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A 3-Dimensional Gait Analysis of the Effects of Fatigue-Induced Reduced Foot Adductor Muscle Strength on the Walking of Healthy Subjects. 疲劳引起的足内收肌力量减弱对健康受试者行走影响的三维步态分析。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-14 Print Date: 2022-08-01 DOI: 10.1123/jab.2022-0032
Rogerio Pessoto Hirata, Alexander W Erbs, Erik Gadsbøll, Rannvá Winther, Sanne H Christensen, Morten Bilde Simonsen

Dysfunction of the tibialis posterior muscle is the most common cause of adult acquired flat foot. Tibialis posterior muscle weakness has been observed in several patient populations, including those in the early stages of rheumatoid arthritis. However, the influence of tibialis posterior weakness on gait mechanics is not fully understood, although gait instability has been reported. In 24 healthy participants, 3-dimension lower limb kinematics and kinetics during walking were evaluated bilaterally, before and after, a muscle fatigue protocol aiming to decrease the right foot adductor muscles strength, including the tibialis posterior muscle. The 3-dimension gait kinematics and kinetics were analyzed with statistical parametric mapping. The stance phase duration was increased for the right side. The right ankle external rotation moment decreased, and the left hip extension moment increased with reduced muscle strength compared with normal strength conditions. These changes are similar in patients with dysfunction in the tibialis posterior muscle, indicating that compensatory strategies observed in these patients might be related to the loss of tibialis posterior muscle strength. Such strategies may involve the unaffected side.

胫骨后肌功能障碍是成人获得性扁平足最常见的原因。胫骨后肌无力已在一些患者人群中观察到,包括那些在类风湿关节炎的早期阶段。然而,胫骨后肌无力对步态力学的影响尚不完全清楚,尽管有步态不稳定的报道。在24名健康参与者中,在肌肉疲劳方案旨在减少右脚内收肌力量(包括胫骨后肌)之前和之后,对双侧行走期间的三维下肢运动学和动力学进行了评估。采用统计参数映射法对机器人的三维步态运动学和动力学进行了分析。右侧的姿态相位持续时间增加。与正常肌力相比,右踝关节外旋力矩减小,左髋关节伸展力矩增大,肌力降低。这些变化与胫骨后肌功能障碍患者相似,表明在这些患者中观察到的代偿策略可能与胫骨后肌力量的丧失有关。这种策略可能涉及未受影响的一方。
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引用次数: 1
Can Anthropometry be Used to Dictate Participant-Specific Thigh Marker Placements Which Minimize Error in Hip Joint Center Estimation? 人体测量可以用来指示参与者特定的大腿标记物的位置,从而最小化髋关节中心估计的误差吗?
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-13 Print Date: 2022-08-01 DOI: 10.1123/jab.2022-0042
Jessa M Buchman-Pearle, Stacey M Acker

Specific participant characteristics may be leveraged to dictate marker placements which reduce soft tissue artifact; however, a better understanding of the relationships between participant characteristics and soft tissue artifact are first required. The purpose of this study was to assess the accuracy in which measures of whole-body and thigh anthropometry could predict mislocation error of the hip joint center, tracked using skin-mounted marker clusters. Fifty participants completed squatting and kneeling, while pelvis and lower limb motion were recorded. The effect of soft tissue artifact was estimated from 6 rigid thigh marker clusters by evaluating their ability to track the position of the hip joint center most like the pelvis cluster. Eighteen backward stepwise linear regressions were performed using 10 anthropometric measures as independent variables and the mean of the peak difference between the thigh and pelvis cluster-tracked hip joint centers. Fourteen models significantly predicted error with low to moderate fit (R = .38-.67), explaining 14% to 45% of variation. Partial correlations indicated that soft tissue artifact may increase with soft tissue volume and be altered by local soft tissue composition. However, it is not recommended that marker placement be adjusted based on anthropometry alone.

