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[Comparative study of postural control in 20-40 years olds and karate athletes using a neuromuscular training device]. [使用神经肌肉训练装置对20-40岁空手道运动员体位控制的比较研究]。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2022-12-01 Epub Date: 2022-11-29 DOI: 10.1055/a-1912-4777
Katrin Osmanski-Zenk, Amelie Ningel, Thomas Tischer, Wolfram Mittelmeier

Background: Postural control helps maintain upright posture and contributes to balance regulation. Increasing neuromuscular deficits in older subjects lead to a deterioration in postural control, which can be improved through neuromuscular training. Assuming that neuromuscular deficits occur at an early age, the postural abilities of 20 to 40 year olds were investigated. In addition, the influence of competitive sports on postural control was examined by including karate squad athletes.

Methods and material: For an age comparison, 123 age-homogeneous healthy people between 20 and 40 years were examined. 24 karate squad athletes were compared with the 20 -25 year old healthy subjects. A neuromuscular training device, the Human Body Equilibrium 360, was used to collect data.

Results: In the age comparison, there were no significant differences for all seven measurements. The study group was too young to detect deficits. However, some general findings could be published. In the two-legged stance, a significant increase in the fluctuations of the body centre of gravity after eye closure could be seen in all groups. The influence of footedness and handedness could be seen in the one-legged stance and the strength test. Gender-specific differences could be observed. The examination of karate squad athletes showed various training-specific adaptations. For example, karate athletes were better able to compensate for the loss of visual information. Karate athletes also showed a significantly wider gait pattern and a larger stability area. Athletes were able to shift their body centre of gravity further without getting out of balance.

Conclusion: The Huber 360 is only conditionally suitable as a rehabilitation and training device, due to the low discriminatory power of the tests in its entire range of applications, as significant differences between the groups are difficult to detect. Individual training specific adaptations through performance-oriented karate training are recognisable and underline the influence of training on postural control. In summary, the use of the Huber 360 to assess postural abilities in age comparisons and to distinguish training specific adaptations requires a differentiated and more selective use of the individual tests. Further studies with older patients with different diseases are planned.

背景:姿势控制有助于保持直立姿势,有助于平衡调节。老年受试者神经肌肉缺陷的增加导致姿势控制的恶化,这可以通过神经肌肉训练来改善。假设神经肌肉缺陷发生在早期,对20 - 40岁的人的姿势能力进行了调查。此外,以空手道代表队运动员为研究对象,探讨竞技体育对体位控制的影响。方法和材料:年龄比较,研究了123名年龄相同的20至40岁的健康人。对24名空手道代表队运动员与20 ~ 25岁健康人进行比较。一个神经肌肉训练装置,人体平衡360,被用来收集数据。结果:在年龄比较中,所有7项测量均无显著差异。研究小组太年轻,无法发现缺陷。然而,一些一般性的研究结果可以发表。两腿站立时,所有组闭眼后的身体重心波动都明显增加。在单腿站立和力量测试中可以看到脚性和手性的影响。可以观察到性别差异。对空手道代表队运动员的检查显示出不同的训练适应性。例如,空手道运动员能够更好地弥补视觉信息的损失。空手道运动员也表现出明显更宽的步态模式和更大的稳定区。运动员能够在不失去平衡的情况下进一步转移身体重心。结论:Huber 360仅有条件地适合作为康复和训练设备,因为在其整个应用范围内测试的判别力较低,组间的显着差异难以发现。个人训练通过以成绩为导向的空手道训练的特定适应是可识别的,并强调了训练对姿势控制的影响。总之,使用Huber 360来评估年龄比较中的姿势能力,并区分特定的训练适应性,需要对个体测试进行区分和更有选择性的使用。计划对患有不同疾病的老年患者进行进一步研究。
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