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Living with Knee Osteoarthritis: The Positive Impact of Reducing the Knee Torque Induced When Sleeping Supine; A Randomised Clinical Trial 膝关节骨性关节炎患者:减少仰卧睡眠时膝关节扭矩的积极影响一项随机临床试验
Pub Date : 2022-03-09 DOI: 10.3390/biomechanics2010010
J. Buckley, A. Scally, C. Bhattacharjee
When lying supine, due to the reaction force from the mattress acting mostly through the heel, an external knee-extension joint-torque is induced that keeps the knee fully extended. This torque becomes zero if the feet are hung over the end of the support. This study investigated, in patients with knee-osteoarthritis (knee-OA) who routinely sleep supine, whether a change to such a sleeping position would ameliorate the knee pain and associated physical problems they suffer. Patients were recruited (General-Practitioners Centre, UK) over a 9-month period; those eligible (51/70) were randomly allocated to an intervention (65% female; age 71.5 [11.3] yrs; BMI, 29.20 [5.54] kg/m2; knee-OA severity, 20 mild–mod/3 severe) or control group (63% female; age, 68.3 [9.7] yrs; BMI, 28.69 [5.51] kg/m2; knee-OA severity, 17 mild–mod/2 severe). The primary outcome was improvements (0 [worst] to 100 [best]) in knee pain at 3 months and was rated in the Knee-Injury-and-Osteoarthritis-Outcome-Score questionnaire (KOOS). Secondary outcomes were improvements (0–100) in the other four KOOS-subscales. There were no differences between groups in KOOS outcomes at baseline, and there were no changes in KOOS outcomes in the control group at 3 months. Relative to the baseline KOOS values in Knee-Pain (50.1), Symptoms (52.5), Activities-of-Daily-Living (53.8) and Quality-of-Life (31.5), were all seen to improve at 3 months in the intervention group (by between 11.9 and 12.9); however, when comparing to controls, only the improvements in the subscale Activities-of-Daily-Living (which improved by 12.2) were statistically significant. Findings indicate that for those with knee-OA who routinely sleep supine, sleeping with the feet over the end of the mattress (to prevent the knee being pushed into/held in full extension) can help ameliorate the physical problems they suffer.
当仰卧时,由于床垫的反作用力主要通过脚后跟作用,会产生一个外部的膝关节伸展关节扭矩,使膝关节完全伸展。如果脚悬挂在支架的末端,则扭矩变为零。本研究调查了常规仰卧睡姿的膝骨关节炎(knee- oa)患者,这种睡姿的改变是否会改善膝关节疼痛和相关的身体问题。在9个月的时间内招募患者(英国全科医生中心);符合条件的患者(51/70)被随机分配到干预组(65%为女性;年龄71.5[11.3]岁;BMI为29.20 [5.54]kg/m2;膝关节关节炎严重程度,20例轻度-中度/3例重度)或对照组(63%为女性;年龄:68.3[9.7]岁;BMI 28.69 [5.51] kg/m2;膝关节关节炎严重程度:轻度-中度17例/重度2例)。主要结局是3个月时膝关节疼痛的改善(0[最差]到100[最好]),并在膝关节损伤和骨关节炎结局评分问卷(oos)中进行评分。次要结果是其他四个koos量表的改善(0-100)。两组患者在基线时的KOOS结果无差异,对照组患者在3个月时的KOOS结果无变化。相对于膝关节疼痛(50.1)、症状(52.5)、日常生活活动(53.8)和生活质量(31.5)的基线oos值,干预组在3个月时均有所改善(改善幅度在11.9至12.9之间);然而,与对照组相比,只有日常生活活动量表的改善(提高了12.2)具有统计学意义。研究结果表明,对于那些经常仰卧睡觉的膝关节炎患者,将脚放在床垫的末端(以防止膝盖被推入或完全伸展)可以帮助改善他们所遭受的身体问题。
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引用次数: 1
Bandages Static Stiffness Index Is Not Influenced by Calf Mechanical Properties but Only by Geometrical Changes 绷带静态刚度指标不受小腿力学性能的影响,只受几何变化的影响
Pub Date : 2022-03-02 DOI: 10.3390/biomechanics2010009
F. Chassagne, J. Molimard, R. Convert, Clothilde Helouin-Desenne, P. Badel, P. Giraux
Interface pressure applied by compression bandages is the therapeutic action of the treatment of some venous or lymphatic pathologies. The so-called Static Stiffness Index, which quantifies the pressure increase from supine to standing position, is usually used to differentiate compression bandages. It was hypothesized that this pressure increase was the consequence of a change in leg geometry (blood and muscle falling down) and a change in calf soft tissue mechanical properties (muscles contraction). Calf soft tissue global stiffness of both legs of 25 patients was characterized in a sitting and standing position. This characterization was combined with interface pressure measurements applied by six different bandages. Though soft tissue mechanical properties significantly increased from sitting to standing position, no correlation was observed with the corresponding pressure increase. Thus, pressure increase is mainly attributed to a change in leg geometry.
