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在行走速度加快和负重时人体运动肌电图活动的产生与改变。

Generation and modification of human locomotor EMG activity when walking faster and carrying additional weight.

作者信息

Damewood Bridgette A P, Sinkjær Thomas, Thompson Aiko K

机构信息

Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, USA.

Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

出版信息

Exp Physiol. 2025 Sep;110(9):1316-1335. doi: 10.1113/EP092063. Epub 2025 Mar 6.

Abstract

In activities of daily living, people walk at different speeds with or without carrying additional loads. In this study, we sought to examine how human adults manage these commonly encountered additional demands during walking. We measured electromyography (EMG), triceps surae H-reflexes, joint motion and ground reaction forces (GRF) while participants walked at 1.0 m/s and 1.5 m/s with or without an additional 20.4 kg of weight (the equivalent of 23-36% bodyweight). Faster walking was accompanied by a universal increase in burst EMG amplitude across flexors and extensors of upper and lower leg muscles (with most notable increases found in the plantarflexors) while burst patterns of activity were maintained. In addition, the range of motion increased at the ankle, knee and hip joints, while the step cycle duration was shortened. In bearing additional weight, upper and lower leg extensor activity, especially early stance quadriceps activity, was increased while joint motion was minimally affected at the ankle and knee (but not hip). When walking faster and carrying additional weight, changes in locomotor EMG (except for plantarflexors) and knee and hip joint motion displayed combined features of those two additional demands; changes in plantarflexor activity and ankle joint motion were more complex. Locomotor H-reflexes were larger at 1.5 m/s than at 1.0 m/s only when carrying additional weight. In generating plantarflexor activity and controlling ankle joint motion for propulsive force generation when walking faster and carrying additional weight, multiple mechanisms of both spinal and supraspinal origin may be involved.

摘要

在日常生活活动中,人们行走速度各异,且有的会携带额外负重,有的则不会。在本研究中,我们试图探究成年人类在行走过程中是如何应对这些常见的额外需求的。我们测量了肌电图(EMG)、小腿三头肌H反射、关节运动以及地面反作用力(GRF),测量时参与者分别以1.0米/秒和1.5米/秒的速度行走,且有的携带额外20.4千克的重量(相当于体重的23%-36%),有的不携带。行走速度加快时,小腿上下部肌肉的屈肌和伸肌的爆发式EMG幅度普遍增加(跖屈肌增加最为显著),同时活动的爆发模式得以维持。此外,踝关节、膝关节和髋关节的活动范围增加,而步周期时长缩短。在承受额外重量时,小腿上下部伸肌的活动增加,尤其是站立初期股四头肌的活动,而踝关节和膝关节的关节运动受到的影响最小(但髋关节并非如此)。当行走速度加快且携带额外重量时,运动肌电图的变化(除跖屈肌外)以及膝关节和髋关节的运动表现出这两种额外需求的综合特征;跖屈肌活动和踝关节运动的变化更为复杂。仅在携带额外重量时,运动H反射在1.5米/秒时比在1.0米/秒时更大。在行走速度加快且携带额外重量时,为产生推进力而产生跖屈肌活动并控制踝关节运动的过程中,可能涉及脊髓和脊髓上的多种机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876e/12400834/f2b8f27c7aa9/EPH-110-1316-g001.jpg

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