Niigata University of Health and Welfare, Institute for Human Movement and Medical Sciences, Niigata, Japan.
Tominagakusano Clinic, Niigata, Japan.
J Electromyogr Kinesiol. 2021 Apr;57:102529. doi: 10.1016/j.jelekin.2021.102529. Epub 2021 Feb 9.
Individuals with chronic ankle instability (CAI) demonstrate altered ankle kinematics during landing compared to uninjured individuals. However, if copers may have adopted unique movement strategy to prevent repeated ankle sprains is unclear. The purpose of this study compares the lower-extremity joint kinematics and muscle activities of CAI (N = 8), coper (COP) (N = 8), and control (CON) (N = 8) groups in unexpected single-leg landing and cutting. Performance time (from initial contact to toe-off), number of mistakes in the jumping direction, low-extremity joint angle are assessed. Muscle activities were recorded from the tibialis anterior, medial gastrocnemius, and peroneus longus (PL), and mean muscle activity, co-contraction index (CI), and PL latency were analyzed. Results of performance time and CI are not significant. Significantly less number of mistakes in the jumping direction and a shorter PL latency were discovered in the COP and CON compared with the CAI group (P < 0.05). The peak hip joint flexion angle is significantly smaller in the COP than in the CON (P = 0.04). In dynamic tasks requiring quick judgments of ankle inclination, the COP may be able to accurately sense the inclination of the foot. Additionally, movement strategies differed between the COP and CON groups in an unexpected single-leg landing and cutting.
慢性踝关节不稳(CAI)患者在落地时的踝关节运动学与未受伤的个体不同。然而,是否代偿者可能已经采用了独特的运动策略来防止反复踝关节扭伤尚不清楚。本研究比较了 CAI(N=8)、代偿者(COP)(N=8)和对照组(CON)(N=8)在意外单腿落地和切割时的下肢关节运动学和肌肉活动。评估了性能时间(从初始接触到脚趾离地)、跳跃方向的错误次数、下肢关节角度。从胫骨前肌、内侧腓肠肌和腓骨长肌(PL)记录肌肉活动,并分析平均肌肉活动、共同收缩指数(CI)和 PL 潜伏期。性能时间和 CI 的结果没有显著差异。与 CAI 组相比,COP 和 CON 组在跳跃方向的错误次数明显较少,PL 潜伏期更短(P<0.05)。COP 组的髋关节屈曲角度峰值明显小于 CON 组(P=0.04)。在需要快速判断踝关节倾斜的动态任务中,COP 可能能够准确感知足部的倾斜。此外,COP 和 CON 组在意外单腿落地和切割时的运动策略不同。