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肌肉损伤对步行生物力学的影响与速度有关。

The effects of muscle damage on walking biomechanics are speed-dependent.

机构信息

Institute of Human Performance and Rehabilitation, Center for Research and Technology, Trikala, Thessaly, Greece.

出版信息

Eur J Appl Physiol. 2010 Nov;110(5):977-88. doi: 10.1007/s00421-010-1589-1. Epub 2010 Jul 29.

Abstract

The purpose of the present study was to examine the effects of muscle damage on walking biomechanics at different speeds. Seventeen young women completed a muscle damage protocol of 5 × 15 maximal eccentric actions of the knee extensors and flexors of both legs at 60°/s. Lower body kinematics and swing-phase kinetics were assessed on a horizontal treadmill pre- and 48 h post-muscle damaging exercise at four walking speeds. Evaluated muscle damage indices included isometric torque, delayed onset muscle soreness, and serum creatine kinase. All muscle damage indices changed significantly after exercise, indicating muscle injury. Kinematic results indicated that post-exercise knee joint was significantly more flexed (31-260%) during stance-phase and knee range of motion was reduced at certain phases of the gait cycle at all speeds. Walking post-exercise at the two lower speeds revealed a more extended knee joint (3.1-3.6%) during the swing-phase, but no differences were found between pre- and post-exercise conditions at the two higher speeds. As speed increased, maximum dorsiflexion angle during stance-phase significantly decreased pre-exercise (5.7-11.8%), but remained unaltered post-exercise across all speeds (p > 0.05). Moreover, post-exercise maximum hip extension decreased (3.6-18.8%), pelvic tilt increased (5.5-10.6%), and tempo-spatial differences were found across all speeds (p < 0.05). Limited effects of muscle damage were observed regarding swing-phase kinetics. In conclusion, walking biomechanics following muscle damage are affected differently at relatively higher walking speeds, especially with respect to knee and ankle joint motion. The importance of speed in evaluating walking biomechanics following muscle damage is highlighted.

摘要

本研究旨在探讨肌肉损伤对不同速度下步行生物力学的影响。17 名年轻女性完成了 5 次×15 次双侧膝关节伸肌和屈肌的 60°/s 最大离心运动的肌肉损伤方案。在肌肉损伤运动后 48 小时,在水平跑步机上以 4 种步行速度评估下肢运动学和摆动相动力学。评估的肌肉损伤指标包括等长扭矩、延迟性肌肉酸痛和血清肌酸激酶。运动后所有肌肉损伤指标均发生显著变化,表明肌肉损伤。运动后膝关节在站立相时明显更弯曲(31-260%),并且在所有速度的步态周期的某些阶段,膝关节活动范围减小。运动后在较低的两个速度下行走时,摆动相时膝关节更伸展(3.1-3.6%),但在较高的两个速度下,运动前后没有差异。随着速度的增加,站立相时最大背屈角度显著减小(5.7-11.8%),但在所有速度下运动后保持不变(p>0.05)。此外,运动后最大髋关节伸展减少(3.6-18.8%),骨盆倾斜增加(5.5-10.6%),并且在所有速度下都存在时空差异(p<0.05)。肌肉损伤对摆动相动力学的影响有限。总之,肌肉损伤后步行生物力学在相对较高的步行速度下受到不同的影响,特别是在膝关节和踝关节运动方面。强调了在评估肌肉损伤后步行生物力学时速度的重要性。

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