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首页> 外文期刊>Journal of athletic training >Previous mild traumatic brain injury and postural-control dynamics.
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Previous mild traumatic brain injury and postural-control dynamics.

机译:以前的温和创伤性脑损伤和姿势控制动态。

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CONTEXT: Postural control and cognitive function are adversely affected by acute mild traumatic brain injury (mTBI). Whether postural-control deficits persist beyond the acute stage in individuals with a history of mTBI is unclear. OBJECTIVE: To determine if postural-control deficits persist in individuals with a history of mTBI. DESIGN: Retrospective cross-sectional study. SETTING: University research laboratory. PATIENTS OR OTHER PARTICIPANTS: As part of an ongoing investigation examining cognitive and motor deficits associated with mTBI, 224 individuals participated in the study. Of these, 62 participants self-reported at least 1 previous physician-diagnosed mTBI. INTERVENTION(S): Postural control was assessed using the NeuroCom Sensory Organization Test (SOT) postural-assessment battery. MAIN OUTCOME MEASURE(S): The SOT postural assessment yields 4 indices of postural control: a composite balance score, a visual ratio score, a somatosensory score, and a vestibular score. Postural dynamics were also examined by calculating approximate entropy of center-of-pressure excursions in the anteroposterior and mediolateral axis for each test condition. RESULTS: Minimal differences in the SOT indices were noted among individuals with and without a history of previous mTBI (P > .05). In the group with a history of mTBI, anteroposterior postural irregularity decreased as postural difficulty increased. In contrast, the group without a history of mTBI displayed increased postural irregularity in the mediolateral direction. CONCLUSIONS: Individuals with a history of mTBI exhibited altered postural dynamics compared with individuals without a history of mTBI. These findings support the notion that changes in cerebral functioning that affect postural control may persist long after acute injury resolution.
机译:背景:受急性轻度创伤性脑损伤(MTBI)的姿势控制和认知功能受到不利影响。姿势控制赤字是否持续超越患有MTBI历史的个体急性阶段。目的:确定姿势控制赤字是否持续存在具有MTBI历史的个人。设计:回顾性横截面研究。环境:大学研究实验室。患者或其他参与者:作为持续调查的一部分,审查与MTBI相关的认知和电机缺陷,224人参加了该研究。其中62名参与者自我报告至少1次医生诊断的MTBI。干预:使用神经感官组织测试(SOT)姿态评估电池评估姿势对照。主要成果措施:SOT姿势评估产生4个姿势控制指标:复合余额评分,视觉比分,躯体感应度得分和前庭分数。还通过计算每种测试条件的前后和MIDIOLATELALAS中的压力中心偏移的近似熵来检查姿势动力学。结果:在有和未经前一个MTBI的历史(p> .05)中,在个体中发现了SOT指数的最小差异(p> .05)。在患有MTBI历史的小组中,前后姿势畸形减少随着姿势难度的增加而下降。相比之下,没有MTBI历史的小组在中间方向上显示出增加的姿势不规则性。结论:与MTBI历史的历史历史上,与未经MTBI历史的人表现出改变的姿势动力学。这些发现支持脑功能的变化影响姿势控制的变化可能在急性损伤分辨率后持续存在。

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