Semciw Adam, Neate Racheal, Pizzari Tania
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia; La Trobe Sports and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia.
La Trobe Sports and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia.
J Electromyogr Kinesiol. 2016 Oct;30:98-110. doi: 10.1016/j.jelekin.2016.06.005. Epub 2016 Jun 17.
Running is a popular sport and recreational physical activity worldwide. Musculoskeletal injuries in runners are common and may be attributed to the inability to control pelvic equilibrium in the coronal plane. This lack of pelvic control in the frontal plane can stem from dysfunction of the gluteus medius. The aim of this systematic review was therefore to: (i) compile evidence of the activity profile of gluteus medius when running; (ii) identify how gluteus medius activity (electromyography) varies with speed, cadence and gender when running; (iii) compare gluteus medius activity in injured runners to matched controls. Seven electronic databases were searched from their earliest date until March 2015. Thirteen studies met our eligibility criteria. The activity profile was mono-phasic with a peak during initial loading (four studies). Gluteus medius amplitude increases with running speed; this is most evident in females. The muscles' activity has been recorded in injured runners with Achilles tendinopathy (two studies) and patellofemoral pain syndrome (three studies). The strongest evidence indicates a moderate and significant reduction in gluteus medius duration of activity when running in people with patellofemoral pain syndrome. This dysfunction can potentially be mediated with running retraining strategies.
跑步是一项在全球范围内广受欢迎的运动和休闲体育活动。跑步者的肌肉骨骼损伤很常见，可能归因于无法在冠状面控制骨盆平衡。在额状面缺乏骨盆控制可能源于臀中肌功能障碍。因此，本系统评价的目的是：（i）汇总跑步时臀中肌活动情况的证据；（ii）确定跑步时臀中肌活动（肌电图）如何随速度、步频和性别变化；（iii）比较受伤跑步者与匹配对照组的臀中肌活动。检索了七个电子数据库，时间从最早到2015年3月。十三项研究符合我们的纳入标准。活动情况为单相，在初始负重时有一个峰值（四项研究）。臀中肌振幅随跑步速度增加；这在女性中最为明显。已经记录了患有跟腱病的受伤跑步者（两项研究）和髌股疼痛综合征患者（三项研究）的肌肉活动。最有力的证据表明，患有髌股疼痛综合征的人跑步时，臀中肌活动持续时间会适度且显著缩短。这种功能障碍可能可以通过跑步再训练策略来调节。
