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行走时臀大肌表面肌电活动与地面反作用力垂直分量的时空关系。

Temporal and spatial relationship between gluteal muscle Surface EMG activity and the vertical component of the ground reaction force during walking.

机构信息

Division of Motor Research, Pathophysiology and Biomechanics; Experimental Trauma Surgery; Department for Hand, Reconstructive, and Trauma Surgery; Jena University Hospital; Friedrich Schiller University Jena, Jena, Germany.

Chair of Orthopedics, Department of Orthopedics, Jena University Hospital, Waldkliniken Eisenberg GmbH, Deutsches Zentrum für Orthopädie; Friedrich Schiller University Jena, Jena, Germany.

出版信息

PLoS One. 2021 May 26;16(5):e0251758. doi: 10.1371/journal.pone.0251758. eCollection 2021.

Abstract

BACKGROUND

Optimized temporal and spatial activation of the gluteal intermuscular functional unit is essential for steady gait and minimized joint loading.

RESEARCH QUESTION

To analyze the temporal relationship between spatially resolved surface EMG (SEMG) of the gluteal region and the corresponding ground reaction force (GRF).

METHODS

Healthy adults (29♀; 25♂; age 62.6±7.0 years) walked at their self-selected slow, normal, and fast walking speeds on a 10 m walkway (ten trials/speed). Bilateral paired eight-electrode strips were horizontally aligned at mid-distance of the vertical line between greater trochanter and iliac crest. Concerning the ventral to dorsal direction, the center of each strip was placed on this vertical line. Initially, these signals were monopolarly sampled, but eight vertically oriented bipolar channels covering the whole gluteal region from ventral to dorsal (P1 to P8) were subsequently calculated by subtracting the signals of the corresponding electrodes of each electrode strip for both sides of the body. Three vertical bipolar channels represented the tensor fasciae latae (TFL; P2), gluteus medius (Gmed, SENIAM position; average of P4 and P5), and gluteus maximus muscles (Gmax; P7). To determine the interval between SEMG and corresponding GRF, the time delay (TD) between the respective first amplitude peaks (F1) in SEMG and vertical GRF curves was calculated.

RESULTS

Throughout the grand averaged SEMG curves, the absolute amplitudes significantly differed among the three walking speeds at all electrode positions, with the amplitude of the F1 peak significantly increasing with increasing speed. In addition, when normalized to slow, the relative SEMG amplitude differences at the individual electrode positions showed an impressively homogeneous pattern. In both vertical GRF and all electrode SEMGs, the F1 peak occurred significantly earlier with increasing speed. Also, the TD between SEMG and vertical GRF F1 peaks significantly decreased with increasing speed. Concerning spatial activation, the TD between the respective F1 peaks in the SEMG and vertical GRF was significantly shorter for the ventral TFL position than the dorsal Gmed and Gmax positions, showing that the SEMG F1 peak during this initial phase of the gait cycle occurred earlier in the dorsal positions, and thus implying that the occurrence of the SEMG F1 peak proceeded from dorsal to ventral.

SIGNIFICANCE

Tightly regulated spatial and temporal activation of the gluteal intermuscular functional unit, which includes both speed- and position-dependent mechanisms, seems to be an essential requirement for a functionally optimized, steady gait.

摘要

背景

优化臀肌间功能性单位的时空激活对于稳定步态和最小化关节负荷至关重要。

研究问题

分析空间分辨表面肌电图(sEMG)与相应地面反力(GRF)之间的时间关系。

方法

健康成年人(29 名女性;25 名男性;年龄 62.6±7.0 岁)在 10 米步行道上以自己选择的慢、中、快步行速度行走(每速度 10 次试验)。双侧成对的 8 电极条在大转子和髂嵴之间垂线的中间距离处水平对齐。从腹侧向背侧方向,每条条带的中心位于这条垂线上。最初,这些信号被单极采样,但随后通过从身体两侧每个电极条的相应电极减去信号,计算了覆盖整个臀区从腹侧向背侧(P1 到 P8)的八个垂直双极通道。三个垂直双极通道代表阔筋膜张肌(TFL;P2)、臀中肌(Gmed,SENIAM 位置;P4 和 P5 的平均值)和臀大肌(Gmax;P7)。为了确定 sEMG 和相应 GRF 之间的时间间隔,计算了各自 sEMG 和垂直 GRF 曲线的第一振幅峰(F1)之间的时间延迟(TD)。

结果

在整个 grand 平均 sEMG 曲线中,所有电极位置的三个步行速度之间的绝对幅度差异显著,随着速度的增加,F1 峰值的幅度显著增加。此外,当归一化为慢时,个体电极位置的相对 sEMG 幅度差异呈现出惊人的均匀模式。在垂直 GRF 和所有电极 sEMG 中,F1 峰值随着速度的增加而显著提前。此外,sEMG 和垂直 GRF F1 峰值之间的 TD 随着速度的增加而显著减小。在空间激活方面,sEMG 和垂直 GRF 中各自 F1 峰之间的 TD 在腹侧 TFL 位置明显短于背侧 Gmed 和 Gmax 位置,表明在步态周期的这个初始阶段,sEMG 的 F1 峰更早地出现在背侧位置,这意味着 sEMG 的 F1 峰的发生是从背侧向腹侧进行的。

意义

臀肌间功能性单位的时空激活受到速度和位置的调节,这种紧密的调节似乎是实现功能优化、稳定步态的基本要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6e0/8153502/f9b57be43d39/pone.0251758.g001.jpg

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