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Generalization of Gait Adaptation for Fall Prevention: From Moveable Platform to Slippery Floor

机译:预防跌倒的步态适应一般化:从活动平台到湿滑地板

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摘要

A person's ability to transfer the acquired improvements in the control of center of mass (COM) state stability to slips induced in everyday conditions can have profound theoretical and practical implications for fall prevention. This study investigated the extent to which such generalization could take place. A training group (n = 8) initially experienced 24 right-side slips in blocked-and-random order (from the 1st unannounced, novel slip, S-1 to the last, S-24) resulting from release of a low-friction moveable platform in walking. They then experienced a single unannounced slip while walking on an oil-lubricated vinyl floor surface (V-T). A control group (n = 8) received only one unannounced slip on the same slippery floor (V-C). Results demonstrated that the incidence of balance loss and fall on V-T was comparable to that on S-24. In both trials, fall and balance-loss incidence was significantly reduced in comparison with that on S-1 or on V-C, resulting from significant improvements in the COM state stability. The observed generalization indicates that the control of COM stability can be optimally acquired to accommodate alterations in environmental constraints, and it may be broadly coded and easily modifiable within the CNS. Because of such mechanisms, it is possible that the locomotor-balance skills acquired with the aid of low-friction moveable platforms can translate into resisting falls encountered in daily living.
机译:一个人将获得的质心(COM)状态稳定性控制方面的改进转移到在日常情况下引起的滑移的能力,对于预防跌倒可能具有深远的理论和实践意义。这项研究调查了这种泛化的程度。训练小组(n = 8)最初经历了24次右侧滑动,其顺序是由低摩擦的释放引起的(从第一个未宣布的新颖滑动,S-1至最后一个,S-24)行走中的可移动平台。然后,他们在油润滑的乙烯基地板(V-T)上行走时经历了一次意外的滑倒。对照组(n = 8)在同一块湿滑的地板(V-C)上只收到一份未通知的滑倒。结果表明,V-T上的平衡损失和跌倒的发生率与S-24上的相当。在这两个试验中,由于COM状态稳定性的显着改善,与S-1或V-C相比,跌落和平衡损失发生率显着降低。观察到的概括表明,可以最佳地获取COM稳定性的控制以适应环境约束的变化,并且可以在CNS内对其进行广泛编码和轻松修改。由于这种机制,借助低摩擦可移动平台获得的运动平衡技能有可能转化为抵抗在日常生活中遇到的跌倒。

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