Train,2007,42(1):35-41
[6]Costello K E,Matrangola S L,Madigan M L.Independent effects of adding weight and inertia on balance during quiet standing[J].Biomed Eng Online,2012,11:20
[7]Otmani S,Roge J,Muzet A.Sleepiness in professional drivers:effect of age and time of day[J].Accid Anal Prev,2005,37(5):930-937
[8]Rosker J,Markovic G,Sarabon N.Effects of vertical center of mass redistribution on body sway parameters during quiet standing[J].Gait Posture,2011,33(3):452-456
[9]Mcgregor S J,Armstrong W J,Yaggie J A,et al.Lower extremity fatigue increases complexity of postural control during a single-legged stance[J].J Neuroeng Rehabil,2011,8:43
[10]van Dieen J H,Luger T,van der Eb J.Effects of fatigue on trunk stability in elite gymnasts[J].Eur J Appl Physiol,2012,112(4):1307-1313
[11]Carrick F R,Oggero E,Pagnacco G,et al.Posturographic testing and motor learning predictability in gymnasts[J].Disabil Rehabil,2007,29(24):1881-1889
[12]Ma J,Yao Y J,Ma R M,et al.Effects of sleep deprivation on human postural control,subjective fatigue assessment and psychomotor performance[J].J Int Med Res,2009,37(5):1311-1320
[13]Forsman P,Haeggstrom E,Wallin A E,et al.Principal component analysis detects sleepiness-related changes in balance control[J].Gait Posture,2010,32(3):419-421
[14]王斌,马进,张利利,等.持续工作负荷所致脑力疲劳对静态平衡能力变化的影响[J].航天医学与医学工程,2012,25(4):251-255Wang Bin,Ma Jin,Zhang Li-li,et al.Effects of mental fatigueinduced by continuous workload on posturographic changes[J].Space Medicine&Medical Engineering,2012,25(4):251-255
[15]Borghini G,Astolfi L,Vecchiato G,et al.Measuring neurophysiological signals in aircraft pilots and car drivers for the assessment of mental workload,fatigue and drowsiness[J].Neurosci Biobehav Rev,2014,44:58-75
[16]李津强,胡文东.24h睡眠剥夺对人体平衡能力的影响[J].中国行为医学科学,2008,17(5):447-448Li Jin-qiang,Hu Wen-dong.Effects of 24 hours sleep deprivation on body balance[J].Chinese Journal of Behavioral Medical Science,2008,17(5):447-448
[17]马如梦,马进,李津强.24h睡眠剥夺前后平衡能力变化的初探[J].医学研究杂志,2010,39(10):26-27Ma Ru-meng,Ma Jin,Li Jin-qiang.Research of Changes in Balance Capability after 24 Sleep Depriration[J].J Med Res,2010,39(10):26-27
[18]Alpini D,Kohen-Ratz R,Braun R,et al.Falls in the Elderly:The Development of a Risk Questionnaire and Posturographic Findings[J].International Tinnitus Journal,2001,7(2):105-108
[19]张利利,胡文东,王涛,等.人体重心测试软件的设计与实现[J].医疗卫生装备,2012,33(4):30Zhang Li-li,Hu Wen-dong,Wang Tao,et al.Design and development on gravity center testing software of human body[J],Chinese Medical Equipment Journal,2012,33(4):30
[20]Avni N,Avni I,Barenboim E,et al.Brief posturographic test as an indicator of fatigue[J].Psychiatry Clin Neurosci,2006,60(3):340-346
[21]Patel M,Gomez S,Berg S,et al.Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation[J].Exp Brain Res,2008,185(2):165-173