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Variability of Spatiotemporal Gait Kinematics During Treadmill Walking: Is There a Hawthorne Effect? 跑步机行走时时空步态运动学的变异性:是否存在霍桑效应?
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-06-01 DOI: 10.1123/jab.2022-0185
Saaniya Farhan, Marco A Avalos, Noah J Rosenblatt

Spatiotemporal gait kinematics and their variability are commonly assessed in clinical and laboratory settings to quantify fall risk. Although the Hawthorne effect, or modifications in participant behavior due to knowledge of being observed, has the potential to impact such assessments, it has received minimal attention in the study of gait-particularly gait variability. The purpose of this study was to quantify the Hawthorne effect on variability and central tendency measures of fall-related spatiotemporal gait parameters. Seventeen healthy young adults walked on a treadmill at a self-selected velocity for 2 minutes under covert evaluation (ie, without awareness of being evaluated) and 2 minutes under overt evaluation. The movement was recorded using motion capture technology, from which we calculated mean value and step-to-step variability (using standard deviation and mean absolute deviation) of step length, step width, percent double support, percent stance phase, and stride time. Although central tendencies were unaffected by evaluation type, four-of-five measures of variability were significantly lower during overt evaluation for at least one-of-two metrics. Our results suggest a Hawthorne effect on locomotor control. Researchers should be aware of this phenomenon when designing research studies and interpreting gait assessments.

时空步态运动学及其可变性通常在临床和实验室环境中评估,以量化跌倒风险。虽然霍桑效应,或由于被观察到的知识而改变参与者的行为,有可能影响这种评估,但在步态研究中,特别是步态变异性的研究中,它受到的关注很少。本研究的目的是量化霍桑效应对跌倒相关时空步态参数变异性和集中趋势测量的影响。17名健康的年轻人在跑步机上以自选的速度步行2分钟,隐蔽评估(即没有意识到被评估)和公开评估2分钟。使用动作捕捉技术记录运动,从中计算步长、步宽、双支撑百分比、站立相位百分比和步幅时间的平均值和步间变异性(使用标准差和平均绝对偏差)。尽管集中倾向不受评估类型的影响,但在公开评估中,至少两个指标中的一个的五分之四的变异性测量显着降低。我们的研究结果表明霍桑效应对运动控制有影响。研究人员在设计研究和解释步态评估时应该意识到这一现象。
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引用次数: 1
Effects of Visual Input Absence on Balance Recovery Responses to Lateral Standing Surface Perturbations in Older and Younger Adults. 视觉输入缺失对老年人和年轻人侧向站立面扰动下平衡恢复反应的影响。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-06-01 DOI: 10.1123/jab.2022-0029
Woohyoung Jeon, James Borrelli, Hao-Yuan Hsiao

Although the ability to recover balance in the lateral direction has important implications with regard to fall risk in older adults, the effect of visual input on balance recovery in response to lateral perturbation and the effect of age are not well studied. We investigated the effect of visual input on balance recovery response to unpredictable lateral surface perturbations and its age-related changes. Ten younger and 10 older healthy adults were compared during balance recovery trials performed with the eyes open and eyes closed (EC). Compared with younger adults, older adults showed increased electromyography (EMG) peak amplitude of the soleus and gluteus medius, reduced EMG burst duration of the gluteus maximus and medius, and increased body sway (SD of the body's center of mass acceleration) in EC. In addition, older adults exhibited a smaller % increase (EC-eyes open) of the ankle eversion angle, hip abduction torque, EMG burst duration of the fibularis longus, and a greater % increase of body sway. All kinematics, kinetics, and EMG variables were greater in EC compared with eyes open in both groups. In conclusion, the absence of visual input negatively affects the balance recovery mechanism more in older adults compared with younger adults.

