前交叉韧带断裂和前交叉韧带重建后体内产生的腘绳肌拮抗肌扭矩。

Hamstring antagonist torque generated in vivo following ACL rupture and ACL reconstruction.

作者信息

Bryant Adam L, Creaby Mark W, Newton Robert U, Steele Julie R

机构信息

Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia.

出版信息

Knee. 2010 Aug;17(4):287-90. doi: 10.1016/j.knee.2010.02.004. Epub 2010 Mar 11.

Abstract

Hamstring motor behaviour and resultant antagonist torque during knee extension has been quantified in uninjured individuals however, the effect of ACL rupture and ACL reconstruction (ACLR) on the morphology of hamstring antagonist torque generated in vivo is unknown. The purpose of this cross-sectional study was to quantify the hamstring antagonist torque generated in vivo during isokinetic knee extension in ACLD and ACLR patients relative to uninjured control subjects. Ten male ACL deficient (ACLD) subjects (18-35 years), 14 matched males who had undergone ACLR using the bone-patellar tendon-bone graft and 22 matched male control subjects participated. We used a mathematical model to estimate the opposing torque generated by the hamstrings during isokinetic knee extension in 10 degrees intervals from 80 degrees to 10 degrees knee flexion. Control group hamstring antagonist torque was significantly lower at 80-70 degrees knee flexion compared with that of the ACLD (% Diff=40.2; p=0.019) and ACLR (% Diff=34.8; p=0.036) groups. For all subject groups, hamstring antagonist torque demonstrated a descending-ascending curve; decreasing significantly from 80-70 degrees to 50-40 degrees knee flexion (% Diff=40.8 to 63.3; p=<0.001 to 0.009) but then increasing significantly from 50-40 degrees to 20-10 degrees knee flexion (% Diff=37.6 to 59.0; p=<0.001 to 0.012). ACL status and therefore, the ACL-hamstring reflex has little effect on the magnitude of hamstring antagonist torque generated during quadriceps-induced knee joint loading. Capsular afferents are thought to dictate the hamstring torque profile which decreased then increased during knee extension to maintain dynamic joint stability.

摘要

在未受伤个体中,已对腘绳肌的运动行为以及膝关节伸展过程中产生的拮抗肌扭矩进行了量化。然而,前交叉韧带(ACL)断裂和ACL重建(ACLR)对体内产生的腘绳肌拮抗肌扭矩形态的影响尚不清楚。这项横断面研究的目的是量化ACL损伤(ACLD)和ACLR患者在等速膝关节伸展过程中相对于未受伤对照受试者在体内产生的腘绳肌拮抗肌扭矩。10名男性ACL缺陷(ACLD)受试者(18 - 35岁)、14名使用骨 - 髌腱 - 骨移植物进行ACLR的匹配男性以及22名匹配的男性对照受试者参与了研究。我们使用数学模型来估计在膝关节从80度屈曲到10度屈曲以10度间隔进行等速伸展过程中,腘绳肌产生的反向扭矩。与ACLD组(差异百分比=40.2;p = 0.019)和ACLR组(差异百分比=34.8;p = 0.036)相比,对照组在膝关节屈曲80 - 70度时的腘绳肌拮抗肌扭矩显著更低。对于所有受试者组,腘绳肌拮抗肌扭矩呈现出下降 - 上升曲线;从膝关节屈曲80 - 70度到50 - 40度时显著下降(差异百分比=40.8至63.3;p = <0.001至0.009),但随后从膝关节屈曲50 - 40度到20 - 10度时显著增加(差异百分比=37.6至59.0;p = <0.001至0.012)。ACL状态以及因此ACL - 腘绳肌反射对股四头肌引起的膝关节负荷期间产生的腘绳肌拮抗肌扭矩大小影响很小。据认为,关节囊传入神经决定了腘绳肌扭矩曲线,该曲线在膝关节伸展过程中先下降然后上升以维持动态关节稳定性。

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