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伸展运动对步态站立相时踝关节和膝关节角度及腓肠肌活动的影响。

Effect of stretching on ankle and knee angles and gastrocnemius activity during the stance phase of gait.

机构信息

Dept of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

J Sport Rehabil. 2009 Nov;18(4):521-34. doi: 10.1123/jsr.18.4.521.

Abstract

CONTEXT

Stretching exercises are commonly prescribed for patients and healthy individuals with limited extensibility of the gastrocnemius muscle.

OBJECTIVE

To determine effects of gastrocnemius stretching on ankle dorsiflexion, knee extension, and gastrocnemius muscle activity during gait.

DESIGN

Randomized-control trial.

SETTING

Biomechanical laboratory.

PARTICIPANTS

Sixteen volunteers (9 men and 7 women, mean age = 27 y) with less than 5 degrees of passive ankle-dorsiflexion range of motion randomly assigned to an experimental or control group.

INTERVENTION

The experimental group performed gastrocnemius stretching for 3 wk.

MAIN OUTCOME MEASURES

Maximum ankle dorsiflexion, maximum knee extension, and EMG amplitude of the gastrocnemius muscles were measured between heel strike and heel-off before and after intervention.

RESULTS

No significant effect of group or time was found on maximum ankle dorsiflexion, maximum knee extension, or EMG activity of the medial or lateral gastrocnemius muscles between heel strike and heel-off. The experimental group had significantly greater passive ankle-dorsiflexion range of motion bilaterally at posttest than the control group.

CONCLUSIONS

Stretching did not alter joint angles or gastrocnemius muscle activity in the early to midstance phase of gait.

摘要

背景

伸展运动常用于跟腱肌肉伸展度有限的患者和健康个体。

目的

确定伸展跟腱对踝关节背屈、膝关节伸展和步态中跟腱肌肉活动的影响。

设计

随机对照试验。

设置

生物力学实验室。

参与者

16 名志愿者(9 名男性和 7 名女性,平均年龄=27 岁),他们的被动踝关节背屈活动范围小于 5 度,随机分配到实验组或对照组。

干预

实验组进行了 3 周的跟腱伸展。

主要观察指标

干预前后,在足跟触地到足跟离地期间,测量最大踝关节背屈、最大膝关节伸展和跟腱肌的肌电图幅度。

结果

在足跟触地到足跟离地期间,组间或时间对最大踝关节背屈、最大膝关节伸展或内侧和外侧跟腱肌的肌电图活动均无显著影响。与对照组相比,实验组双侧的被动踝关节背屈活动范围在测试后显著增加。

结论

伸展运动在步态的早期到中期阶段并未改变关节角度或跟腱肌肉活动。

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