虽然在侧面恢复平衡的能力对老年人跌倒风险具有重要意义,但视觉输入对侧向扰动下平衡恢复的影响以及年龄的影响尚未得到很好的研究。我们研究了视觉输入对平衡恢复反应的影响,以不可预测的侧向表面扰动及其与年龄相关的变化。10名年轻健康成人和10名年长健康成人在睁眼和闭眼(EC)的平衡恢复试验中进行比较。与年轻人相比,老年人在EC中表现为比目鱼肌和臀中肌肌电图(EMG)峰值幅度增加,臀大肌和中肌肌电图爆发持续时间缩短,身体摇摆(身体重心加速度SD)增加。此外,老年人踝关节外翻角、髋关节外展扭矩、腓骨长肌肌电图爆发持续时间的增加百分比较小(ec -睁眼),而身体摆动的增加百分比较大。所有运动学、动力学和肌电图变量都比两组睁眼时大。综上所述,视觉输入缺失对老年人平衡恢复机制的负面影响大于年轻人。
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引用次数: 1
Minimum Sampling Frequency for Accurate and Reliable Tibial Acceleration Measurements During Rearfoot Strike Running in the Field. 准确可靠的胫骨加速度测量的最小采样频率。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-06-01 DOI: 10.1123/jab.2022-0069
Kevin G Aubol, Clare E Milner

Field-based tibial acceleration measurements are increasingly common but sampling frequencies vary between accelerometers. The purpose of this study was to determine the minimum sampling frequency needed for reliable and accurate measurement of peak axial and resultant tibial acceleration during running in the field. Tibial acceleration was measured at 7161 Hz in 19 healthy runners on concrete and grass. Acceleration data were down sampled to approximate previously used sampling frequencies. Peak axial and resultant tibial acceleration were calculated for each sampling frequency. The within-session reliability and accuracy of peak axial and resultant tibial accelerations were evaluated using intraclass correlation coefficients, mean differences, and 95% limits of agreements. Intraclass correlation coefficients greater than .9 indicated excellent within-session reliability for both peak axial and resultant tibial acceleration measured while running on concrete and grass. Peak axial and resultant tibial accelerations were 0.5 to 1.4 g lower and minimal detectable differences were up to 0.6 g higher at 102 Hz compared with higher sampling frequencies. We recommend a minimum sampling frequency of 199 Hz for accurate and reliable measurements of peak axial and resultant tibial acceleration in the field.

基于场的胫骨加速度测量越来越普遍,但加速度计之间的采样频率不同。本研究的目的是确定在野外跑步时可靠和准确测量峰值轴向和由此产生的胫骨加速度所需的最小采样频率。在混凝土和草地上,19名健康跑步者的胫骨加速度为7161 Hz。加速度数据向下采样,以近似先前使用的采样频率。计算每个采样频率的峰值轴向加速度和由此产生的胫骨加速度。使用类内相关系数、平均差异和95%的一致性限来评估峰值轴向加速度和由此产生的胫骨加速度的组内可靠性和准确性。类内相关系数大于0.9表明,在混凝土和草地上跑步时测量的峰值轴向加速度和最终胫骨加速度的组内可靠性都很好。与较高的采样频率相比,102 Hz时的峰值轴向加速度和由此产生的胫骨加速度降低了0.5至1.4 g,最小可检测差异高达0.6 g。我们建议最小采样频率为199hz,以准确可靠地测量峰值轴向和由此产生的胫骨加速度。
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引用次数: 1
Characterization of Head Acceleration Exposure During Youth Football Practice Drills. 青少年足球训练中头部加速度暴露的特征。
IF 1.1 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-27 Print Date: 2023-06-01 DOI: 10.1123/jab.2022-0196
Ty D Holcomb, Madison E Marks, N Stewart Pritchard, Logan Miller, Mark A Espeland, Christopher M Miles, Justin B Moore, Kristie L Foley, Joel D Stitzel, Jillian E Urban

Many head acceleration events (HAEs) observed in youth football emanate from a practice environment. This study aimed to evaluate HAEs in youth football practice drills using a mouthpiece-based sensor, differentiating between inertial and direct HAEs. Head acceleration data were collected from athletes participating on 2 youth football teams (ages 11-13 y) using an instrumented mouthpiece-based sensor during all practice sessions in a single season. Video was recorded and analyzed to verify and assign HAEs to specific practice drill characteristics, including drill intensity, drill classification, and drill type. HAEs were quantified in terms of HAEs per athlete per minute and peak linear and rotational acceleration and rotational velocity. Mixed-effects models were used to evaluate the differences in kinematics, and generalized linear models were used to assess differences in HAE frequency between drill categories. A total of 3237 HAEs were verified and evaluated from 29 football athletes enrolled in this study. Head kinematics varied significantly between drill categorizations. HAEs collected at higher intensities resulted in significantly greater kinematics than lower-intensity drills. The results of this study add to the growing body of evidence informing evidence-based strategies to reduce head impact exposure and concussion risk in youth football practices.