可以利用特定的参与者特征来指示减少软组织伪影的标记位置;然而,首先需要更好地理解参与者特征与软组织伪影之间的关系。本研究的目的是评估全身和大腿人体测量测量的准确性,利用皮肤上的标记簇进行跟踪,预测髋关节中心的错位误差。50名参与者完成了下蹲和跪,同时记录了骨盆和下肢的运动。软组织伪影的影响是通过评估6个刚性大腿标记簇跟踪髋关节中心位置的能力来估计的,最像骨盆簇。采用10项人体测量指标作为自变量和大腿和骨盆之间的峰值差均值进行18次逐步回归。14个模型显著预测了低至中等拟合误差(R = 0.38 - 0.67),解释了14%至45%的变异。部分相关表明,软组织伪影可能随着软组织体积的增加而增加,并受局部软组织组成的改变。然而,不建议仅根据人体测量来调整标记物的位置。
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引用次数: 0
2021 ISB World Athletics Award for Biomechanics: The Subtalar Joint Maintains "Spring-Like" Function While Running in Footwear That Perturbs Foot Pronation. 2021年ISB世界田径生物力学奖:距下关节在穿着扰乱足内旋的鞋子跑步时保持“弹簧”功能。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-13 Print Date: 2022-08-01 DOI: 10.1123/jab.2021-0354
Michael J Asmussen, Glen A Lichtwark, Jayishni N Maharaj

Humans have the remarkable ability to run over variable terrains. During locomotion, however, humans are unstable in the mediolateral direction and this instability must be controlled actively-a goal that could be achieved in more ways than one. Walking research indicates that the subtalar joint absorbs energy in early stance and returns it in late stance, an attribute that is credited to the tibialis posterior muscle-tendon unit. The purpose of this study was to determine how humans (n = 11) adapt to mediolateral perturbations induced by custom-made 3D-printed "footwear" that either enhanced or reduced pronation of the subtalar joint (modeled as motion in 3 planes) while running (3 m/s). In all conditions, the subtalar joint absorbed energy (ie, negative mechanical work) in early stance followed by an immediate return of energy (ie, positive mechanical work) in late stance, demonstrating a "spring-like" behavior. These effects increased and decreased in footwear conditions that enhanced or reduced pronation (P ≤ .05), respectively. Of the recorded muscles, the tibialis posterior (P ≤ .05) appeared to actively change its activation in concert with the changes in joint energetics. We suggest that the "spring-like" behavior of the subtalar joint may be an inherent function that enables the lower limb to respond to mediolateral instabilities during running.

人类有在多变的地形上奔跑的非凡能力。然而,在运动过程中,人类在中外侧方向是不稳定的,这种不稳定必须得到积极的控制——这一目标可以通过多种方式实现。步行研究表明,距下关节在站立早期吸收能量,并在站立后期将其返回,这一特性归功于胫骨后肌-肌腱单元。本研究的目的是确定人类(n = 11)如何适应由定制的3d打印“鞋类”引起的中外侧扰动,这些“鞋类”在跑步(3米/秒)时增强或减少距下关节的内旋(模拟为3个平面的运动)。在所有情况下,距下关节在站立早期吸收能量(即负机械功),随后在站立后期立即返回能量(即正机械功),表现出“类似弹簧”的行为。这些影响在鞋履条件下分别增加或减少内旋(P≤0.05)。在记录的肌肉中,胫骨后肌(P≤0.05)表现出主动改变其激活,与关节能量的变化相一致。我们认为距下关节的“弹簧样”行为可能是一种内在功能,使下肢能够在跑步时对中外侧不稳定做出反应。
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引用次数: 0
Head Kinematics in Youth Ice Hockey by Player Speed and Impact Direction. 青少年冰球运动中运动员速度和冲击方向的头部运动学。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-06 Print Date: 2022-08-01 DOI: 10.1123/jab.2021-0331
Abigail G Swenson, Bari A Schunicht, Nicholas S Pritchard, Logan E Miller, Jillian E Urban, Joel D Stitzel

