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在行走过程中,肌肉力量会重新分配节段性力量以推动身体前进。

Muscle force redistributes segmental power for body progression during walking.

作者信息

Neptune R R, Zajac F E, Kautz S A

机构信息

Department of Mechanical Engineering, University of Texas at Austin, Austin, TX 78712-1063, USA.

出版信息

Gait Posture. 2004 Apr;19(2):194-205. doi: 10.1016/S0966-6362(03)00062-6.

Abstract

The ankle plantar flexors were previously shown to support the body in single-leg stance to ensure its forward progression [J. Biomech. 34 (2001) 1387]. The uni- (SOL) and biarticular (GAS) plantar flexors accelerated the trunk and leg forward, respectively, with each opposing the effect of the other. Around mid-stance their net effect on the trunk and the leg was negligible, consistent with the body acting as an inverted pendulum. In late stance, their net effect was to accelerate the leg and trunk forward, consistent with an active push-off. Because other muscles are active in the beginning and end of stance, we hypothesized that their active concentric and eccentric force generation also supports the body and redistributes segmental power to enable body forward progression. Muscle-actuated forward dynamical simulations that emulated observed walking kinematics and kinetics of young adult subjects were analyzed to quantify muscle contributions to the vertical and horizontal ground reaction force, and to the acceleration and mechanical power of the leg and trunk. The eccentric uniarticular knee extensors (vasti, VAS) and concentric uniarticular hip extensors (gluteus maximus, GMAX) were found to provide critical support to the body in the beginning of stance, before the plantar flexors became active. VAS also decelerated the forward motion of both the trunk and the leg. Afterwards when VAS shortens in mid-stance, it delivered the power produced to accelerate the trunk and also redistributed segmental power to the trunk by continuing to decelerate the leg. When present, rectus femoris (RF) activity in the beginning of stance had a minimal effect. But in late stance the lengthening RF accelerated the knee and hip into extension, which opposed swing initiation. Though RF was lengthening, it still accelerated the trunk forward by decelerating the leg and redistributing the leg segmental power to the trunk, as SOL does though it is shortening instead of lengthening. Force developed from highly stretched passive hip structures and active force produced by the uniarticular hip flexors assisted GAS in swing initiation. Hamstrings (HAM) decelerated the leg in late swing while lengthening and accelerated the leg in the beginning of stance while shortening. We conclude that the uniarticular knee and hip extensor muscles are critical to body support in the beginning of stance and redistribution of segmental power by muscles throughout the gait cycle is critical to forward progression of the trunk and legs.

摘要

先前的研究表明,踝跖屈肌在单腿站立时支撑身体,以确保身体向前推进[《生物力学杂志》34(2001)1387]。单关节(比目鱼肌,SOL)和双关节(腓肠肌,GAS)跖屈肌分别使躯干和腿部向前加速,二者作用相反。在站立中期左右,它们对躯干和腿部的净效应可忽略不计,这与身体表现为倒立摆一致。在站立后期,它们的净效应是使腿部和躯干向前加速,这与主动蹬离动作一致。由于在站立开始和结束时其他肌肉也处于活动状态,我们推测它们主动的向心和离心力产生也有助于支撑身体,并重新分配节段功率,以实现身体向前推进。对模拟年轻成年受试者观察到的步行运动学和动力学的肌肉驱动向前动力学模拟进行分析,以量化肌肉对垂直和水平地面反作用力以及腿部和躯干加速度及机械功率的贡献。结果发现,在跖屈肌开始活动之前,离心单关节膝伸肌(股四头肌外侧头、股四头肌内侧头,VAS)和向心单关节髋伸肌(臀大肌,GMAX)在站立开始时为身体提供关键支撑。VAS还使躯干和腿部的向前运动减速。之后,当VAS在站立中期缩短时,它传递产生的功率以加速躯干,并通过继续使腿部减速将节段功率重新分配给躯干。当存在时,站立开始时股直肌(RF)的活动影响极小。但在站立后期,延长的RF使膝关节和髋关节伸展加速,这与摆动起始相反。尽管RF在延长,但它仍通过使腿部减速并将腿部节段功率重新分配给躯干来使躯干向前加速,就像SOL虽然在缩短而不是延长时也会这样做一样。高度拉伸的被动髋部结构产生的力和单关节髋屈肌产生的主动力在摆动起始时协助GAS。腘绳肌(HAM)在摆动后期延长时使腿部减速,在站立开始时缩短时使腿部加速。我们得出结论,单关节膝伸肌和髋伸肌在站立开始时对身体支撑至关重要,并且在整个步态周期中肌肉对节段功率的重新分配对躯干和腿部的向前推进至关重要。

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