Ericson M
Scand J Rehabil Med Suppl. 1986;16:1-43.
The aim of the study was to quantify the load induced in the lower limb joints and muscles during exercise on a bicycle ergometer and to study how these loads changed with adjustments of the bicycle ergometer or cycling technique. The forces, load moments and muscular power output acting on and about the hip, knee and ankle joints during cycling were determined using cine-film, pedal force measurements and biomechanical calculations based upon static and dynamic mechanics. The muscular activity of eleven lower limb muscles was recorded and quantified using EMG. The load moments acting about the bilateral hip, knee and ankle joint axes were found to be generally lower than those induced during normal level walking. The varus and valgus load moments acting about the antero-posterior knee joint axis were approximately the same as those induced during walking. The tibio-femoral compressive joint force and the anteriorly directed tibio-femoral shear force mainly stressing the anterior cruciate ligament were low. The talocrural joint compressive force and achilles tendon tensile force were low compared to those in level walking. The magnitude of lower limb muscular activity during cycling approximated that obtained during walking, with three major exceptions. M. vastus medialis et lateralis were more activated during cycling than during walking, and tibialis anterior was less activated. The hip extensor muscles produced 27%, hip flexors 4%, knee extensors 39%, knee flexors 10% and ankle plantar flexors 20% of the total positive mechanical work. Of the four parameters studied (workload, pedalling rate, saddle height, pedal foot position) workload was the most important adjustment factor for change of joint load and muscular activity. An increased pedalling rate increased the muscular activity in most of the muscles investigated, generally without changing the joint load. Increased saddle height decreased the maximum flexing knee load moment, but did not significantly change the flexing hip or dorsiflexing ankle load moment. Muscular activity in most of the muscles investigated was not generally changed by different saddle heights. Use of a posterior foot position instead of an anterior decreased the dorsiflexing ankle load moment, increased the gluteus medius and rectus femoris activity, and decreased soleus muscular activity but did not significantly change the hip or knee moments. It is suggested that cycling might be a useful exercise in the rehabilitation of patients with injuries to the anterior cruciate ligament, medial collateral ligament of the knee or achilles tendon.(ABSTRACT TRUNCATED AT 400 WORDS)
本研究的目的是量化在自行车测力计上运动时下肢关节和肌肉所承受的负荷,并研究这些负荷如何随自行车测力计的调整或骑行技术的改变而变化。通过电影胶片、踏板力测量以及基于静力学和动力学的生物力学计算,确定了骑行过程中作用于髋关节、膝关节和踝关节及其周围的力、负荷力矩和肌肉功率输出。使用肌电图记录并量化了11块下肢肌肉的肌肉活动。发现作用于双侧髋关节、膝关节和踝关节轴的负荷力矩通常低于正常水平行走时所产生的力矩。作用于膝关节前后轴的内翻和外翻负荷力矩与行走时所产生的力矩大致相同。胫股关节压缩力和主要作用于前交叉韧带的向前胫股剪切力较低。与水平行走相比,距小腿关节压缩力和跟腱拉力较低。骑行过程中下肢肌肉活动的程度与行走时相近,但有三个主要例外。股内侧肌和股外侧肌在骑行时比行走时更活跃,而胫骨前肌则较不活跃。髋伸肌产生了总正机械功的27%,髋屈肌产生4%,膝伸肌产生39%,膝屈肌产生10%,踝跖屈肌产生20%。在所研究的四个参数(工作量、蹬踏频率、鞍座高度、踏板足部位置)中,工作量是关节负荷和肌肉活动变化的最重要调整因素。蹬踏频率增加会增加大多数被研究肌肉的肌肉活动,通常不会改变关节负荷。鞍座高度增加会降低最大屈膝负荷力矩,但不会显著改变屈髋或背屈踝关节负荷力矩。不同鞍座高度一般不会改变大多数被研究肌肉的肌肉活动。使用后足部位置而非前足部位置会降低背屈踝关节负荷力矩,增加臀中肌和股直肌的活动,并降低比目鱼肌的肌肉活动,但不会显著改变髋关节或膝关节力矩。建议骑行可能是前交叉韧带、膝关节内侧副韧带或跟腱损伤患者康复过程中的一项有益运动。(摘要截选至400字)