不同任务介入对青年行走动态稳定性及 双任务成本的影响
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河北省科技支撑项目(16275709),河北省专业学位研究生教学案例建设项目(KCJSZ2020031)


Effects of Different Task Interventions on Dynamic Stability and Dual-Task Cost of Young Adults During Walking
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    摘要:

    目的 对比不同双任务行走时动态稳定性及双任务稳定性成本的差异。方法利用三维运动捕捉系统采集40名受试者不同双任务行走时的运动学数据,并间接计算相关动态稳定性指标。采用单因素重复测量方差分析对比单任务行走与不同双任务行走步态参数及动态稳定性差异,采用双因素重复测量方差分析双任务类型(认知任务和运动任务)和任务负荷(简单任务和困难任务)对人体双任务稳定性成本的影响以及两者之间的交互作用。结果 与单任务相比,不同双任务介入时步速均降低(P<0.05),步频和动态稳定性均增加(P<0.05),在2倍运动负荷介入时步长小于单任务步行(P<0.05),1倍认知任务和2倍认知任务介入时步宽大于单任务步行(P<005)。简单认知双任务稳定性成本大于简单运动双任务稳定性成本(P<0.05),困难认知双任务稳定性成本小于困难运动双任务(P<005),简单运动双任务稳定成本小于困难运动双任务(P<0.05)。结论 与单任务行走相比,不同双任务的介入均会增加人体动态稳定性;对于双任务稳定性成本,不同任务类型以及不同任务负荷之间存在交互效应。当任务负荷较高时,认知任务的双任务成本较低,即认知任务的负向干扰幅度增大,会损害机体的动态姿势控制能力。当第2任务为运动任务时,较低负荷下对人体动态稳定性的负向干扰幅度增大,降低动态姿势控制能力。

    Abstract:

    Objective To compare the differences in dynamic stability and cost of dual-task stability during walking with different dual tasks. Methods Kinematics data of 40 subjects walking with different dual tasks were collected by three-dimensional (3D) motion capture system, and the related dynamic stability indexes were indirectly calculated. One-way repeated measures ANOVA was used to compare gait parameters and dynamic stability between single-task walking and different dual-task walking. Two-way repeated measures ANOVA was used to analyze the effects of dual-task types (cognitive tasks and motor tasks) and task loads (simple tasks and difficult tasks) on cost of human dual-task stability and the interaction between them. Results Compared with the single task, the pace under intervention of different dual tasks decreased (P<0.05), the pacing frequency and dynamic stability increased (P<0.05), the step length under intervention of double motor loads was smaller than that during single-task walking (P<0.05), and the step length under intervention of a single cognitive task and double cognitive tasks was larger than that during single-task walking (P<0.05). The stability cost of a simple cognitive task was higher than that of a simple motor task (P<0.05), the stability cost of a difficult cognitive task was lower than that of a difficult motor task (P<0.05), and the stability cost of a simple motor task was lower than that of a difficult motor task (P<0.05). Conclusions Compared with single-task walking, the intervention of different dual tasks will increase dynamic stability of human body. For the stability cost of dual tasks, there are interaction effects among different task types and different task loads. When the task load is high, the dual-task cost of the cognitive task is low. Namely, the negative interference amplitude of the cognitive task increases, which will damage dynamic posture control ability of the body. When the second task is the motor task, the negative interference amplitude on dynamic stability of human body increases under a low load, which reduces dynamic posture control ability.

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刘鑫玥,霍洪峰.不同任务介入对青年行走动态稳定性及 双任务成本的影响[J].医用生物力学,2022,37(5):851-856

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  • 收稿日期:2022-04-05
  • 最后修改日期:2022-04-29
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  • 在线发布日期: 2022-10-25
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