Hockey is a fast-paced sport known for body checking, or intentional collisions used to separate opponents from the puck. Exposure to these impacts is concerning, as evidence suggests head impact exposure (HIE), even if noninjurious, can cause long-term brain changes. Currently, there is limited understanding of the effect of impact direction and collision speed on HIE. Video analysis was used to determine speed and direction for 162 collisions from 13 youth athletes. These data were paired with head kinematic data collected with an instrumented mouthpiece. Relationships between peak resultant head kinematics and speeds were evaluated with linear regression. Mean athlete speeds and relative velocity between athletes ranged from 2.05 to 2.76 m/s. Mean peak resultant linear acceleration, rotational velocity, and rotational acceleration were 13.1 g, 10.5 rad/s, and 1112 rad/s2, respectively. Significant relationships between speeds and head kinematics emerged when stratified by contact characteristics. HIE also varied by direction of collision; most collisions occurred in the forward-oblique (ie, offset from center) direction; frontal collisions had the greatest magnitude peak kinematics. These findings indicate that HIE in youth hockey is influenced by speed and direction of impact. This study may inform future strategies to reduce the severity of HIE in hockey.

曲棍球是一项快节奏的运动,以身体对抗或故意碰撞而闻名,用来将对手与冰球分开。暴露在这些冲击下是令人担忧的,因为有证据表明,头部撞击暴露(HIE),即使没有伤害,也会导致长期的大脑变化。目前,对撞击方向和碰撞速度对HIE的影响了解有限。视频分析用于确定13名青少年运动员162次碰撞的速度和方向。这些数据与仪器口收集的头部运动学数据配对。用线性回归评估峰值生成头部运动学和速度之间的关系。运动员的平均速度和运动员之间的相对速度在2.05 - 2.76 m/s之间。由此产生的平均峰值线性加速度、转速和旋转加速度分别为13.1 g、10.5 rad/s和1112 rad/s2。当按接触特性分层时,速度和头部运动学之间出现了显著的关系。HIE也随碰撞方向的变化而变化;大多数碰撞发生在前斜(即偏离中心)方向;正面碰撞具有最大的幅度峰值运动学。这些结果表明,青少年曲棍球HIE受撞击速度和方向的影响。这项研究可能为未来减少曲棍球HIE严重程度的策略提供信息。
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引用次数: 3
Using Simultaneous Confidence Bands to Calculate the Margin of Error in Estimating Typical Biomechanical Waveforms. 利用同步置信带计算典型生物力学波形估计的误差范围。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-06 Print Date: 2022-08-01 DOI: 10.1123/jab.2021-0326
William Anderst, Shaquille Charles, Milad Zarei, Ashika Mani, Naomi Frankston, Elliott Hammersley, Gehui Zhang, MaCalus Hogan, Robert T Krafty

Studies of human movement usually collect data from multiple repetitions of a task and use the average of all movement trials to approximate the typical kinematics or kinetics pattern for each individual. Few studies report the expected accuracy of these estimated mean kinematics or kinetics waveforms for each individual. The purpose of this study is to demonstrate how simultaneous confidence bands, which is an approach to quantify uncertainty across an entire waveform based on limited data, can be used to calculate margin of error (MOE) for waveforms. Bilateral plantar pressure data were collected from 70 participants as they walked over 4 surfaces for an average of at least 300 steps per surface. The relationship between MOE and the number of steps included in the analysis was calculated using simultaneous confidence bands, and 3 methods commonly used for pointwise estimates: intraclass correlation, sequential averaging, and T-based MOE. The conventional pointwise approaches underestimated the number of trials required to estimate biomechanical waveforms within a desired MOE. Simultaneous confidence bands are an objective approach to more accurately estimate the relationship between the number of trials collected and the MOE in estimating typical biomechanical waveforms.

