足底压力中心非线性分析能有效侦测足底触觉减退引发的静态姿势控制能力下降
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1.山东体育学院 研究生教育学院;2.山东体育学院 北京体育大学;3.山东体育学院 北京体育大学;4.山东体育学院 运动与健康学院

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Nonlinear Analysis of the Center of Pressure could Effectively Detect the Decline in Static Postural Control Ability Induced by Reduced Plantar Tactile Sensation
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1.Graduate School,Shandong Sport University,Jinan;2.School of Sports and Health,Shandong Sport University,Jinan

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    摘要:

    研究目的:目前常规测量静态姿势控制能力依赖足底压力中心(CoP)线性指标,但其适用性存疑,非线性指标可能对于检测静态姿势控制能力的变化具有更高的敏感性。本研究采用线性和非线性方法解析 CoP 数据,对比这两种方法在辨别足底触觉减退引发静态姿势控制能力下降方面的差异。 研究方法:27名健康大学生(女性5名,男性22名,年龄=21.7±1.66岁,身高=172.7±7.8 cm,体重=68.9±11.0 kg)被纳入本研究,通过冰敷的方式降低足底触觉,从而降低静态姿势控制能力。使用单丝测量冰敷前后足底第五跖骨头的足底触觉敏感度。受试者在足底触觉下降前后分别完成三次双腿和单腿站立测试,持续时间均为60s。使用前后方向(AP)及内外方向(ML)CoP偏移位移、平均速度、95%包络面积等方式进行线性指标的计算,使用样本熵进行CoP非线性指标的计算,采用配对样本T检验比较冰敷前后上述指标的差异。 研究结果:足底触觉阈值在冰敷后显著增加(冰敷前:2.75±0.25,冰敷后:4.03±0.29,p<0.001,d=4.73)。双腿站立过程中,CoPAP(冰敷前:0.12±0.08,冰敷后:0.06±0.03,p=0.005,d=0.99)及CoPML(冰敷前:0.27±0.22,冰敷后:0.03±0.01,p<0.001,d=1.54)样本熵均显著减小;单腿站立过程中,CoPAP(冰敷前:0.06±0.03,冰敷后:0.02±0.01,p<0.001,d=1.79)及CoPML样本熵(冰敷前:0.08±0.04,冰敷后:0.02±0.01,p<0.001,d=2.06)均显著减小。两种站立过程中,CoP偏移位移、平均速度、包络面积等线性指标均未检测出显著差异。 研究结论:较常规线性指标,CoP非线性指标可更敏感地评估由足底触觉减退引发的静态姿势控制下降。建议将来的研究使用CoP非线性指标来评估静态姿势控制能力。

    Abstract:

    Objective: Currently, the conventional static postural-control assessments use linear CoP metrics, whose validity is questionable; nonlinear measures may detect changes more sensitively. This study compares linear and nonlinear CoP analyses for distinguishing declines in postural control caused by reduced plantar sensation. Methods: Twenty-seven healthy college students were recruited (female=5, male=22, age=21.67±1.59 years, height=172.7±7.8 cm, body mass=68.9±10.9 kg). their plantar tactile sensation was reduced via ice immersion, thereby impairing static postural control. Static postural control was measured during double-legged and single-legged standing for 60s . The linear variables like CoP displacement, CoP velocity and CoP ellipse area were calculated. Nonlinear CoP metrics were computed using sample entropy. Paired-sample t-tests were used to compare the static postural control before and after ice. Results: Plantar tactile sensation threshold (pre-ice: 2.75±0.25 gauge, post-ice: 4.03±0.29 gauge, p<0.001, d=4.73) significantly increased after ice immersion. During the double legged standing test, the sample entropy of CoPAP (pre-ice: 0.12±0.08 mm, post-ice: 0.06±0.03 mm, p=0.005, d=0.99)and CoPML (pre-ice: 0.27±0.22 mm, post-ice: 0.03±0.01 mm, p<0.001, d=1.54) significantly decreased after ice immersion; During the single legged standing test, the sample entropy of CoPAP (pre-ice: 0.06±0.03 mm, post-ice: 0.02±0.01 mm, p<0.001, d=1.79) and CoPML (pre-ice: 0.08±0.04 mm, post-ice: 0.02±0.01 mm, p<0.001, d=2.06) significantly decreased after ice immersion. Conclusion: Compared to linear analysis, nonlinear analysis of CoP is more sensitive in assessing static postural control induced by reduced plantar tactile sensation. It is suggested that future studies use CoP nonlinear analysis to assess static postural control.

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  • 收稿日期:2025-05-12
  • 最后修改日期:2025-07-07
  • 录用日期:2025-07-11
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