Areia Carlos, Barreira Paulo, Montanha Tiago, Oliveira José, Ribeiro Fernando
School of Health Sciences, University of Aveiro, Aveiro, Portugal.
Arsenal FC, Football Medicine®, United Kingdom.
Clin Biomech (Bristol). 2019 Oct;69:115-119. doi: 10.1016/j.clinbiomech.2019.07.010. Epub 2019 Jul 13.
Impact of prior injury on myoelectrical activity of the hamstrings during isokinetic eccentric contractions has received increased literature attention. This cross-sectional study aimed to assess neuromuscular adaptations, namely proprioception, core stability, muscle strength, extensibility and activity, in football players with history of hamstring strain injury.
Seventeen players, 10 with history of hamstring injury and 7 without prior injury underwent isokinetic strength testing, eccentric knee extension at 30 and 120°/s. Myoelectrical activity of bicep femoris and medial hamstrings was calculated at 30, 50 and 100 ms after onset of contraction. Functional tests included core stability, muscle strength, and knee proprioception tests.
Differences were observed between Hamstring Group injured and uninjured and Control Group dominant limbs in the bicep femoris activity at almost all times in both velocities (p < 0.05). Joint position sense error was higher in the injured side compared to uninjured and control dominant limb; additionally there were also differences between injured and uninjured limb in the triple-hop test.
Previously injured side showed deficits in bicep femoris myoelectrical activity after onset of contraction during eccentric testing, proprioceptive deficits, and functional asymmetry.
既往损伤对腘绳肌在等速离心收缩过程中的肌电活动的影响已受到越来越多的文献关注。本横断面研究旨在评估有腘绳肌拉伤病史的足球运动员的神经肌肉适应性,即本体感觉、核心稳定性、肌肉力量、伸展性和活动度。
17名运动员,10名有腘绳肌损伤史,7名无既往损伤,进行了等速力量测试,在30°/秒和120°/秒下进行离心膝关节伸展。在收缩开始后30、50和100毫秒计算股二头肌和腘绳肌内侧的肌电活动。功能测试包括核心稳定性、肌肉力量和膝关节本体感觉测试。
在两种速度下,腘绳肌损伤组和未损伤组以及对照组优势肢体的股二头肌活动在几乎所有时间都存在差异(p<0.05)。与未受伤和对照优势肢体相比,受伤侧的关节位置感觉误差更高;此外,在三级跳测试中,受伤肢体和未受伤肢体之间也存在差异。
在离心测试中,既往受伤侧在收缩开始后股二头肌肌电活动、本体感觉缺陷和功能不对称方面存在不足。