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不同步幅跑步过程中距下关节与膝关节的相互作用。

Subtalar and knee joint interaction during running at various stride lengths.

作者信息

Stergiou N, Bates B T, Kurz M J

机构信息

School of Health Physical Education and Recreation, University of Nebraska at Omaha, Omaha, NE 68182-0216, USA.

出版信息

J Sports Med Phys Fitness. 2003 Sep;43(3):319-26.

Abstract

AIM

It has been suggested that during running proper coordination between subtalar pronation/supination and knee flexion/extension via tibial rotation is important to attenuate ground reaction impact forces (GRIF). Lack of coordination over time may produce a wide range of injuries. It was hypothesized that increasing stride length would result in higher GRIF. It was also hypothesized that alterations in stride length would result in changes of the subtalar/knee coordination.

METHODS

Six subjects ran under 3 different stride lengths (normal stride, understride and overstride) at their self-selected pace. Sagittal, rear view kinematic data and GRIF kinetic data were collected. The subtalar/knee coordination was evaluated via timing and relative velocity measures. Repeated measures ANOVA were performed on these measures with a Tukey post-hoc analysis conducted where appropriate (p<0.01).

RESULTS

Increased stride length produced significant increases in GRIF and significantly augmented the differences between rearfoot and knee angular velocities. A change in the rearfoot angle curve from a unimodal (1 minimum) to a bimodal (2 minimums) parabolic configuration was also observed. The appearance of the additional minimum was attributed to the increased impact with the ground.

CONCLUSION

The results indicated that increases in GRIF via changes in stride length could disrupt the coordination between subtalar and knee joint actions.

摘要

目的

有人提出,在跑步过程中,距下关节旋前/旋后与通过胫骨旋转实现的膝关节屈伸之间的适当协调,对于减轻地面反作用力(GRIF)很重要。随着时间的推移,缺乏协调性可能会导致各种损伤。研究假设步幅增加会导致更高的地面反作用力。还假设步幅的改变会导致距下关节/膝关节协调性的变化。

方法

六名受试者以各自选择的速度在三种不同步幅(正常步幅、短步幅和长步幅)下跑步。收集矢状面、后视运动学数据和地面反作用力动力学数据。通过时间和相对速度测量来评估距下关节/膝关节的协调性。对这些测量值进行重复测量方差分析,并在适当情况下进行Tukey事后分析(p<0.01)。

结果

步幅增加导致地面反作用力显著增加,并显著增大了后足与膝关节角速度之间的差异。还观察到后足角度曲线从单峰(1个最小值)抛物线构型变为双峰(2个最小值)抛物线构型。额外最小值的出现归因于与地面的撞击增加。

结论

结果表明,通过步幅变化增加地面反作用力可能会破坏距下关节和膝关节动作之间的协调性。

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