对人体运动的研究通常从一个任务的多次重复中收集数据,并使用所有运动试验的平均值来近似每个个体的典型运动学或动力学模式。很少有研究报告这些估计的平均运动学或动力学波形对每个个体的预期精度。本研究的目的是展示如何同时置信带,这是一种基于有限数据量化整个波形不确定性的方法,可用于计算波形的误差范围(MOE)。研究人员收集了70名参与者的双侧足底压力数据,他们在4个表面上行走,平均每个表面至少走300步。MOE与分析中包含的步数之间的关系使用同步置信带和3种常用的逐点估计方法计算:类内相关、顺序平均和基于MOE。传统的点式方法低估了在期望的MOE内估计生物力学波形所需的试验次数。同时置信带是一种客观的方法,可以更准确地估计收集的试验次数与估计典型生物力学波形的MOE之间的关系。
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引用次数: 4
Measures of Lower Body Strength Associated With Injuries in Australian Special Forces Selection Candidates. 澳大利亚特种部队选拔候选人与受伤相关的下肢力量测量。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-05 Print Date: 2022-08-01 DOI: 10.1123/jab.2021-0134
Tim L A Doyle, AuraLea C Fain, Jodie A Wills, Daniel Cooper, Kevin Toonen, Benjamin Kamphius

The diverse and grueling nature of activities undertaken during Special Forces selection makes it difficult to develop physical training to improve performance and reduce injury risk. It is generally accepted that increased strength is protective against injury, but it is unclear if this is evident in a Special Forces selection environment. This study investigated the effect of the rigors of a Special Forces selection course has on performance of the isometric mid-thigh pull, countermovement jump, squat jump, drop landing, elastic utilization ratio (EUR), and injury occurrence. Throughout the course, 26% of participants sustained a preventable lower limb injury, with 65% of these occurring at the knee. The uninjured had higher values of absolute strength as measured by isometric mid-thigh pull peak absolute force (3399 [371] N, 3146 [307] N; P = .022) and lower EUR (0.94 [0.08], 1.01 [0.09]; P = .025) compared to the injured. Preventable knee injury was significantly correlated with isometric mid-thigh pull (r = -.245, P = .031) and EUR (r = .227, P = .044). The selection course altered EUR for uninjured individuals only (P = .004). Findings indicate that individuals with higher strength levels may be at a lower risk of injury than their weaker counterparts.

