Prange G B, Kallenberg L A C, Jannink M J A, Stienen A H A, van der Kooij H, Ijzerman M J, Hermens H J
Roessingh Research & Development, Enschede, The Netherlands.
J Electromyogr Kinesiol. 2009 Apr;19(2):e40-9. doi: 10.1016/j.jelekin.2007.08.001. Epub 2007 Oct 29.
Arm support like gravity compensation may improve arm movements during stroke rehabilitation. It is unknown how gravity compensation affects muscle activation patterns during reach and retrieval movements. Since muscle activity during reach is represented by a component varying with movement velocity and a component supposedly counteracting gravity, we hypothesized that gravity compensation decreases the amplitude of muscle activity, but does not affect the pattern. To examine this, we compared muscle activity during well defined movements with and without gravity compensation in healthy elderly.
Ten subjects performed reach and retrieval movements with and without gravity compensation. Muscle activity of biceps, triceps, anterior, middle and posterior parts of deltoid and upper trapezius was compared between the two conditions.
The level of muscle activity was lower with gravity compensation in all muscles, reaching significance in biceps, anterior deltoid and trapezius (p < or = 0.026). The muscle activation pattern did not differ between movements with and without gravity compensation (p > or = 0.662).
Gravity compensation only influenced the level of muscle activity but not the muscle activation pattern in terms of timing. Future studies should examine if the influence of gravity compensation is comparable for stroke patients. This may stimulate early and intensive training during rehabilitation.
诸如重力补偿之类的手臂支撑可能会改善中风康复期间的手臂运动。目前尚不清楚重力补偿在伸手及取物动作过程中如何影响肌肉激活模式。由于伸手过程中的肌肉活动由一个随运动速度变化的成分和一个据推测抵消重力的成分表示,我们假设重力补偿会降低肌肉活动的幅度,但不会影响其模式。为了验证这一点,我们比较了健康老年人在有和没有重力补偿的情况下进行明确动作时的肌肉活动。
10名受试者在有和没有重力补偿的情况下进行伸手及取物动作。比较了两种情况下肱二头肌、肱三头肌、三角肌前、中、后部以及斜方肌上部的肌肉活动。
在所有肌肉中,重力补偿时的肌肉活动水平较低,在肱二头肌、三角肌前部和斜方肌中达到显著水平(p≤0.026)。有和没有重力补偿的动作之间的肌肉激活模式没有差异(p≥0.662)。
重力补偿仅影响肌肉活动水平,而在时间方面不影响肌肉激活模式。未来的研究应检查重力补偿对中风患者的影响是否具有可比性。这可能会促进康复期间的早期强化训练。