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在慢性踝关节不稳定的运动员中,预着地阶段踝关节的神经肌肉控制:基于统计参数映射和肌肉协同收缩分析的见解。

Neuromuscular control of the ankle during pre-landing in athletes with chronic ankle instability: Insights from statistical parametric mapping and muscle co-contraction analysis.

机构信息

Faculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.

College of Sport Science and Technology, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Nakhon Pathom, 73170, Thailand.

出版信息

Phys Ther Sport. 2021 Jan;47:46-52. doi: 10.1016/j.ptsp.2020.11.023. Epub 2020 Nov 4.

Abstract

OBJECTIVE

The present study aimed to compare the neuromuscular control of the muscles around the ankle between athletes with CAI and without history of any ankle sprain (Non-CAI) by using statistic parametric mapping (SPM) and co-contraction analyses.

DESIGN

Cross-sectional study; Setting: Laboratory; Participants: 40 athletes (20 CAI, 20 Non-CAI) were pair-matched for age and gender.

MAIN OUTCOME MEASURES

Neuromuscular control was examined using surface electromyography (EMG) amplitude and muscle co-contraction 200 ms before foot-contact with the ground during a jump-landing task.

RESULTS

The EMG amplitude of tibialis anterior, peroneus longus, and gastrocnemius medialis were analyzed using statistic parametric mapping. The CAI group exhibited decreased EMG amplitude of peroneus longus during preparation for foot-contact. There were no significant co-contraction differences between groups.

CONCLUSIONS

Our findings demonstrate that SPM combined with the co-contraction provides a comprehensive EMG analysis to detect the differences of neuromuscular control between athletes with and without chronic ankle instability. Additionally, this finding indicates that CAI contributed to altered neuromuscular control during the pre-landing phase, which may contribute to re-injury mechanisms.

摘要

目的

本研究旨在通过统计参数映射(SPM)和共同收缩分析比较慢性踝关节不稳(CAI)运动员和无任何踝关节扭伤史(非 CAI)运动员踝关节周围肌肉的神经肌肉控制。

设计

横断面研究;设置:实验室;参与者:40 名运动员(20 名 CAI,20 名非 CAI)按年龄和性别配对。

主要观察指标

在跳跃着陆任务中,在脚与地面接触前 200 毫秒,使用表面肌电图(EMG)振幅和肌肉共同收缩来检查神经肌肉控制。

结果

采用统计参数映射分析胫骨前肌、腓骨长肌和腓肠肌内侧的 EMG 振幅。CAI 组在准备脚接触时腓骨长肌的 EMG 振幅降低。组间无明显的共同收缩差异。

结论

我们的发现表明,SPM 结合共同收缩提供了一种全面的 EMG 分析方法,可以检测出有和无慢性踝关节不稳定的运动员之间神经肌肉控制的差异。此外,这一发现表明 CAI 导致了预着陆阶段神经肌肉控制的改变,这可能是导致再损伤机制的原因。

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