对年轻和老年成年人下肢功能本体感觉的分析

Ravi Shankar, Sivakumar Ramachandran, Radhika CM, Parthiban P

 

Ravi Shankar, Sivakumar Ramachandran, Radhika CM, Parthiban P – Analysis of functional prorpioception in lower limb among younger and older adults. Fizjoterapia Polska 2023; 23(4); 170-174

DOI: https://doi.org/10.56984/8ZG20A7jK

摘要
背景。本体感觉是一种内部感觉,有助于个体学习和无缝执行运动任务。通常,本体感觉缺陷是通过测量关节或肢体在空间中重新定位的误差程度来测试的。大多数测量采用单关节运动,偶尔在实验室环境中使用高科技仪器测试多关节运动。多关节测试可以反映本体感觉缺陷对功能活动的影响。我们使用了一种新颖的方法来测试本体感觉作为功能活动。
目的。本研究旨在分析年轻和老年成年人下肢的功能本体感觉。
方法。对三十七名年轻人和三十七名老年人进行了下肢本体感觉测试,采用了一个目标触摸任务。参与者被要求用睁眼触摸大脚趾触及的目标点。在试验后,他们被要求闭上眼睛触摸目标。测量了三次尝试的距离误差,以厘米为单位。分析采用最小误差。
结果。结果显示,年轻人的平均误差约为2.6厘米,老年人为5.7到6厘米。就年轻人而言,左侧和右侧没有差异,但老年人的左侧较右侧的误差略高。
结论。功能本体感觉在年轻和老年成年人之间存在差异。多关节本体感觉可以为个体有效使用本体感觉的能力提供不同的见解。
关键词
本体感觉,多关节测试,年轻成年人,老年成年人
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Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints

Mirosław Kokosz, Edward Saulicz, Tomasz Wolny, Mariola Saulicz, Andrzej Myśliwiec, Łukasz Gębala, Oliwia Mokrus, Paweł Linek

Mirosław Kokosz, Edward Saulicz, Tomasz Wolny, Mariola Saulicz, Andrzej Myśliwiec, Łukasz Gębala, Oliwia Mokrus, Paweł Linek – Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints. Part 1. Fizjoterapia Polska 2012; 12(2); 101-112

Abstract
Background. Lumbar spine pain is one of the most frequent malfunctioning of the locomotor system. The aim of this article was to examine whether there is a co-relationship between the preliminary, subclinical symptoms of pain and the strength and kinesthetic differentiation of deep muscles stabilizing the lumbar spine in the lower section of spine. Material and methods. Appearance of pain in lumbar spine was taken as an independent variable. The average intensity of the ailment was 8.81 points (±3.68) in the Oswestry scale in 52 subjects. The second group composed of 48 persons who, at the time of the examination, felt no pain in the low back. Both groups were matched regarding the basic parameters: age, body weigh, height, level of physical activities and sex. Results of tests carried out with the use of pressure stabilizer in the supine and prone positions constituted the dependent variables. Results. Statistical analysis showed that there are significant dependencies between the presence of pain and strength and kinesthetic differentiation in the prone position. No such dependencies were registered in the supine position. Conclusions. Weakness of the deep stabilizing muscles is characteristic for persons with perceived minor lumbar spine pain. The ability to differentiate pressure force is also disturbed. It seems that an examination performed in a prone position is useful in detecting the above changes.
Key words:
Low Back Pain, muscular stabilization, Proprioception
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