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跑步机倾斜度和速度对中年成年人踝关节肌肉活动的影响。

The impact of incline and speed of treadmill on ankle muscle activity in middle-aged adults.

作者信息

Mohammadi Roghayeh, Phadke Chetan P

机构信息

Neuromuscular Rehabilitation Research Center and Rehabilitation Faculty, Semnan University of Medical Sciences, Semnan, Iran.

Spasticity Research Program, West Park Healthcare Centre, Toronto, Canada; Department of Physical Therapy, University of Toronto, Toronto, Canada; Faculty of Health, York University, Toronto, Canada.

出版信息

J Bodyw Mov Ther. 2017 Apr;21(2):306-313. doi: 10.1016/j.jbmt.2016.07.007. Epub 2016 Jul 25.

Abstract

OBJECTIVE

Additional demands associated with changing walking incline and speed combined with normal aging related changes in muscle recruitment can make walking difficult. This study examined the effects of walking on a treadmill at different inclines and speeds on ankle muscles in healthy middle-aged adults.

METHODS

Fifteen healthy subjects (10M/5F) walked on a standard treadmill at three different inclines (0°, 3°, and 6°) and speeds (self-selected, self-selected+20%, self-selected+40%). The electromyographic activity of Medial Gastrocnemius (MG), and Tibialis anterior (TA) muscles was measured during the push off phase of the gait.

RESULTS

Bilateral MG muscle activity increased when subjects walked uphill compared with level walking (p < 0.05), but no changes were seen with increasing walking speed (p > 0.05). Right MG (dominant side) activity increased at all inclines, but only at 6° on left side and also MG muscle activity was delayed on the left side at faster speed (p < 0.05).

CONCLUSION

The bias towards using muscles in the dominant leg in middle-aged subjects to overcome challenging walking conditions may be an age-related adaptation. These results suggest that future studies in the stroke population are needed to examine the impact of hemiparesis of the dominant leg as this group of persons post-stroke may be more likely to experience greater impairment of muscle activation patterns during walking on sloped surfaces.

摘要

目的

与行走坡度和速度变化相关的额外需求,再加上与正常衰老相关的肌肉募集变化,可能会使行走变得困难。本研究考察了在跑步机上以不同坡度和速度行走对健康中年成年人踝关节肌肉的影响。

方法

15名健康受试者(10名男性/5名女性)在标准跑步机上以三种不同坡度(0°、3°和6°)和速度(自选、自选+20%、自选+40%)行走。在步态的蹬离阶段测量腓肠肌内侧(MG)和胫骨前肌(TA)的肌电活动。

结果

与水平行走相比,受试者上坡行走时双侧MG肌肉活动增加(p<0.05),但行走速度增加时未见变化(p>0.05)。右侧MG(优势侧)活动在所有坡度下均增加,但左侧仅在6°时增加,且左侧MG肌肉活动在较快速度时延迟(p<0.05)。

结论

中年受试者倾向于使用优势腿肌肉来克服具有挑战性的行走条件可能是一种与年龄相关的适应。这些结果表明,未来需要对中风人群进行研究,以检查优势腿偏瘫的影响,因为这组中风后人群在斜坡表面行走时可能更有可能经历更大的肌肉激活模式损伤。

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