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考虑两种外周疲劳任务时,单腿着陆时下肢生物力学的差异。

Differences in lower-limb biomechanics during single-leg landing considering two peripheral fatigue tasks.

机构信息

Faculty of Wakayama Health Care Sciences, Takarazuka University of Medical and Health, Wakayama, Japan.

Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan.

出版信息

PLoS One. 2024 Apr 11;19(4):e0297910. doi: 10.1371/journal.pone.0297910. eCollection 2024.

Abstract

Dynamic knee valgus (DKV) occurs during landing after a fatigue task involving the lower extremity. However, the manner in which different peripheral fatigue tasks affect DKV remains unknown. In this study, we investigated the DKV via electromyography during single-leg landing considering the hip-joint fatigue task (HFT) and knee-joint fatigue task (KFT) performed by healthy men. We recruited 16 healthy male participants who performed a single-leg jump-landing motion from a height of 20 cm before and after an isokinetic hip abduction/adduction task (HFT) and knee extension/flexion task (KFT). Three-dimensional motion analysis systems were attached to the left gluteus medius and quadriceps, and surface electromyography was used to analyze the lower limb kinematics, kinetics, and muscle activity. The primary effects and interactions of the task and fatigue were identified based on the two-way repeated-measures analysis of variance. The results of the average angle during landing indicated that DKV occurs in KFT, whereas HFT applies external forces that adduct and internally rotate the knee at peak vertical ground reaction force (vGRF). Furthermore, both KFT and HFT exhibited an increase in muscle activity in the quadriceps. The analysis revealed that the occurrence of DKV varies depending on the peripheral fatigue task, and the effects on average DKV during landing and DKV at peak vGRF vary depending on the peripheral fatigue task.

摘要

动态膝关节外翻(DKV)在下肢疲劳任务后的着陆过程中发生。然而,不同的外周疲劳任务如何影响 DKV 尚不清楚。在这项研究中,我们通过肌电图研究了单腿着陆时的 DKV,考虑了健康男性进行的髋关节疲劳任务(HFT)和膝关节疲劳任务(KFT)。我们招募了 16 名健康男性参与者,他们在进行等速髋关节外展/内收任务(HFT)和膝关节伸展/屈曲任务(KFT)之前和之后,从 20 厘米的高度进行单腿跳跃着陆运动。三维运动分析系统附着在左臀中肌和股四头肌上,表面肌电图用于分析下肢运动学、动力学和肌肉活动。基于双向重复测量方差分析,确定了任务和疲劳的主要影响和相互作用。着陆过程中平均角度的结果表明,DKV 发生在 KFT 中,而 HFT 在峰值垂直地面反作用力(vGRF)时施加使膝盖内收和内旋的外力。此外,KFT 和 HFT 都表现出股四头肌肌肉活动的增加。分析表明,DKV 的发生取决于外周疲劳任务,而着陆过程中的平均 DKV 和 DKV 在峰值 vGRF 处的影响取决于外周疲劳任务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6896/11008898/3458b5a12e0b/pone.0297910.g001.jpg

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