动作任务与认知任务干扰对老年人下楼梯行走身体动态稳定性的影响
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1.山东体育学院;2.武警后勤学院

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Effects of motion task and cognitive task interventions on dynamic stability of the body of the elderly when walking downstairs
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1.Shandong Sport University;2.Logistics University of People’s Armed Police Force

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    摘要:

    目的:探讨动作任务与认知任务干扰介入对老年人下楼梯行走身体稳定性的影响。方法:本研究共招募52名老年受试者(年龄:66.8±3.6岁),使用Vicon红外动作捕捉系统与Kistler测力台,同步采集老年人下楼梯行走时单任务(single task,ST)、动作任务(manual task,MT)和认知任务(cognitive task,CT)三种模式下的运动学与动力学数据。通过引入动态稳度(margin of stability,MoS)算法,对老年人下楼梯行走的身体稳定性进行量化评定。应用重复测量方差分析比较不同任务各指标组内差异。结果:①步态指标,相比于ST,老年人在MT和CT中步速显著减小(P<0.001),步频显著降低(P<0.001);相比于ST,老年人在CT中步长显著减小(P=0.037)。②前-后方向身体动态稳定性指标,相比于ST,老年人在MT和CT中质心速度显著增大(P<0.001),外推质心的位置显著增大(P<0.001),MoS显著减小(P<0.001);相比于CT,老年人在MT中质心位移显著增大(P=0.011),质心速度显著增大(P=0.014),外推质心的位置显著增大(P<0.001)。③内-外方向身体动态稳定性指标,相比于ST,老年人在MT和CT中质心位移显著减小(P<0.001);相比于ST,老年人在MT中外推质心位置显著减小(P=0.001),MoS显著增大(P=0.038)。结论:本研究发现老年人下楼梯行走受到双任务干扰时,通过“减慢步速、降低步频、减小步长”的步态调整策略,内外方向的动态稳定性能够得到维持,但前后方向的动态稳定性仍显著降低,跌倒风险增大。

    Abstract:

    Objective: To investigate how interference from motor and cognitive tasks affects the postural stability of older adults while descending stairs. Methods: The study involved 52 older adults (mean age: 66.8 ± 3.6 years). Using the Vicon infrared motion capture system and Kistler force plate, kinematic and dynamic data were collected simultaneously during stair descent under three conditions: single-task, motor task, and cognitive task. Dynamic stability during stair descent was assessed using the Measure of Stability algorithm. Repeated measures ANOVA was applied to compare differences across conditions. Results: 1) Gait Parameters: Compared to the single-task condition, both step speed (P < 0.001) and step frequency (P < 0.001) were significantly reduced under motor and cognitive task conditions.tep length (P = 0.037) was also significantly reduced under the cognitive task condition compared to the single-task condition. 2) Anterior-Posterior Dynamic Stability: Compared to the single-task condition, centroid velocity (P < 0.001) and extrapolated centroid position (P < 0.001) were significantly increased, while dynamic stability (P < 0.001) was significantly decreased under both motor and cognitive task conditions. In comparison to the cognitive task condition, centroid displacement (P = 0.011) and velocity (P = 0.014) , as well as extrapolated centroid position (P < 0.001) , were significantly greater under the motor task condition. 3) Medial-Lateral Dynamic Stability: Compared to the single-task condition, centroid displacement (P < 0.001) was significantly reduced under both motor and cognitive task conditions. Additionally, the extrapolated centroid position (P = 0.001) was significantly reduced, and dynamic stability (P = 0.038) was significantly increased under the motor task condition compared to the single-task condition. Conclusion: The study found that older adults adjust their gait in response to dual-task interference while descending stairs by "slowing down step speed, reducing step frequency, and shortening step length." This adjustment helps maintain medial-lateral dynamic stability but significantly decreases anterior-posterior dynamic stability, thereby increasing the risk of falls.

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  • 收稿日期:2024-08-23
  • 最后修改日期:2024-10-10
  • 录用日期:2024-10-12
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