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腿部僵硬程度以及膝伸肌/屈肌的肌电图:老年人与年轻人下楼梯过程中的比较

Leg stiffness and electromyography of knee extensors/flexors: comparison between older and younger adults during stair descent.

作者信息

Hsu Miao-Ju, Wei Shun-Hwa, Yu Young-Hue, Chang Ya-Ju

机构信息

Faculty of Physical Therapy, College of Health Science, Kaohsiung Medical University, Kaohsiung City, Taiwan.

出版信息

J Rehabil Res Dev. 2007;44(3):429-35. doi: 10.1682/jrrd.2006.04.0033.

Abstract

This study investigated differences in knee extensor/flexor electromyography (EMG), leg loading rate, and leg stiffness in older and younger men during stair descent. Sixteen older men (mean +/- standard deviation [SD] = 72 +/- 4.5 years) and sixteen younger men (mean +/- SD = 21.2 +/- 0.5 years) were recruited. The EMG signals were recorded from the rectus femoris and the biceps femoris, while an electrogoniometer measured knee joint angle changes, and a force platform recorded the ground reaction forces (GRFs). We calculated leg stiffness by dividing the first peak GRF by the corresponding leg displacement. We used the Student's t-test to examine group differences. Results showed that the older subjects had 78.6% higher preactivated EMG values in the knee extensor and 128% greater coactivity in the knee extensors/ flexors in the prelanding phase. At the impact phase, we observed leg stiffness to be 26.6% greater in the older than the younger subjects. The older subjects needed 94.6% more support time in performing push-off and also developed a compensatory strategy in stair descent, which altered the scaling of muscle preactivity and increased leg stiffness.

摘要

本研究调查了老年男性和年轻男性下楼梯时膝关节伸肌/屈肌肌电图(EMG)、腿部加载速率和腿部僵硬度的差异。招募了16名老年男性(平均±标准差[SD]=72±4.5岁)和16名年轻男性(平均±SD=21.2±0.5岁)。从股直肌和股二头肌记录EMG信号,同时用电角度计测量膝关节角度变化,并用测力平台记录地面反作用力(GRF)。我们通过将第一个峰值GRF除以相应的腿部位移来计算腿部僵硬度。我们使用学生t检验来检验组间差异。结果显示,老年受试者在膝关节伸肌中的预激活EMG值高78.6%,在着陆前阶段膝关节伸肌/屈肌的共同激活程度高128%。在撞击阶段,我们观察到老年受试者的腿部僵硬度比年轻受试者大26.6%。老年受试者在进行蹬离动作时需要的支撑时间多94.6%,并且在下楼梯时还制定了一种补偿策略,这改变了肌肉预激活的比例并增加了腿部僵硬度。

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