Schmitz Anne, Russo Kelsey, Edwards Lauren, Noehren Brian
Division of Physical Therapy, University of Kentucky, Lexington, KY, USA.
Division of Physical Therapy, University of Kentucky, Lexington, KY, USA.
Gait Posture. 2014;40(1):82-6. doi: 10.1016/j.gaitpost.2014.02.014. Epub 2014 Mar 4.
First, we sought to better understand the predisposition of novice female runners to injury by identifying potential differences in running mechanics and strength between experienced female runners and active novice runners. Secondly, we aimed to assess the relationship between hip and trunk strength with non-sagittal hip kinematics during running. Two female populations were recruited: 19 healthy experienced runners and 19 healthy active novice runners. Strength measurements of the hip abductors and external rotators were measured using a hand held dynamometer while trunk endurance was assessed via a side-plank. Next, an instrumented gait analysis was performed while each participant ran at 3.3m/s. Group comparisons were made using an independent t-test to identify differences in the impact peak, loading rate, peak non-sagittal hip joint angles, trunk endurance, and hip strength. Pearson's correlation coefficients were calculated between hip kinematics and strength measurements. There were no statistically significant differences in impact peak, loading rate, peak non-sagittal hip kinematics, or strength. However, the novice runners did show a clinically meaningful trend toward increased peak hip internal rotation by 3.8° (effect size 0.520). A decrease in trunk side-plank endurance was associated with an increased peak hip internal rotation angle (r=-0.357, p=0.03), whereas isometric strength was not related to kinematics. Programs aiming to prevent injuries in novice runners should target trunk performance and possibly hip neuromuscular control, rather than hip strength.
首先,我们试图通过确定经验丰富的女性跑步者与活跃的新手跑步者在跑步力学和力量方面的潜在差异,来更好地了解新手女性跑步者受伤的倾向。其次,我们旨在评估跑步过程中髋部和躯干力量与非矢状面髋部运动学之间的关系。招募了两组女性人群:19名健康的经验丰富的跑步者和19名健康的活跃新手跑步者。使用手持测力计测量髋外展肌和外旋肌的力量,同时通过侧平板支撑评估躯干耐力。接下来,在每位参与者以3.3米/秒的速度跑步时进行仪器化步态分析。使用独立t检验进行组间比较,以确定冲击峰值、负荷率、非矢状面髋关节角度峰值、躯干耐力和髋部力量的差异。计算髋部运动学与力量测量之间的皮尔逊相关系数。在冲击峰值、负荷率、非矢状面髋部运动学峰值或力量方面没有统计学上的显著差异。然而,新手跑步者确实表现出髋部内旋峰值增加3.8°的具有临床意义的趋势(效应大小为0.520)。躯干侧平板支撑耐力的降低与髋部内旋峰值角度的增加相关(r = -0.357,p = 0.03),而异位力量与运动学无关。旨在预防新手跑步者受伤的计划应针对躯干表现,可能还包括髋部神经肌肉控制,而不是髋部力量。