在青少年足球比赛中观察到的许多头部加速度事件(HAEs)都来自练习环境。本研究旨在使用口罩式传感器评估青少年足球训练中的 HAE,并区分惯性和直接 HAE。在一个赛季的所有练习中,使用仪器口罩式传感器收集了两支青少年足球队运动员(11-13 岁)的头部加速度数据。对视频进行录制和分析,以验证 HAE 并将其与特定的训练特点(包括训练强度、训练分类和训练类型)相联系。HAE以每名运动员每分钟的HAE、峰值线性和旋转加速度以及旋转速度进行量化。混合效应模型用于评估运动学方面的差异,广义线性模型用于评估不同训练类别之间 HAE 频率的差异。本研究共对 29 名足球运动员的 3237 次 HAE 进行了验证和评估。不同训练类别的头部运动学差异显著。在高强度训练中收集的 HAE 所产生的运动学数据明显高于低强度训练。这项研究的结果为越来越多的证据提供了依据,为在青少年足球训练中减少头部冲击暴露和脑震荡风险的循证策略提供了参考。
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引用次数: 0
Activity Distribution Among the Hamstring Muscles During the Nordic Hamstring Exercise: A Multichannel Surface Electromyography Study. 北欧腿筋运动中腿筋肌肉的活动分布:多通道表面肌电图研究。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2022-0102
Jozef J M Suskens, Gustaaf Reurink, Johannes L Tol, Gino M M J Kerkhoffs, Edwin A Goedhart, Huub Maas, Jaap H van Dieën

This study assessed activity distribution among the hamstring muscles during the Nordic hamstring exercise (NHE). The objective was to compare muscle activity between and within muscles during the NHE to add insights in its underlying protective mechanism. Through multichannel electromyography, we measured muscle activity in male basketball players during the NHE. Electromyography was assessed at 15 locations: 5 for biceps femoris long head, 4 for semitendinosus, and 6 for semimembranosus. For each percent of the eccentric phase of the NHE, muscle activity was calculated for each electrode location within each hamstring muscle individually. To quantify whole muscle head activity, means and variances across electrodes within each muscle were calculated. Thirty-five noninjured participants were included (mean age, 18 [2] y; mass, 87 [12] kg; height, 192 [9] cm). Heterogeneous muscle activity was found between 38% and 62% and over the whole eccentric contraction phase within the semitendinosus and the semimembranosus, respectively. Muscle activity of the semitendinosus was significantly higher than that of the biceps femoris long head. During the NHE, the relative contribution of the semitendinosus is the highest among hamstring muscles. Its strong contribution may compensate for the biceps femoris long head, the most commonly injured hamstring muscle head.

本研究评估了北欧腿筋运动(NHE)期间腿筋肌肉的活动分布。目的是比较NHE期间肌肉之间和肌肉内部的肌肉活动,以增加对其潜在保护机制的见解。通过多通道肌电图,我们测量了男子篮球运动员在NHE期间的肌肉活动。评估15个部位的肌电图:5个为股二头肌长头,4个为半腱肌,6个为半膜肌。对于NHE偏心相位的每个百分比,分别计算每个腘绳肌内每个电极位置的肌肉活动。为了量化整个肌肉头部的活动,计算了每块肌肉内电极的平均值和方差。35名未受伤的受试者(平均年龄18岁[2];质量87 [12]kg;高度,192[9]厘米)。半腱肌和半膜肌在整个偏心收缩期分别有38% ~ 62%的不均匀肌肉活动。半腱肌的肌肉活动明显高于股二头肌。在NHE期间,半腱肌的相对贡献是腘绳肌中最高的。它的强大贡献可能弥补股二头肌长头,最常受伤的腘绳肌头。
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引用次数: 2
Are Age, Self-Selected Walking Speed, or Propulsion Force Predictors of Gait-Related Changes in Older Adults? 年龄、自主选择的步行速度或推进力是老年人步态相关变化的预测因素吗?
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2022-0026
Dheyani Malde, Natalie Pizzimenti, John McCamley, Bonnie Sumner

