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跑步支撑阶段个体肌肉力量对髋、膝和踝关节接触力的贡献:一项基于模型的研究。

Contributions of individual muscle forces to hip, knee, and ankle contact forces during the stance phase of running: a model-based study.

作者信息

Zhao Kaiwei, Shan Chun, Luximon Yan

机构信息

Guangdong Polytechnic Normal University, Guangzhou, Guangdong China.

The Hong Kong Polytechnic University, Hung Hom, Hong Kong.

出版信息

Health Inf Sci Syst. 2022 Jun 16;10(1):11. doi: 10.1007/s13755-022-00177-9. eCollection 2022 Dec.

Abstract

Knowledge of muscle forces' contributions to the joint contact forces can assist in the evaluation of muscle function, joint injury prevention, treatment of gait disorders, and arthroplasty planning. This study's objective was to evaluate the contributions of human lower limb muscles to the hip, knee, and ankle joint contact forces during the stance phase of running. A total of 25 muscles (or groups) were investigated based on the OpenSim framework along the anterior-posterior, superoinferior, and mediolateral components of each joint coordinate system. It was revealed that, during the running stance phase, the gluteus medius, gluteus maximus, and iliopsoas mainly contributed to the hip contact force. The soleus, vastus group, and rectus femoris primarily contributed to the knee contact force, while the peroneus, soleus, gluteus medius, and gastrocnemius mainly contributed to the ankle joint force; some muscles simultaneously offloaded the joints during the stance phase. The distributive pattern of the individual muscle functions contributing to the joint load may substantially differ during the running and walking stance phases. This study's findings may further provide suggestive information for the design of lower limb joint prosthesis, the study of the biomechanics of pathologic walking and running, and the progression of joint osteoarthritis.

摘要

了解肌肉力量对关节接触力的贡献有助于评估肌肉功能、预防关节损伤、治疗步态障碍以及进行关节置换手术规划。本研究的目的是评估人类下肢肌肉在跑步站立阶段对髋、膝和踝关节接触力的贡献。基于OpenSim框架,沿着每个关节坐标系的前后、上下和内外侧分量,共研究了25块肌肉(或肌群)。结果表明,在跑步站立阶段,臀中肌、臀大肌和髂腰肌对髋部接触力的贡献较大。比目鱼肌、股四头肌组和股直肌对膝部接触力的贡献主要,而腓骨肌、比目鱼肌、臀中肌和腓肠肌对踝关节力的贡献较大;一些肌肉在站立阶段同时减轻了关节的负荷。在跑步和行走站立阶段,各肌肉对关节负荷的贡献分布模式可能存在显著差异。本研究结果可能为下肢关节假体设计、病理性行走和跑步的生物力学研究以及关节骨关节炎的进展提供进一步的提示性信息。

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