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3 Immediate Effects of the Self-control Intervention of Trunk Movement on Postural Stability in College Female Athletes MIYOSHI, Eiji IWATA, Shinichi The purpose of this study was to investigate the immediate effects after the self-control intervention of trunk movement on postural stability. Twenty-eight female college athletes participated in this study. Participants were divided into the trunk self-control group and a control group. Postural sway was assessed by the stability of center of foot pressure (COP) using a force platform. The participants were also asked to assess their stability subjectively with a visual analog scale. The trunk self-control group carried out anterior posterior pelvic tilt intervention using the Dohsa-method, while the control group just sat on a chair. A post-test was conducted immediately after the intervention. Results of an ANCOVA revealed that the trunk self-control group showed significant improvement on lateral maximum amplitude of the COP, however no significant improvement was found on total length, rectangular area, root mean square, and anteroposterior maximum amplitude of the COP. Subjective assessment on postural stability was significantly improved by the intervention. In conclusion, trunk self-control intervention with the Dohsa-method was effective in improving postural lateral stability of the COP and the subjectively assessed stability. Key words: body sway, Dohsa-method, pelvic tilt
4 Gray a 7
5 17 Visual analog scale 2012b cm kg cm 3 cm 30 2 m 1 3 center of pressure COP
6 X Y COP Kaji et al., Visual analog Scale VAS VAS 10 cm 0 mm Day et al.,
7 体幹動作の自己コントロールが姿勢の安定性に及ぼす即時効果 図1 図2 19 体幹の自己コントロール課題 座位での骨盤の前傾と後傾 体幹の自己コントロール課題 両膝立ちでの骨盤の前傾と後傾 以下 両膝立ち姿勢 図 2 片膝立ち姿勢 立位姿勢の順で行った 各姿勢においても座位と 同様の方法で骨盤の動作課題を行った 膝立ちや立位では真っ直ぐな姿勢を維持したままの骨盤 の操作は難易度が高く 前述した体幹に現れる代償動作に加え 骨盤の前後の移動や 骨盤後傾 にともなう膝関節の屈曲や 前傾にともなう膝の過伸展などが観察されることが多い これらの 姿勢のアライメントを崩す動作についても徒手的にブロックすることで気づきを促し 姿勢全体 のアライメントをできるだけ垂直に維持させたまま骨盤の自己コントロールを促した 2.6 統計処理 COP 指標 および主観的安定感の VAS は 各被験者のプレテスト ポストテストそれぞれ 3 試 技の平均値を用いた プレテストの群間の比較には対応のない t 検定を行った 介入効果の検定に は 介入前後の変化量 介入後 介入前 を目的変数 プレテストの値を共変量とし 共分散分
8 t 5 IBM SPSS statistics ver 20.0 for Windows Y COP X F p COP VAS F p 0.006
9 21 COP X Day et al., 1993 Winter et al., COP Kaji et al., COP 2012b 7 6
10 Schieppati et al., Recurrence Quantification Analysis Day et al. 1984
11 COP 4 1 COP X p 0.05 Y 2 VAS p Day JW, Smidt GL Lehmann T. (1984) Effect of pelvic tilt on standing posture. Phys Therapy. 64(4): Day BL, Steiger MJ Thompson PD, Marsden CD. (1993) Effect of vision and stance with on human body motion when standing: implications for afferent control of lateral sway. J Physiol. 469: Gray Cook (1) : , 2012 Kaji A. et al, (2010) Transient effect of core stability exercises on postural sway during quiet standing. J Strength Cond Res 24(2): Equilibrium Res Vol. 56(4) P
12 a b KJ Schieppati PB, et al Subjective Perception of Postural Sway. J. Neurol Neurosurg Psychiatry 66: C1Sh2 Winter DA, Prince F, Frank JS, Powell C, Zabjec KF (1996) Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiology 75: Supp Biomechanics stabilization official book PCY PI
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