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使用非线性动力学测量方法评估踝关节支撑对Y平衡测试中下肢运动学的影响。

The Effect of Ankle Support on Lower Limb Kinematics During the Y-Balance Test Using Non-linear Dynamic Measures.

作者信息

Jelinek Herbert F, Khalaf Kinda, Poilvet Julie, Khandoker Ahsan H, Heale Lainey, Donnan Luke

机构信息

School of Community Health, Charles Sturt University, Albury, NSW, Australia.

Department of Biomedical Engineering, Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates.

出版信息

Front Physiol. 2019 Jul 25;10:935. doi: 10.3389/fphys.2019.00935. eCollection 2019.

Abstract

According to dynamical systems theory, an increase in movement variability leads to greater adaptability, which may be related to the number of feedforward and feedback mechanisms associated with movement and postural control. Using Higuchi dimension (HDf) to measure complexity of the signal and Singular Value Decomposition Entropy (SvdEn) to measure the number of attributes required to describe the biosignal, the purpose of this study was to determine the effect of kinesiology and strapping tape on center of pressure dynamics, myoelectric muscle activity, and joint angle during the Y balance test. Forty-one participants between 18 and 34 years of age completed five trials of the Y balance test without tape, with strapping tape (ST), and with kinesiology tape (KT) in a cross-sectional study. The mean and standard errors were calculated for the center of pressure, joint angles, and muscle activities with no tape, ST, and KT. The results were analyzed with a repeated measures ANOVA model ( < fit and followed by analysis from the R package with probability set at < 0.05. SvdEn indicated significantly decreased complexity in the anterior-posterior ( < 0.05) and internal-external rotation ( < 0.001) direction of the ankle, whilst HDf for both ST and KT identified a significant increase in ankle dynamics when compared to no tape ( < 0.0001) in the mediolateral direction. Taping also resulted in a significant difference in gastrocnemius muscle myoelectric muscle activity between ST and KT ( = 0.047). Complexity of ankle joint dynamics increased in the sagittal plane of movement with no significant changes in the possible number of physiological attributes. In contrast, the number of possible physiological attributes contributing to ankle movement was significantly lower in the frontal and transverse planes. Simply adhering tape to the skin is sufficient to influence neurological control and adaptability of movement. In addition, adaptation of ankle joint dynamics to retain postural stability during a Y Balance test is achieved differently depending on the direction of movement.

摘要

根据动力系统理论,运动变异性的增加会带来更强的适应性,这可能与运动和姿势控制相关的前馈和反馈机制的数量有关。本研究使用 Higuchi 维数(HDf)来测量信号的复杂性,并使用奇异值分解熵(SvdEn)来测量描述生物信号所需的属性数量,目的是确定运动机能学贴布和肌内效贴布对 Y 平衡测试期间压力中心动态、肌电肌肉活动和关节角度的影响。在一项横断面研究中,41 名年龄在 18 至 �4 岁之间的参与者完成了五次 Y 平衡测试,分别是不使用贴布、使用肌内效贴布(KT)和使用运动机能学贴布(ST)的情况。计算了不使用贴布、ST 和 KT 时压力中心、关节角度和肌肉活动的均值和标准误差。结果采用重复测量方差分析模型进行分析(<拟合,随后使用 R 包进行分析,概率设定为<0.05。SvdEn 表明,踝关节前后方向(<0.05)和内外旋转方向(<0.001)的复杂性显著降低,而与不使用贴布相比,ST 和 KT 的 HDf 均表明在内外侧方向上踝关节动态有显著增加(<0.0001)。贴布还导致 ST 和 KT 之间腓肠肌肌电肌肉活动存在显著差异(=0.047)。踝关节动态的复杂性在运动矢状面增加,而生理属性的可能数量没有显著变化。相比之下,在额面和横面中,对踝关节运动有贡献的可能生理属性数量显著更低。仅仅将贴布贴在皮肤上就足以影响神经控制和运动适应性。此外,在 Y 平衡测试期间,踝关节动态适应以保持姿势稳定性的方式因运动方向而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aaf3/6669792/bb7ca131126b/fphys-10-00935-g0001.jpg

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