Magnusson M L, Pope M H, Hasselquist L, Bolte K M, Ross M, Goel V K, Lee J S, Spratt K, Clark C R, Wilder D G
Iowa Spine Research Center, Department of Orthopaedic Surgery, University of Iowa, Iowa City, USA.
Eur Spine J. 1999;8(2):118-25. doi: 10.1007/s005860050140.
Whiplash motion of the neck is characterized by having an extension-flexion motion of the neck. It has been previously assumed that muscles do not play a role in the injury. Eight healthy males were seated in a car seat mounted on a sled. The sled was accelerated by a spring mechanism. Muscle electromyographic (EMG) activity was measured by wire electrodes in semi-spinalis capitis, splenius capitis, and levator scapulae. Surface EMG activity was measured over trapezius and sternocleidomastoideus. Wavelet analysis was used to establish the onset of muscle activity with respect to sled movement. Shorter reaction times were found to be as low as 13.2 ms from head acceleration and 65.6 ms from sled acceleration. Thus the muscles could influence the injury pattern. It is of interest that clinical symptoms are often attributed to muscle tendon injuries.
颈部挥鞭样运动的特点是颈部有伸展-屈曲运动。以前人们认为肌肉在这种损伤中不起作用。八名健康男性坐在安装在雪橇上的汽车座椅中。雪橇由弹簧装置加速。通过线电极测量头半棘肌、头夹肌和肩胛提肌的肌肉肌电图(EMG)活动。在斜方肌和胸锁乳突肌上测量表面肌电活动。使用小波分析来确定肌肉活动相对于雪橇运动的起始时间。发现最短反应时间从头部加速起低至13.2毫秒,从雪橇加速起低至65.6毫秒。因此,肌肉可能会影响损伤模式。有趣的是,临床症状常常归因于肌腱损伤。