文献詳細
文献概要
特集 システムとしての姿勢制御—メカニズムの解明から臨床応用まで
姿勢制御における感覚戦略
著者: 光武翼1
所属機関: 1福岡国際医療福祉大学医療学部理学療法学科
ページ範囲:P.283 - P.290
文献購入ページに移動Point
●感覚戦略は環境や状況に応じて視覚,体性感覚,前庭覚の比重を変化させることで姿勢を制御する役割を担う
●視覚,体性感覚,前庭覚は姿勢安定性に影響しており,各感覚情報に焦点を当てた評価は姿勢安定性を把握するうえでも重要である
●各感覚刺激に対する姿勢制御反応に一貫性は認められておらず,対象者の優位な感覚情報を模索する必要がある
●感覚戦略は環境や状況に応じて視覚,体性感覚,前庭覚の比重を変化させることで姿勢を制御する役割を担う
●視覚,体性感覚,前庭覚は姿勢安定性に影響しており,各感覚情報に焦点を当てた評価は姿勢安定性を把握するうえでも重要である
●各感覚刺激に対する姿勢制御反応に一貫性は認められておらず,対象者の優位な感覚情報を模索する必要がある
参考文献
1)Taneda K, et al:Effects of simulated peripheral visual field loss on the static postural control in young healthy adults. Gait Posture 2021;86:233-239
2)Raffi M, et al:Angle of gaze and optic flow direction modulate body sway. J Electromyogr Kinesiol 2017;35:61-68
3)Mani H, et al:Visual feedback in the lower visual field affects postural control during static standing. Gait Posture 2022;97:1-7
4)Roh M, et al:Relations between postural sway and cognitive workload during various gaze tasks in healthy young and old people. J Exerc Rehabil 2021;17:131-137
5)Bizovska L, et al:Saccadic eye movements and their influence on kinematics of several body segments in elderly while standing. Acta Bioeng Biomech 2019;21:121-126
6)Thomas NM, et al:Eye movements affect postural control in young and older females. Front Aging Neurosci 2016;8:216. doi:10.3389/fnagi.2016.00216
7)Hunter MC, et al:Postural control:visual and cognitive manipulations. Gait Posture 2001;13:41-48
8)Liu JX, et al:Muscle spindles in the deep muscles of the human neck:a morphological and immunocytochemical study. J Histochem Cytochem 2003;51:175-186
9)Jull G, et al:Whiplash, headache, and neck pain:research-based directions for physical therapies, 1st ed. Churchill Livingston, Philadelphia, 2008
10)Kader DF, et al:Correlation between the MRI changes in the lumbar multifidus muscles and leg pain. Clin Radiol 2000;55:145-149
11)Ryan AS, et al:Hemiparetic muscle atrophy and increased intramuscular fat in stroke patients. Arch Phys Med Rehabil 2002;83:1703-1707
12)Mitsutake T, et al:Greater cervical muscle fat infiltration evaluated by magnetic resonance imaging is associated with poor postural stability in patients with cervical spondylotic radiculopathy. Spine(Phila Pa 1976) 2016;41:E8-E14. doi:10.1097/BRS.0000000000001196
13)Whitney SL, et al:Gaze stabilization and gait performance in vestibular dysfunction. Gait Posture 2009;29:194-198
14)Mitsutake T, et al:Poor gait performance is influenced with decreased vestibulo-ocular reflex in poststroke patients. Neuroreport 2017;28:745-748
15)Honaker JA, et al:Clinical use of the gaze stabilization test for screening falling risk in community-dwelling older adults. Otol Neurotol 2013;34:729-735
16)McCall AA, et al:Descending influences on vestibulospinal and vestibulosympathetic reflexes. Front Neurol 2017;8:112. doi:10.3389/fneur.2017.00112
17)Shumway-Cook A, et al(原著),田中 繁,他(監訳):モーターコントロール—研究室から臨床実践へ,原書第4版.医歯薬出版,2013
18)Freeman DL, et al:Instrumented test of sensory integration for balance:a validation study. J Geriatr Phys Ther 2018;41:77-84
19)Mitsutake T, et al:Effects of noisy galvanic vestibular stimulation on the muscle activity and joint movements in different standing postures conditions. Front Hum Neurosci 2022;16:891669. doi:10.3389/fnhum.2022.891669
20)Bonan IV, et al:Sensory reweighting in controls and stroke patients. Clin Neurophysiol 2013;124:713-722
21)Chia FS, et al:Sensory retraining of the leg after stroke:systematic review and meta-analysis. Clin Rehabil 2019;33:964-979
22)Hall CD, et al:Vestibular rehabilitation for peripheral vestibular hypofunction:an updated clinical practice guideline from the Academy of Neurologic Physical Therapy of the American Physical Therapy Association. J Neuro Phys Ther 2021;46:118-177
23)Mitsutake T, et al:The effects of vestibular rehabilitation on gait performance in patients with stroke:a systematic review of randomized controlled trials. J Stroke Cerebrovasc Dis 2020;29:105214. doi:10.1016/j.jstrokecerebrovasdis.2020.105214
24)García-Muñoz C, et al:Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis:a systematic review and meta-analysis. J Clin Med 2020;9:590. doi:10.3390/jcm9020590
25)Tramontano M, et al:Efficacy of vestibular rehabilitation in patients with neurologic disorders:a systematic review. Arch Phys Med Rehabil 2021;102:1379-1389
26)Mitsutake T, et al:Effects of vestibular rehabilitation on gait performance in poststroke patients:a pilot randomized controlled trial. Int J Rehabil Res 2017;40:240-245
27)Mitsutake T, et al:Transient effects of gaze stability exercises on postural stability in patients with posterior circulation stroke. J Mot Behav 2018;50:467-472
掲載誌情報