通过压缩绷带施加的界面压力是治疗一些静脉或淋巴病变的治疗作用。所谓的静态刚度指数,量化从仰卧位到站立位的压力增加,通常用于区分压缩绷带。据推测,这种压力增加是腿部几何形状变化(血液和肌肉下降)和小腿软组织机械特性变化(肌肉收缩)的结果。25例患者的小腿软组织整体僵硬表现为坐位和站位。该表征与六种不同绷带施加的界面压力测量相结合。虽然从坐姿到站立姿势软组织力学性能显著增加,但与相应压力的增加没有相关性。因此,压力增加主要归因于腿部几何形状的变化。
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引用次数: 0
Effects of Advanced Age and Parkinson’s Disease on Joint-Level Kinetic Adaptations to Faster Walking Speeds 高龄和帕金森病对关节水平运动适应快速步行速度的影响
Pub Date : 2022-02-12 DOI: 10.3390/biomechanics2010008
D. Kuhman, Jutaluk Kongsuk, W. Reed, N. Rosenblatt, Kristina M. Visscher, H. Walker, C. Hurt
Redistribution of mechanical output from the ankle to the hip during walking occurs with advanced age. Changes to tissues spanning the ankle may limit the joint from performing mechanical functions necessary to walk at fast speeds and older adults may redistribute work proximally to compensate. Older adults with Parkinson’s disease (PD) do not exhibit the distal-to-proximal redistribution and may therefore be limited in reaching fast walking speeds. We tested whether advanced aging, regardless of the presence of PD, limits the ability to increase motor-like behavior of the ankle as walking speed increases. We also tested whether healthy older adults—but not PD patients—would compensate for reduced motor-like behavior at the ankle with disproportionately larger mechanical redistributions at faster speeds. The 16 young, 16 older, and 8 PD-diagnosed adults walked at 0.8, 1.2, and 1.6 ms−1 on a treadmill. We used joint functional indexing to quantify motor-like behavior of the ankle and a hip-to-ankle mechanical work ratio to quantify mechanical redistribution. We found a significant group x speed interaction (p < 0.05) for motor-like behavior of the ankle, with younger adults increasing motor index more than the older and PD groups as walking speed increased. Contrary to our second hypothesis, we found a significant main effect of speed (p < 0.001) on redistribution ratios, indicating that all three groups decreased redistribution ratios as walking speed increased, but not a significant interaction.
