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腓骨长肌肌筋膜室对踝关节外翻和跖屈的贡献。

Contribution of the peroneus longus neuromuscular compartments to eversion and plantarflexion of the ankle.

机构信息

Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile.

Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Santiago, Chile.

出版信息

PLoS One. 2021 Apr 15;16(4):e0250159. doi: 10.1371/journal.pone.0250159. eCollection 2021.

Abstract

Compartmentalization of animal and human skeletal muscle by multiple motor nerve branches known as the neuromuscular compartment (NMC) has been observed primarily in muscles that participate in a plane of motion. In this context, the peroneus longus muscle contributes to eversion and plantarflexion of the ankle and the presence of NMCs has been reported. However, no research has reported the selective activation of the compartments of the peroneus longus during the performance of different ankle movements. The purpose of this research was to determine the contribution of peroneus longus NMCs, through multi-channel surface electromyography (sEMG), to eversion and plantarflexion movements. Multi-channel sEMG was recorded from the peroneus longus muscle by using an electrode grid during eversion and plantarflexion of the ankle at 10%, 30%, 50%, and 70% of maximal voluntary isometric contraction (MVIC). The root mean square and displacement of the center of mass position in the X (COMx) and Y (COMy) components were calculated. The primary finding was that eversion showed significantly higher sEMG amplitude than plantarflexion in the posterior compartment in low, moderate, and high percentages of MVIC. However, no significant difference in sEMG amplitude was observed in the anterior compartment between eversion and plantarflexion. In addition, a posterior displacement of the COMx in eversion compared to plantarflexion in all MVIC percentages, with greater topographic distancing of the COMx at higher levels of activation. In conclusion, the peroneus longus muscle presented NMCs; the anterior compartment contributed to both eversion and plantarflexion movements, whereas the posterior compartment mainly contributed to the eversion movement of the ankle in low, moderate, and high percentages of MVIC.

摘要

动物和人体骨骼肌通过多个称为运动神经节段(NMC)的运动神经分支的分隔化在主要参与一个运动平面的肌肉中观察到。在这种情况下,腓骨长肌有助于足踝的外翻和跖屈,并且已经报道了 NMC 的存在。然而,没有研究报道在执行不同的踝关节运动时腓骨长肌的节段的选择性激活。本研究的目的是通过多通道表面肌电图(sEMG)确定腓骨长肌 NMC 在足踝外翻和跖屈运动中的贡献。通过在足踝外翻和跖屈时使用电极网格记录腓骨长肌的多通道 sEMG,在最大自主等长收缩(MVIC)的 10%、30%、50%和 70%时进行。计算均方根和质心位置在 X(COMx)和 Y(COMy)分量中的位移。主要发现是,在外翻时,在后节段中,sEMG 振幅明显高于在低、中、高 MVIC 百分比下的跖屈。然而,在前节段中,外翻和跖屈之间的 sEMG 振幅没有显著差异。此外,与所有 MVIC 百分比下的跖屈相比,外翻时 COMx 的后向位移更大,在较高的激活水平下,COMx 的地形距离更大。总之,腓骨长肌存在 NMC;前节段有助于足踝的外翻和跖屈运动,而后节段主要有助于低、中、高 MVIC 百分比下的足踝外翻运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257b/8049303/9ae8994f81a6/pone.0250159.g001.jpg

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