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肱三头肌各头在肘关节伸展中的不同作用。

The different role of each head of the triceps brachii muscle in elbow extension.

作者信息

Kholinne Erica, Zulkarnain Rizki Fajar, Sun Yu Cheng, Lim SungJoon, Chun Jae-Myeung, Jeon In-Ho

机构信息

Department of Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia; Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

出版信息

Acta Orthop Traumatol Turc. 2018 May;52(3):201-205. doi: 10.1016/j.aott.2018.02.005. Epub 2018 Mar 2.

Abstract

OBJECTIVE

The aim of this study was to investigate the functional role of each head of the triceps brachii muscle, depending on the angle of shoulder elevation, and to compare each muscle force and activity by using a virtual biomechanical simulator and surface electromyography.

METHODS

Ten healthy participants (8 males and 2 females) were included in this study. The mean age was 29.2 years (23-45). Each participant performed elbow extension tasks in five different degrees (0, 45, 90, 135, and 180°) of shoulder elevation with three repetitions. Kinematics data and surface electromyography signal of each head of the triceps brachii were recorded. Recorded kinematics data were then applied to an inverse kinematics musculoskeletal modeling software function (OpenSim) to analyze the triceps brachii's muscle force. Correlation between muscle force, muscle activity, elbow extension, and shoulder elevation angle were compared and analyzed for each head of triceps brachii.

RESULTS

At 0° shoulder elevation, the long head of the triceps brachii generates a significantly higher muscle force and muscle activation than the lateral and medial heads (p < 0.05). While at 90°, 135° and 180° shoulder elevation, the medial head of the triceps brachii showed a significantly higher muscle force than the long and the lateral heads (p < 0.05).

CONCLUSIONS

Each head of the triceps brachii has a different pattern of force and activity during different shoulder elevations. The long head contributes to elbow extension more at shoulder elevation and the medial head takes over at 90° and above of shoulder elevation. This study provides further understanding of triceps brachii's for clinicians and health trainers who need to investigate the functional role of the triceps brachii in detail.

摘要

目的

本研究旨在根据肩部抬高角度,探究肱三头肌各头的功能作用,并通过虚拟生物力学模拟器和表面肌电图比较各肌肉力量和活动情况。

方法

本研究纳入了10名健康参与者(8名男性和2名女性)。平均年龄为29.2岁(23 - 45岁)。每位参与者在肩部抬高的五个不同角度(0、45、90、135和180°)下进行肘部伸展任务,重复三次。记录肱三头肌各头的运动学数据和表面肌电图信号。然后将记录的运动学数据应用于逆运动学肌肉骨骼建模软件功能(OpenSim),以分析肱三头肌的肌肉力量。对肱三头肌各头的肌肉力量、肌肉活动、肘部伸展和肩部抬高角度之间的相关性进行比较和分析。

结果

在肩部抬高0°时,肱三头肌长头产生的肌肉力量和肌肉激活明显高于外侧头和内侧头(p < 0.05)。而在肩部抬高90°、135°和180°时,肱三头肌内侧头显示出比长头和外侧头明显更高的肌肉力量(p < 0.05)。

结论

肱三头肌各头在不同肩部抬高过程中具有不同的力量和活动模式。长头在肩部抬高时对肘部伸展的贡献更大,而内侧头在肩部抬高90°及以上时发挥主要作用。本研究为需要详细研究肱三头肌功能作用的临床医生和健康训练师提供了对肱三头肌的进一步理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bec/6136322/708789cd1fd5/gr1.jpg

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