行走时,机械输出从踝关节到髋关节的再分配随着年龄的增长而发生。跨越踝关节的组织变化可能会限制关节执行快速行走所需的机械功能,老年人可能会重新分配近端工作来补偿。患有帕金森病(PD)的老年人不表现出远端到近端再分布,因此可能限制了快速行走速度。我们测试了是否随着行走速度的增加,在不考虑PD存在的情况下,高龄患者会限制踝关节运动能力的增强。我们还测试了健康的老年人(不包括PD患者)是否会以更快的速度不成比例地进行更大的机械再分配来补偿踝关节运动样行为的减少。16名年轻人、16名老年人和8名pd诊断的成年人在跑步机上以0.8、1.2和1.6 ms−1的速度行走。我们使用关节功能索引来量化踝关节的运动行为,并使用髋关节-踝关节的机械功比来量化机械再分配。我们发现,在踝关节运动样行为方面,组与速度之间存在显著的交互作用(p < 0.05),随着步行速度的增加,年轻人的运动指数比老年人和PD组增加得更多。与我们的第二个假设相反,我们发现速度对再分配比率有显著的主要影响(p < 0.001),这表明所有三组都随着步行速度的增加而降低再分配比率,但没有显著的相互作用。
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引用次数: 0
Influence of Compliance and Aging of Artificial Turf Surfaces on Lower Extremity Joint Loading 人造草坪表面柔顺性和老化对下肢关节载荷的影响
Pub Date : 2022-02-04 DOI: 10.3390/biomechanics2010007
Nicole Schrier, J. Wannop, J. Worobets, D. Stefanyshyn
Background: Artificial turf (AT) has been related to increased injury rates when compared to natural grass (NG). One potential reason for the differences in injury rates is the difference in mechanical characteristics of the surfaces. Over the course of a season on artificial turf, due to heavy use and environmental factors, properties of the surface (such as compliance) may be altered. The purpose was to compare the effects of newly installed versus aged AT on injury risks at the metatarsophalangeal, ankle, and knee joint during soccer-specific movements. Methods: Eleven male soccer players performed three movements on newly installed and ‘aged’ AT. Kinematics and kinetics were collected for the different surfaces. Results: Knee adduction moments were increased during the v-cut (119 Nm vs. 164 Nm, p = 0.02), and knee external rotation joint moments were increased during the circle run (23 Nm vs. 28 Nm, p = 0.04) with the aged surface. No surface effects were seen during the jog-sprint transition. Conclusions: For movements associated with a high risk for non-contact injuries, the age of the AT resulted in greater risk factors for injury potential at the knee joint. Further research comparing injury rates associated with AT should consider mechanical features, specifically surface compliance.
背景:与天然草(NG)相比,人造草坪(AT)的损伤率增加。损伤率差异的一个潜在原因是表面机械特性的差异。在人造草坪上的一个季节中,由于大量使用和环境因素,表面的特性(如顺应性)可能会发生变化。目的是比较在足球专项运动中,新安装的AT与老年AT对跖趾、踝关节和膝关节损伤风险的影响。方法:11名男子足球运动员在新安装和“老化”的AT上进行三个动作。收集不同表面的运动学和动力学数据。结果:在v型切口过程中,膝盖内收力矩增加(119 Nm对164 Nm,p=0.02),在圆周跑过程中,随着表面老化,膝盖外旋关节力矩增加(23 Nm对28 Nm,p=0.04)。在慢跑-冲刺过渡过程中没有看到任何表面效应。结论:对于与非接触性损伤高风险相关的运动,AT的年龄导致膝关节潜在损伤的风险因素更大。比较AT相关损伤率的进一步研究应考虑机械特征,特别是表面顺应性。
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引用次数: 0
Applied Machine Learning on Phase of Gait Classification and Joint-Moment Regression 机器学习在步态相位分类和关节矩回归中的应用
Pub Date : 2022-02-01 DOI: 10.3390/biomechanics2010006
Erik Jung, Cheryl Lin, Martin Contreras, Mircea Teodorescu
Traditionally, monitoring biomechanics parameters requires a significant amount of sensors to track exercises such as gait. Both research and clinical studies have relied on intricate motion capture studios to yield precise measurements of movement. We propose a method that captures motion independently of optical hardware with the specific goal of identifying the phases of gait using joint angle measurement approaches like IMU (inertial measurement units) sensors. We are proposing a machine learning approach to progressively reduce the feature number (joint angles) required to classify the phases of gait without a significant drop in accuracy. We found that reducing the feature number from six (every joint used) to three reduces the mean classification accuracy by only 4.04%, while reducing the feature number from three to two drops mean classification accuracy by 7.46%. We extended gait phase classification by using the biomechanics simulation package, OpenSim, to generalize a set of required maximum joint moments to transition between phases. We believe this method could be used for applications other than monitoring the phases of gait with direct application to medical and assistive technology fields.
