《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (4): 373-378.doi: 10.3969/j.issn.1006-9771.2022.04.001
Previous Articles Next Articles
WANG Qi1,MAO Min2,SUN Wei1,SONG Qipeng1()
Received:
2021-12-09
Revised:
2022-03-29
Published:
2022-04-25
Online:
2022-05-05
Contact:
SONG Qipeng
E-mail:songqipeng@163.com
Supported by:
WANG Qi,MAO Min,SUN Wei,SONG Qipeng. Relationship of proprioception, cutaneous sensitivity and strength to postural stability among older adults[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 373-378.
"
项目 | 平均值/中位数 | 标准差 | 最小值 | 最大值 |
---|---|---|---|---|
姿势稳定性 | ||||
BBS评分 | 52.18 | 3.81 | 32.00 | 56.00 |
RMS COPAP/mm | 7.12 | 2.18 | 2.47 | 14.33 |
RMS COPML/mm | 8.25 | 2.76 | 1.31 | 19.77 |
本体感觉/° | ||||
膝关节屈曲 | 3.00 | 2.32 | 0.80 | 15.52 |
膝关节伸展 | 3.32 | 2.62 | 0.67 | 17.47 |
踝关节背屈 | 4.11 | 3.76 | 0.52 | 16.18 |
踝关节趾屈 | 3.94 | 3.34 | 0.72 | 16.02 |
足底触觉(单丝规格) | ||||
大脚趾 | 4.31a | 0.25 | 2.83 | 6.65 |
第1跖骨 | 4.31a | 0.25 | 2.83 | 6.65 |
第5跖骨 | 4.31a | 0.25 | 2.83 | 6.65 |
足弓 | 4.31a | 0.25 | 2.83 | 6.65 |
足跟 | 4.56a | 0.25 | 2.83 | 6.65 |
肌肉力量/N•m•kg-1 | ||||
踝关节背屈 | 0.33 | 0.16 | 0.04 | 0.77 |
踝关节趾屈 | 0.80 | 0.28 | 0.12 | 1.88 |
髋关节外展 | 0.40 | 0.17 | 0.07 | 0.86 |
"
项目 | 因子1 | 因子2 | 因子3 | |
---|---|---|---|---|
本体感觉 | 膝关节屈曲 | 0.888 | 0.057 | -0.127 |
膝关节伸展 | 0.896 | 0.008 | -0.130 | |
踝关节背屈 | 0.853 | 0.011 | -0.278 | |
踝关节趾屈 | 0.877 | 0.150 | -0.207 | |
足底触觉 | 大脚趾 | -0.008 | 0.737 | -0.060 |
第1跖骨 | -0.061 | 0.551 | 0.022 | |
第5跖骨 | 0.122 | 0.793 | 0.066 | |
足弓 | 0.061 | 0.756 | -0.086 | |
足跟 | 0.117 | 0.621 | -0.072 | |
肌肉力量 | 踝关节背屈 | -0.237 | -0.041 | 0.873 |
踝关节趾屈 | -0.194 | -0.116 | 0.813 | |
髋关节外展 | -0.152 | 0.038 | 0.806 |
[1] |
PRESZNER-DOMJAN A, NAGY E, SZĺVER E, et al. When does mechanical plantar stimulation promote sensory re-weighing: standing on a firm or compliant surface?[J]. Eur J Appl Physiol, 2012, 112(8):2979-2987.
doi: 10.1007/s00421-011-2277-5 |
[2] |
MENZ H B, MORRIS M E, LORD S R. Foot and ankle characteristics associated with impaired balance and functional ability in older people[J]. J Gerontol A Biol Sci Med Sci, 2005, 60(12):1546-1552.
doi: 10.1093/gerona/60.12.1546 |
[3] |
RIBEIOR F, OLIVEIRA J. Aging effects on joint proprioception: the role of physical activity in proprioception preservation[J]. Eur Rev Aging Phys Activity, 2007, 4(2):71-76.
doi: 10.1007/s11556-007-0026-x |
[4] |
HAYASHI R, MIYAKE A, WATANABE S. The functional role of sensory inputs from the foot: stabilizing human standing posture during voluntary and vibration-induced body sway[J]. Neurosci Res, 1988, 5(3):203-213.
doi: 10.1016/0168-0102(88)90049-1 |
[5] |
PIJNAPPELS M, VAN DER BURG P J, REEVES N D, et al. Identification of elderly fallers by muscle strength measures[J]. Eur J Appl Physiol, 2008, 102(5):585-592.
doi: 10.1007/s00421-007-0613-6 |
[6] |
ROBBINS S, WAKED E, MCCLARAN J. Proprioception and stability: foot position awareness as a function of age and footwear[J]. Age Ageing, 1995, 24(1):67-72.
