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步行站立期的外在肌肉活动、足部运动和踝关节力矩。

Extrinsic muscle activity, foot motion and ankle joint moments during the stance phase of walking.

作者信息

Hunt A E, Smith R M, Torode M

机构信息

School of Physiotherapy, Faculty of Health Sciences, Lidcombe, NSW, Australia.

出版信息

Foot Ankle Int. 2001 Jan;22(1):31-41. doi: 10.1177/107110070102200105.

Abstract

This study examined stance phase foot kinematics, kinetics and electromyographic (EMG) activity of extrinsic muscles of 18 healthy males. Three-dimensional kinematic and kinetic data were obtained via video analysis of surface markers and a force plate. Ankle joint moments are described about orthogonal axes in a segmental coordinate system. Kinematic data comprise rearfoot and forefoot motion, described about axes of a joint coordinate system, and medial longitudinal arch height. Surface EMG was obtained for tibialis anterior, soleus, gastocnemius medialis and lateralis, peroneus longus and peroneus brevis and extensor digitorum longus. It was concluded that the demands on the controlling muscles are greatest prior to foot flat and after heel rise. Tibialis anterior restrained rearfoot plantarflexion from heel contact to 10% stance, and eversion between 10% stance and footflat. Activity in peroneus longus was consistent with its role in causing eversion after heel contact, then as a stabiliser of the forefoot after heel rise. Activity in peroneus brevis suggested a role in restraining lateral rotation of the leg over the foot, late in stance.

摘要

本研究考察了18名健康男性在站立期的足部运动学、动力学以及足部外在肌肉的肌电图(EMG)活动。通过对体表标记物的视频分析和测力台获取三维运动学和动力学数据。在节段坐标系中,踝关节力矩是围绕正交轴来描述的。运动学数据包括后足和前足的运动,这是围绕关节坐标系的轴来描述的,以及内侧纵弓高度。获取了胫骨前肌、比目鱼肌、腓肠肌内侧头和外侧头、腓骨长肌和腓骨短肌以及趾长伸肌的表面肌电图。研究得出结论,在足放平之前和足跟抬起之后,对控制肌肉的需求最大。胫骨前肌在足跟接触到站立期的10%时抑制后足跖屈,在站立期的10%到足放平之间抑制足外翻。腓骨长肌的活动与其在足跟接触后引起足外翻的作用一致,然后在足跟抬起后作为前足的稳定肌。腓骨短肌的活动表明其在站立后期抑制小腿在足部上方的外旋中发挥作用。

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