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在不同运动范围内测试膝关节伸展和屈曲力量:一项等速运动和肌电图研究。

Testing knee extension and flexion strength at different ranges of motion: an isokinetic and electromyographic study.

作者信息

Reichard L B, Croisier J L, Malnati M, Katz-Leurer M, Dvir Z

机构信息

Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, 69978, Israel.

出版信息

Eur J Appl Physiol. 2005 Oct;95(4):371-6. doi: 10.1007/s00421-005-0006-7. Epub 2005 Oct 27.

Abstract

The main objective of this study was to explore the mechanical and electrical output of thigh muscles derived from a range of motion (RoM) of 90 degrees (0-90 degrees flexion, LR) and the three successive RoMs: 0-30 degrees (SR1), 30-60 degrees (SR2) and 60-90 degrees (SR3). Thirteen men took part in the study. In view of the torque-velocity relationship and in order to render the test conditions as equivalent as possible, LR was tested at 90 degrees /s while the corresponding velocity for all SRs was 30 degrees /s. The findings indicated very good agreement between LR and SR2 in terms of absolute strength (particularly the concentric), within muscle eccentric to concentric strength ratios, between muscles (agonist to antagonist) strength ratios and the normalized IEMG (expressed in muV/Nm). An agreement was also noted between the mean eccentric peak torque of the knee flexors at LR and SR1 and between the mean eccentric peak torque of the knee extensors at LR and SR3. However, in general there was a lesser agreement between LR and SR1 or SR3. It is suggested that testing thigh muscles in the middle sector of knee motion (SR2) yields strength and EMG data that are close and well correlated with those derived from testing the knee along the commonly used (0-90 degrees ) RoM.

摘要

本研究的主要目的是探究大腿肌肉在90度运动范围(0 - 90度屈曲,LR)以及三个连续运动范围:0 - 30度(SR1)、30 - 60度(SR2)和60 - 90度(SR3)下的机械和电输出。13名男性参与了该研究。鉴于扭矩 - 速度关系,为使测试条件尽可能等效,LR在90度/秒的速度下进行测试,而所有SR的相应速度为30度/秒。研究结果表明,在绝对力量(特别是向心力量)、肌肉离心与向心力量比值、肌肉间(主动肌与拮抗肌)力量比值以及归一化肌电图(以微伏/牛顿米表示)方面,LR和SR2之间具有非常好的一致性。在LR和SR1时膝屈肌的平均离心峰值扭矩之间以及在LR和SR3时膝伸肌的平均离心峰值扭矩之间也观察到一致性。然而,总体而言,LR与SR1或SR3之间的一致性较小。建议在膝关节运动的中间区段(SR2)测试大腿肌肉可得出与沿常用(0 - 90度)运动范围测试膝关节所获得的数据相近且相关性良好的力量和肌电图数据。

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