病态肥胖女性足底敏感性与静、动态身体平衡的关系

Jair Wesley Ferreira Bueno, D. B. Coelho, Caroline Ribeiro de Souza, L. A. Teixeira
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引用次数: 1

摘要

肥胖与健康相关的一个重要问题是姿势稳定性降低,导致跌倒的几率增加。在本实验中,我们旨在比较病态肥胖(n=13,体重指数[BBMI]>40 Kg/m2,平均年龄=38.85岁)和健康体重(瘦)(n=13;BMI<25 Kg/m2,均值=37.62岁)女性在安静和动态身体平衡方面的稳定性,评估安静和动态平衡稳定性与足底敏感性的关联程度。在不同的视觉和支撑基础条件下评估安静姿势。动态任务包括髋关节和肩部有节奏的屈伸运动,控制视觉可用性。足底敏感性阈值是通过在脚底上施加单丝来测量的。结果表明,与苗条女性相比,病态肥胖女性的足底敏感阈值更高,安静站立时的平衡稳定性降低。在肥胖女性中,延展性表面的中外侧站立稳定性与足底敏感性密切相关。动态平衡分析显示,肥胖没有影响,与足底感觉的相关性较弱。我们的研究结果表明,病态肥胖女性足底敏感性的降低可能是其站立稳定性降低的原因,而动态平衡控制似乎不受其足底敏感性降低的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Foot Sole Sensibility with Quiet and Dynamic Body Balance in Morbidly Obese Women
An important health-related problem of obesity is reduced stance stability, leading to increased chance of falling. In the present experiment, we aimed to compare stability in quiet and in dynamic body balance between women with morbid obesity (n = 13, body mass index [BMI] > 40 Kg/m2, mean age = 38.85 years) and with healthy body weight (lean) (n = 13; BMI < 25 Kg/m2, mean age = 37.62 years), evaluating the extent to which quiet and dynamic balance stability are associated with plantar sensibility. Quiet stance was evaluated in different visual and support base conditions. The dynamic task consisted of rhythmic flexion—extension movements at the hip and shoulder, manipulating vision availability. The plantar sensibility threshold was measured through application of monofilaments on the feet soles. The results showed that the morbidly obese, in comparison with the lean women, had higher plantar sensibility thresholds, and a reduced balance stability in quiet standing. Mediolateral stance stability on the malleable surface was strongly correlated with plantar sensibility in the obese women. Analysis of dynamic balance showed no effect of obesity and weaker correlations with plantar sensibility. Our results suggest that reduced plantar sensibility in morbidly obese women may underlie their diminished stance stability, while dynamic balance control seems to be unaffected by their reduced plantar sensibility.
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