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股直肌在被动膝关节弯曲过程中的剪切模量的肌内差异。

Intramuscular differences in shear modulus of the rectus femoris muscle during passive knee flexion.

机构信息

Graduate School of Health Sciences, Sapporo Medical University, Sapporo, Japan.

Department of Physical Therapy, School of Health Sciences, Sapporo Medical University, West 17, South 1, Chuo-ku, Sapporo City, Japan.

出版信息

Eur J Appl Physiol. 2021 May;121(5):1441-1449. doi: 10.1007/s00421-021-04644-1. Epub 2021 Feb 23.

Abstract

PURPOSE

This study aimed to determine (1) intramuscular regional differences in the changes in the shear modulus of the rectus femoris (RF) muscle during passive knee flexion and (2) the relationship between shear modulus and passive knee extension torque.

METHOD

The shear modulus maps as an index of muscle stiffness and the passive torque were obtained at seven regions during passive knee flexion at 2°/s within a knee joint range of motion of 0°-130° in 16 healthy males.

RESULTS

The shear modulus of RF increased with the knee angle of flexion. The shear modulus of each longitudinal region was greater in the order of proximal, central, and distal region (p < 0.05). The relationship between the shear modulus and passive torque was highly fitted for all 16 subjects (p < 0.05). The mean coefficient of determination (R) at second-order polynomial model per subject was 0.96 (± 0.03; range 0.61-0.99), and whole group was 0.58 (± 0.03; range 0.54-0.64) in all regions.

CONCLUSIONS

The passive stiffness of RF was higher in the proximal region than in the other regions during passive knee flexion. Furthermore, the shear modulus-passive torque was related regardless of the measurement region within a muscle, and the results suggest that the passive knee extension torque reflects passive muscle stiffness of the RF.

摘要

目的

本研究旨在确定:(1)在被动膝关节伸展过程中,股直肌(RF)的剪切模量在肌肉内的区域变化;(2)剪切模量与被动膝关节伸展扭矩之间的关系。

方法

在 0°-130°的膝关节活动范围内,以 2°/s 的速度进行被动膝关节伸展,16 名健康男性在 7 个区域测量被动膝关节伸展时的剪切模量图(肌肉僵硬的指标)和被动扭矩。

结果

RF 的剪切模量随膝关节的屈曲角度而增加。各纵向区域的剪切模量依次为近端、中央和远端区域较大(p<0.05)。所有 16 名受试者的剪切模量与被动扭矩之间均具有高度拟合关系(p<0.05)。每个受试者的二阶多项式模型的平均决定系数(R)为 0.96(±0.03;范围为 0.61-0.99),所有区域的整体为 0.58(±0.03;范围为 0.54-0.64)。

结论

在被动膝关节伸展过程中,RF 的近端区域比其他区域具有更高的被动刚度。此外,剪切模量-被动扭矩之间存在关系,与肌肉内的测量区域无关,结果表明被动膝关节伸展扭矩反映了 RF 的被动肌肉僵硬度。

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