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不同的膝关节屈曲角度如何影响俯卧位时的髋伸肌。

How different knee flexion angles influence the hip extensor in the prone position.

作者信息

Kwon Yu-Jeong, Lee Hyun-Ok

机构信息

Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Republic of Korea.

出版信息

J Phys Ther Sci. 2013 Oct;25(10):1295-7. doi: 10.1589/jpts.25.1295. Epub 2013 Nov 20.

Abstract

[Purpose] The present study examined the effects of knee flexion angle on hip extensor muscle activity. [Subjects and Methods] Twenty healthy subjects maintained knee flexion angles of 0°, 30°, 60°, 90° and 110° in the prone position and performed maximal voluntary contraction in hip extension. Maximum torque in hip extension at the different angles was measured, and surface electromyogram activities of the gluteus maximus (GM), biceps femoris (BF) and semitendinosus (ST) were recorded and normalized by the maximum voluntary isometric contraction (MVIC). [Results] The maximum torque of the hip extensor showed significant decreases between 0°and 60°, 90° and 110° of knee flexion. The muscle activity of BF was significantly high at 0°, and GM showed a significantly higher activity than both BF and ST at 60°, 90°and 110° of knee flexion. [Conclusion] The maximum torque in hip extension and muscle activities of BF and ST were significantly high at 0° but they decreased at knee flexion angles of more than 60°. Therefore, we consider that more than 60° of knee joint flexion is required to increase GM activity, and to reduce the muscle activities of BF and ST.

摘要

[目的] 本研究探讨膝关节屈曲角度对髋部伸肌活动的影响。[对象与方法] 20名健康受试者在俯卧位保持膝关节屈曲角度为0°、30°、60°、90°和110°,并进行髋部伸展的最大自主收缩。测量不同角度下髋部伸展的最大扭矩,记录臀大肌(GM)、股二头肌(BF)和半腱肌(ST)的表面肌电图活动,并通过最大自主等长收缩(MVIC)进行标准化。[结果] 膝关节屈曲在0°与60°、90°与110°之间时,髋部伸肌的最大扭矩显著降低。BF的肌肉活动在0°时显著较高,GM在膝关节屈曲60°、90°和110°时的活动显著高于BF和ST。[结论] 髋部伸展的最大扭矩以及BF和ST的肌肉活动在0°时显著较高,但在膝关节屈曲角度超过60°时降低。因此,我们认为需要超过60°的膝关节屈曲来增加GM的活动,并降低BF和ST的肌肉活动。

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