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直立和行走时过伸和非过伸关节的肌肉作用:基于诱发加速度分析的综合描述。

Muscle actions on crossed and non-crossed joints during upright standing and gait: A comprehensive description based on induced acceleration analysis.

机构信息

Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Brazil; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam, The Netherlands; Amsterdam UMC, University of Amsterdam, Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, The Netherlands.

出版信息

J Biomech. 2022 Jan;130:110874. doi: 10.1016/j.jbiomech.2021.110874. Epub 2021 Nov 24.

Abstract

The multibody nature of the musculoskeletal system makes each applied force potentially accelerate all body segments. Hence, muscles' actions on the kinematics of crossed and non-crossed joints should be estimated based on multibody dynamics. The objective of this study was to systematically investigate the actions of main lower limb muscles on the sagittal-plane angular kinematics of the hip, knee, and ankle joints, during upright standing and gait. Subject-specific simulations were performed to compute the muscle-tendon forces based on three-dimensional kinematic data collected from 10 able-bodied subjects during walking at preferred speed and during relaxed standing posture. A subject-scaled model consisting of the lower limb segments, 19 degrees of freedom and 92 Hill-type muscle-tendon units was used. Muscle-induced joint angular accelerations were estimated by Induced Acceleration Analysis in OpenSim. A comprehensive description of the estimated joint accelerations induced by lower limb muscles was presented, for upright standing and for the whole gait cycle. The observed muscle actions on crossed and non-crossed joints were phase- and task-specific. The main flexors and extensors for each joint were reported. Particular biarticular muscles presented actions opposite to their anatomical classification for specific joints. Antagonist muscle actions were revealed, such as the hitherto unknown opposite actions of the soleus and gastrocnemius at the ankle, and of the iliopsoas and soleus at the knee and ankle, during upright standing. Agonist actions among remote muscles were also identified. The presented muscle actions and their roles in joint kinematics of bipedal standing and walking contribute to understanding task-specific coordination.

摘要

骨骼肌肉系统的多体性质使得每个施加的力都有可能加速所有身体部位。因此,应该根据多体动力学来估计肌肉对交叉和非交叉关节运动学的作用。本研究的目的是系统地研究主要下肢肌肉在直立站立和行走时对髋关节、膝关节和踝关节矢状面角度运动学的作用。基于从 10 名健康受试者在舒适速度行走和放松站立姿势期间收集的三维运动学数据,进行了针对个体的模拟,以计算基于肌肉-肌腱的力。使用由下肢节段、19 个自由度和 92 个 Hill 型肌肉-肌腱单元组成的个体比例模型。通过 OpenSim 中的诱发性加速度分析估计肌肉引起的关节角加速度。提出了一种全面描述下肢肌肉引起的关节加速度的方法,用于直立站立和整个步态周期。观察到的跨关节和非交叉关节的肌肉作用具有相位和任务特异性。报告了每个关节的主要屈肌和伸肌。特定的双关节肌肉对特定关节表现出与其解剖分类相反的作用。揭示了拮抗肌的作用,例如在直立站立时,小腿和比目鱼肌在脚踝处以及髂腰肌和比目鱼肌在膝盖和脚踝处的迄今为止未知的相反作用。还确定了远程肌肉之间的协同作用。所提出的肌肉作用及其在双足站立和行走时关节运动学中的作用有助于理解特定任务的协调。

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