Khaiyat Omid A, Norris Jessica
School of Health Sciences, Liverpool Hope University: Hope Park, Liverpool L16 9JD, UK.
J Phys Ther Sci. 2018 Apr;30(4):642-648. doi: 10.1589/jpts.30.642. Epub 2018 Apr 20.
[Purpose] Most of rehabilitation programmes for Anterior Cruciate Ligament (ACL) injury focus on quadriceps-hamstrings activation imbalances and less is known about kinetically linked muscles. This study investigated electromyographic activity of selected trunk, core, and thigh muscles during common rehabilitation exercises for ACL injury. [Subjects and Methods] Twelve active female volunteers participated in this cross-sectional laboratory study. Surface EMG was used to compare activation of eight trunk, hip/core, and lower limb muscles: Erector Spinae (ES), Rectus Abdominis (RA), Gluteus Maximus (GM), Vastus Lateralis (VL), Rectus Femoris (RF), Vastus Medialis (VM), Biceps Femoris (BF), and Semitendinosus (ST) during Forward Lunge, Double Leg Raise, Glute Bridge, Sit-Up, and Squat. [Results] Forward lunge produced significantly higher activation in the VM (61.1 ± 19.4), VL (59.2 ± 12.9), and RF (32.0 ± 2.6). Double leg raise generated highest activity in the RF (26.6 ± 2.8) and RA (43.3 ± 4.4); and Glute Bridge in the GM (44.5 ± 19.0) and BF (22.4 ± 4.3). Sit-up produced the highest activation in the RF (36.6 ± 4.7) followed by RA (18.9 ± 3.8). Squat produced a higher activation in VL (55.0 ± 12.9), VM (51.5 ± 18.2), and ES (40.4 ± 18.3). [Conclusion] This study provide further evidence for developing training programmes for ACL injury prevention and rehabilitation. A combination of exercises to reinstate quadriceps-hamstrings activation balance and enhance core stability is recommended.
[目的] 大多数前交叉韧带(ACL)损伤的康复计划都侧重于股四头肌 - 腘绳肌激活失衡,而对动力学相关肌肉的了解较少。本研究调查了ACL损伤常见康复锻炼过程中选定的躯干、核心和大腿肌肉的肌电图活动。[受试者与方法] 12名活跃的女性志愿者参与了这项横断面实验室研究。使用表面肌电图比较前弓步、双腿抬高、臀桥、仰卧起坐和深蹲过程中八块躯干、髋部/核心和下肢肌肉的激活情况:竖脊肌(ES)、腹直肌(RA)、臀大肌(GM)、股外侧肌(VL)、股直肌(RF)、股内侧肌(VM)、股二头肌(BF)和半腱肌(ST)。[结果] 前弓步时,股内侧肌(61.1±19.4)、股外侧肌(59.2±12.9)和股直肌(32.0±2.6)的激活明显更高。双腿抬高时,股直肌(26.6±2.8)和腹直肌(43.3±4.4)的活动最高;臀桥时,臀大肌(44.5±19.0)和股二头肌(22.4±4.3)的活动最高。仰卧起坐时股直肌(36.6±4.7)的激活最高,其次是腹直肌(18.9±3.8)。深蹲时股外侧肌(55.0±12.9)、股内侧肌(51.5±18.2)和竖脊肌(40.4±18.3)的激活更高。[结论] 本研究为制定ACL损伤预防和康复训练计划提供了进一步的证据。建议结合多种锻炼来恢复股四头肌 - 腘绳肌激活平衡并增强核心稳定性。