传统上,监测生物力学参数需要大量的传感器来跟踪运动,如步态。研究和临床研究都依赖于复杂的动作捕捉工作室来产生精确的运动测量。我们提出了一种独立于光学硬件捕获运动的方法,其具体目标是使用关节角度测量方法(如IMU(惯性测量单元)传感器)识别步态的阶段。我们提出了一种机器学习方法,以逐步减少分类步态阶段所需的特征数量(关节角度),而不会显著降低准确性。我们发现,将特征数从6个(每个使用的关节)减少到3个,平均分类精度仅降低4.04%,而将特征数从3个减少到2个,平均分类精度降低7.46%。我们使用生物力学仿真包OpenSim扩展步态阶段分类,以推广一组所需的最大关节力矩来实现阶段之间的转换。我们相信这种方法可以用于监测步态阶段以外的应用,直接应用于医疗和辅助技术领域。
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引用次数: 2
The Relationship between Stroke Metrics, Work Rate and Performance in Slalom Kayakers 回转皮划艇运动员的划水指标、作业率与成绩的关系
Pub Date : 2022-01-28 DOI: 10.3390/biomechanics2010005
P. W. Macdermid, Telmo Olazabal
The purpose of this study was to assess the relationship between work rate, stroke metrics, and performance in whitewater slalom. Twelve Spanish, nationally competitive whitewater slalom kayakers took part in a simulated competition while using an instrumented kayak paddle to record stroke metrics over a simulated race, total duration and sectional splits. Performance time was highly correlated to overall power output (r2 = 0.511, p < 0.001), where kayakers demonstrated a positive pacing strategy with power output significantly decreasing over successive sectional splits (158 ± 40, 112 ± 32 and 65 ± 33 W, p < 0.001). This resulted in an increased stroke duration (p < 0.001), time to peak force (p < 0.001), a decrease in stroke peak force (p < 0.001), and rate of peak force development (p < 0.001) over elapsed time. As such, work rate is deemed an objective metric to monitor performance, prescribe training, and ascertain optimal pacing strategies in canoe slalom.
本研究的目的是评估白水回转中工作率、行程指标和表现之间的关系。12名西班牙全国性的激流回旋皮划艇运动员参加了一场模拟比赛,同时使用装有仪器的皮划艇划桨记录模拟比赛中的划水指标、总持续时间和分段。表现时间与总功率输出高度相关(r2=0.511,p<0.001),皮划艇运动员表现出积极的起搏策略,功率输出在连续的分段分段中显著下降(158±40112±32和65±33 W,p<0.001),冲程峰值力的降低(p<0.001)和峰值力发展率(p<001)。因此,在皮划艇激流回旋中,工作率被视为监测表现、规定训练和确定最佳起搏策略的客观指标。
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引用次数: 1
Acknowledgment to Reviewers of Biomechanics in 2021 向2021年生物力学审稿人致谢
Pub Date : 2022-01-25 DOI: 10.3390/biomechanics2010004
Rigorous peer-reviews are the basis of high-quality academic publishing [...]
严谨的同行评审是高质量学术出版的基础〔…〕
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引用次数: 0
The Validity and Reliability of a Global Navigation Satellite System in Canoe Slalom 独木舟激流回转全球卫星导航系统的有效性和可靠性
Pub Date : 2022-01-21 DOI: 10.3390/biomechanics2010003
P. W. Macdermid, A.J.H.W. Coppelmans, Darryl Cochrane
This study investigates the usefulness of a 10 Hz GPS device for tracking scalar performance in canoe slalom through assessing the validity of automated-informed-aerial video tracking (30 fps and 10 fps) and GPS capability in relation to a known track. Additionally, a real-world (canoe-slalom). A comparison between manual-aerial video tracking (10 fps) and the 10 Hz GPS was performed. All three methods of tracking used during the dry-land test (30 fps or 10 fps video and GPS) reported significantly lower distances (−3.2, −5.1 and −8.5%, p < 0.0001) but were deemed useful based on sample rate and body positioning difference. Intra-method reliability was good (CV = 2.5−2.6%) but requires visual inspection for dataset errors. Informed-colour filtered automated tracking on-water was not possible, but manual tracking provided fewer dataset errors than dry-land automated tracking. GPS significantly (p < 0.0001) under reports distance travelled at key moments during real-world slalom with a bias ± SD of 2.26 ± 2.07 m compared to 10 fps manual-aerial video tracking. The aerial video combined with manual tracking proved most suitable for tracking canoe slalom athlete trajectory in a real-world setting but needs to be automated into an application-based package to make it useable for coaches. GPS, as presented, provides insight but does not accurately quantify movements critical in determining the performance of canoe slalom.
