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膝盖松弛的健康受试者在着陆时通过较少的屈膝而非肌肉控制来限制胫骨前移。

Healthy subjects with lax knees use less knee flexion rather than muscle control to limit anterior tibia translation during landing.

作者信息

Keizer Michèle N J, Hijmans Juha M, Gokeler Alli, Benjaminse Anne, Otten Egbert

机构信息

Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, UMCG sector F, FA 23, PO Box 219, Groningen, 9713AV, The Netherlands.

Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

出版信息

J Exp Orthop. 2020 May 15;7(1):32. doi: 10.1186/s40634-020-00246-6.

Abstract

PURPOSE

It has been reported that there is no correlation between anterior tibia translation (ATT) in passive and dynamic situations. Passive ATT (ATTp) may be different to dynamic ATT (ATTd) due to muscle activation patterns. This study aimed to investigate whether muscle activation during jumping can control ATT in healthy participants.

METHODS

ATTp of twenty-one healthy participants was measured using a KT-1000 arthrometer. All participants performed single leg hops for distance during which ATTd, knee flexion angles and knee flexion moments were measured using a 3D motion capture system. During both tests, sEMG signals were recorded.

RESULTS

A negative correlation was found between ATTp and the maximal ATTd (r = - 0.47, p = 0.028). An N-Way ANOVA showed that larger semitendinosus activity was seen when ATTd was larger, while less biceps femoris activity and rectus femoris activity were seen. Moreover, larger knee extension moment, knee flexion angle and ground reaction force in the anterior-posterior direction were seen when ATTd was larger.

CONCLUSION

Participants with more ATTp showed smaller ATTd during jump landing. Muscle activation did not contribute to reduce ATTd during impact of a jump-landing at the observed knee angles. However, subjects with large ATTp landed with less knee flexion and consequently showed less ATTd. The results of this study give information on how healthy people control knee laxity during jump-landing.

LEVEL OF EVIDENCE

III.

摘要

目的

据报道,被动和动态情况下的胫骨前移(ATT)之间没有相关性。由于肌肉激活模式,被动ATT(ATTp)可能与动态ATT(ATTd)不同。本研究旨在调查跳跃过程中的肌肉激活是否能控制健康参与者的ATT。

方法

使用KT-1000关节测量仪测量21名健康参与者的ATTp。所有参与者进行单腿跳远,在此期间使用3D运动捕捉系统测量ATTd、膝关节屈曲角度和膝关节屈曲力矩。在两项测试中均记录表面肌电图(sEMG)信号。

结果

发现ATTp与最大ATTd之间存在负相关(r = -0.47,p = 0.028)。多因素方差分析显示,当ATTd较大时,半腱肌活动较大,而股二头肌活动和股直肌活动较少。此外,当ATTd较大时,膝关节伸展力矩、膝关节屈曲角度和前后方向的地面反作用力较大。

结论

在跳跃着陆过程中,ATTp较大的参与者的ATTd较小。在所观察的膝关节角度下,肌肉激活在跳跃着陆冲击期间对降低ATTd没有作用。然而,ATTp较大的受试者着陆时膝关节屈曲较小,因此ATTd也较小。本研究结果提供了关于健康人在跳跃着陆过程中如何控制膝关节松弛度的信息。

证据水平

III级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509f/7229106/b49d07d9dd16/40634_2020_246_Fig1_HTML.jpg

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