There is limited research that directly compares the effect of reduced speed with reduced propulsive force production (PFP) on age-related gait changes. We aimed to determine how changes in the gait of older adults correlate with age, speed, or peak PFP over a 6-year span. We collected kinematics and kinetics of 17 older subjects at 2 time points. We determined which biomechanical variables changed significantly between visits and used linear regressions to determine whether combinations of self-selected walking speed, peak PFP, and age correlated to changes in these variables. We found a suite of gait-related changes that occurred in the 6-year period, in line with previous aging studies. Of the 10 significant changes, we found 2 with significant regressions. Self-selected walking speed was a significant indicator of step length, not peak PFP or age. Peak PFP was a significant indicator for knee flexion. None of the biomechanical changes were correlated to the chronological age of the subjects. Few gait parameters had a correlation to the independent variables, suggesting that changes in gait mechanics were not solely correlated to peak PFP, speed, and/or age. This study improves understanding of changes in ambulation that lead to age-related gait modifications.

直接比较速度降低和推进力产生(PFP)降低对年龄相关步态变化的影响的研究有限。我们的目的是确定老年人步态的变化如何与年龄、速度或6年的峰值PFP相关。我们收集了17名老年受试者在2个时间点的运动学和动力学数据。我们确定了哪些生物力学变量在两次访问之间发生了显著变化,并使用线性回归来确定自主选择的步行速度、峰值PFP和年龄的组合是否与这些变量的变化相关。我们发现在6年的时间里发生了一系列与步态相关的变化,与之前的衰老研究一致。在10个显著变化中,我们发现2个具有显著的回归。自我选择步行速度是步长的重要指标,而不是峰值PFP或年龄。峰值PFP是膝关节屈曲的重要指标。这些生物力学变化与受试者的实际年龄无关。很少有步态参数与自变量相关,这表明步态力学的变化并不仅仅与峰值PFP、速度和/或年龄相关。这项研究提高了对导致与年龄相关的步态改变的行走变化的理解。
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引用次数: 1
Movement Onset Detection Methods: A Comparison Using Force Plate Recordings. 运动开始检测方法:使用力板记录的比较。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2022-0111
Brendan L Pinto, Jack P Callaghan

Computational approaches for movement onset detection can standardize and automate analyses to improve repeatability, accessibility, and time efficiency. With the increasing interest in assessing time-varying biomechanical signals such as force-time recordings, there remains a need to investigate the recently adopted 5 times the standard deviation (5 × SD) threshold method. In addition, other employed methods and their variations such as the reverse scanning and first derivative methods have been scarcely evaluated. The aim of this study was to compare the 5 × SD threshold method, 3 variations of the reverse scanning method, and 5 variations of the first derivative method against manually selected onsets, in the countermovement jump and squat. Limits of agreement with respect to onsets, manually selected from unfiltered data, were best for the first derivative method using a 10-Hz low-pass filter (limits of agreement: -0.02 to 0.05 s and -0.07 to 0.11 s for the countermovement jump and squat, respectively). Thus, even when the onset of unfiltered data is of primary interest, filtering before calculating the first derivative is necessary as it reduces the amplification of high frequencies. The first derivative approach is also less susceptible to inherent variation during the quiet phase prior to the onset compared to the other approaches investigated.

