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前脚掌着地和后脚掌着地跑步技术过程中的下肢肌肉活动。

Lower limb muscle activity during forefoot and rearfoot strike running techniques.

作者信息

Landreneau Lindsey L, Watts Kayla, Heitzman Jill E, Childers W Lee

机构信息

Department of Physical Therapy, Alabama State University, Montgomery, AL, USA.

Department of Prosthetics and Orthotics, Alabama State University, Montgomery, AL, USA.

出版信息

Int J Sports Phys Ther. 2014 Dec;9(7):888-97.

Abstract

PURPOSE/BACKGROUND: Distance running offers a method to improve fitness but also has a risk of lower limb overuse injuries. Foot strike technique has been suggested as a method to alter loading of the lower limb and possibly minimize injury risk. However, there is a dearth of information regarding neuromuscular response to variations in running techniques. The purpose of this investigation was to compare the EMG activity that occurs during FFS running and RFS running, focusing on the biceps femoris, semitendenosis, rectus femoris, vastus medialis oblique, tibialis anterior (TA), medial head of gastrocnemeus (MGas), lateral head of gastrocnemius (LGas), and soleus.

METHODS

healthy adults (6 male, 8 female; age, 24.2 ± 0.8 years, height 170.1 ± 7.8 cm; mass 69.8 ±10.9 kg; Body Mass Index 24.1 ± 3.0 kg·m2) participated in the study. All participants performed a RFS and FFS running trial at 8.85 kph. A 3D motion capture system was used to collect kinematic data and electromyography was used to define muscle activity. Two-tailed paired t-tests were used to examine differences in outcomes between RFS and FFS conditions.

RESULTS

The ankle was significantly more plantarflexed during FFS running (p = .0001) but there were no significant differences in knee and hip angles (p = .618 & .200, respectively). There was significantly less activity in tibialis anterior (TA) (p < .0001) and greater activity in the MGas (p= .020) during FFS running. The LGas and soleus did not change activity (p = .437 & .490, respectively).

CONCLUSIONS

FFS running demonstrated lower muscular activity in the TA and increased activation in the MGas.

CLINICAL RELEVANCE

FFS and RFS running have the potential to off-load injury prone tissues by changing between techniques. However, future studies will be necessary to establish more direct mechanistic connections between running technique and injury.

摘要

目的/背景:长跑是一种改善体能的方法,但也存在下肢过度使用损伤的风险。着地技术被认为是一种改变下肢负荷并可能降低受伤风险的方法。然而,关于神经肌肉对跑步技术变化的反应,目前缺乏相关信息。本研究的目的是比较前脚掌着地(FFS)跑步和后脚掌着地(RFS)跑步时的肌电图活动,重点关注股二头肌、半腱肌、股直肌、股内侧斜肌、胫骨前肌(TA)、腓肠肌内侧头(MGas)、腓肠肌外侧头(LGas)和比目鱼肌。

方法

健康成年人(6名男性,8名女性;年龄24.2±0.8岁,身高170.1±7.8厘米;体重69.8±10.9千克;体重指数24.1±3.0千克·米²)参与了本研究。所有参与者以8.85千米/小时的速度进行了RFS和FFS跑步试验。使用三维运动捕捉系统收集运动学数据,并使用肌电图来确定肌肉活动。采用双侧配对t检验来检验RFS和FFS条件下结果的差异。

结果

在FFS跑步过程中,踝关节跖屈明显更多(p = 0.0001),但膝关节和髋关节角度无显著差异(分别为p = 0.618和0.200)。在FFS跑步过程中,胫骨前肌(TA)的活动明显减少(p < 0.0001),而腓肠肌内侧头(MGas)的活动增加(p = 0.020)。腓肠肌外侧头(LGas)和比目鱼肌的活动没有变化(分别为p = 0.437和0.490)。

结论

FFS跑步显示胫骨前肌(TA)的肌肉活动较低,而腓肠肌内侧头(MGas)的激活增加。

临床意义

FFS和RFS跑步有可能通过在两种技术之间切换来减轻易受伤组织的负荷。然而,未来有必要开展更多研究,以建立跑步技术与损伤之间更直接的机制联系。

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