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膝关节骨关节炎患者单腿深蹲时的生物力学分析

Biomechanical analysis during single-leg squat in individuals with knee osteoarthritis.

作者信息

Cabral Ana Luiza Costa E Silva, Jorge Jéssica Garcia, Dionisio Valdeci Carlos

机构信息

Laboratory of Neuromechanics and Physiotherapy (LANEF), Faculty of Physical Education and Physiotherapy, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.

Laboratory of Neuromechanics and Physiotherapy (LANEF), Faculty of Physical Education and Physiotherapy, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.

出版信息

Knee. 2021 Jan;28:362-370. doi: 10.1016/j.knee.2020.12.031. Epub 2021 Jan 23.

Abstract

UNLABELLED

Backgroud: The single-leg squat (SLS) is a functional task to evaluate the abnormal movement patterns and potential neuromuscular deficits in the lower limbs. Still, it is unknown if SLS could provide information to older adults with knee osteoarthritis (KOA). The study's objective was to analyze the EMG pattern, kinematics, and postural control in individuals with and without KOA during SLS.

METHODS

Participated in this study, 60 volunteers of both sexes, 30 had KOA (allocated into the KOA group - KOAG), and 30 were healthy (allocated into the Healthy Group - HG) performing the single-leg squat. Surface electromyography (EMG) was assessed for the gastrocnemius medialis (GM), biceps femoris (BF), gluteus medius (GLM), rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), and tibialis anterior (TA) in two phases (downward - P1 and upward - P2). The kinematic data was evaluated using an electrogoniometer. The center of pressure (CoP) was obtained using data collected from a force plate.

RESULTS

EMG activity was increased for GM and TA muscles during the P1 of the movement and the GM and GLM muscles during P2 of the movement. The angular displacement of the KOAG was lower when compared with the HG. There was no statistical difference for the co-contraction and postural control data.

CONCLUSIONS

The SLS analysis showed that EMG activity of the muscles TA, GM, and GLM was increased in the KOAG, but this pattern could be affected by fear of movement leading to reduced knee angular displacement.

摘要

未标注

背景:单腿深蹲(SLS)是一项用于评估下肢异常运动模式和潜在神经肌肉缺陷的功能性任务。然而,尚不清楚SLS是否能为患有膝关节骨关节炎(KOA)的老年人提供信息。本研究的目的是分析单腿深蹲过程中患KOA和未患KOA个体的肌电图模式、运动学和姿势控制情况。

方法

60名男女志愿者参与了本研究,其中30名患有KOA(分配到KOA组 - KOAG),30名健康(分配到健康组 - HG),进行单腿深蹲。在两个阶段(向下 - P1和向上 - P2)评估了腓肠肌内侧头(GM)、股二头肌(BF)、臀中肌(GLM)、股直肌(RF)、股内侧肌(VM)、股外侧肌(VL)和胫骨前肌(TA)的表面肌电图(EMG)。使用电子角度计评估运动学数据。通过从测力板收集的数据获得压力中心(CoP)。

结果

运动P1阶段GM和TA肌肉以及运动P2阶段GM和GLM肌肉的肌电图活动增加。与HG相比,KOAG的角位移较低。共收缩和姿势控制数据无统计学差异。

结论

单腿深蹲分析表明,KOAG中TA、GM和GLM肌肉的肌电图活动增加,但这种模式可能受到运动恐惧的影响,导致膝关节角位移减少。

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