动态膝外翻女性跑步着地阶段动态稳定性与下肢刚度特征研究
作者:
作者单位:

1.河北师范大学体育学院;2.河北传媒学院


Dynamic Stability and Lower Limb Stiffness Characteristics in Females with Dynamic Knee Valgus During Running Stance Phase
Author:
Affiliation:

1.School of Physical Education,Hebei Normal University;2.Hebei University of Media and Communication

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    摘要:

    摘要 目的:探究动态膝外翻女性在跑步着地阶段的动态稳定性与刚度特征,揭示动态稳定性与关节刚度之间的联系,为动态膝外翻女性的损伤预防和康复提供理论依据和实践参考。方法:根据膝外翻角度进行组别划分,超过13°为动态膝外翻组,0°~13°为正常人群组,两组各16人。采用三维动作捕捉系统、三维测力台和无线表面肌电系统测量跑步时运动学、动力学及肌电数据,计算动态稳度(Margin of stability,MoS)、关节刚度与肌电指标并且进行差异性检验和相关性分析。结果:与正常女性相比,动态膝外翻女性矢状面膝关节峰值力矩(p=0.046)、冠状面膝关节角度变化量(p<0.01)均较大;动态膝外翻女性MoSml(p=0.010)、膝关节刚度ml(p=0.042)、踝关节刚度ml(p=0.035)均较小;着地前动态膝外翻女性臀中肌(p=0.020)、股外侧肌(p=0.021)肌肉预激活程度均较正常女性低,腓肠肌外侧(p<0.01)肌肉预激活程度较正常女性高,着地后动态膝外翻女性髋关节周围肌肉共激活比(p=0.004)较正常女性高;正常女性MoSml与髋关节刚度ml之间存在高度负相关(r=-0.634,p=0.048);动态膝外翻女性MoSml与髋关节刚度ml(r=-0.600,p=0.042)、踝关节刚度ap (r=-0.673,p=0.024)之间存在高度负相关。结论:跑步过程中,动态膝外翻女性在冠状面上具有动态稳定性和膝踝关节刚度不足的特征;动态膝外翻女性着地前臀中肌预激活程度低、腓肠肌外侧激活程度高,此激活模式反映了近端控制不足而导致的远端补偿策略。动态膝外翻女性跑步时,动态稳定性与关节刚度存在高度负相关关系,冠状面动态稳定性越低,矢状面踝关节刚度和冠状面髋关节刚度越大。

    Abstract:

    Abstract Objective: To investigate the dynamic stability and stiffness characteristics of females with dynamic knee valgus during the landing phase of running, and to reveal the relationship between dynamic stability and joint stiffness, providing theoretical and practical references for injury prevention and rehabilitation in females with dynamic knee valgus. Methods: Participants were divided into two groups based on knee valgus angle: a dynamic knee valgus group (over 13°) and a normal group (0°~13°), each consisting of 16 individuals.The three-dimensional motion capture system, three-dimensional force platform, and wireless surface electromyography system were used to measure kinematic, kinetic, and electromyographic data during running. The margin of stability (MoS), joint stiffness, and electromyographic indicators were calculated, and difference tests and correlation analyses were conducted.Results: Compared to normal females, females with dynamic knee valgus exhibited greater peak knee joint moments in the sagittal plane (p=0.046) and greater changes in knee joint angles in the frontal plane (p<0.01). Females with dynamic knee valgus showed smaller MoSml (p=0.010), knee joint stiffnessml (p=0.042), and ankle joint stiffnessml (p=0.035). Prior to landing, the pre-activation levels of the gluteus medius (p=0.020) and vastus lateralis (p=0.021) were lower in females with dynamic knee valgus compared to normal females, while the pre-activation level of the lateral gastrocnemius (p<0.01) was higher. After landing, the co-activation ratio of the muscles around the hip joint (p=0.004) was higher in females with dynamic knee valgus compared to normal females. In normal females, there was a high negative correlation between MoSml and hip joint stiffnessml (r=-0.634, p=0.048). In females with dynamic knee valgus, there were high negative correlations between MoSml and hip joint stiffnessml (r=-0.600, p=0.042) and between MoSml and ankle joint stiffnessap (r=-0.673, p=0.024).Conclusion: During running, females with dynamic knee valgus exhibit characteristics of dynamic instability in the frontal plane and insufficient knee and ankle joint stiffness. The low pre-activation level of the gluteus medius and high activation level of the lateral gastrocnemius prior to landing reflect a distal compensation strategy due to insufficient proximal control. In females with dynamic knee valgus, there is a high negative correlation between dynamic stability and joint stiffness during running; the lower the dynamic stability in the frontal plane, the greater the ankle joint stiffness in the sagittal plane and the hip joint stiffness in the frontal plane.

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  • 收稿日期:2025-02-20
  • 最后修改日期:2025-03-24
  • 录用日期:2025-03-24
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