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排球拦网后落地时踝关节功能不稳对踝关节肌电图的影响。

Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking.

作者信息

Suda Eneida Yuri, Amorim César Ferreira, Sacco Isabel de Camargo Neves

机构信息

Laboratory of Biomechanics of Human Movement and Posture - Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, Rua Cipotânea, Cidade Universitária, University of São Paulo, São Paulo, SP, Brazil.

出版信息

J Electromyogr Kinesiol. 2009 Apr;19(2):e84-93. doi: 10.1016/j.jelekin.2007.10.007. Epub 2007 Dec 11.

Abstract

The purpose of this study was to describe, interpret and compare the EMG activation patterns of ankle muscles - tibialis anterior (TA), peroneus longus (PL) and gastrocnemius lateralis (GL) - in volleyball players with and without ankle functional instability (FI) during landing after the blocking movement. Twenty-one players with FI (IG) and 19 controls (CG) were studied. The cycle of movement analyzed was the time period between 200 ms before and 200 ms after the time of impact determined by ground reaction forces. The variables were analyzed for two different phases: pre-landing (200 ms before impact) and post-landing (200 ms after impact). The RMS values and the timing of onset activity were calculated for the three studied muscles, in both periods and for both groups. The co-activation index for TA and PL, TA and GL were also calculated. Individuals with FI presented a lower RMS value pre-landing for PL (CG=43.0+/-22.0; IG=26.2+/-8.4, p<0.05) and higher RMS value post-landing (CG=47.5+/-13.3; IG=55.8+/-21.6, p<0.10). Besides that, in control group PL and GL activated first and simultaneously, and TA presented a later activation, while in subjects with FI all the three muscles activated simultaneously. There were no significant differences between groups for co-activation index. Thus, the rate of contraction between agonist and antagonist muscles is similar for subjects with and without FI but the activation individually was different. Volleyball players with functional instability of the ankle showed altered patterns of the muscles that play an important role in the stabilization of the foot-ankle complex during the performance of the blocking movement, to the detriment of the ligament complex, and this fact could explain the usual complaints in these subjects.

摘要

本研究的目的是描述、解释和比较有和没有踝关节功能不稳定(FI)的排球运动员在拦网动作后落地过程中踝关节肌肉——胫骨前肌(TA)、腓骨长肌(PL)和外侧腓肠肌(GL)的肌电图激活模式。研究了21名患有FI的运动员(IG组)和19名对照组(CG组)。分析的运动周期是由地面反作用力确定的撞击前200毫秒至撞击后200毫秒的时间段。对两个不同阶段的变量进行分析:着陆前(撞击前200毫秒)和着陆后(撞击后200毫秒)。计算了两个时间段和两组中三块被研究肌肉的均方根值(RMS)和起始活动时间。还计算了TA和PL、TA和GL的共同激活指数。患有FI的个体着陆前PL的RMS值较低(CG组=43.0±22.0;IG组=26.2±8.4,p<0.05),着陆后RMS值较高(CG组=47.5±13.3;IG组=55.8±21.6,p<0.10)。除此之外,在对照组中,PL和GL首先同时激活,TA随后激活,而在患有FI的受试者中,三块肌肉同时激活。两组之间的共同激活指数没有显著差异。因此,有和没有FI的受试者中,主动肌和拮抗肌之间的收缩率相似,但个体激活情况不同。踝关节功能不稳定的排球运动员在拦网动作过程中,在足踝复合体稳定中起重要作用的肌肉模式发生了改变,这对韧带复合体不利,这一事实可以解释这些受试者常见的主诉。

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