Kindel Curtis, Challis John
a Department of Physical Therapy , Saint Francis University , Loretto , PA , USA.
b Department of Kinesiology , Pennsylvania State University , University Park , PA , USA.
Physiother Theory Pract. 2017 Jul;33(7):568-575. doi: 10.1080/09593985.2017.1323357. Epub 2017 May 16.
Strengthening of hip joint musculature is common in the rehabilitation of the lower extremity. However, strength curves for hip abduction and extension have not been assessed when varying the position of the knee. The force-length properties of the biarticular muscles can be affected when altering the position of the knee during the production of hip moments.
Maximum isometric joint moments were measured at four different angles of hip abduction and hip extension, at the two knee positions (0° and 90°).
The hip abduction and extension moments decreased as the hip moved from an adducted position and flexed position to an abducted position and extended position, respectively, resulting in a descending joint moment angle curve for each.
The results indicate that position of the knee does not significantly change the normalized peak hip abduction joint moment, but the position of the knee does significantly change the normalized peak hip extension joint moment. This provides a baseline reference of hip joint moment production and can be utilized when assessing a population with a pathology or prescribing rehabilitative exercises.
加强髋关节肌肉力量在下肢康复中很常见。然而,在改变膝关节位置时,尚未评估髋关节外展和伸展的力量曲线。在产生髋关节力矩时改变膝关节位置可能会影响双关节肌肉的力-长度特性。
在两个膝关节位置(0°和90°)下,于髋关节外展和伸展的四个不同角度测量最大等长关节力矩。
随着髋关节分别从内收位和屈曲位移动到外展位和伸展位,髋关节外展和伸展力矩均下降,从而使每个关节力矩角度曲线呈下降趋势。
结果表明,膝关节位置不会显著改变标准化的髋关节外展峰值关节力矩,但膝关节位置会显著改变标准化的髋关节伸展峰值关节力矩。这为髋关节力矩产生提供了基线参考,可在评估患有某种病症的人群或开具康复锻炼处方时加以利用。