本研究通过评估自动知情空中视频跟踪(30 fps和10 fps)的有效性以及与已知轨迹相关的GPS能力,调查了10hz GPS设备在独木舟激流回旋中跟踪标量性能的实用性。此外,一个现实世界(独木舟激流回旋)。对手动航拍视频跟踪(10fps)和10hz GPS进行了比较。在旱地测试中使用的所有三种跟踪方法(30 fps或10 fps视频和GPS)报告的距离明显较低(- 3.2,- 5.1和- 8.5%,p < 0.0001),但基于采样率和身体定位差异被认为是有用的。方法内信度良好(CV = 2.5−2.6%),但需要对数据集错误进行目视检查。信息颜色过滤的水上自动跟踪是不可能的,但人工跟踪提供的数据集错误比陆地自动跟踪少。与10帧/秒的手动航拍视频跟踪相比,GPS在报告现实世界障碍赛中关键时刻行进距离时的偏差±SD为2.26±2.07 m,显著(p < 0.0001)。事实证明,航拍视频与手动跟踪相结合,最适合在现实环境中跟踪独木舟激流回旋运动员的轨迹,但需要将其自动化到基于应用程序的软件包中,以使其可供教练使用。GPS,如所提出的,提供了洞察力,但不能准确地量化运动至关重要的决定独木舟激流回旋的表现。
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引用次数: 0
Training History-Dependent Functional Role of EMG Model-Predicted Antagonist Moments in Knee Extensor Moment Generation in Healthy Young Adults 肌电模型预测的拮抗力矩在健康年轻人膝伸肌力矩生成中的训练历史相关功能作用
Pub Date : 2022-01-06 DOI: 10.3390/biomechanics2010002
T. Hortobágyi, P. Devita, Robert B E Brady, P. Rider
Resistance training (RT) improves the skeletal muscle’s ability to generate maximal voluntary force and is accompanied by changes in the activation of the antagonist muscle which is not targeted primarily by RT. However, the nature and role of neural adaptation to RT in the antagonist muscle is paradoxical and not well understood. We compared moments, agonist muscle activation, antagonist activation, agonist-antagonist coactivation, and electromyographic (EMG) model-predicted moments generated by antagonist hamstring muscle coactivation during isokinetic knee extension in leg strength-trained (n = 10) and untrained (n = 11) healthy, younger adults. Trained vs. untrained adults were up to 58% stronger. During knee extension, hamstring activation was 1.6-fold greater in trained vs. untrained adults (p = 0.022). This hamstring activation produced 2.6-fold greater model-predicted antagonist moments during knee extension in the trained (42.7 ± 19.55 Nm) vs. untrained group (16.4 ± 12.18 Nm; p = 0.004), which counteracted (reduced) quadriceps knee extensor moments ~43 Nm (0.54 Nm·kg−1) and by ~16 Nm (0.25 Nm·kg−1) in trained vs. untrained. Antagonist hamstring coactivation correlated with decreases and increases, respectively, in quadriceps moments in trained and untrained. The EMG model-predicted antagonist moments revealed training history-dependent functional roles in knee extensor moment generation.
阻力训练(RT)提高骨骼肌产生最大自主力的能力,并伴随着拮抗肌激活的变化,这不是RT的主要目标。然而,拮抗肌对RT的神经适应的性质和作用是矛盾的,并且尚未得到很好的理解。我们比较了在腿部力量训练(n = 10)和未训练(n = 11)的健康年轻人中,在等速膝关节伸展过程中,激动剂肌肉激活、拮抗剂激活、激动剂-拮抗剂协同激活和肌电图(EMG)模型预测的拮抗剂腘绳肌协同激活产生的力矩。受过训练的成年人比未受过训练的成年人强壮58%。在膝关节伸展时,经过训练的成年人的腘绳肌激活比未经训练的成人高1.6倍(p = 0.022)。训练组(42.7±19.55 Nm)与未训练组(16.4±12.18 Nm)相比,腿筋激活在膝关节伸展时产生2.6倍的模型预测拮抗剂力矩(42.7±19.55 Nm);p = 0.004),这抵消(减少)股四头肌膝关节伸肌力矩~43 Nm (0.54 Nm·kg - 1)和~16 Nm (0.25 Nm·kg - 1)。拮抗剂腿筋共激活分别与训练和未训练时股四头肌力矩的减少和增加相关。肌电模型预测的拮抗剂力矩揭示了训练历史依赖的膝关节伸肌力矩产生的功能作用。
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引用次数: 0
Reliability of the Hip Extension Lower Exercise as a Measure of Eccentric Hamstring Strength 髋关节下伸运动作为测量偏心腘绳肌力量的可靠性
