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步态期间小腿肌肉共同收缩活动中性别相关差异的评估。

Evaluation of gender-related differences in co-contraction activity of shank muscles during gait.

作者信息

Mengarelli A, Maranesi E, Barone V, Burattini L, Fioretti S, Di Nardo F

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:6066-9. doi: 10.1109/EMBC.2015.7319775.

Abstract

This study aims to investigate the possible differences between genders in co-contractions of tibialis anterior (TA) and gastrocnemius lateralis (GL), during walking at self-selected speed. To this purpose, the statistical gait analysis (SGA) was performed on seven female (F-group) and seven male (M-group) adults. SGA is a recently developed methodology for the characterization of gait, by averaging spatiotemporal and electromyographic parameters over hundreds of strides per subject. Co-contractions were assessed as the overlapping periods between TA and GL activity. Results showed that four co-contraction intervals are present during gait cycle in both groups. No relevant differences between genders were detected in onset-offset time instants of co-activations or in their temporal length. On the contrary, significant differences were observed in the number of strides where each co-contraction happens (i.e. the occurrence frequency). All the four co-contraction intervals result significantly (p<;0.05) more recurrent in females compared to males. This outcome suggests a larger presence of co-contraction activity in females walking, related to a female tendency for a more complex muscular strategy during gait. These findings could be useful to better understand gender differences in walking mechanisms and to develop separated normal walking reference frames for males and females.

摘要

本研究旨在调查在以自选速度行走过程中,胫骨前肌(TA)和外侧腓肠肌(GL)共同收缩时可能存在的性别差异。为此,对7名成年女性(F组)和7名成年男性(M组)进行了统计步态分析(SGA)。SGA是一种最近开发的用于表征步态的方法,通过对每个受试者数百步的时空参数和肌电图参数进行平均来实现。共同收缩被评估为TA和GL活动的重叠期。结果表明,两组在步态周期中均存在四个共同收缩间隔。在共同激活的起始-结束时刻或其时间长度方面,未检测到性别之间的相关差异。相反,在每个共同收缩发生的步数(即发生频率)上观察到了显著差异。与男性相比,所有四个共同收缩间隔在女性中出现的频率均显著更高(p<0.05)。这一结果表明,女性在行走时共同收缩活动更为明显,这与女性在步态中倾向于采用更复杂的肌肉策略有关。这些发现可能有助于更好地理解行走机制中的性别差异,并为男性和女性分别建立正常行走参考框架。

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