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无症状人群跑步时臀肌活动情况。

Gluteal muscle activity during running in asymptomatic people.

机构信息

La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Australia.

La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Australia; Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Australia.

出版信息

Gait Posture. 2020 Jul;80:268-273. doi: 10.1016/j.gaitpost.2020.06.008. Epub 2020 Jun 6.

Abstract

BACKGROUND

Hip abductor muscle function is associated with running-related injuries. Previous electromyography (EMG) studies that reporting gluteal muscle activity when running have failed to account for the multiple segments of the gluteals, and have used surface electrodes, which may be contaminated by cross-talk of surrounding muscles.

RESEARCH QUESTION

This study aimed to: (i) develop EMG profiles of gluteus medius (GMed - anterior, middle and posterior) and gluteus minimus (GMin - anterior and posterior) segments during running; (ii) compare the activation patterns of each gluteal segment between running and walking; and (iii) compare surface EMG signals of running and walking to fine wire EMG signals of middle GMed.

METHODS

Ten physically active and asymptomatic people participated. Gluteal segment activation was assessed during running and walking over 10 m. Muscle activation was assessed using bipolar fine wire intramuscular EMG electrodes and GMed activation was also assessed using surface EMG.

RESULTS

During running, all gluteal segments presented peak amplitude during the stance phase and anterior GMin presented additional second peak amplitude during the swing phase. All gluteal segments evaluated demonstrated consistently higher amplitudes during the stance and swing phases of running compared to walking. The mean amplitude assessed using surface EMG was 32-87% higher compared to fine wire during both phases for running and walking.

SIGNIFICANCE

Greater activation of GMed segments during the stance phase and the increased anterior GMin activity during the swing phase indicate a potentially important role for pelvis and hip stabilization, respectively, which should be considered during development of targeted rehabilitation for running populations. The overestimated activation using surface electrodes highlights a limitation of using surface EMG during running and walking.

摘要

背景

髋关节外展肌功能与跑步相关损伤有关。之前的肌电图(EMG)研究在报告跑步时臀肌活动时,没有考虑到臀肌的多个节段,并且使用了表面电极,这些电极可能会受到周围肌肉的串扰。

研究问题

本研究旨在:(i)在跑步时,建立臀中肌(GMed-前、中、后)和臀小肌(GMin-前、后)节段的 EMG 图谱;(ii)比较跑步和步行时每个臀肌节段的激活模式;(iii)比较跑步和步行的表面 EMG 信号与中间 GMed 的细针 EMG 信号。

方法

10 名身体活跃且无症状的人参与了研究。在 10 米的跑步和步行过程中评估臀肌节段的激活情况。肌肉激活采用双极细针肌内 EMG 电极评估,GMed 激活也采用表面 EMG 评估。

结果

在跑步时,所有臀肌节段在站立相呈现峰值振幅,而前 GMin 在摆动相呈现额外的第二峰值振幅。与步行相比,所有评估的臀肌节段在跑步的站立和摆动相均表现出更高的振幅。在跑步和步行的两个阶段,使用表面 EMG 评估的平均振幅比细针分别高出 32-87%。

意义

在站立相时 GMed 节段的更大激活以及在摆动相时前 GMin 活动的增加,分别表明骨盆和髋关节稳定的重要作用,这在为跑步人群制定有针对性的康复治疗时应予以考虑。使用表面电极进行的过度激活突出了在跑步和步行时使用表面 EMG 的局限性。

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