在单腿着陆过程中,比目鱼肌和腓肠肌对前交叉韧带负荷的贡献。
Contributions of the soleus and gastrocnemius muscles to the anterior cruciate ligament loading during single-leg landing.
机构信息
Department of Mechanical Engineering, Melbourne School of Engineering, University of Melbourne, Victoria 3010, Australia.
出版信息
J Biomech. 2013 Jul 26;46(11):1913-20. doi: 10.1016/j.jbiomech.2013.04.010. Epub 2013 Jun 2.
The aim of this study was to identify the contribution of the Soleus and Gastrocnemius (Gastroc) muscles' forces to anterior cruciate ligament (ACL) loading during single-leg landing. Although Quadriceps (Quads) and Hamstrings (Hams) muscles were recognized as the main contributors to the ACL loading, less is known regarding the role of ankle joint plantarflexors during landing. Eight healthy subjects performed single-landing tasks from 30 and 60cm heights. Scaled generic musculoskeletal models were developed in OpenSim to calculate lower limb muscle forces. The model consisted of 10 segments with 23 degrees of freedom and 92 lower body muscle-tendon units. Knee joint reaction forces were calculated based on the estimated muscle forces and used to predict ACL forces. We hypothesized that Soleus and Gastrocs muscle forces have opposite effects on tibial loading in the anterior/posterior directions. In situations where greater landing height would lead to an increase in GRF and risk of ACL injury, we further hypothesized that posterior forces of the Soleus and Hams would increase correspondingly to help protect the ACL during a safe landing maneuver. Our results demonstrated the antagonistic and agonistic roles of Gastrocs and Soleus respectively in ACL loading. The posterior force of Soleus reached 28-32% of Ham's posterior force for both landing heights at peak GRF while the posterior force of Gastrocs on femur was negligible. ACL injury risk during single-leg landing is not only dependent on knee musculature but also influenced by muscles that do not span the knee joint, such as the Soleus. In conclusion, the role of the ankle plantarflexors should be considered when developing training strategies for ACL injury prevention.
本研究旨在确定在单腿落地过程中,比目鱼肌和腓肠肌(Gastroc)的力对前交叉韧带(ACL)的加载的贡献。尽管已认识到四头肌(Quads)和腿筋(Hams)肌肉是 ACL 加载的主要贡献者,但对于踝关节跖屈肌在落地过程中的作用知之甚少。八名健康受试者从 30 和 60cm 的高度进行单腿着陆任务。在 OpenSim 中开发了缩放的通用肌肉骨骼模型,以计算下肢肌肉力。该模型由 10 个具有 23 个自由度和 92 个下肢肌肉-肌腱单元的节段组成。根据估计的肌肉力计算膝关节反作用力,并用于预测 ACL 力。我们假设比目鱼肌和腓肠肌的力对胫骨在前后方向上的加载具有相反的影响。在更高的着陆高度会导致 GRF 增加和 ACL 受伤风险增加的情况下,我们进一步假设比目鱼肌和腿筋的后部力会相应增加,以帮助在安全着陆操作中保护 ACL。我们的结果表明,Gastroc 和 Soleus 分别在 ACL 加载中具有拮抗和协同作用。在峰值 GRF 时,两种着陆高度下,比目鱼肌的后部力达到腿筋后部力的 28-32%,而腓肠肌在股骨上的后部力可以忽略不计。单腿着陆时的 ACL 受伤风险不仅取决于膝关节肌肉,还受不跨越膝关节的肌肉的影响,例如比目鱼肌。总之,在制定 ACL 损伤预防的训练策略时,应考虑踝关节跖屈肌的作用。