探究健康年轻成年人静态和动态平衡与下肢肌肉力学特性之间的关系。

Exploring the relationship of static and dynamic balance with muscle mechanical properties of the lower limbs in healthy young adults.

作者信息

Hill Mathew W, Wdowski Maximilian M, Rosicka Katarzyna, Kay Anthony D, Muehlbauer Thomas

机构信息

Centre for Sport, Exercise and Life Sciences, School of Life Sciences, Coventry University, Coventry, United Kingdom.

Department of Physiotherapy Faculty of Physical Culture in Gorzów Wlkp, Poznań University of Physical Education, Gorzów Wlkp, Poland.

出版信息

Front Physiol. 2023 May 26;14:1168314. doi: 10.3389/fphys.2023.1168314. eCollection 2023.

Abstract

There is emerging evidence that mechanical properties of muscle tissues are associated with postural sway during quiet standing. However, it is unknown if the observed relationship between mechanical properties with static balance parameters generalise to dynamic balance. Thus, we determined the relationship between static and dynamic balance parameters with muscle mechanical properties of the ankle plantar flexors [lateral gastrocnemius (GL)] and knee extensors [vastus lateralis (VL)] . Twenty-six participants (men = 16, women = 10; age = 23.3 ± 4.4 years) were assessed for static balance [centre of pressure (COP) movements during quiet standing], dynamic balance (reach distances for the Y-balance test) and mechanical properties (stiffness and tone) of the GL and VL measured in the standing and lying position. Significant ( < .05) small to moderate inverse correlations were observed between the mean COP velocity during quiet standing with stiffness ( = -.40 to -.58, = .002 to .042) and tone ( = -0.42 to -0.56, = 0.003 to 0.036) of the GL and VL (lying and standing). Tone and stiffness explained 16%-33% of the variance in the mean COP velocity. Stiffness and tone of the VL measured in the lying (supine) condition were also inversely significantly correlated with Y balance test performance (r = -0.39 to -0.46, p = 0.018 to 0.049). These findings highlight that individuals with low muscle stiffness and tone exhibit faster COP movements during quiet standing, indicative of reduced postural control but also reveal that low VL stiffness and tone are associated with greater reach distances in a lower extremity reaching task, indicative of greater neuromuscular performance.

摘要

越来越多的证据表明,肌肉组织的力学特性与安静站立时的姿势摆动有关。然而,力学特性与静态平衡参数之间观察到的关系是否能推广到动态平衡尚不清楚。因此,我们确定了静态和动态平衡参数与踝跖屈肌[外侧腓肠肌(GL)]和膝伸肌[股外侧肌(VL)]的肌肉力学特性之间的关系。对26名参与者(男性 = 16名,女性 = 10名;年龄 = 23.3 ± 4.4岁)进行了静态平衡[安静站立时的压力中心(COP)移动]、动态平衡(Y平衡测试的伸展距离)以及在站立和卧位测量的GL和VL的力学特性(刚度和张力)评估。在安静站立时的平均COP速度与GL和VL(卧位和站立位)的刚度(r = -0.40至 -0.58,p = 0.002至0.042)和张力(r = -0.42至 -0.56,p = 0.003至0.036)之间观察到显著(p < 0.05)的小到中等程度的负相关。张力和刚度解释了平均COP速度方差的16%-33%。在卧位(仰卧位)测量的VL的刚度和张力也与Y平衡测试表现呈显著负相关(r = -0.39至 -0.46,p = 0.018至0.049)。这些发现表明,肌肉刚度和张力低的个体在安静站立时COP移动更快,表明姿势控制能力下降,但也表明VL刚度和张力低与下肢伸展任务中更大的伸展距离相关,表明神经肌肉表现更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0302/10251143/97835a95e9a1/fphys-14-1168314-g001.jpg

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