Fujisawa Hiroyuki, Suzuki Hiroto, Nishiyama Toru, Suzuki Makoto
Department of Rehabilitation, Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Japan.
J Phys Ther Sci. 2015 May;27(5):1523-6. doi: 10.1589/jpts.27.1523. Epub 2015 May 26.
[Purpose] We aimed to evaluate the difference in the muscle activity between the double-leg heel raise (DHR) and treadmill walking. [Subjects] Thirty healthy males aged 21.5 ± 1.6 years (body mass 63.6 ± 9.3 kg, height 171.0 ± 4.5 cm) participated in the study. [Methods] Electromyograms were simultaneously recorded from both heads of the gastrocnemius and the soleus of the right side during the DHR and treadmill walking. The DHR conditions were maximum plantar flexion (MPF), 3/4 MPF, 2/4 MPF, and 1/4 MPF, and the walking speeds were 20, 40, 60, 80, and 100 m/min. [Results] The muscle activity during the DHR and walking significantly increased with increments in the height of the heel raise and walking speed, respectively. Comparison of the muscle activity at MPF with that at each walking speed revealed that the muscle activity in the soleus and gastrocnemius medial head during walking exceeded that during the DHR in less than 3.3% of cases. [Conclusion] The DHR test is useful for evaluating the ankle plantar flexor activity necessary for walking.
[目的] 我们旨在评估双腿提踵(DHR)和跑步机行走之间肌肉活动的差异。[对象] 30名年龄在21.5±1.6岁的健康男性(体重63.6±9.3kg,身高171.0±4.5cm)参与了本研究。[方法] 在DHR和跑步机行走过程中,同步记录右侧腓肠肌两头和比目鱼肌的肌电图。DHR的条件为最大跖屈(MPF)、3/4MPF、2/4MPF和1/4MPF,行走速度为20、40、60、80和100米/分钟。[结果] DHR和行走过程中的肌肉活动分别随着提踵高度和行走速度的增加而显著增加。将MPF时的肌肉活动与各行走速度时的肌肉活动进行比较,结果显示,行走过程中比目鱼肌和腓肠肌内侧头的肌肉活动在不到3.3%的情况下超过了DHR时的肌肉活动。[结论] DHR测试对于评估行走所需的踝关节跖屈肌活动很有用。