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DOI: 10.1055/a-1912-4777
Vergleichende Untersuchung der posturalen Kontrolle bei 20–40-Jährigen und Karate-Kaderathleten mittels eines neuromuskulären Trainingsgerätes
Comparative study of postural control in 20–40 years olds and karate athletes using a neuromuscular training device![](https://www.thieme-connect.de/media/sport/202204/lookinside/thumbnails/sport-19124777_10-1055-a-1912-4777-1.jpg)
Zusammenfassung
Hintergrund Die posturale Kontrolle dient dem Erhalt der aufrechten Körperhaltung und trägt zur Gleichgewichtsregulation bei. Die im höheren Alter zunehmenden neuromuskulären Defizite führen zu einer Verschlechterung der posturalen Kontrolle, die durch neuromuskuläres Training verbessert werden kann. In der Annahme, dass neuromuskuläre Defizite bereits früh auftreten, wurden die posturalen Fähigkeiten von 20–40-Jährigen untersucht. Zudem wurde der Einfluss von Leistungssport auf die posturale Kontrolle durch die Untersuchung von Karate-Kaderathleten geprüft.
Methodik Für einen Altersvergleich wurden 123 altershomogene Gesunde zwischen 20 und 40 Jahren untersucht. 24 Karate-Kaderathleten wurden mit den 20–25-jährigen Gesunden der „Normalbevölkerung“ verglichen. Zur Datenerhebung wurde ein neuromuskuläres Trainingsgerät, der Human Body Equilibrium 360 (Huber 360), verwendet.
Ergebnisse Im Altersvergleich zeigten sich für alle 7 Messungen keine signifikanten Unterschiede. Die Probanden waren zu jung, um Defizite zu erkennen. Jedoch zeigten sich einige allgemeine Erkenntnisse. Im beidbeinigen Stand war bei allen Gruppen eine signifikante Zunahme der Körperschwerpunkt (KSP) -Schwankungen nach Augenschluss zu sehen. Der Einfluss der Füßigkeit bzw. Händigkeit zeigte sich im Einbeinstand und Krafttest. Geschlechtsspezifische Unterschiede waren zu verzeichnen. Bei der Untersuchung der Karate-Kaderathleten zeigten sich verschiedene trainingsspezifische Anpassungen. So konnten Karatesportler den Wegfall der visuellen Information besser kompensieren. Karatesportler wiesen außerdem ein signifikant breiteres Gangbild und ein größeres Stabilitätsareal auf. Sportler konnten ihren KSP weiter verlagern, ohne aus dem Gleichgewicht zu geraten.
Diskussion Der Huber 360 ist als Rehabilitations- und Trainingsgerät aufgrund der geringen Trennschärfe der Tests in seinem gesamten Anwendungsspektrum nur bedingt geeignet, da signifikante Unterschiede zwischen den Gruppen schwer zu detektieren sind. Einzelne trainingsspezifische Anpassungen durch leistungsorientiertes Karatetraining sind erkennbar und unterstreichen den Einfluss des Trainings auf die posturale Kontrolle. Zusammenfassend lässt sich sagen, dass die Anwendung des Huber 360 zur Beurteilung von posturalen Fähigkeiten im Altersvergleich und bei Unterscheidung trainingsspezifischer Anpassungen einen differenzierten und selektiveren Einsatz der einzelnen Tests bedarf. Weitere Untersuchungen mit älteren Patienten mit unterschiedlichen Erkrankungen sind geplant.
Abstract
Background Postural control helps maintain upright posture and contributes to balance regulation. Increasing neuromuscular deficits in older subjects lead to a deterioration in postural control, which can be improved through neuromuscular training. Assuming that neuromuscular deficits occur at an early age, the postural abilities of 20 to 40 year olds were investigated. In addition, the influence of competitive sports on postural control was examined by including karate squad athletes.
Methods and material For an age comparison, 123 age-homogeneous healthy people between 20 and 40 years were examined. 24 karate squad athletes were compared with the 20 -25 year old healthy subjects. A neuromuscular training device, the Human Body Equilibrium 360, was used to collect data.
