Fatima Sadaf, Bhati Pooja, Singla Deepika, Choudhary Shumaila, Hussain M Ejaz
Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India.
J Chiropr Med. 2020 Mar;19(1):82-90. doi: 10.1016/j.jcm.2019.07.002. Epub 2020 Aug 25.
The main objective of the present study was to investigate the electromyographic (EMG) activity of gluteus medius (Gmed) and gluteus maximus (Gmax) muscles during functional exercises in subjects with chronic ankle instability (CAI) vs healthy controls.
Seventeen subjects (age, 24.4 ± 2.03 years) with CAI and 17 healthy controls (age, 24.6 ± 2.57 years) were recruited for the present study. For all participants, after testing maximum voluntary isometric contraction of the Gmed and Gmax muscle, EMG activity of these muscles was recorded during functional exercises, such as the Y Balance Test and the single-leg squat with and without Swiss ball.
EMG activity of Gmed and Gmax was found to be significantly ( < .05) reduced during all functional exercises in subjects with CAI when compared with healthy controls. No significant differences ( > .05) were observed in the EMG activity of both muscles across different functional exercises.
Our findings indicate that EMG activity of hip muscles is significantly reduced in CAI subjects, which might give an indication regarding the inclusion of hip muscle strengthening (Gmax and Gmed) in the rehabilitation of CAI. Moreover, Gmed and Gmax muscle activity did not vary during the different functional exercises within each group, which might indicate that activation pattern of these muscles are not sensitive to the type of functional task.
本研究的主要目的是调查慢性踝关节不稳(CAI)患者与健康对照者在进行功能锻炼时臀中肌(Gmed)和臀大肌(Gmax)的肌电图(EMG)活动情况。
本研究招募了17名CAI患者(年龄24.4±2.03岁)和17名健康对照者(年龄24.6±2.57岁)。对所有参与者而言,在测试Gmed和Gmax肌肉的最大自主等长收缩后,在进行功能锻炼(如Y平衡测试以及有无瑞士球辅助的单腿深蹲)期间记录这些肌肉的EMG活动。
与健康对照者相比,发现CAI患者在所有功能锻炼期间Gmed和Gmax的EMG活动显著降低(<0.05)。在不同功能锻炼中,两组受试者这两块肌肉的EMG活动均未观察到显著差异(>0.05)。
我们的研究结果表明,CAI患者髋部肌肉的EMG活动显著降低,这可能为在CAI康复中纳入髋部肌肉强化训练(Gmax和Gmed)提供依据。此外,每组内不同功能锻炼期间Gmed和Gmax的肌肉活动没有变化,这可能表明这些肌肉的激活模式对功能任务类型不敏感。