不同落地高度下内翻扰动对慢性踝关节不稳者运动学和肌电学特征的影响
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1.山东体育学院,运动与健康学院;2.香港中文大学 人文社科学院

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The Effect of Inversion Perturbation at Different Landing Heights on Kinematic and Electromyographic Characteristics among People with Chronic Ankle Instability
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1.Division of Physical Education,The Chinese University of Hong Kong;2.Department of Sports and Health Science,Shandong Sport University

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    摘要:

    目的:踝关节扭伤常发生于从高处落地时,以内翻扭伤最为常见。目前关于慢性踝关节不稳者(慢踝者)在不同落地高度下的落地策略仍存在争议。本文旨在探讨慢踝者和非慢踝者从不同落地高度落至活板门装置时的运动学和肌电学特征,分析两类人群在踝内翻扰动下的运动模式差异,为优化落地策略与预防损伤提供理论依据。方法:招募25名慢踝者和25名非慢踝者,分别从16cm和30cm高度单腿落地至活板门装置,该装置会向内倾斜24°,向前倾斜15°,以模拟踝内翻扭伤时的足部位置,同步采集运动学和肌电学数据。结果:慢踝组踝关节内翻峰值角度大于非慢踝组(P=0.003),且随高度增加,两组踝关节内翻峰值角度变小(P=0.035)。慢踝组在预激活阶段(P=0.019)和落地阶段(P=0.046)的腓骨长肌激活程度低于非慢踝组,股直肌激活程度高于慢踝组(P=0.026),且随高度增加,两组胫骨前肌激活程度增加(P=0.015)。慢踝组的腓骨长肌激活时刻较非慢踝组延迟(P=0.025),腓肠肌内侧激活时刻早于非慢踝组(P=0.016),随高度增加,股直肌激活时刻延迟(P=0.016)。结论:慢踝者在不同高度落地时表现出踝关节运动控制受损和异常的肌肉激活模式。康复训练可重点关注腓骨长肌及相关稳定性肌群的强化训练,从而提高落地稳定性,降低踝扭伤风险。

    Abstract:

    Objective: Ankle sprains occur during landings from heights, with inversion sprains. This study aims to investigate the kinematic and electromyographic characteristics among people with and without chronic ankle instability (CAI) during landing from different heights to a trapdoor device, and to analyze the differences in movement patterns between the two groups under ankle inversion perturbation, thereby providing theoretical support for optimizing landing strategies and preventing injuries. Methods: Twenty-five CAI and 25 non-CAI were recruited to land from heights of 16 cm and 30 cm to a trapdoor device, which tilts inward by 24° and forward by 15° to simulate the foot position during ankle inversion sprain. Kinematic and electromyographic data were collected. Results: The peak ankle inversion angle was greater in the CAI group than non-CAI group (P=0.003), and the peak ankle inversion angles decreased in both groups with increasing heights (P=0.035). In the CAI group, the peroneus longus muscle activation level was lower in the pre-activation phase (P=0.019) and landing phase (P=0.046), and the rectus femoris muscle activation level in the CAI group was greater (P=0.026), and the tibialis anterior activation level (P=0.015) in both groups increased with increasing height. The onset of activation of the peroneus longus was later in the CAI group than non-CAI group (P=0.025); the activation onset of the medial gastrocnemius occurs earlier (P=0.016). With the increasing heights, activation of the rectus femoris was delayed (P=0.017). Conclusion: The CAI group exhibits impaired ankle motor control and abnormal muscle activation patterns during landing from different heights. Rehabilitation training should focus on strengthening the peroneus longus and other stabilizing muscles to enhance landing stability and reduce the risk of ankle sprains.

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  • 收稿日期:2025-03-03
  • 最后修改日期:2025-04-07
  • 录用日期:2025-04-08
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