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从静息状态到最大等长跖屈时跟腱力臂的变化:人体活体观察

Changes in Achilles tendon moment arm from rest to maximum isometric plantarflexion: in vivo observations in man.

作者信息

Maganaris C N, Baltzopoulos V, Sargeant A J

机构信息

Biomechanics and Neuromuscular Biology Research Groups, Manchester Metropolitan University, Alsager ST7 2HL, UK.

出版信息

J Physiol. 1998 Aug 1;510 ( Pt 3)(Pt 3):977-85. doi: 10.1111/j.1469-7793.1998.977bj.x.

DOI:10.1111/j.1469-7793.1998.977bj.x
PMID:9660906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2231068/
Abstract
  1. The purpose of the present study was to examine the effect of a plantarflexor maximum voluntary contraction (MVC) on Achilles tendon moment arm length. 2. Sagittal magnetic resonance (MR) images of the right ankle were taken in six subjects both at rest and during a plantarflexor MVC in the supine position at a knee angle of 90 deg and at ankle angles of -30 deg (dorsiflexed direction), -15 deg, 0 deg (neutral ankle position), +15 deg (plantarflexed direction), +30 deg and +45 deg. A system of mechanical stops, support triangles and velcro straps was used to secure the subject in the above positions. Location of a moving centre of rotation was calculated for ankle rotations from -30 to 0 deg, -15 to +15 deg, 0 to +30 deg and +15 to +45 deg. All instant centres of rotation were calculated both at rest and during MVC. Achilles tendon moment arms were measured at ankle angles of -15, 0, +15 and +30 deg. 3. At any given ankle angle, Achilles tendon moment arm length during MVC increased by 1-1.5 cm (22-27 %, P < 0.01) compared with rest. This was attributed to a displacement of both Achilles tendon by 0.6-1.1 cm (P < 0.01) and all instant centres of rotation by about 0.3 cm (P < 0.05) away from their corresponding resting positions. 4. The findings of this study have important implications for estimating loads in the musculoskeletal system. Substantially unrealistic Achilles tendon forces and moments generated around the ankle joint during a plantarflexor MVC would be calculated using resting Achilles tendon moment arm measurements.
摘要
  1. 本研究的目的是检验跖屈肌最大自主收缩(MVC)对跟腱力臂长度的影响。2. 对6名受试者的右踝进行矢状面磁共振(MR)成像,成像分别在静息状态下以及仰卧位、膝关节角度为90度、踝关节角度为-30度(背屈方向)、-15度、0度(踝关节中立位)、+15度(跖屈方向)、+30度和+45度时的跖屈肌MVC过程中进行。使用一套机械限位器、支撑三角架和尼龙搭扣带将受试者固定在上述位置。计算踝关节从-30度至0度、-15度至+15度、0度至+30度以及+15度至+45度旋转时的移动旋转中心位置。所有瞬时旋转中心均在静息状态和MVC过程中进行计算。在踝关节角度为-15度、0度、+15度和+30度时测量跟腱力臂。3. 在任何给定的踝关节角度,与静息状态相比,MVC过程中跟腱力臂长度增加了1 - 1.5厘米(22 - 27%,P < 0.01)。这归因于跟腱均移位了0.6 - 1.1厘米(P < 0.01),以及所有瞬时旋转中心均从其相应的静息位置向外移动了约0.3厘米(P < 0.05)。4. 本研究结果对估计肌肉骨骼系统中的负荷具有重要意义。使用静息状态下的跟腱力臂测量值来计算跖屈肌MVC过程中踝关节周围产生的跟腱力和力矩会得出严重不切实际的结果。

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