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肱桡肌的功能。

The function of brachioradialis.

作者信息

Boland Michael R, Spigelman Tracy, Uhl Tim L

机构信息

Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY 40536-0284, USA.

出版信息

J Hand Surg Am. 2008 Dec;33(10):1853-9. doi: 10.1016/j.jhsa.2008.07.019.

Abstract

PURPOSE

The function of the brachioradialis muscle is controversial. The objective of this study was to determine primary and secondary functions of the brachioradialis under various loading tasks as measured by EMG.

METHODS

Ten healthy individuals (9 men, 1 woman; average age, 34 years +/- 10; average height, 175 cm +/- 7; average weight, 76 kg +/- 13) performed elbow flexion with the forearm in 1 of 3 positions (neutral, pronation, and supination) with 4 different loads (0, 22, 45, and 67 N). The elbow was flexed to 90 degrees as the volunteers performed 2 separate movements: (1) from full supination to neutral and (2) from full pronation to neutral using 4 different loads (0, 9, 18, and 27 N). Each movement started and ended in supination and pronation, respectively. Fine-wire EMG electrodes were placed in the brachioradialis, and kinematic data were collected using an electromagnetic motion analysis system. The EMG data were reported as a percentage of maximal voluntary isometric contraction and were ensemble averaged from 5 trials of each exercise condition for statistical analysis.

RESULTS

No difference in muscular activation was found during elbow flexion tasks in the 3 forearm positions. Significantly greater activation was found during concentric (23% maximal voluntary isometric contractions +/- 5% maximal voluntary isometric contractions) than during eccentric (11% maximal voluntary isometric contractions +/- 5% maximal voluntary isometric contractions) phases during elbow flexion. Brachioradialis mean activity during concentric pronation and eccentric supination with the heaviest loads 18 and 27 N was significantly greater than activity during concentric supination and eccentric pronation.

CONCLUSIONS

The greatest EMG activity recorded from the brachioradialis occurs during elbow flexion tasks regardless of forearm position indicating that the primary function of the brachioradialis is as a consistent elbow stabilizer during flexion tasks. During rotational tasks, more EMG activity was recorded during pronation compared with that during supination tasks indicating a secondary function of the brachioradialis as a pronator.

摘要

目的

肱桡肌的功能存在争议。本研究的目的是通过肌电图测定在各种负荷任务下肱桡肌的主要和次要功能。

方法

10名健康个体(9名男性,1名女性;平均年龄34岁±10岁;平均身高175厘米±7厘米;平均体重76千克±13千克)在3种前臂位置(中立位、旋前位和旋后位)之一,使用4种不同负荷(0、22、45和67牛)进行屈肘动作。当志愿者进行2个单独动作时,肘部屈曲至90度:(1)从完全旋后位到中立位,(2)从完全旋前位到中立位,使用4种不同负荷(0、9、18和27牛)。每个动作分别在旋后位和旋前位开始和结束。将细丝肌电图电极置于肱桡肌中,并使用电磁运动分析系统收集运动学数据。肌电图数据以最大自主等长收缩的百分比报告,并对每种运动条件下的5次试验进行总体平均以进行统计分析。

结果

在3种前臂位置的屈肘任务中,未发现肌肉激活存在差异。在屈肘过程中,向心收缩阶段(最大自主等长收缩的23%±最大自主等长收缩的5%)的激活明显大于离心收缩阶段(最大自主等长收缩的11%±最大自主等长收缩的5%)。在负荷最重的18和27牛的向心旋前和离心旋后过程中,肱桡肌的平均活动明显大于向心旋后和离心旋前过程中的活动。

结论

无论前臂位置如何,在屈肘任务期间肱桡肌记录到的肌电图活动最大,这表明肱桡肌的主要功能是在屈肘任务期间作为稳定肘部的持续肌肉。在旋转任务中,与旋后任务相比,旋前过程中记录到的肌电图活动更多,这表明肱桡肌的次要功能是作为旋前肌。

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