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在固定步行速度下,随着步长和步频变化,髂腰肌活动及髋/骨盆运动学的改变

Changes in Iliopsoas Muscle Activity and Hip/Pelvic Kinematics With Variations in Step Length and Cadence at a Fixed Walking Speed.

作者信息

Jiroumaru Takumi, Wachi Michio, Hyodo Yutaro, Oka Yasumasa, Fujikawa Takamitsu

机构信息

Department of Physical Therapy, Bukkyo University, Kyoto, JPN.

Department of Rehabilitation, Kanazawa Orthopaedic and Sports Medicine Clinic, Shiga, JPN.

出版信息

Cureus. 2025 May 24;17(5):e84737. doi: 10.7759/cureus.84737. eCollection 2025 May.

Abstract

BACKGROUND

Older adults often compensate for reduced mobility by adopting shorter steps and a faster cadence, which may alter muscle recruitment and joint kinematics. The iliopsoas, a key muscle for leg swing and posture control, is particularly affected. Understanding its role across different gait patterns may help improve gait training and fall prevention.

PURPOSE

To investigate how step length and cadence influence iliopsoas muscle activation and hip/pelvic kinematics during treadmill walking at a constant speed.

METHODS

Ten healthy young men walked on a treadmill at 5 km/h under three conditions: (1) Step-Length Increased Walking (SL), longer steps with lower cadence; (2) Normal Walking (N), self-selected gait; and (3) Pitch Increased Walking (P), shorter steps with higher cadence. Iliopsoas activity was measured using surface electromyography, and hip/pelvic motion was captured using 3D motion analysis. The gait cycles were divided into four functional phases for phase-specific analysis. Nonparametric tests were used to compare muscle activity across conditions.

RESULTS

Iliopsoas activity was significantly higher during the early (Phase 1) and late stance (Phase 2) in both the SL and P conditions than in the N condition. During the late swing (Phase 4) period, the SL condition elicited the greatest iliopsoas activation accompanied by increased hip flexion and pelvic tilt. This phase showed the strongest effect size among all phases, highlighting the critical role of iliopsoas during terminal swing. P walking also showed elevated iliopsoas activation during the stance, likely due to the faster step cycle.

CONCLUSION

The findings suggest that step length and cadence influence the timing and magnitude of iliopsoas activation. Longer steps increase activation during the late swing phase, while a higher cadence enhances activation during stance. Phase-specific training targeting iliopsoas strength and hip flexion mobility may help improve gait performance.

摘要

背景

老年人常通过采取更短的步长和更快的步频来补偿行动能力的下降,这可能会改变肌肉募集和关节运动学。髂腰肌是腿部摆动和姿势控制的关键肌肉,尤其会受到影响。了解其在不同步态模式中的作用可能有助于改善步态训练和预防跌倒。

目的

研究步长和步频如何影响在跑步机上以恒定速度行走时髂腰肌的肌肉激活以及髋部/骨盆的运动学。

方法

10名健康的年轻男性在跑步机上以5公里/小时的速度行走,共三种条件:(1)步长增加行走(SL),步长更长且步频更低;(2)正常行走(N),自选步态;(3)步频增加行走(P),步长更短且步频更高。使用表面肌电图测量髂腰肌活动,并使用三维运动分析捕捉髋部/骨盆运动。将步态周期分为四个功能阶段进行特定阶段分析。使用非参数检验比较不同条件下的肌肉活动。

结果

在SL和P条件下,髂腰肌活动在早期(阶段1)和后期支撑(阶段2)均显著高于N条件。在后期摆动(阶段4)期间,SL条件引发了最大的髂腰肌激活,同时伴有髋部屈曲增加和骨盆倾斜。此阶段在所有阶段中效应量最强,突出了髂腰肌在终末摆动期间的关键作用。P行走在支撑期也显示出髂腰肌激活增加,可能是由于步周期更快。

结论

研究结果表明步长和步频会影响髂腰肌激活的时间和幅度。更长的步长会增加后期摆动阶段的激活,而更高的步频会增强支撑期的激活。针对髂腰肌力量和髋部屈曲灵活性的特定阶段训练可能有助于改善步态表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e824/12184733/a0dca0a74830/cureus-0017-00000084737-i01.jpg

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