Mahaki M, Mi'mar R, Mahaki B
Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, Kharazmi University of Tehran, Tehran, Iran -
J Sports Med Phys Fitness. 2015 Oct;55(10):1145-9. Epub 2015 Apr 30.
Anterior cruciate ligament (ACL) injury continues to be an important medical issue for athletes participating in sports. Vertical and posterior ground reaction forces have received considerable attention for their potential influence on ACL injuries. The purpose of this study was to examine the relationship between electromyographic activity of lower extremity muscles and the peak vertical and posterior ground reaction forces during single leg drop landing.
Thirteen physical education male students participated in this correlation study. Electromyographic activities of gluteus medius, biceps femoris, medial gastrocnemius, soleus as well as anterior tibialis muscles along with ground reaction forces were measured. Participants performed single-leg landing from a 0.3 m height on to a force platform. Landing was divided into two phases: 100 ms preceding ground contact and 100 ms proceeding ground contact. Pearson correlation test was used to determine the relationships between these muscles activity and peak vertical and posterior ground reaction forces.
The results of the study indicated that the activity of soleus and tibialis anterior in pre-landing phase were positively correlated with peak vertical ground reaction force ([P≤0.04], [P≤0.008], respectively). However, no significant correlation was found between the activities of other muscles in pre-landing phase and peak vertical as well as peak posterior ground reaction forces. Also, no significant correlation was found between the activities of muscles in post-landing phase and peak vertical as well as peak posterior ground reaction forces.
Soleus loading shifts the proximal tibia posterior at the knee joint and tibialis anterior prevent hyperporonation of the ankle, a mechanisms of ACL injury. Hence, neuromuscular training promoting preparatory muscle activity in these muscles may reduce the incidence of ACL injuries.
前交叉韧带(ACL)损伤对于参与运动的运动员来说仍然是一个重要的医学问题。垂直和后向地面反作用力因其对ACL损伤的潜在影响而受到了相当多的关注。本研究的目的是探讨单腿下落着地过程中下肢肌肉的肌电活动与垂直和后向地面反作用力峰值之间的关系。
13名体育专业男学生参与了这项相关性研究。测量了臀中肌、股二头肌、腓肠肌内侧头、比目鱼肌以及胫骨前肌的肌电活动和地面反作用力。参与者从0.3米高度单腿落在测力平台上。着地分为两个阶段:着地前100毫秒和着地后100毫秒。采用Pearson相关性检验来确定这些肌肉活动与垂直和后向地面反作用力峰值之间的关系。
研究结果表明,着地前阶段比目鱼肌和胫骨前肌的活动分别与垂直地面反作用力峰值呈正相关([P≤0.04],[P≤0.008])。然而,着地前阶段其他肌肉的活动与垂直和后向地面反作用力峰值之间未发现显著相关性。此外,着地后阶段肌肉的活动与垂直和后向地面反作用力峰值之间也未发现显著相关性。
比目鱼肌的负荷使膝关节处胫骨近端向后移动,而胫骨前肌可防止踝关节过度旋前,这是ACL损伤的一种机制。因此,促进这些肌肉预激活的神经肌肉训练可能会降低ACL损伤的发生率。