doi: 10.1093/ageing/24.1.67 |
[7] |
YOU S H. Joint position sense in elderly fallers: a preliminary investigation of the validity and reliability of the SENSERite measure[J]. Arch Phys Med Rehabil, 2005, 86(2):346-352.
doi: 10.1016/j.apmr.2004.01.035 |
[8] | CRUZ-ALMEIDA Y, BLACK M L, CHRISTOU E A, et al. Site-specific differences in the association between plantar tactile perception and mobility function in older adults[J]. Front Aging Neurosci, 2014, 6:68. |
[9] | 徐欣, 温子星. 人体动态稳定性控制理论在老年人防跌倒中的应用[J]. 中国康复理论与实践, 2017, 23(11):1254-1257. |
XU X, WEN Z X. Concept of dynamic stability in old people for fall prevention (review)[J]. Chin J Rehabil Theory Pract, 2017, 23(11):1254-1257. | |
[10] |
ZHANG C, SUN W, YU B, et al. Effects of exercise on ankle proprioception in adult women during 16 weeks of training and eight weeks of detraining[J]. Res Sports Med, 2015, 23(1):102-113.
doi: 10.1080/15438627.2014.915835 |
[11] | MACHADO Á S, DA SILVA C B, DA ROCHA E S, et al. Effects of plantar foot sensitivity manipulation on postural control of young adult and elderly[J]. Rev Bras Reumatol Engl Ed, 2017, 57(1):30-36. |
[12] |
RUBENSTEIN L Z. Falls in older people: epidemiology, risk factors and strategies for prevention[J]. Age Ageing, 2006, 35(Suppl 2): ii37-ii41.
doi: 10.1093/ageing/afj018 |
[13] |
KESKIN D, BORMAN P, ERSOZ M, et al. The risk factors related to falling in elderly females[J]. Geriatr Nurs, 2008, 29(1):58-63.
doi: 10.1016/j.gerinurse.2007.06.001 |
[14] |
AMBROSE A F, PAUL G, HAUSDORFF J M. Risk factors for falls among older adults: a review of the literature[J]. Maturitas, 2013, 75(1):51-61.
doi: 10.1016/j.maturitas.2013.02.009 |
[15] |
BILLOT M, HANDRIGAN G A, SIMONEAU M, et al. Short term alteration of balance control after a reduction of plantar mechanoreceptor sensation through cooling[J]. Neurosci Lett, 2013, 535:40-44.
doi: 10.1016/j.neulet.2012.11.022 |
[16] |
UNVER B, AKBAS E. Effects of plantar sensitivity on balance and mobility in community-dwelling older adults: a Turkish study[J]. Australas J Ageing, 2018, 37(4):288-292.
doi: 10.1111/ajag.12558 |
[17] | CUEVAS-TRISAN R. Balance problems and fall risks in the elderly[J]. Clin Geriatr Med, 2019, 35(2):173-183. |
[18] |
SHUMWAY-COOK A, BALDWIN M, POLISSAR N L, et al. Predicting the probability for falls in community-dwelling older adults[J]. Phys Ther, 1997, 77(8):812-819.
doi: 10.1093/ptj/77.8.812 |
[19] |
SHEN M, CHE S, YE D, et al. Effects of backward walking on knee proprioception after ACL reconstruction[J]. Physiother Theory Pract, 2021, 37(10):1109-1116.
doi: 10.1080/09593985.2019.1681040 |
[20] |
SADEGHI H, HAKIM M N, HAMID T A, et al. The effect of exergaming on knee proprioception in older men: a randomized controlled trial[J]. Arch Gerontol Geriatr, 2017, 69:144-150.
doi: 10.1016/j.archger.2016.11.009 |
[21] |
LI L, MANOR B. Long term Tai Chi exercise improves physical performance among people with peripheral neuropathy[J]. Am J Chin Med, 2010, 38(3):449-459.
doi: 10.1142/S0192415X1000797X |
[22] | KORCHI K, NOE F, BRU N, et al. Optimization of the effects of physical activity on plantar sensation and postural control with barefoot exercises in institutionalized older adults: a pilot study[J]. J Aging Phys Act, 2019, 27(4):452-465. |
[23] | CEPEDA C C, LODOVICO A, FOWLER N, et al. Effect of an eight-week ballroom dancing program on muscle architecture in older adults females[J]. J Aging Phys Act, 2015, 23(4):607-612. |
[24] |
LEE B A, OH D J. Effect of regular swimming exercise on the physical composition, strength, and blood lipid of middle-aged women[J]. J Exerc Rehabil, 2015, 11(5):266-271.