运动开始检测的计算方法可以标准化和自动化分析,以提高可重复性,可访问性和时间效率。随着人们对评估时变生物力学信号(如力-时间记录)的兴趣日益浓厚,仍有必要研究最近采用的5倍标准偏差(5 × SD)阈值方法。此外,其他常用的方法及其变体,如反扫描法和一阶导数法,几乎没有得到评价。本研究的目的是比较5 × SD阈值法、3种不同的反向扫描法和5种不同的一阶导数法对人工选择起跳动作的影响。对于使用10 hz低通滤波器的一阶导数方法,从未过滤的数据中手动选择的起跳的一致性限制是最好的(一致性限制分别为-0.02至0.05秒和-0.07至0.11秒)。因此,即使对未滤波数据的初始值最感兴趣,在计算一阶导数之前进行滤波也是必要的,因为这样可以减少高频的放大。与所研究的其他方法相比,一阶导数方法在发病前的安静阶段也不容易受到固有变化的影响。
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引用次数: 0
Early Changes in Postural Balance Following Inverted V-Shaped High Tibial Osteotomy in Patients With Knee Osteoarthritis. 膝关节骨性关节炎患者倒v型胫骨高位截骨术后姿势平衡的早期变化。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2022-0273
Kento Sabashi, Takeshi Chiba, Koji Iwasaki, Tomohiro Onodera, Eiji Kondo, Norimasa Iwasaki, Harukazu Tohyama

Patients with knee osteoarthritis and varus knee deformity have impaired postural balance, resulting in decreased walking performance and an increased risk of falls. This study aimed to investigate the early changes in the postural balance following inverted V-shaped high tibial osteotomy (HTO). Fifteen patients with medial knee osteoarthritis were recruited. Postural balance was assessed using the center-of-pressure (COP) data during single-leg standing before and 6 weeks after inverted V-shaped HTO. The maximum range, mean velocity, and area of COP movements in the anteroposterior and mediolateral directions were analyzed. Preoperative and postoperative visual analog scale for knee pain was assessed. The maximum range of COP in the mediolateral direction decreased (P = .017), whereas the mean velocity of COP in the anteroposterior direction increased 6 weeks postoperatively (P = .011). The visual analog scale score for knee pain significantly improved at 6 weeks postoperatively (P = .006). Valgus correction with inverted V-shaped HTO resulted in improved postural balance in the mediolateral direction and good short-term clinical outcomes early following surgery. Early rehabilitation after inverted V-shaped HTO should focus on postural balance in the anteroposterior direction.

患有膝骨关节炎和膝内翻畸形的患者姿势平衡受损,导致行走能力下降和跌倒风险增加。本研究旨在探讨倒v型胫骨高位截骨术(HTO)后早期姿势平衡的变化。我们招募了15例膝关节内侧骨关节炎患者。采用倒v型HTO前和倒v型HTO后6周单腿站立时的压力中心(COP)数据评估姿势平衡。分析了COP在正前方和中外侧运动的最大范围、平均速度和面积。评估术前和术后膝关节疼痛视觉模拟量表。术后6周,COP在中外侧方向的最大范围减小(P = 0.017),而在正前方方向的平均速度增加(P = 0.011)。术后6周膝关节疼痛视觉模拟评分明显改善(P = 0.006)。倒v型HTO矫正外翻可改善中外侧方向的姿势平衡,术后早期短期临床效果良好。倒v型HTO术后早期康复应注重前后位平衡。
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引用次数: 1
Hip Joint Biomechanical Parameters and Their Relationship With the Esthetic Functional Performance of the Développé à la Seconde Movement in Classical Ballet Dancers. 古典芭蕾舞演员髋部生物力学参数及其与第二动作审美功能表现的关系
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2022-0200
Fernanda Metzen, João Breno Ribeiro-Alvares, Klauber Dalcero Pompeo, Francesca Chaida Sonda, Rodrigo Silva Santos, Marco Aurélio Vaz

Développé à la seconde is a classic ballet movement that requires the maintenance of a high hip joint range of motion (ROM) and muscle strength. However, the contribution of these hip joint biomechanical parameters to this movement's esthetic performance is unclear. Therefore, this study evaluated hip joint biomechanical characteristics of 21 experienced ballet dancers (15-29 y old) and verified the relationship between these variables with the développé à la seconde static and dynamic performance. Correlations between age, ballet practice time, gluteus maximus and gluteus medius thicknesses, ROM, and muscle strength with absolute and relative static and dynamic performances were verified. Flexors, extensors, and internal rotators peak strength and external rotation ROM were highly correlated with absolute and relative static performances (0.5-0.7). Flexors and extensors strength and external and internal rotation ROM showed the highest correlations with the développé dynamic performance (0.49-0.67). Flexor strength and flexor and internal rotation ROM predicted 26% to 41% of this movement's static and dynamic performances. Thus, from a biomechanical perspective, clinical assessment of hip strength and ROM may be used to predict the quality of the ballet dancers' performance of the développé à la seconde and guide classical ballet training.

