McLoda T A, Hansen A J
Illinois State University, Normal, Illinois 61790-5120, USA.
Electromyogr Clin Neurophysiol. 2005 Jan-Feb;45(1):53-8.
Ankle inversion injuries represent the most common trauma sustained by athletes. Muscle fatigue from activity may contribute to a delay in the response of the ankle proprioceptors and dynamic restraints during unexpected inversion. The purpose of this investigation was to determine changes in peroneal average EMG, peak EMG, and time to peak EMG following a task failure exercise. Thirty-two subjects (age 20+/-1.43 yrs; 21 male, 11 female) with no lower extremity injuries reported for data collection. Data were collected from each subject's dominant leg using surface electromyography (EMG). EMG electrodes were applied over the peroneus longus (PL) and brevis (PB) using a standard protocol Subjects walked at a fixed pace on a 6.1 m runway with one section that could be unexpectedly dropped into 30 degrees of inversion upon foot contact. Trials with perturbed and unperturbed gait were randomized to reduce prediction of the unexpected inversion. Once 3 trials of perturbed gait were recorded, subjects completed an isotonic activity that isolated the peroneals. The task was completed to failure. Immediately following the task failure exercise, subjects walked on the perturbation runway once again until 3 trials of perturbed gait were recorded. Analysis revealed no significant differences with regard to average muscle activity between pre- and post-task failure exercise for the PL (F1,31 = 0.133; p = 0.718) or for the PB (F1,31 = 0.795; p = 0.380). There was also no significant difference in peak muscle activity pre- to post-task failure for the PL (F1,31 = 0.032; p = 0.859) or the PB (F1,31 = 0.156; p = 0.695). Finally, there was no significant difference in time-to-peak muscle activity pre- to post-task failure for the PL (F1,31 = 0.830; p = 0.369) or the PB (F1,31 = 1.037; p = 0.316). We concluded that the task failure exercise did not contribute to changes in peroneal activity during perturbed gait. These results indicate that peroneal fatigue does not play a significant role in the incidence of inversion ankle sprains.
踝关节内翻损伤是运动员最常见的创伤。活动引起的肌肉疲劳可能会导致踝关节本体感受器和动态约束在意外内翻时的反应延迟。本研究的目的是确定任务失败练习后腓骨肌平均肌电图、肌电图峰值和达到肌电图峰值的时间的变化。32名无下肢损伤的受试者(年龄20±1.43岁;男性21名,女性11名)前来进行数据收集。使用表面肌电图(EMG)从每个受试者的优势腿收集数据。按照标准方案将肌电图电极置于腓骨长肌(PL)和腓骨短肌(PB)上。受试者在一条6.1米长的跑道上以固定速度行走,跑道的一部分在脚接触时可能会意外下降到30度内翻状态。对有干扰和无干扰步态的试验进行随机安排,以减少对意外内翻的预测。记录3次有干扰步态的试验后,受试者完成一项分离腓骨肌的等张活动。该任务完成至失败。在任务失败练习后,受试者立即再次在有干扰的跑道上行走,直到记录到3次有干扰步态的试验。分析显示,任务失败练习前后,PL(F1,31 = 0.133;p = 0.718)或PB(F1,31 = 0.795;p = 0.380)的平均肌肉活动没有显著差异。任务失败前后,PL(F1,31 = 0.032;p = 0.859)或PB(F1,31 = 0.156;p = 0.695)的肌肉活动峰值也没有显著差异。最后,任务失败前后,PL(F1,31 = 0.830;p = 0.369)或PB(F1,31 = 1.037;p = 0.316)达到肌肉活动峰值的时间没有显著差异。我们得出结论,任务失败练习不会导致有干扰步态期间腓骨肌活动的变化。这些结果表明,腓骨肌疲劳在踝关节内翻扭伤的发生率中不起重要作用。