老年人与青年人姿势控制能力的差异

doi:10.3969/j.issn.1006-9771.2025.07.012

Abstract

Abstract:

Objective To explore the difference in balance ability and motor control between the elder and the young.

Methods From July, 2022 to February, 2025, 30 older adults (older group) and 30 young individuals (young group) were recruited in Huadong Hospital. Both groups underwent sensory organization test using a computerized dynamic posture recording system. Balance scores under six conditions, composite equilibrium score and strategy scores were recorded. The contributions of vision, somatosensation and vestibular function to balance under different stance conditions were analyzed.

Results The balance scores were lower in the older group than in the young group under the conditions of eyes open/unstable surface, eyes closed/unstable surface, and visual conflict/unstable surface (t > 3.887, P < 0.05), as well as the composite equilibrium score (t = 5.603, P < 0.05), visual and vestibular scores (t > 3.815, P < 0.05), and strategy scores under all six conditions (t > 2.496, P < 0.05).

Conclusion Posture control ability decreases in older adults, mainly for decreasing visual and vestibular inputs and impairing in ankle and hip strategies.

Key words: elderly, postural control, balance, sensory system, hip strategy

CLC Number:

R318.01

DUAN Linru, ZHENG Jiejiao, ZHENG Yongjun, DING Jianwei. Difference in posture control ability between elderly and young people[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(7): 846-852.

Figures/Tables 5

Table 1

Figure 1

Table 2

Comparison of balance score between two groups"

变量	组别	n	$x - ± s$	t值	P值
SOT1	青年组	30	94.233±1.245	1.064	0.292
	老年组	30	93.889±1.257
SOT2	青年组	30	92.744±1.755	1.141	0.259
	老年组	30	92.156±2.212
SOT3	青年组	30	91.012±3.541	0.954	0.344
	老年组	30	90.234±2.721
SOT4	青年组	30	82.733±8.069	3.887	< 0.001
	老年组	30	74.100±9.104
SOT5	青年组	30	69.522±7.935	4.651	< 0.001
	老年组	30	57.455±11.788
SOT6	青年组	30	66.311±10.991	4.357	< 0.001
	老年组	30	55.855±7.210
SOT综合值	青年组	30	79.533±5.532	5.603	< 0.001
	老年组	30	72.933±3.321

Table 2

Table 3

Comparison of sensory information score between two groups"

变量	组别	n	$x - ± s$	t值	P值
本体感觉	青年组	30	0.984±0.015	0.612	0.543
	老年组	30	0.982±0.019
视觉	青年组	30	0.878±0.088	3.815	< 0.001
	老年组	30	0.789±0.093
前庭觉	青年组	30	0.738±0.086	4.508	< 0.001
	老年组	30	0.612±0.126
视觉依赖	青年组	30	0.970±0.061	-0.618	0.539
	老年组	30	0.982±0.088

Table 3

Table 4

Comparison of strategy score between two groups"

变量	组别	n	$x - ± s$	t值	P值
策略1	青年组	30	98.600±2.100	6.896	< 0.001
	老年组	30	94.456±2.535
策略2	青年组	30	98.355±2.454	6.937	< 0.001
	老年组	30	93.267±3.181
策略3	青年组	30	98.278±2.369	8.078	< 0.001
	老年组	30	92.956±2.721
策略4	青年组	30	84.166±6.322	2.986	0.005
	老年组	30	77.011±11.499
策略5	青年组	30	76.367±10.038	2.496	0.015
	老年组	30	70.467±8.181
策略6	青年组	30	75.178±12.163	2.822	0.007
	老年组	30	66.856±10.628

Table 4

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量指数/(kg⋅m^-2)
青年组	30	12/18	21.367±1.586	168.433±8.270	21.251±2.812
老年组	30	18/12	77.000±8.154	166.400±7.010	23.758±2.933
χ²/t值		2.400^a	-36.684^b	1.027^b	-3.380^b
P值		0.121	< 0.001	0.309	0.051

Difference in posture control ability between elderly and young people

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