Postural Balance in Italian Air Force Pilots: Development of Specific Normative Values.

IF 2.1 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Vincenzo Fiorillo, Barbara Martino, Valeria Castelli, Eliana Filipponi, Leonardo Braga, Alessandro Randolfi, Emanuele Garzia, Federica Di Berardino
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引用次数: 0

Abstract

Objectives: Assessing balance in highly trained individuals, such as military pilots, poses challenges, as deficits may be underestimated when compared to general population norms. To address this, several studies have proposed tailored databases providing reference values for specific populations. This study retrospectively analyzed balance characteristics in active-duty military pilots of the Italian Air Force. Methods: We enrolled 106 subjects split into two groups: 53 military pilots from the Italian Air Force and 53 civilians without flight experience or exposure to specific vestibular stimuli. All participants underwent ENT examinations with audiometric testing to exclude related pathologies, followed by a personal history collection. Subsequently, they completed the EquiTest protocol across six standard conditions. Results: Significant differences were observed between Army Aviators and Non-Aviators. The PREF variable showed the most consistent distinction, with military pilots demonstrating a superior performance (p < 0.01). Additionally, borderline differences were noted in Condition 6 of the equilibrium scores (p = 0.056), and in the Centre of Gravity (COG) analysis along the X-axis for Conditions 1 and 5 (p = 0.090), and for Condition 2 (p = 0.050). These findings suggest enhanced postural control strategies among Army Aviators under conditions of sensory conflict. Conclusions: These findings suggest that normative balance values specific to military pilots should be used when evaluating aviators recovering from balance deficits. Such tailored benchmarks can help determine the need for rehabilitation before returning to duty, ensuring optimal performance under demanding conditions. Further research is necessary to explore the underlying mechanisms responsible for these adaptations and to identify the specific stimuli that contribute to the enhanced balance capabilities observed in this highly trained population.

意大利空军飞行员的姿势平衡:具体规范价值的发展。
目的:评估训练有素的个体(如军事飞行员)的平衡带来了挑战,因为与一般人群标准相比,赤字可能被低估。为了解决这个问题,一些研究提出了为特定人群提供参考值的量身定制的数据库。本研究回顾性分析了意大利空军现役军事飞行员的平衡特征。方法:我们招募了106名受试者,分为两组:53名来自意大利空军的军事飞行员和53名没有飞行经验或暴露于特定前庭刺激的平民。所有参与者都进行了耳鼻喉检查和听力测试,以排除相关病理,随后收集了个人病史。随后,他们在六个标准条件下完成了EquiTest协议。结果:陆军飞行员与非飞行员之间存在显著差异。PREF变量表现出最一致的差异,军事飞行员表现出更优越的表现(p < 0.01)。此外,在条件6的平衡分数中(p = 0.056),在条件1和条件5沿x轴的重心(COG)分析中(p = 0.090),以及条件2 (p = 0.050),都注意到临界差异。这些发现表明,在感觉冲突条件下,陆军飞行员的姿势控制策略得到了增强。结论:这些研究结果表明,在评估平衡性缺陷恢复的飞行员时,应使用特定于军事飞行员的规范平衡性值。这种量身定制的基准可以帮助确定重返工作岗位之前的康复需求,确保在苛刻条件下的最佳表现。需要进一步的研究来探索这些适应的潜在机制,并确定在这一训练有素的人群中观察到的有助于增强平衡能力的特定刺激。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Audiology Research
Audiology Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.30
自引率
23.50%
发文量
56
审稿时长
11 weeks
期刊介绍: The mission of Audiology Research is to publish contemporary, ethical, clinically relevant scientific researches related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear that can be used by clinicians, scientists and specialists to improve understanding and treatment of patients with audiological and neurotological disorders.
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