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在运动过程中对拇展肌横头进行细针肌电图检查。

Fine-wire electromyography of the transverse head of adductor hallucis during locomotion.

机构信息

Department of Kinesiology and Physical Education, Faculty of Science, Wilfrid Laurier University, 75 University Ave., West Waterloo, ON, N2L 3C5, Canada.

出版信息

Gait Posture. 2021 Mar;85:7-13. doi: 10.1016/j.gaitpost.2020.12.020. Epub 2021 Jan 19.

DOI:10.1016/j.gaitpost.2020.12.020
PMID:33497968
Abstract

BACKGROUND

Previous literature on the transverse head of adductor hallucis (AddH-T) has largely focused on muscle morphology. This data provides insight into muscle architecture, yet fails to inform it's functional implication during walking. The role of the AddH-T, which runs parallel to the distal transverse metatarsal arch, has never been studied using fine-wire EMG during locomotion.

RESEARCH QUESTION

The purpose of this study is to explain a novel method of recording fine-wire EMG of the adductor hallucis muscle of the foot, and secondly, to report phasic AddH-T muscle activity during level walking on hard and soft surfaces.

METHODS

Ultrasound-guided fine-wire EMG was recorded from the AddH-T of each foot, in ten asymptomatic young adults. Participants completed ten walking trials per experimental conditions (hard and soft surface). Ensemble averages were calculated from the time normalized linear-envelopes of each participant, and represented from 0 to 100 percent of the gait cycle.

RESULTS

Using the described ultrasound-guided fine-wire protocol, successful EMG signals were generated in 19 of 20 feet. When walking over hard or soft flooring, the AddH-T muscle has two bursts in EMG, occurring between 0-20 % and 50-65 % of the gait cycle. The magnitude of peak activity was often reduced at initial contact when walking over foam. 45 % of participants experienced a third burst in EMG activity at midstance, corresponding to 30-40 % of the gait cycle.

SIGNIFICANCE

This study has successfully explained a novel method of recording finewire electromyography (EMG) of the adductor hallucis (transverse head) muscle of the foot. Results suggest that the AddH-T stabilizes the forefoot at initial contact and toeoff, while further anchoring the hallux during propulsion. These results provide preliminary insight into the functional role of the AddH-T during human locomotion.

摘要

背景

先前关于内收肌横头(AddH-T)的文献主要集中在肌肉形态上。这些数据提供了对肌肉结构的深入了解,但未能说明其在行走过程中的功能意义。AddH-T 与远端横跖骨弓平行,其在运动过程中从未使用细钢丝肌电图进行过研究。

研究问题

本研究的目的是解释一种记录足部内收肌横头(AddH-T)细钢丝肌电图的新方法,其次,报告在硬表面和软表面上水平行走时 AddH-T 肌肉的相位活动。

方法

在 10 名无症状的年轻成年人的每只脚中,使用超声引导的细钢丝肌电图进行记录。参与者完成了每种实验条件(硬表面和软表面)下的 10 次行走试验。从每个参与者的时间归一化线性包络中计算出集合平均值,并代表步态周期的 0%至 100%。

结果

使用描述的超声引导细钢丝协议,在 20 只脚中的 19 只脚上产生了成功的肌电图信号。当在硬地板或软地板上行走时,AddH-T 肌肉在步态周期的 0-20%和 50-65%之间有两个肌电图爆发。当在泡沫上行走时,初始接触时的峰值活动幅度通常会降低。45%的参与者在中足时经历了第三个肌电图活动爆发,对应于步态周期的 30-40%。

意义

本研究成功地解释了一种记录足部内收肌(横头)肌的细钢丝肌电图(EMG)的新方法。结果表明,AddH-T 在初始接触和脚趾离地时稳定前脚,同时在推进过程中固定大脚趾。这些结果初步揭示了 AddH-T 在人类运动中的功能作用。

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