Yoon Se-Won
Department of Physical Therapy, Kwangju Women's University, Republic of Korea.
J Phys Ther Sci. 2017 May;29(5):851-853. doi: 10.1589/jpts.29.851. Epub 2017 May 16.
[Purpose] This study aimed to examine the changes in the muscle activities of each section of the tibialis anterior and gastrocnemius muscles in the functional reach test. [Subjects and Methods] This study selected those who can walk independently, can reach out their arm up to over 25 cm, can show over 90° shoulder joint bending, have not undergone an operation in the lower limb joint, and are not taking any medication affecting their ability to keep their balance from among 24 elderly males and 24 elderly females. The muscular activities of the tibialis anterior and gastrocnemius muscles were measured using the functional reach test and electromyogram. The functional reach test was conducted at a total of four sections: 0, 15, 20, and 25 cm. [Results] Gender and age affected the muscular activity by section in the functional reach test. It was also found that the gastrocnemius muscle was used more than the tibialis anterior muscle to keep the balance, and the aged subjects with good balance ability showed no great change in muscular activity on both stable and unstable ground. [Conclusion] It was found that the subjects used the tibialis anterior muscle more, and the lower limbs of the frequently used part, to keep their balance. As the aged subjects had good balance ability, they showed no great change in muscular activity on both stable and unstable ground.
[目的] 本研究旨在探讨在功能性伸展测试中胫骨前肌和腓肠肌各节段肌肉活动的变化。[对象与方法] 本研究从24名老年男性和24名老年女性中选取能够独立行走、手臂伸展超过25 cm、肩关节屈曲超过90°、下肢关节未接受过手术且未服用任何影响其平衡能力药物的受试者。使用功能性伸展测试和肌电图测量胫骨前肌和腓肠肌的肌肉活动。功能性伸展测试共在四个节段进行:0、15、20和25 cm。[结果] 在功能性伸展测试中,性别和年龄影响各节段的肌肉活动。还发现,为保持平衡,腓肠肌的使用多于胫骨前肌,且平衡能力良好的老年受试者在稳定和不稳定地面上的肌肉活动均无明显变化。[结论] 发现受试者更多地使用胫骨前肌以及经常使用部位的下肢来保持平衡。由于老年受试者平衡能力良好,他们在稳定和不稳定地面上的肌肉活动均无明显变化。