doi: 10.12965/jer.150242 |
[25] |
BULLO V, GOBBO S, VENDRAMIN B, et al. Nordic walking can be incorporated in the exercise prescription to increase aerobic capacity, strength, and quality of life for elderly: a systematic review and meta-analysis[J]. Rejuvenation Res, 2018, 21(2):141-161.
doi: 10.1089/rej.2017.1921 |
[26] |
RELPH N, HERRINGTON L. The effects of knee direction, physical activity and age on knee joint position sense[J]. Knee, 2016, 23(3):393-398.
doi: 10.1016/j.knee.2016.02.018 |
[27] |
SUN W, SONG Q, YU B, et al. Test-retest reliability of a new device for assessing ankle joint threshold to detect passive movement in healthy adults[J]. J Sports Sci, 2015, 33(16):1667-1674.
doi: 10.1080/02640414.2014.1003589 |
[28] | BERG K O, WOOD-DAUPHINEE S L, WILLIAMS J I, et al. Measuring balance in the elderly: validation of an instrument[J]. Can J Public Health, 1992, 83(Suppl 2):S7-S11. |
[29] |
LI J X, XU D Q, HONG Y. Effects of 16-week Tai Chi intervention on postural stability and proprioception of knee and ankle in older people[J]. Age Ageing, 2008, 37(5):575-578.
doi: 10.1093/ageing/afn109 |
[30] | SVOBODA Z, BIZOVSKA L, GONOSOVA Z, et al. Effect of aging on the association between ankle muscle strength and the control of bipedal stance[J]. PLoS One, 2019, 14(10):e0223434. |
[31] |
HENRY M, BAUDRY S. Age-related changes in leg proprioception: implications for postural control[J]. J Neurophysiol, 2019, 122(2):525-538.
doi: 10.1152/jn.00067.2019 |
[32] |
ZEHR E P, DUYSENS J. Regulation of arm and leg movement during human locomotion[J]. Neuroscientist, 2004, 10(4):347-361.
doi: 10.1177/1073858404264680 |
[33] |
ZHANG W, LOW L F, SCHWENK M, et al. Review of gait, cognition, and fall risks with implications for fall prevention in older adults with dementia[J]. Dement Geriatr Cogn Disord, 2019, 48(1-2):17-29.
doi: 10.1159/000504340 |
[34] | 张丽, 瓮长水, 王秋华, 等. 前庭感觉、本体感觉及视觉功能对老年人跌倒风险影响的因素分析[J]. 中国康复理论与实践, 2010, 16(1):16-18. |
ZHANG L, WENG C S, WANG Q H, et al. Effect of vestibular sense, proprioception, and vision on fall risk in elderly[J]. Chin J Rehabil Theory Pact, 2010, 16(1):16-18. | |
[35] |
PROSKE U. What is the role of muscle receptors in proprioception?[J]. Muscle Nerve, 2005, 31(6):780-787.
doi: 10.1002/mus.20330 |
[36] |
COLLEDGE N R, CANTLEY P, PEASTON I, et al. Ageing and balance: the measurement of spontaneous sway by posturography[J]. Gerontology, 1994, 40(5):273-278.
doi: 10.1159/000213596 |
[37] |
MANOR B, LI L. Characteristics of functional gait among people with and without peripheral neuropathy[J]. Gait Posture, 2009, 30(2):253-256.
doi: 10.1016/j.gaitpost.2009.04.011 |
[38] | 江婉婷, 王兴, 王光旭, 等. 抗阻运动对中老年女性下肢肌肉力量及功能干预效果的Meta分析[J]. 首都体育学院学报, 2019, 31(3):272-280. |
JIANG W T, WANG X, WANG G X, et al. Effects of resistance training on low extremity muscle strength and function in middle-aged and elderly women: a meta-analysis[J]. J Capit Univ Phys Educ Sports, 2019, 31(3):272-280. | |
[39] | 刘翠鲜, 沈志祥. 跌倒的流行病学特点及其危险因素[J]. 中国老年学杂志, 2012, 32(17):3837-3839. |
LIU C X, SHEN Z X. Chin J Gerontol, 2012, 32(17):3837-3839. | |
[40] |
MORELAND J D, RICHARDSON J A, GOLDSMITH C H, et al. Muscle weakness and falls in older adults: a systematic review and meta-analysis[J]. J Am Geriatr Soc, 2004, 52(7):1121-1129.
doi: 10.1111/j.1532-5415.2004.52310.x |
[41] |
YANG N P, HSU N W, LIN C H, et al. Relationship between muscle strength and fall episodes among the elderly: the Yilan study, Taiwan[J]. BMC Geriatr, 2018, 18(1):90.
