Luan Lijiang, Xia Zhengliang, Adams Roger, Ganderton Charlotte, Tirosh Oren, El-Ansary Doa, Pranata Adrian, Han Jia
School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Discipline of Physiotherapy, School of Health Sciences, University of Sydney, Sydney, Australia.
J Hum Kinet. 2024 Jul 17;94:5-21. doi: 10.5114/jhk/190267. eCollection 2024 Oct.
Emerging evidence has suggested that gluteus medius (GM) muscle activity may be critical for functional performance in individuals with chronic ankle instability (CAI). This study aimed to systematically review the literature to determine whether there are differences in GM muscle activity between individuals with and without CAI. A comprehensive search in PubMed, Embase, Cochrane Library, Web of Science, EBSCO, and PEDro databases was undertaken from the year of inception to 10 June 2024. Studies that investigated GM muscle activity during physical activities in healthy controls or copers and individuals with CAI were included. The quality assessment was conducted using the Newcastle-Ottawa Quality scale (NOS). After review, forty studies (1840 participants) were included; NOS scoring for the included studies ranged from 5/9 to 9/9 stars. GM activity was reported for seven activities: walking (14 studies), stance-transition (four studies), jump-landing (13 studies), perturbation (six studies), balance (four studies), cutting (three studies), and other functional exercises (seven studies). The outcome measures selected to examine each task varied across studies, and electromyography (EMG) results were inconsistent. Overall, although the quality of the available studies was generally high, there were substantial methodological differences, and the activity of GM muscles in CAI participants compared to controls was equivocal. A consensus on standardization of GM muscle activity assessment reporting should be established to guide future studies.
新出现的证据表明，臀中肌（GM）活动可能对慢性踝关节不稳（CAI）个体的功能表现至关重要。本研究旨在系统回顾文献，以确定CAI个体与非CAI个体之间GM肌肉活动是否存在差异。从各数据库创建年份至2024年6月10日，对PubMed、Embase、Cochrane图书馆、Web of Science、EBSCO和PEDro数据库进行了全面检索。纳入了调查健康对照者或代偿者以及CAI个体在体育活动期间GM肌肉活动的研究。使用纽卡斯尔-渥太华质量量表（NOS）进行质量评估。经审查，纳入了40项研究（1840名参与者）；纳入研究的NOS评分范围为5/9至9/9星。报告了7种活动的GM活动：步行（14项研究）、姿势转换（4项研究）、跳跃着陆（13项研究）、扰动（6项研究）、平衡（4项研究）、切入（3项研究）和其他功能锻炼（7项研究）。不同研究中用于检查每项任务的结果测量指标各不相同，且肌电图（EMG）结果不一致。总体而言，尽管现有研究的质量普遍较高，但存在重大的方法学差异，与对照组相比，CAI参与者中GM肌肉的活动情况尚不明确。应就GM肌肉活动评估报告的标准化达成共识，以指导未来的研究。