Results In the age comparison, there were no significant differences for all seven measurements. The study group was too young to detect deficits. However, some general findings could be published. In the two-legged stance, a significant increase in the fluctuations of the body centre of gravity after eye closure could be seen in all groups. The influence of footedness and handedness could be seen in the one-legged stance and the strength test. Gender-specific differences could be observed. The examination of karate squad athletes showed various training-specific adaptations. For example, karate athletes were better able to compensate for the loss of visual information. Karate athletes also showed a significantly wider gait pattern and a larger stability area. Athletes were able to shift their body centre of gravity further without getting out of balance.
Conclusion The Huber 360 is only conditionally suitable as a rehabilitation and training device, due to the low discriminatory power of the tests in its entire range of applications, as significant differences between the groups are difficult to detect. Individual training specific adaptations through performance-oriented karate training are recognisable and underline the influence of training on postural control. In summary, the use of the Huber 360 to assess postural abilities in age comparisons and to distinguish training specific adaptations requires a differentiated and more selective use of the individual tests. Further studies with older patients with different diseases are planned.
Schlüsselwörter
Huber 360 - Deutscher Karateverband - Körperschwerpunkt-Schwankungen - Krafttest - GangbildKeywords
Huber 360 - German Karate Association - body centre of gravity fluctuations - strength test - gait patternPublication History
Received: 20 May 2022
Accepted after revision: 24 July 2022
Article published online:
29 November 2022
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Literatur
- 1 Massion J. Postural control system. Current Opinion in Neurobiology 1994; 4: 877-887 DOI: 10.1016/0959-4388(94)90137-6. (PMID: 7888772)
- 2 De Oliveira JM. Statokinesigram normalization method. Behav Res Methods 2017; 49: 310-317 DOI: 10.3758/s13428-016-0706-4. (PMID: 26896243)
- 3 Lesinski M, Hortobágyi T, Muehlbauer T. et al. Effects of Balance Training on Balance Performance in Healthy Older Adults: A Systematic Review and Meta-analysis. Sports Med 2015; 45: 1721-1738 DOI: 10.1007/s40279-015-0375-y. (PMID: 26856580)
- 4 Abrahamová D, Hlavacka F. Age-related changes of human balance during quiet stance. Physiol Res 2008; 57: 957-964 DOI: 10.33549/physiolres.931238. (PMID: 18052683)
- 5 Takacs J, Carpenter MG, Garland SJ. et al. The role of neuromuscular changes in aging and knee osteoarthritis on dynamic postural control. Aging Dis 2013; 4: 84-99 (PMID: 23696951)
- 6 Letafatkar A, Nazarzadeh M, Hadadnezhad M. et al. The efficacy of a HUBER exercise system mediated sensorimotor training protocol on proprioceptive system, lumbar movement control and quality of life in patients with chronic non-specific low back pain. J Back Musculoskelet Rehabil 2017; 30: 767-778 DOI: 10.3233/BMR-150404. (PMID: 28453452)
- 7 Granacher U, Gruber M, Strass D. Auswirkungen von Sensomotorischem Training im Alter auf die Maximal- und Explosivkraft. Konstanz: Bibliothek der Universität Konstanz; 2007
- 8 Lesinski M, Hortobágyi T, Muehlbauer T. et al. Dose-response relationships of balance training in healthy young adults: a systematic review and meta-analysis. Sports Med 2015; 45: 557-576 DOI: 10.1007/s40279-014-0284-5. (PMID: 26856337)
- 9 LPG Medical. HUBER 360 EVOLUTION. Accessed February 09, 2022 at: https://www.lpgmedical.com/en/huber-360-evolution
- 10 Guiraud T, Labrunée M, Besnier F. et al. Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study. Ann Phys Rehabil Med 2017; 60: 20-26 DOI: 10.1016/j.rehab.2016.07.385. (PMID: 27650531)
- 11 Roman-Liu D. Age-related changes in the range and velocity of postural sway. Arch Gerontol Geriatr 2018; 77: 68-80 DOI: 10.1016/j.archger.2018.04.007. (PMID: 29684741)
- 12 Tanaka H, Nakashizuka M, Uetake T. et al. The effects of visual input on postural control mechanisms: an analysis of center-of-pressure trajectories using the auto-regressive model. J Hum Ergol (Tokyo) 2000; 29: 15-25 (PMID: 12696318)
- 13 Del Percio C, Brancucci A, Bergami F. et al. Cortical alpha rhythms are correlated with body sway during quiet open-eyes standing in athletes: a high-resolution EEG study. Neuroimage 2007; 36: 822-829 DOI: 10.1016/j.neuroimage.2007.02.054. (PMID: 17478102)
- 14 Parreira RB, Boer MC, Rabello L. et al. Age-related differences in center of pressure measures during one-leg stance are time dependent. J Appl Biomech 2013; 29: 312-316 DOI: 10.1123/jab.29.3.312. (PMID: 22927501)
- 15 Alonso AC, Mochizuki L, Silva Luna NM. et al. Relation between the Sensory and Anthropometric Variables in the Quiet Standing Postural Control: Is the Inverted Pendulum Important for the Static Balance Control?. Biomed Res Int 2015; 2015: 985312 DOI: 10.1155/2015/985312. (PMID: 26539550)
- 16 de Oliveira JM. Statokinesigram normalization method. Behav Res Methods 2016; 1-8 DOI: 10.3758/s13428-016-0706-4.