doi: 10.1186/s12877-018-0779-2 |
[42] | 柏文喜, 曹红十, 王冰, 等. 老年人下肢肌力测量方法及其研究进展[J]. 中国老年学杂志, 2020, 40(20):4474-4477. |
BO W X, CAO H S, WANG B, et al. Chin J Gerontol, 2020, 40(20):4474-4477. | |
[43] | 王晶晶. 老年人力量测评研究进展——基于"健康老龄化"背景下的功能发挥视角[J]. 体育科研, 2021, 42(2):68-77. |
WANG J J. Research progress on the muscle strength assessment in older adults: on the basis of the perspective of functional ability under healthy aging[J]. Sports Sci Res, 2021, 42(2):68-77. | |
[44] |
GRANACHER U, ZAHNER L, GOLLHOFER A. Strength, power, and postural control in seniors: considerations for functional adaptations and for fall prevention[J]. Eur J Sport Sci, 2008, 8(6):325-340.
doi: 10.1080/17461390802478066 |
[45] |
LI L, ZHANG S, DOBSON J. The contribution of small and large sensory afferents to postural control in patients with peripheral neuropathy[J]. J Sport Health Sci, 2019, 8(3):218-227.
doi: 10.1016/j.jshs.2018.09.010 |
[46] |
MEYER P F, ODDSSON L I, DE LUCA C J. The role of plantar cutaneous sensation in unperturbed stance[J]. Exp Brain Res, 2004, 156(4):505-512.
doi: 10.1007/s00221-003-1804-y |
[1] | ZHOU Zhining, ZHOU Rong, XIAO Yanwen, WANG Bowen, LÜ Jiaojiao, LIU Yu. Effect of multi-target transcranial direct current stimulation on performance of working memory-postural control dual-task in healthy adults [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 21-28. |
[2] | MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889. |
[3] | TAN Xiaohuan, JIANG Guiping, HUANG Xinyi, WANG Dandan, ZHANG Lei, BU Qingguo, WU Xueping. Relationship between lower limb muscle strength and walk speed in community dwelling older adults: the chain mediating role of flexibility and dynamic balance [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 646-653. |
[4] | WANG Yusheng, JIA Zishan, ZHANG Gongzi, ZUO Xiuqin, SUN Tong, ZHAO Yiyang. Individual factors associated with postural adjustment during adaptive equilibrium [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 590-594. |
[5] | CHAI Liangwei,LIU Hua,HUANG Qiuyu,SUN Ximei,LI Kaiyang,MA Jing. Effect of therapeutic exercise on posture control and muscular function around ankle in patients with functional ankle instability: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1278-1287. |
[6] | MENG Fan-yuan,ZHAO Yun-xin,YUAN Yin,CHEN Mo-xian,LIU Wei,BAO Wen-li. Static Stability and Stability Limit for Patients with Scoliosis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1351-1355. |
[7] | ZHANG Qian,ZHANG Tong. Effects of Fixing Flexi-bar Training on Motor Function for Patients with Stroke at Recovery Stage [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1010-1014. |
[8] | CHEN Zheng-quan, LU Yao-fei, HAN Jia, WANG Xue-qiang. Advance in Voluntary Postural Control Assessment (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(4): 422-429. |
[9] | LIU Xiao-lei, ZHANG Yao-hua, GUO Heng-bing, LI Qiang, YANG Yang, YANG Hua-qing. Effects of Proprioceptive Trainning on Knee Function and Postural Control for Patients after Anterior Cruciate Ligament Reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(4): 472-476. |
[10] | XU Xin, WEN Zi-xing. Concept of Dynamic Stability in Old People for Fall Prevention (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(11): 1254-1257. |
[11] | LING Kang, XIA Qing, CAO Xiao-guang, YUAN Hai. Analysis of Static Balance Function in Patients with Lumbar Disc Herniation [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(6): 715-718. |
[12] | LIANG Lei-chao, Lü Jiao-jiao, HUANG Ling-yan, LIU Yu. Advance in Cognitive and Postural Control Dual-task in Falls of Older People (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(11): 1289-1293. |
[13] | CHEN Bing-lin;ZOU Jun;LI Xin;GUO Jia-bao;WANG Xue-qiang. Research Status and Prospects of Lumbar Proprioception Test (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2015, 21(10): 1182-1186. |
[14] | LIU Xin;ZHANG Yun-peng;WANG Lei;et al.. Effect of Comprehensive Rehabilitation Direction on Functional Ankle Instability [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2014, 20(5): 467-469. |
[15] | SU Guo-dong. Relationship between Sit-to-Stand Velocity and Dynamic or Static Balance in Stroke Patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2013, 19(4): 368-370. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|