太极拳前弓步时膝关节前移位对膝关节负荷的影响。

The impact of anterior knee displacement on knee joint load during the forward bow step in Tai Chi.

作者信息

Hua Lijun, Bi Gengchao, Zhang Yanlong, Wang Kai, Liu Jiao

机构信息

College of Physical Education and Training, Harbin Sport University, Harbin, China.

Graduate school, Harbin Sport University, Harbin, China.

出版信息

Front Bioeng Biotechnol. 2024 Oct 15;12:1458737. doi: 10.3389/fbioe.2024.1458737. eCollection 2024.

Abstract

BACKGROUND

While the forward bow step is a crucial component of Tai Chi (TC) practice, little research has been conducted on its impact on knee joint load and muscle coordination. This study aims to investigate the effects of three different knee forward positions during the TC forward bow step on knee joint loading.

METHODS

Twenty TC practitioners were recruited, and motion capture systems, force platforms, and surface electromyography were utilized to synchronously collect biomechanical parameters of three types of forward bow steps: knee joint not exceeding the tip of the foot (NETT), knee joint forward movement level with the tip of the foot (LTT), and knee joint forward movement exceeding the tip of the foot (ETT). Ligament and muscle forces were calculated using OpenSim software for musculoskeletal modeling and simulation. One-way ANOVA was used to analyze the variations of the indicators during the peak anterior displacement of the knee joint in three movements. Additionally, spm1d one-way ANOVA was employed to examine the variations in the one-dimensional curve of the indicators throughout the entire movement process.

RESULTS

Compared with LTT and ETT, the NETT posture was associated with significantly decreased knee flexion angle (F = 27.445, = 0.001), knee anterior-posterior translation (F = 36.07, < 0.001), flexion-extension torque (F = 22.232, = 0.001), ligament force (F = 9.055, = 0.011). Additionally, there was also a significant reduction in muscle strength, including quadriceps (F = 62.9, < 0.001), long biceps femoris (F = 18.631, = 0.002), lateral gastrocnemius (F = 24.933, = 0.001) and soleus (F = 7.637, = 0.017).

CONCLUSION

This study further confirms that in the forward lunge movement of Tai Chi, the knee joint load is mainly concentrated during the forward movement phase. Compared to the knee joint load at the NETT position, the load is greater at the LTT position; and compared to the LTT position, the load is even greater at the ETT position.

摘要

背景

虽然弓步是太极拳练习的关键组成部分,但关于其对膝关节负荷和肌肉协调性影响的研究较少。本研究旨在探讨太极拳弓步时三种不同膝关节前伸位置对膝关节负荷的影响。

方法

招募20名太极拳练习者,利用动作捕捉系统、测力平台和表面肌电图同步采集三种弓步类型的生物力学参数:膝关节不超过脚尖(NETT)、膝关节前伸与脚尖平齐(LTT)、膝关节前伸超过脚尖(ETT)。使用OpenSim软件进行肌肉骨骼建模和模拟,计算韧带和肌肉力量。采用单因素方差分析来分析三种动作中膝关节最大前向位移时指标的变化。此外,使用spm1d单因素方差分析来检验整个运动过程中指标一维曲线的变化。

结果

与LTT和ETT相比,NETT姿势的膝关节屈曲角度显著减小(F = 27.445,P = 0.001)、膝关节前后平移(F = 36.07,P < 0.001)、屈伸扭矩(F = 22.232,P = 0.001)、韧带力(F = 9.055,P = 0.011)。此外,肌肉力量也显著降低,包括股四头肌(F = 62.9,P < 0.001)、股二头肌长头(F = 18.631,P = 0.002)、腓骨外侧肌(F = 24.933,P = 0.001)和比目鱼肌(F = 7.637,P = 0.017)。

结论

本研究进一步证实,在太极拳的弓步动作中,膝关节负荷主要集中在前移阶段。与NETT位置的膝关节负荷相比,LTT位置的负荷更大;与LTT位置相比,ETT位置的负荷更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/939b/11518730/830677ac450b/fbioe-12-1458737-g001.jpg

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