第二步是一种经典的芭蕾动作,需要保持较高的髋关节活动范围(ROM)和肌肉力量。然而,这些髋关节生物力学参数对该动作美学表现的贡献尚不清楚。因此,本研究评估了21名经验丰富的芭蕾舞者(15-29岁)的髋关节生物力学特征,并验证了这些变量与d 静态和动态表现之间的关系。验证年龄、芭蕾舞练习时间、臀大肌和臀中肌厚度、ROM和肌力与绝对静态和相对动态性能的相关性。屈肌、伸肌和内旋肌的峰值强度和外旋ROM与绝对和相对静态性能高度相关(0.5-0.7)。屈伸肌强度和内外旋ROM与d - p动态性能的相关性最高(0.49-0.67)。屈肌强度和屈肌和内旋ROM预测了该动作静态和动态性能的26%至41%。因此,从生物力学的角度,临床评估髋关节力量和关节活动度可用于预测芭蕾舞者的d2013.10表演质量,并指导古典芭蕾训练。
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引用次数: 0
Effects of Gluteus Medius and Biceps Femoris Stimulation on Reduction of Knee Abduction Moment During a Landing Task. 刺激臀中肌和股二头肌对降低着地时膝关节外展力矩的影响。
IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2023-04-01 DOI: 10.1123/jab.2021-0107
Dan Wang, Man Wang, Vikki Wing-Shan Chu, Patrick Shu-Hang Yung, Daniel T P Fong

Anterior cruciate ligament injury prevention should focus primarily on reduction of the knee abduction moment (KAM) in landing tasks. Gluteus medius and hamstring forces are considered to decrease KAM during landing. The effects of different muscle stimulations on KAM reduction were compared using 2 electrode sizes (standard 38 cm2 and half size 19 cm2) during a landing task. Twelve young healthy female adults (22.3 [3.6] y, 1.62 [0.02] m, 50.2 [4.7] kg) were recruited. KAM was calculated under 3 conditions of muscle stimulation (gluteus medius, biceps femoris, and both gluteus medius, and biceps femoris) using 2 electrode sizes, respectively versus no stimulation during a landing task. A repeated-measures analysis of variance determined that KAM differed significantly among stimulation conditions and post hoc analysis revealed that KAM was significantly decreased in conditions of stimulating either the gluteus medius (P < .001) or the biceps femoris (P < .001) with the standard electrode size, and condition of stimulating both gluteus medius and biceps femoris with half-size electrode (P = .012) when compared with the control condition. Therefore, stimulation on the gluteus medius, the biceps femoris, or both muscles could be implemented for the examination of anterior cruciate ligament injury potential.

预防前交叉韧带损伤应主要集中在减少膝关节外展力矩(KAM)的着陆任务。臀中肌和腘绳肌的力量被认为可以减少着陆时的KAM。在着陆任务中,使用两种电极尺寸(标准38 cm2和半尺寸19 cm2)比较不同肌肉刺激对KAM还原的影响。招募了12名年轻健康成年女性(22.3 [3.6]y, 1.62 [0.02] m, 50.2 [4.7] kg)。在三种肌肉刺激条件下(臀中肌,股二头肌,以及臀中肌和股二头肌),分别使用两种电极尺寸计算KAM,在着陆任务中没有刺激。重复测量的方差分析确定了不同刺激条件下的KAM差异显著,事后分析显示,与对照条件相比,使用标准电极尺寸刺激臀中肌(P < 0.001)或股二头肌(P < 0.001),以及使用半尺寸电极同时刺激臀中肌和股二头肌(P = 0.012)的情况下,KAM显著降低。因此,可以通过刺激臀中肌、股二头肌或两侧肌肉来检查前交叉韧带损伤的可能性。
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引用次数: 0
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