Brown Allison M, Zifchock Rebecca A, Hillstrom Howard J
Adjunct Assistant Professor, Department of Rehabilitation and Movement Sciences, Rutgers Biomedical and Health Sciences, Newark, NJ, USA.
Department of Civil & Mechanical Engineering, United States Military Academy, West Point, NY, USA.
Gait Posture. 2014 Mar;39(3):915-9. doi: 10.1016/j.gaitpost.2013.12.007. Epub 2013 Dec 17.
To establish whether lower extremity limb dominance has an effect on overground running mechanics.
In attempts to resolve unilateral pathology, physical therapists often use the restoration of symmetry as a clinical milestone. While lower limb dominance has been shown to affect lower extremity mechanics during dynamic tasks such as jump landing, its effect on running gait is poorly understood. Further, despite the role of fatigue in running mechanics and injury, the interaction between fatigue and limb dominance has yet to be examined.
Three-dimensional kinematic and kinetic data were collected on 20 females during overground running. Data were collected prior-to and following a treadmill run to exertion. Dominant and non-dominant limb data were compared in the fresh-state using a paired t-test. A 2-way repeated-measures ANOVA was used to test for an interaction between fatigue and limb dominance.
There were no significant differences between the kinematic or kinetic patterns of the dominant and non-dominant lower extremities during fresh-state overground running. Fatigue was not shown to interact with limb dominance.
Limb dominance did not affect kinematic or kinetic side-to-side differences. Therefore, physical therapists can continue to use resolution of lower extremity symmetry as a goal of therapy without having to account for limb dominance. The lack of an interaction between fatigue and limb dominance indicates that the dominant and non-dominant limbs fatigue at a similar rate.
确定下肢肢体优势是否会对地面跑步力学产生影响。
在试图解决单侧病变时,物理治疗师通常将恢复对称性作为临床目标。虽然已经表明下肢优势在诸如跳跃着陆等动态任务中会影响下肢力学,但其对跑步步态的影响却知之甚少。此外,尽管疲劳在跑步力学和损伤中起作用,但疲劳与肢体优势之间的相互作用尚未得到研究。
在20名女性地面跑步过程中收集三维运动学和动力学数据。在跑步机跑步至疲劳前和疲劳后收集数据。在初始状态下使用配对t检验比较优势肢体和非优势肢体的数据。采用双向重复测量方差分析来检验疲劳与肢体优势之间的相互作用。
在初始状态的地面跑步过程中,优势下肢和非优势下肢的运动学或动力学模式之间没有显著差异。未显示疲劳与肢体优势之间存在相互作用。
肢体优势不会影响运动学或动力学的左右差异。因此,物理治疗师可以继续将恢复下肢对称性作为治疗目标,而不必考虑肢体优势。疲劳与肢体优势之间缺乏相互作用表明优势肢体和非优势肢体以相似的速率疲劳。