在特种部队选拔过程中所进行的活动的多样性和艰苦的性质使得发展体能训练以提高表现和减少受伤风险变得困难。人们普遍认为,增加力量可以防止受伤,但目前尚不清楚这在特种部队选拔环境中是否明显。本研究探讨了特种部队选拔课的严谨性对等距大腿中拉、反动作跳、深蹲跳、落地、弹性利用率(EUR)和受伤发生率的影响。在整个过程中,26%的参与者遭受了可预防的下肢损伤,其中65%发生在膝盖。在等距大腿中部拉力峰值绝对力测量中,未损伤组的绝对强度值更高(3399 [371]N, 3146 [307] N;P = 0.022)和较低的欧元(0.94 [0.08],1.01 [0.09];P = .025)。可预防性膝关节损伤与大腿中部等长拉力显著相关(r = -)。245, P = 0.031)和欧元(r = 0.227, P = 0.044)。选择课程仅改变了未受伤个体的EUR (P = 0.004)。研究结果表明,力量水平较高的人受伤的风险可能比较弱的人低。
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引用次数: 0
The Nonintuitive Contributions of Individual Quadriceps Muscles to Patellar Tracking. 单个股四头肌对髌骨追踪的非直觉贡献。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-07-01 Print Date: 2022-08-01 DOI: 10.1123/jab.2021-0112
Seong-Won Han, Andrew Sawatsky, Walter Herzog
The purpose of this study was to quantify the contribution of the individual quadriceps muscles to patellar tracking. The individual and/or combined quadriceps muscles were activated in rabbits (n = 6) during computer-controlled flexion/extension of the knee. Three-dimensional patellar tracking was measured for the vastus lateralis, vastus medialis, and rectus femoris when activated alone and when activated simultaneously at different frequencies, producing a range of knee extensor torques. Patellar tracking changed substantially as a function of knee extensor torque and differed between muscles. Specifically, when all quadriceps muscles were activated simultaneously, the patella shifted more medially and proximally and rotated and tilted more medially compared with when vastus lateralis and rectus femoris were activated alone (P < .05), whereas vastus medialis activation alone produced a similar tracking pattern to that observed when all quadriceps muscles were activated simultaneously. Furthermore, patellar tracking for a given muscle condition shifted more medially and proximally and rotated and tilted more medially with increasing knee extensor torques across the entire range of knee joint angles. The authors conclude that patellar tracking depends crucially on knee extensor force/torque and that vastus medialis affects patellar tracking in a distinctly different way than vastus lateralis and rectus femoris, which produce similar tracking patterns.
本研究的目的是量化单个股四头肌对髌骨追踪的贡献。在计算机控制的膝关节屈伸过程中,兔(n = 6)单个和/或联合股四头肌被激活。在单独激活和以不同频率同时激活时,测量股外侧肌、股内侧肌和股直肌的三维髌骨跟踪,产生一定范围的膝关节伸肌扭矩。髌骨跟踪随着膝关节伸肌扭矩的变化而发生了实质性的变化,并且在不同肌肉之间有所不同。具体而言,与股外侧肌和股直肌单独激活相比,当所有股四头肌同时激活时,髌骨向内侧和近端移动更多,向内侧旋转和倾斜更多(P < 0.05),而单独激活股内侧肌与所有股四头肌同时激活时观察到的跟踪模式相似。此外,在整个膝关节角度范围内,随着膝关节伸肌扭矩的增加,给定肌肉状况的髌骨跟踪向内侧和近端移动更多,向内侧旋转和倾斜更多。作者得出结论,髌骨追踪关键取决于膝关节伸肌力/扭矩,股内侧肌影响髌骨追踪的方式明显不同于股外侧肌和股直肌,两者产生相似的追踪模式。
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引用次数: 1
Patellofemoral Joint Loading in Forward Lunge With Step Length and Height Variations. 在步长和步高变化的前弓步中髌股关节负荷。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-06-13 DOI: 10.1123/jab.2021-0313
R. Escamilla, N. Zheng, T. MacLeod, R. Imamura, Shangcheng Wang, K. Wilk, Kyle Yamashiro, G. Fleisig
The objective was to assess how patellofemoral loads (joint force and stress) change while lunging with step length and step height variations. Sixteen participants performed a forward lunge using short and long steps at ground level and up to a 10-cm platform. Electromyography, ground reaction force, and 3D motion were captured, and patellofemoral loads were calculated as a function of knee angle. Repeated-measures 2-way analysis of variance (P < .05) was employed. Patellofemoral loads in the lead knee were greater with long step at the beginning of landing (10°-30° knee angle) and the end of pushoff (10°-40°) and greater with short step during the deep knee flexion portion of the lunge (50°-100°). Patellofemoral loads were greater at ground level than 10-cm platform during lunge descent (50°-100°) and lunge ascent (40°-70°). Patellofemoral loads generally increased as knee flexion increased and decreased as knee flexion decreased. To gradually increase patellofemoral loads, perform forward lunge in the following sequence: (1) minimal knee flexion (0°-30°), (2) moderate knee flexion (0°-60°), (3) long step and deep knee flexion (0°-100°) up to a 10-cm platform, and (4) long step and deep knee flexion (0°-100°) at ground level.
目的是评估在跨步长度和跨步高度变化时,髌股负荷(关节力和应力)如何变化。16名参与者在地面和10厘米的平台上用长短步进行了向前弓步。捕捉肌电图、地面反作用力和三维运动,并计算髌股负荷作为膝关节角度的函数。采用重复测量双向方差分析(P<0.05)。在着地开始(10°-30°膝角)和蹬出结束(10°-40°)时,主膝的髌股负荷随着长步伐而增大,在弓步的膝深屈曲部分(50°-100°),随着短步伐而增大。在弓步下降(50°-100°)和弓步上升(40°-70°)期间,地面上的髌股负荷大于10cm平台。髌股负荷通常随着膝关节屈曲的增加而增加,随着膝关节弯曲的减少而减少。为了逐渐增加髌股关节负荷,按以下顺序向前弓步:(1)最小膝关节屈曲(0°-30°),(2)中等膝关节屈曲,(3)10 cm平台上的长步和深膝屈曲(0℃-100°),以及(4)地面长步和膝关节深屈曲(0℉-100°)。
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引用次数: 1
Erratum. Shoulder Kinesio Taping Does Not Change Biomechanical Deficits Associated With Scapular Dyskinesis. 勘误表。肩胛骨运动功能不良不能改变肩胛骨运动障碍相关的生物力学缺陷。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.1123/jab.2022-0081

