Miyachi Ryo, Yamazaki Toshiaki, Ohno Naoki, Miyati Tosiaki
Department of Rehabilitation, Ishikawa-ken Saiseikai Kanazawa Hospital, Japan.
Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University: 5-11-80 Kodatsuno, Kanazawa, Ishikawa 920-0942, Japan.
J Phys Ther Sci. 2019 Jun;31(6):488-492. doi: 10.1589/jpts.31.488. Epub 2019 Jun 1.
[Purpose] This study aimed to clarify whether the morphological changes of the lower leg muscle occur equally in the longitudinal direction of the muscle according to changes in ankle joint position during sitting. [Participants and Methods] The participants were 15 healthy young females whose dominant lower legs were analyzed. The participants sat with the lower leg vertical to the floor with a neutral, dorsiflexed, or plantarflexed ankle position. Images were obtained from the fibular head from 290 mm distal using gravity magnetic resonance imaging. The muscle cross-sectional areas of the soleus, medial and lateral heads of the gastrocnemius, and anterior tibialis were measured. [Results] The muscle cross-sectional area of the soleus at the 1/4 proximal muscle belly in the plantarflexed position was greater than those in the other positions. The 1/4 distal part in the plantarflexed position was smaller than those in the other positions. The muscle cross-sectional area of the gastrocnemius at the 1/4 distal part in the plantarflexed position was smaller than that in the dorsiflexed position. In contrast, the muscle cross-sectional area of the tibialis anterior at the 1/4 proximal part in the dorsiflexed position was greater than those in the other positions, while that at the 1/4 distal part in the dorsiflexed position was smaller than that in the plantarflexed position. [Conclusion] In the sitting position, the morphological changes of the lower leg muscle according to changes in ankle joint position are not uniform in the longitudinal muscle direction.
[目的]本研究旨在阐明在坐姿时,小腿肌肉的形态变化是否会根据踝关节位置的改变而在肌肉的纵向方向上均匀发生。[参与者与方法]参与者为15名健康年轻女性,对其优势小腿进行分析。参与者坐姿时小腿垂直于地面,踝关节处于中立位、背屈位或跖屈位。使用重力磁共振成像从腓骨头远端290 mm处获取图像。测量比目鱼肌、腓肠肌内侧头和外侧头以及胫骨前肌的肌肉横截面积。[结果]跖屈位时比目鱼肌近端1/4肌腹处的肌肉横截面积大于其他位置。跖屈位时远端1/4部分小于其他位置。跖屈位时腓肠肌远端1/4部分的肌肉横截面积小于背屈位。相比之下,背屈位时胫骨前肌近端1/4部分的肌肉横截面积大于其他位置,而背屈位时远端1/4部分的肌肉横截面积小于跖屈位。[结论]在坐姿下,小腿肌肉根据踝关节位置改变而发生的形态变化在肌肉纵向方向上并不均匀。