Rushton Alison, Spencer Simon
Nursing and Physiotherapy, School of Health and Population Sciences, College of Medicine and Dentistry, University of Birmingham, Edgbaston, Birmingham, UK.
Man Ther. 2011 Apr;16(2):161-6. doi: 10.1016/j.math.2010.10.001. Epub 2010 Nov 2.
The growing evidence suggests that physiological mobilisation techniques influence the passive properties of the muscle-tendon unit (MTU). Techniques that combine a transverse directed force to the physiological technique attempt greater influence on biomechanical properties. No research has investigated the biomechanical effects of a technique with addition of a transverse directed force. This pilot study aimed to explore preliminary data of effectiveness of two techniques on longitudinal load (extensibility and passive resistance) in the hamstring MTU. A counterbalanced quasi-experimental same subject design using fifteen healthy subjects compared two conditions: physiological technique and a technique with addition of a transverse directed force. Passive resistance (torque, Nm) and extensibility (knee extension range of movement) of the hamstring MTU were recorded during and following both conditions. Paired t tests explored within and across condition comparisons, with Bonferroni adjustment to account for multiple analyses. Passive resistance demonstrated a significant reduction for the technique with addition of a transverse directed force (t = 4.26, p < 0.05) that may have contributed to the significant increase in extensibility (t = 8.48, p < 0.05). The data suggest that longitudinal load through the hamstring MTU during a physiological mobilisation can be increased by the application of a transverse directed force. This merits further research.
越来越多的证据表明,生理松动技术会影响肌腱单元(MTU)的被动特性。将横向定向力与生理技术相结合的技术试图对生物力学特性产生更大影响。尚无研究探讨添加横向定向力的技术的生物力学效应。这项初步研究旨在探索两种技术对腘绳肌MTU纵向负荷(伸展性和被动阻力)有效性的初步数据。采用平衡准实验同受试者设计对15名健康受试者进行了两种情况的比较:生理技术和添加横向定向力后的技术。在两种情况下及之后,记录了腘绳肌MTU的被动阻力(扭矩,Nm)和伸展性(膝关节伸展运动范围)情况。配对t检验用于探索组内和组间比较,并采用Bonferroni校正以考虑多重分析。添加横向定向力后的技术的被动阻力显著降低(t = 4.26,p < 0.05), 这可能导致了伸展性的显著增加(t = 8.48, p < 0.05)。数据表明, 在生理松动过程中,通过施加横向定向力可以增加通过腘绳肌MTU的纵向负荷, 这值得进一步研究。