Center for Mobility and Rehabilitation Engineering Research, Kessler Foundation, West Orange, NJ, USA.
Biomechanics/Sports Medicine Lab, Department of Kinesiology, Recreation and Sport Studies, The University of Tennessee, Knoxville, TN, USA.
Knee. 2021 Mar;29:233-240. doi: 10.1016/j.knee.2021.01.026. Epub 2021 Feb 25.
Cycling is a common modality for rehabilitation and exercise. However, there is a lack of information in the literature on the effects of saddle height adjustments on internal peak knee abduction moment, which is an important loading variable for the medial compartment of tibiofemoral joint for patients with knee osteoarthritis. The purpose of this study was to examine effects of saddle height on frontal-plane biomechanics of the knee during cycling.
Fourteen recreational cyclists (age: 57.1 ± 6.37 years) performed 2-min bouts of cycling at three saddle heights of 40°, 30° and 20° knee extension angle at bottom crank position, at two workrates of 80 and 120 W. Three-dimensional kinematic, kinetic, and electromyography data were collected and analyzed using a 3 × 2 (height × workrate) analysis of variance (ANOVA).
There were no changes in internal knee abduction moment across saddle heights. Increases in saddle height from 40° to both 30° and 20° reduced the knee extension moment (d = 0.3 and 0.4, respectively, P = 0.012). Increases in workrate increased both knee abduction and extension moments (η = 0.75 and 0.88, respectively, P < 0.001 for both).
Increased knee extension moment with decreased saddle height is likely to indicate increased knee joint load.
骑行是康复和锻炼的常见方式。然而,文献中缺乏关于鞍座高度调整对内侧膝部外展峰值时刻的影响的信息,对于膝骨关节炎患者的胫股关节内侧间室,这是一个重要的加载变量。本研究的目的是检查鞍座高度对骑行时膝关节额状面生物力学的影响。
14 名休闲自行车手(年龄:57.1±6.37 岁)在曲柄处于底部时,以 40°、30°和 20°三个膝关节伸展角度下的三个鞍座高度,以 80 和 120 W 两个工作率进行了 2 分钟的骑行。使用 3×2(高度×工作率)方差分析(ANOVA)对三维运动学、动力学和肌电图数据进行了收集和分析。
鞍座高度没有改变膝关节内收力矩。从 40°增加到 30°和 20°,鞍座高度降低了膝关节伸展力矩(分别为 d=0.3 和 0.4,P=0.012)。增加工作率增加了膝关节外展和伸展力矩(η分别为 0.75 和 0.88,两者均 P<0.001)。
随着鞍座高度的降低,膝关节伸展力矩增加可能表明膝关节负荷增加。