研究慢性和非慢性踝关节不稳患者受伤肢体姿势控制的非线性可变性

Yuki A Sugimoto, Patrick O McKeon, Christopher K Rhea, Randy J Schmitz, Carl G Mattacola, Scott E Ross
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引用次数: 0

摘要

背景:慢性踝关节不稳(CAI)患者的感觉运动系统灵活性和适应性较差,反映在运动变异性上,这可能会限制他们利用各种主要感觉反馈检测相关信息的能力。因此,本研究旨在通过感觉反馈操作,调查患有和未患有慢性踝关节不稳症的个体在环境约束增加时单肢站立姿势控制的潜在生物噪音。研究方法42 名患有和未患有 CAI 的个体参与了研究。采用单因素方差分析来研究单肢站立时,SOT 条件下姿势控制所产生的生物噪音的组间差异。结果显示与健康对照组相比,患有 CAI 的个体在单肢站立的条件 5(P=.037)和条件 6(P=.030)中被迫完全依靠前庭反馈保持姿势时,SampEN 明显较低。讨论在所有六种 SOT 条件下,患有 CAI 的个体并没有表现出与姿势控制有关的运动变异性降低。与健康对照组相比,CAI 参与者只有在受伤肢体保持姿势时被迫执行依赖前庭反馈时才会表现出运动变异性降低。
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The Investigation of Nonlinear Variability Underlying Postural Control in The Injure-Limb in Individuals with and without Chronic Ankle Instability
Background: Less flexible and adaptable sensorimotor systems reflect in movement variability in individuals with Chronic Ankle Instability (CAI), which may limit their ability to detect relevant information using a variety of primary sensory feedback. Thus, the aim of the study was to investigate underlying biological noise pertaining to postural control in single-limb stance during increased environmental constraints with sensory feedback manipulations in individuals with and without CAI. Methods: Forty-two individuals with and without CAI participated in the study. A one-way ANOVA was utilized to examine group differences in biological noise underlying postural control during the SOT conditions in single-limb stance. Results: Individuals with CAI demonstrated significantly lower SampEN while maintaining posture during Condition 5 (P=.037) and Condition 6 (P=.030), where they were forced to exclusively rely on vestibular feedback, in single-limb stance compared to healthy controls. Discussion: Individuals with CAI did not demonstrate decreased movement variability pertaining to postural control during all six SOT conditions. Those participants with CAI only displayed decreased movement variability when they were forced to executively rely on vestibular feedback while maintaining posture in the injured-limb compared to healthy controls.
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