- 17 Velotta J, Weyer J, Ramirez A. et al. Relationship between leg dominance tests and type of task. undefined 2011.
- 18 King AC, Wang Z. Asymmetrical stabilization and mobilization exploited during static single leg stance and goal directed kicking. Hum Mov Sci 2017; 54: 182-190 DOI: 10.1016/j.humov.2017.05.004. (PMID: 28501732)
- 19 Filingeri D, Bianco A, Zangla D. et al. Is karate effective in improving postural control?. Arch Budo 2012; 8: 203-206 DOI: 10.12659/AOB.883521.
- 20 William Trial. Kinematics Comparison between Dominant and Non-Dominant Lower Limbs in Thai Boxing. Accessed February 09, 2022 at: http://vc.bridgew.edu/honors_proj/2
- 21 Kim YK, Kim YH. Unilateral Performance Comparison for Taekwondo Kicks between Dominant Leg and Non-Dominant Leg. Korean Journal of Sport Biomechanics 2010; 20: 183-189 DOI: 10.5103/KJSB.2010.20.2.183.
- 22 Perry JA, Srinivasan M. Walking with wider steps changes foot placement control, increases kinematic variability and does not improve linear stability. R Soc Open Sci 2017; 4: 160627 DOI: 10.1098/rsos.160627. (PMID: 28989728)
- 23 Brady AO, Straight CR, Evans EM. Body composition, muscle capacity, and physical function in older adults: an integrated conceptual model. J Aging Phys Act 2014; 22: 441-452 DOI: 10.1123/japa.2013-0009. (PMID: 23945551)
- 24 Ryushi T, Kumagai K, Hayase H. et al. Effect of resistive knee extension training on postural control measures in middle aged and elderly persons. J Physiol Anthropol Appl Human Sci 2000; 19: 143-149 DOI: 10.2114/jpa.19.143. (PMID: 10924038)
- 25 Wolpert DM, Flanagan JR. Motor learning. Curr Biol 2010; 20: R467-72 DOI: 10.1016/j.cub.2010.04.035. (PMID: 20541489)
- 26 Haizlip KM, Harrison BC, Leinwand LA. Sex-based differences in skeletal muscle kinetics and fiber-type composition. Physiology (Bethesda) 2015; 30: 30-39 DOI: 10.1152/physiol.00024.2014. (PMID: 25559153)
- 27 Al-Gindan YY, Hankey CR, Leslie W. et al. Predicting muscle mass from anthropometry using magnetic resonance imaging as reference: a systematic review. Nutr Rev 2014; 72: 113-126 DOI: 10.1111/nure.12096. (PMID: 24447263)
- 28 Chaabène H, Hachana Y, Franchini E. et al. Physical and physiological profile of elite karate athletes. Sports Med 2012; 42: 829-843 DOI: 10.1007/BF03262297. (PMID: 22901041)
- 29 Sbriccoli P, Camomilla V, Di Mario A. et al. Neuromuscular control adaptations in elite athletes: the case of top level karateka. Eur J Appl Physiol 2010; 108: 1269-1280 DOI: 10.1007/s00421-009-1338-5. (PMID: 20039054)