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Postural control while dressing on two surfaces in the elderly

机译:老年人在两个表面上穿衣时的姿势控制

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Falling is a worldwide problem faced by the elderly, and it has serious consequences. The elderly falls in the bathroom very often, and this raises the concern of the connection between the high incidence of falls in the bathroom and postural control of putting on shorts. Because little is known about postural control while putting on shorts of any age group, this study investigated the effects of age and surface on postural control while putting on shorts. Healthy young adults (n = 15; age range: 21–27 years) and the elderly participants (n = 15; age range: 63–78 years) were compared in the temporal–spatial parameters, movement of center of mass (COM), and its interactions with center of pressure (COP) and kinematic measures under two conditions: anti-slipping mat and tile. The results demonstrated that the elderly had lengthened cycle time, decreased single-limb-support ratio, decreased medial–lateral velocity of COM, decreased relative displacement between COM and COP, decreased hip abduction–adduction angle, knee flexion angle, and the height of foot elevation. The elderly demonstrated a conservative strategy that may reduce the mechanical load on the supporting limb but preserve medial–lateral balance during the task. The adopted strategy may be relevant to the reduction of muscle strength and proprioception loss during natural aging process. Although surface did not affect the motion patterns of participants while putting on shorts, the slippery surface should be avoided. Other environmental modification such as a grab bar and bright illumination may have advantages in reducing the risk of falls.
机译:跌倒是老年人所面临的全球性问题,并有严重后果。老年人经常掉入浴室,这引起人们对浴室掉落的高发率与穿短裤姿势控制之间的联系的关注。由于对任何年龄组的短裤穿着时的姿势控制知之甚少,因此本研究调查了在穿着短裤时年龄和表面状况对姿势控制的影响。比较健康的年轻成年人(n = 15;年龄范围:21–27岁)和老年参与者(n = 15;年龄范围:63–78岁)的时空参数,质心运动(COM) ,以及它与压力中心(COP)和运动学措施在两种情况下的相互作用:防滑垫和瓷砖。结果表明,老年人的周期时间延长,单肢支持率降低,COM的内外侧速度降低,COM和COP之间的相对位移降低,髋关节外展内收角,膝盖屈曲角度和高位脚高。老年人表现出一种保守的策略,可以减少支撑肢体的机械负荷,但在任务期间保持内侧-外侧的平衡。采取的策略可能与自然衰老过程中肌肉力量的减少和本体感受的丧失有关。尽管穿短裤时表面不会影响参与者的运动方式,但应避免打滑表面。其他环境改进,例如扶手和明亮的照明,在降低跌倒风险方面可能具有优势。

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