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单腿急停跳动作中膝关节本体感觉、力量和落地运动学。

Knee proprioception and strength and landing kinematics during a single-leg stop-jump task.

机构信息

Neuromuscular Research Laboratory, University of Pittsburgh, PA 15203, USA.

出版信息

J Athl Train. 2013 Jan-Feb;48(1):31-8. doi: 10.4085/1062-6050-48.1.14.

Abstract

CONTEXT

The importance of the sensorimotor system in maintaining a stable knee joint has been recognized. As individual entities, knee-joint proprioception, landing kinematics, and knee muscles play important roles in functional joint stability. Preventing knee injuries during dynamic tasks requires accurate proprioceptive information and adequate muscular strength. Few investigators have evaluated the relationship between knee proprioception and strength and landing kinematics.

OBJECTIVE

To examine the relationship between knee proprioception and strength and landing kinematics.

DESIGN

Cross-sectional study.

SETTING

University research laboratory.

PATIENTS OR OTHER PARTICIPANTS

Fifty physically active men (age = 26.4 ± 5.8 years, height = 176.5 ± 8.0 cm, mass = 79.8 ± 16.6 kg).

INTERVENTION(S): Three tests were performed. Knee conscious proprioception was evaluated via threshold to detect passive motion (TTDPM). Knee strength was evaluated with a dynamometer. A 3-dimensional biomechanical analysis of a single-legged stop-jump task was used to calculate initial contact (IC) knee-flexion angle and knee-flexion excursion.

MAIN OUTCOME MEASURE(S): The TTDPM toward knee flexion and extension, peak knee flexion and extension torque, and IC knee-flexion angle and knee flexion excursion. Linear correlation and stepwise multiple linear regression analyses were used to evaluate the relationships of both proprioception and strength against landing kinematics. The α level was set a priori at .05.

RESULTS

Enhanced TTDPM and greater knee strength were positively correlated with greater IC knee-flexion angle (r range = 0.281-0.479, P range = .001-.048). The regression analysis revealed that 27.4% of the variance in IC knee-flexion angle could be accounted for by knee-flexion peak torque and TTDPM toward flexion (P = .001).

CONCLUSIONS

The current research highlighted the relationship between knee proprioception and strength and landing kinematics. Individuals with enhanced proprioception and muscular strength had better control of IC knee-flexion angle during a dynamic task.

摘要

背景

人们已经认识到,感觉运动系统对于维持膝关节稳定具有重要意义。膝关节本体感觉、落地动作和膝关节肌肉作为个体实体,在关节功能稳定性方面发挥着重要作用。在动态任务中预防膝关节损伤需要准确的本体感觉信息和足够的肌肉力量。很少有研究人员评估膝关节本体感觉和力量与落地动作之间的关系。

目的

探讨膝关节本体感觉和力量与落地动作之间的关系。

设计

横断面研究。

地点

大学研究实验室。

患者或其他参与者

50 名身体活跃的男性(年龄=26.4±5.8 岁,身高=176.5±8.0cm,体重=79.8±16.6kg)。

干预措施

进行了三项测试。通过阈值检测被动运动来评估膝关节意识本体感觉(TTDPM)。使用测力计评估膝关节力量。使用单腿急停跳任务的三维生物力学分析来计算初始接触(IC)膝关节屈曲角度和膝关节屈曲幅度。

主要观察指标

膝关节屈曲和伸展的 TTDPM、峰值膝关节屈曲和伸展扭矩、IC 膝关节屈曲角度和膝关节屈曲幅度。使用线性相关和逐步多元线性回归分析评估本体感觉和力量与落地动作之间的关系。预先设定 α 水平为.05。

结果

增强的 TTDPM 和更大的膝关节力量与更大的 IC 膝关节屈曲角度呈正相关(r 范围=0.281-0.479,P 范围=0.001-0.048)。回归分析显示,IC 膝关节屈曲角度的 27.4%可以用膝关节屈曲峰值扭矩和 TTDPM 来解释(P=0.001)。

结论

本研究强调了膝关节本体感觉和力量与落地动作之间的关系。具有增强的本体感觉和肌肉力量的个体在动态任务中对 IC 膝关节屈曲角度的控制更好。

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