Kobara Kenichi, Kawaue Manaka, Akai Saki, Osaka Hiroshi, Kurozumi Chiharu
Faculty of Rehabilitation, Kawasaki University of Medical Welfare: 288 Matsushima, Kurashiki-shi, Okayama 701-0193, Japan.
Department of Rehabilitation, Nippon Kokan Fukuyama Hospital, Japan.
J Phys Ther Sci. 2024 Aug;36(8):420-424. doi: 10.1589/jpts.36.420. Epub 2024 Aug 1.
[Purpose] This study aimed to examine and verify temporal changes in lower limb joint action after 2 weeks of single-leg stance training under active restriction of knee movement. [Participants and Methods] The participants included 28 healthy adult females (mean age, 19.6 ± 1.0 years). A stabile meter was used to measure the center of pressure sway as an index of ankle joint action. In addition, a triaxial accelerometer was used to measure pelvic and knee sways as indices of hip and knee joint actions, respectively. We established two experimental groups: an active-restriction group and an unrestricted group. Measurements of lower limb joint actions were recorded thrice during single-leg stance exercises during the first session of practice, the third session 1 week later, and the sixth session 2 weeks later. [Results] Both groups exhibited shorter total trajectory lengths in sessions three and six than in the first session. The active restriction group showed less knee sway in later sessions, whereas the unrestricted group showed reduced pelvic sway in the third session. [Conclusion] Single-leg stance exercises with active restriction of knee movement may alter the strategy of lower limb joint action.
[目的] 本研究旨在检验和验证在膝关节活动受限的情况下进行2周单腿站立训练后下肢关节动作的时间变化。[参与者与方法] 参与者包括28名健康成年女性(平均年龄,19.6±1.0岁)。使用稳定仪测量压力中心摆动,作为踝关节动作的指标。此外,使用三轴加速度计分别测量骨盆和膝关节的摆动,作为髋关节和膝关节动作的指标。我们设立了两个实验组:活动受限组和无限制组。在练习的第一阶段、1周后的第三阶段以及2周后的第六阶段的单腿站立练习期间,对下肢关节动作进行了三次测量。[结果] 两组在第三阶段和第六阶段的总轨迹长度均比第一阶段短。活动受限组在后期阶段膝关节摆动较小,而无限制组在第三阶段骨盆摆动减小。[结论] 在膝关节活动受限的情况下进行单腿站立练习可能会改变下肢关节动作的策略。