不同预期条件对慢性踝关节不稳人群下肢生物力学特征的影响
DOI:
CSTR:
作者:
作者单位:

1.上海体育大学 运动健康学院;2.武汉体育学院 运动医学院;3.深圳平乐骨伤科医院 医学影像中心;4.上海交通大学 机械工程学院;5.上海交通大学医学院附属上海市第九人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Effects of different anticipated conditions on biomechanical characteristics of lower limbs in individuals with chronic ankle instability
Author:
Affiliation:

1.School of Exercise and Health,Shanghai University of Sport;2.School of Sports Medicine,Wuhan Sports University;3.Medical Imaging Center,Shenzhen Pingle Orthopedic Hospital;4.School of Mechanical Engineering,Shanghai Jiao Tong University,Shanghai;5.Shanghai Ninth People'6.'7.s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 通过比较非预期和预期跳跃下CAI和健康人群下肢生物力学特征的差异,为预防和治疗复发性踝关节扭伤提供实践参考和思路。方法 共招募30名受试者,包括15名CAI和健康受试者。所有受试者均需完成非预期和预期跳跃测试,顺序随机,2次测试之间间隔1周。采集触地时刻及落地早期下肢的运动学、动力学数据。应用9镜头红外高速运动捕捉系统(Vicon, Nexus, T40, 200 Hz)和Kistler三维测力台(1000 Hz)同步采集运动学和动力学数据。结果 触地时刻,与预期跳跃相比,非预期跳跃的膝屈曲角度显著提高(P=0.009),而踝外翻角度明显降低(P=0.043)。落地早期,与预期跳跃相比,非预期跳跃的髋屈曲、外展峰值角度,膝屈曲峰值角度显著增大(P=0.038),(P=0.036),(P=0.012),而踝背屈、外翻峰值角度显著降低(P=0.001),(P=0.010)。此外, CAI人群非预期跳跃下的髋伸展力矩峰值明显高于预期跳跃(P=0.028)。结论 非预期跳跃降低了CAI人群踝背屈、外翻角度,使踝关节处于开放、易扭伤位置;CAI人群可以通过增加髋屈曲、外展角度和膝屈曲角度以及髋伸展力矩形成近端代偿来稳定踝关节。

    Abstract:

    Objective By comparing the differences in biomechanical characteristics of the lower limbs between individuals with and without Chronic Ankle Instability (CAI) under unanticipated and anticipated jumping, we can provide practical references and ideas for the prevention and treatment of recurrent ankle sprains. Methods Thirty participants were recruited, including 15 individuals with CAI and 15 healthy participants. All participants completed unanticipated and anticipated jumping tests in random order, with a 1-week interval between the two tests. Kinematic and kinetic data were collected at the moment of touchdown and during the early landing phase. A 9-lens infrared high-speed motion capture system (Vicon, Nexus, T40, 200 Hz) and a Kistler 3D force platform (1000 Hz) were used to synchronously collect kinematic and kinetic data. Results At the moment of touchdown, knee flexion angle was significantly greater in unanticipated jumping than in anticipated jumping (P=0.009), while ankle eversion angle was notably lower (P=0.043). During the early landing phase, unanticipated jumping showed significantly greater peak hip flexion and abduction angles, as well as knee flexion (P=0.038, P=0.036, and P=0.012), while peak ankle dorsiflexion and eversion angles were significantly lower (P=0.001, P=0.010) compared to anticipated jumping. Additionally, peak hip abduction moment during unanticipated jumping was significantly higher in individuals with CAI than in anticipated jumping (P=0.028). Conclusions Unanticipated jumping reduced ankle dorsiflexion and eversion angles in individuals with CAI, putting the ankle in an open, sprain-prone position; Individuals with CAI compensated proximally by increasing hip flexion, abduction, knee flexion angles, and hip extension moments to stabilize the ankle.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-12-06
  • 最后修改日期:2025-01-23
  • 录用日期:2025-01-24
  • 在线发布日期:
  • 出版日期:
文章二维码
关闭