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患有局灶性肌张力障碍(“易普症”)且表现出不同类型肌张力障碍运动的棒球运动员的肌电图和运动学特征:两例报告。

Electromyographic and kinematic characteristics of baseball players with yips exhibiting different types of dystonic movements: A two-case report.

作者信息

Aoyama Toshiyuki, Ae Kazumichi, Taguchi Takahiro, Kawamori Yuna, Sasaki Daisuke, Kawamura Takashi, Kohno Yutaka

机构信息

Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Japan.

Faculty of Sport Culture, Nippon Sport Science University, Japan.

出版信息

Heliyon. 2024 Dec 6;11(1):e41014. doi: 10.1016/j.heliyon.2024.e41014. eCollection 2025 Jan 15.

DOI:10.1016/j.heliyon.2024.e41014
PMID:39758390
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699407/
Abstract

The yips is a coordination impairment partly attributed to task-specific dystonia in athletes. While previous research focused on comparisons between control and yips groups, this study aimed to highlight interindividual differences in the yips symptoms of two baseball players with distinct dystonic movements through electromyographic and kinematic analysis. Twelve male college baseball players with two exhibiting throwing yips symptoms participated in this study. A three-dimensional motion capture system was used to analyze the kinematic features of throwing motion. Electromyographic data was recorded from the throwing upper limb. Case 1 showed markedly greater elbow flexion before ball release than the control baseball players, likely due to excessive and delayed muscle contraction of the biceps brachii. Case 2 showed intermittent activity of the middle deltoid muscle impacting shoulder abduction movement, resulting in action tremor of the upper limb. This study revealed two distinct types of dystonic movements in baseball players with throwing yips: excessive joint motion, which may be caused by impaired timing and amount of muscle activity, and action tremor, associated with intermittent muscle activity. These findings underscore the importance of individualized kinematic and electromyographic analysis to understand and treat yips symptoms.

摘要

“易普症”是一种协调性障碍,部分归因于运动员的特定任务性肌张力障碍。虽然先前的研究集中在对照组和易普症组之间的比较,但本研究旨在通过肌电图和运动学分析,突出两名具有不同肌张力障碍动作的棒球运动员在易普症症状上的个体差异。十二名男性大学棒球运动员参与了本研究,其中两名表现出投掷易普症症状。使用三维运动捕捉系统分析投掷动作的运动学特征。从投掷上肢记录肌电图数据。案例1显示,在球释放前,肘部屈曲明显大于对照棒球运动员,这可能是由于肱二头肌肌肉收缩过度和延迟所致。案例2显示,三角肌中部肌肉的间歇性活动影响了肩关节外展运动,导致上肢动作性震颤。本研究揭示了患有投掷易普症的棒球运动员中两种不同类型的肌张力障碍动作:过度的关节运动,这可能是由肌肉活动的时间和量受损引起的;以及与间歇性肌肉活动相关的动作性震颤。这些发现强调了个性化运动学和肌电图分析对于理解和治疗易普症症状的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d21/11699407/9d9b9efca49c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d21/11699407/c732e5bb695e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d21/11699407/9d9b9efca49c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d21/11699407/c732e5bb695e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d21/11699407/9d9b9efca49c/gr2.jpg

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本文引用的文献

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2
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PLoS One. 2023 Nov 30;18(11):e0292632. doi: 10.1371/journal.pone.0292632. eCollection 2023.
3
Interindividual differences in upper limb muscle synergies during baseball throwing motion in male college baseball players.男性大学棒球运动员在棒球投球动作中上肢肌肉协同作用的个体差异。
J Biomech. 2022 Dec;145:111384. doi: 10.1016/j.jbiomech.2022.111384. Epub 2022 Nov 13.
4
Difference in Personality Traits and Symptom Intensity According to the Trigger-Based Classification of Throwing Yips in Baseball Players.根据基于触发因素的棒球运动员投球易普症分类的人格特质和症状强度差异
Front Sports Act Living. 2021 Aug 25;3:652792. doi: 10.3389/fspor.2021.652792. eCollection 2021.
5
Treatment of focal hand dystonia: current status.手部局限性肌张力障碍的治疗:现状。
Neurol Sci. 2021 Sep;42(9):3561-3584. doi: 10.1007/s10072-021-05432-7. Epub 2021 Jul 2.
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Yips and other movement disorders in golfers.高尔夫球运动员的弹响指和其他运动障碍。
Mov Disord. 2013 May;28(5):576-81. doi: 10.1002/mds.25442. Epub 2013 Mar 20.
7
Are the yips a task-specific dystonia or "golfer's cramp"?弹响指是一种特定任务的肌张力障碍,还是“高尔夫球肘”?
Mov Disord. 2011 Sep;26(11):1993-6. doi: 10.1002/mds.23824. Epub 2011 Jun 14.
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The effect of manipulation of the center of pressure of the foot during gait on the activation patterns of the lower limb musculature.在步态过程中对足部压力中心的操纵对下肢肌肉活动模式的影响。
J Electromyogr Kinesiol. 2011 Apr;21(2):333-9. doi: 10.1016/j.jelekin.2010.11.009. Epub 2011 Jan 6.
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