在人类行走过程中,踝关节负荷会调节髋关节动力学和肌电图。
Ankle load modulates hip kinetics and EMG during human locomotion.
作者信息
Gordon Keith E, Wu Ming, Kahn Jennifer H, Dhaher Yasin Y, Schmit Brian D
机构信息
Rehabilitation Institute of Chicago, 345 E. Superior St., Rm. 1406, Chicago, IL 60611, USA.
出版信息
J Neurophysiol. 2009 Apr;101(4):2062-76. doi: 10.1152/jn.90949.2008. Epub 2009 Feb 4.
The purpose of this research was to examine the role of isolated ankle-foot load in regulating locomotor patterns in humans with and without spinal cord injury (SCI). We used a powered ankle-foot orthosis to unilaterally load the ankle and foot during robotically assisted airstepping. The load perturbation consisted of an applied dorsiflexion torque designed to stimulate physiological load sensors originating from the ankle plantar flexor muscles and pressure receptors on the sole of the foot. We hypothesized that 1) the response to load would be phase specific with enhanced ipsilateral extensor muscle activity and joint torque occurring when unilateral ankle-foot load was provided during the stance phase of walking and 2) that the phasing of subject produced hip moments would be modulated by varying the timing of the applied ankle-foot load within the gait cycle. As expected, both SCI and nondisabled subjects demonstrated a significant increase (P < 0.05) in peak hip extension moments (142 and 43% increase, respectively) when given ankle-foot load during the stance phase compared with no ankle-foot load. In SCI subjects, this enhanced hip extension response was accompanied by significant increases (P < 0.05) in stance phase gluteus maximus activity (27% increase). In addition, when ankle-foot load was applied either 200 ms earlier or later within the gait cycle, SCI subjects demonstrated significant phase shifts ( approximately 100 ms) in hip moment profile (P < 0.05; i.e., the onset of hip extension moments occurred earlier when ankle-foot load was applied earlier). This study provides new insights into how individuals with spinal cord injury use sensory feedback from ankle-foot load afferents to regulate hip joint moments and muscle activity during gait.
本研究的目的是探讨孤立的踝足负荷在调节脊髓损伤(SCI)患者和非脊髓损伤患者运动模式中的作用。我们使用动力踝足矫形器在机器人辅助空中踏步过程中对踝足进行单侧加载。负荷扰动包括施加的背屈扭矩,旨在刺激源自踝跖屈肌的生理负荷传感器和足底的压力感受器。我们假设:1)对负荷的反应具有相位特异性,在步行站立期提供单侧踝足负荷时,同侧伸肌活动和关节扭矩会增强;2)通过改变步态周期内施加踝足负荷的时间,可以调节受试者产生的髋部力矩的相位。正如预期的那样,与无踝足负荷相比,在站立期给予踝足负荷时,SCI患者和非残疾受试者的髋部伸展力矩峰值均显著增加(P < 0.05)(分别增加142%和43%)。在SCI患者中,这种增强的髋部伸展反应伴随着站立期臀大肌活动的显著增加(P < 0.05)(增加27%)。此外,当在步态周期内提前或推迟200毫秒施加踝足负荷时,SCI患者的髋部力矩曲线出现显著的相位偏移(约100毫秒)(P < 0.05;即,提前施加踝足负荷时,髋部伸展力矩的起始时间更早)。这项研究为脊髓损伤患者如何利用踝足负荷传入的感觉反馈来调节步态期间的髋关节力矩和肌肉活动提供了新的见解。