Pub Date : 2021-12-30 DOI: 10.3390/biomechanics2010001
Joey O’Brien, Declan Browne, Des Earls, C. Lodge
Hamstring strain injury (HSI) is a very common lower-body injury in field sports, and eccentric (ECC) hamstring strength is a potential modifiable risk factor, therefore having reliable eccentric hamstring strength assessments is critical. The aim of this study was to access test–retest reliability of the hip extension lower (HEL) exercise as a measure of ECC hamstring strength and inter-limb asymmetries. Twelve male elite level soccer players (mean; age: 21.8 years; height: 180.4 cm; weight: 75.7 kg) volunteered to participate in this study. Participants were from the same soccer club, covered all playing positions, and had no current injury issues. Participants performed two familiarization sessions to acquaint themselves with the device and exercise protocol. During testing, each participant performed three repetitions with 60s intra-set recovery provided. Average and peak force (N) was recorded for both limbs. Testing sessions took place on the same day and time over a two-week pre-season period and followed a full recovery day. Intraclass Correlation Coefficient (ICC), Coefficient of Variation (CV%), Minimal Detectable Change (MDC) and Typical Error (TE) were used to assess reliability. The HEL showed excellent reliability for average force (N) in the left (ICC (95% CI) = 0.9 (0.7–0.97); TE = 14.1 N, CV% = 1.87; MDC = 39.06 N) and right (ICC (95% CI) = 0.91 (0.73–0.97); TE = 20.89 N, CV% = 3.26; MDC = 57.87 N) limb, and also excellent reliability for peak force in the left (ICC (95% CI) = 0.91 (0.71–0.97); TE = 13.55 N, CV% = 1.61; MDC = 57.87 N) and right (ICC (95% CI) = 0.9 (0.7–0.97); TE = 21.70 N, CV% = 3.31; MDC = 60.11 N) limb. This data suggests the HEL as a reliable measure of both ECC hamstring strength and inter-limb asymmetries. Practitioners should consider the HEL as a reliable choice for measuring and monitoring eccentric hamstring strength in their athletes.
腘绳肌拉伤(HSI)是野外运动中非常常见的下半身损伤,而偏心(ECC)腘绳肌腱力量是一个潜在的可改变的风险因素,因此进行可靠的偏心腘绳力量评估至关重要。本研究的目的是获得髋关节下伸(HEL)运动的测试-再测试可靠性,作为ECC腿筋力量和肢体不对称的衡量标准。12名男性精英级足球运动员(平均年龄:21.8岁;身高:180.4厘米;体重:75.7公斤)自愿参与本研究。参与者来自同一家足球俱乐部,涵盖了所有比赛位置,目前没有受伤问题。参与者进行了两次熟悉会议,以熟悉该设备和锻炼方案。在测试过程中,每个参与者进行了三次重复,并提供了60秒的套内恢复。记录四肢的平均力和峰值力(N)。在为期两周的季前赛期间,测试在同一天和同一时间进行,随后是全面康复日。组内相关系数(ICC)、变异系数(CV%)、最小可检测变化(MDC)和典型误差(TE)用于评估可靠性。HEL在左侧的平均力(N)方面表现出良好的可靠性(ICC(95%CI)=0.9(0.7–0.97);TE=14.1 N,CV%=1.87;MDC=39.06N)和右侧(ICC(95%CI)=0.91(0.73-0.97);TE=20.89n,CV%=3.26;MDC=57.87N)肢体,以及左侧峰值力的良好可靠性(ICC(95%CI)=0.91(0.71–0.97);TE=13.55n,CV%=1.61;MDC=57.87N)和右侧(ICC(95%CI)=0.9(0.7-0.97);TE=21.70n,CV%=3.31;MDC=60.11N)肢体。这些数据表明HEL是ECC腘绳肌力量和肢体不对称性的可靠衡量标准。练习者应将HEL视为测量和监测运动员偏心腘绳肌力量的可靠选择。
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引用次数: 0
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Biomechanics (Basel, Switzerland)
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