TO OUR READERS: An error appeared in the following article: Yeşilyaprak SS, Yüksel E, Kalaycı MG, Karabay N, Michener LA. Shoulder kinesio taping does not change biomechanical deficits associated with scapular dyskinesis. J Appl Biomech. 2022;38(2):95–102. https://doi.org/10.1123/jab.2021-0259. Funding information for this study was not included in the Acknowledgments. The online version of this article has been corrected. The authors apologize for the error.

致我们的读者:以下文章中出现错误:ye ilyaprak SS, y ksel E, kalaycimg, Karabay N, Michener LA。肩胛骨运动功能不良不能改变与肩胛骨运动障碍相关的生物力学缺陷。中国生物医学工程学报,2016;38(2):95-102。https://doi.org/10.1123/jab.2021 - 0259。本研究的资助信息未包括在致谢中。本文的在线版本已被更正。作者为这个错误道歉。
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引用次数: 0
Effect of Age on Thoracic, Lumbar, and Pelvis Coordination During Trunk Flexion and Extension. 躯干弯曲和伸展过程中年龄对胸、腰和骨盆协调的影响。
IF 1.4 4区 医学 Q2 Medicine Pub Date : 2022-05-23 DOI: 10.1123/jab.2021-0281
R. Kakar, S. Higgins, J. Tome, Natalie Knight, Zachary Finer, Zachary Doig, Yumeng Li
The purpose of this study was to investigate normative and age-related differences in trunk and pelvis kinematics and intersegmental coordination during sagittal plane flexion-extension. Trunk and pelvis kinematics were recorded while 76 participants performed a maximal range of motion task in the sagittal plane. Cross-correlation was calculated to determine the phase lag between adjacent segment motion, and coupling angles were calculated using vector coding and classified into one of 4 coordination patterns: in-phase, antiphase, superior, and inferior phase. A 2-way mixed-model multivariate analysis of variance was used to compare lumbar spine and pelvis angular kinematics, phase lags, and cross-correlation coefficients between groups. Young participants exhibited greater trunk range of motion compared with middle-aged participants. The lumbar spine and pelvis were predominantly rotating with minimum phase lag during flexion and extension movement for both age groups, and differences in coordination between the groups were seen during hyperextension and return to upright position. In conclusion, middle-aged adults displayed lower range of motion but maintained similar movement patterns to young adults, which could be attributed to protective mechanisms. Healthy lumbar and pelvis movement patterns are important to understand and need to be quantified as a baseline, which can be used to develop rehabilitation protocols for individuals with spinal ailments.
本研究的目的是研究矢状面屈伸过程中躯干和骨盆运动学以及节段间协调的规范性和年龄相关性差异。当76名参与者在矢状面上进行最大运动范围的任务时,记录了躯干和骨盆的运动学。计算互相关以确定相邻分段运动之间的相位滞后,并使用矢量编码计算耦合角,并将其分类为4种协调模式之一:同相、反相、上相位和下相位。使用双向混合模型多变量方差分析来比较各组之间的腰椎和骨盆角度运动学、相位滞后和互相关系数。与中年参与者相比,年轻参与者的躯干活动范围更大。在两个年龄组的屈曲和伸展运动中,腰椎和骨盆主要以最小的相位滞后旋转,在过度伸展和恢复直立姿势时,两组之间的协调性存在差异。总之,中年人表现出较低的运动范围,但保持着与年轻人相似的运动模式,这可归因于保护机制。健康的腰椎和骨盆运动模式很重要,需要将其量化为基线,用于制定脊柱疾病患者的康复方案。
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引用次数: 0
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Journal of Applied Biomechanics
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