Perell Karen L, Gregor Scott, Kim Gene, Rushatakankovit Sirintorn, Scremin Erika, Levin Seymour, Gregor Robert
VA Greater Los Angeles Healthcare System-West Los Angeles Healthcare Center, CA 90073, USA.
J Rehabil Res Dev. 2002 Jan-Feb;39(1):13-20.
We compared recumbent bicycle kinetics in diabetic peripheral neuropathy and nondiabetic men (nine per group). 3D kinematic and force pedal data in a linked-segment model were used. The generalized muscle moment (GMM) patterns were similar between the two groups except for (1) decreased maximum knee flexor moment, (2) increased minimum knee flexor GMM, and (3) maximum hip extensor GMM by the diabetic subjects. Similar to the walking support moment, a summation moment immutable pattern was observed, although the groups accomplished it differently. The diabetic group utilized the hip during the power phase and the knee during the recovery phase. The nondiabetic group utilized both joints together during both phases. Differences in ankle GMM were not observed, suggesting further research using the recumbent bicycle as an exercise modality for diabetic peripheral neuropathy patients to enhance ankle range of motion and strength, commonly observed walking deficits.
我们比较了糖尿病周围神经病变患者与非糖尿病男性（每组9人）在卧式自行车运动时的动力学情况。采用了连接节段模型中的三维运动学和踏板力数据。两组之间的广义肌肉力矩（GMM）模式相似，但糖尿病受试者存在以下差异：（1）最大屈膝力矩降低；（2）最小屈膝GMM增加；（3）最大伸髋GMM增加。与步行支撑力矩类似，观察到一种总和力矩不变模式，尽管两组实现方式不同。糖尿病组在动力阶段利用髋关节，在恢复阶段利用膝关节。非糖尿病组在两个阶段都同时利用两个关节。未观察到踝关节GMM的差异，这表明有必要进一步研究将卧式自行车作为糖尿病周围神经病变患者的一种运动方式，以增强踝关节活动范围和力量，而这通常是常见的步行缺陷。
