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老年女性不同髋关节角度下的力量产生与功能能力之间的关系。

The relation between force production at different hip angles and functional capacity in older women.

作者信息

Bertoli Josefina, Diefenthaeler Fernando, Lusa Cadore Eduardo, Monteiro de Moura Bruno, de la Rocha Freitas Cíntia

机构信息

Laboratório de Biomecânica, Universidade Federal de Santa Catarina, Florianóplis, SC, Brazil.

Laboratório de Biomecânica, Universidade Federal de Santa Catarina, Florianóplis, SC, Brazil.

出版信息

J Bodyw Mov Ther. 2019 Jul;23(3):489-493. doi: 10.1016/j.jbmt.2018.05.007. Epub 2018 May 31.

DOI:10.1016/j.jbmt.2018.05.007
PMID:31563360
Abstract

Although hip muscles are related to activities of daily living (ADLs) in older adults, there is a lack of evidence concerning the extensor-flexor hip torque-angle. A shift of the torque-angle relationship is caused by the aging process (increasing or reducing the range of motion) affecting the force production in a given muscular length during ADLs. Thus, the relationship between hip extensor-flexor muscles' force production and their association with functional capacity tests in elderly women were evaluated. Seventeen elderly women performed timed up and go, timed up and down stairs, and 30-s chair stand tests. Hip extensor-flexor isometric peak torques at 15°, 60°, 90°, and 100° (0° = full extension) were also assessed. Hip flexors produced the highest absolute and relative peak torque at a 15° angle and hip extensor muscles at 100°. A large and significant correlation (r = 0.62, p = 0.008) was observed only between absolute hip extensor peak torque at 90° and the 30-s chair stand test. When peak torque was normalized by body mass, the hip extensor-flexor muscles' peak torque obtained at all measured angles presented significant correlation with the 30-s chair stand test. The results indicate that for older women there is an optimum torque-angle for the hip flexor and extensor muscles. Furthermore, although the hip torque-angle relationship was measured under isometric contractions, there was a correlation with the 30-s chair stand test, which could indicate the presence of the isometric component during this movement.

摘要

尽管髋部肌肉与老年人的日常生活活动(ADL)相关,但关于髋部伸肌-屈肌扭矩-角度的证据却很缺乏。扭矩-角度关系的变化是由衰老过程(增加或减少运动范围)引起的,这会影响日常生活活动中给定肌肉长度下的力量产生。因此,评估了老年女性髋部伸肌-屈肌的力量产生与其与功能能力测试之间的关系。17名老年女性进行了计时起立行走、计时上下楼梯和30秒椅子站立测试。还评估了在15°、60°、90°和100°(0°=完全伸展)时髋部伸肌-屈肌的等长峰值扭矩。髋部屈肌在15°角时产生最高的绝对和相对峰值扭矩,而髋部伸肌在100°时产生最高峰值扭矩。仅在90°时的髋部伸肌绝对峰值扭矩与30秒椅子站立测试之间观察到高度显著的相关性(r = 0.62,p = 0.008)。当峰值扭矩按体重进行标准化时,在所有测量角度获得的髋部伸肌-屈肌峰值扭矩与30秒椅子站立测试均呈现显著相关性。结果表明,对于老年女性而言,髋部屈肌和伸肌存在一个最佳扭矩-角度。此外,尽管髋部扭矩-角度关系是在等长收缩下测量的,但与30秒椅子站立测试存在相关性,这可能表明在此运动过程中存在等长成分。

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