Hank Mikulas, Michal Lukas, Sugimoto Dai, Verbruggen Ferdia Fallon, Pivovarnicek Pavol, Miratsky Petr, Zahalka Frantisek, Maly Tomas
Sport Research Centre, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic.
Department of Pathophysiology, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
J Musculoskelet Neuronal Interact. 2025 Sep 1;25(3):307-315. doi: 10.22540/JMNI-25-307.
This study examined the acute impact of percussion massage therapy (PMT) on calf muscle activation during heel raises in individuals with and without chronic ankle instability (CAI).
Thirty-nine university students, 20 with CAI and 19 controls, were randomized to 30 seconds of PMT or no intervention (NOPMT). Surface EMG measured medial gastrocnemius activity during heel raise before and after.
Pre-intervention, CAI limbs displayed significantly lower peak muscle activation than limbs without CAI (26%, p = 0.012). Post-intervention, both PMT groups showed significant reductions in peak EMG (CAI: 10%, controls: 12%, p < 0.05), while NOPMT groups remained unchanged.
These results indicate CAI is associated with reduced calf muscle activation, and PMT further decreases it. However, PMT's activation-reducing effect may be counterproductive when increased muscle activation is desired, necessitating further research on PMT's interaction with activation exercises. Further research is needed to explore the long-term effects and optimal timing of PMT in rehabilitation and athletic settings.
本研究探讨了叩击按摩疗法(PMT)对有和没有慢性踝关节不稳(CAI)的个体在足跟抬起过程中小腿肌肉激活的急性影响。
39名大学生,20名患有CAI,19名作为对照,被随机分为接受30秒的PMT或不接受干预(无PMT)。在足跟抬起前后,通过表面肌电图测量腓肠肌内侧的活动。
干预前,患有CAI的肢体显示出的肌肉激活峰值显著低于没有CAI的肢体(低26%,p = 0.012)。干预后,两个接受PMT的组的肌电图峰值均显著降低(CAI组:10%,对照组:12%,p < 0.05),而未接受PMT的组则保持不变。
这些结果表明CAI与小腿肌肉激活减少有关,并且PMT会进一步降低其激活。然而,当需要增加肌肉激活时,PMT的激活降低效果可能会适得其反,因此有必要进一步研究PMT与激活练习之间的相互作用。需要进一步研究以探索PMT在康复和运动环境中的长期效果及最佳时机。