年轻人下肢关节扭矩参数与体位平衡的关系:一项横断面研究

A. Vidal, L. A. Vieira, J. L. Cruz, Natalia Rinaldi
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摘要

背景:不同的因素可以影响姿势控制(PC)的表现,其中之一是肌肉功能,它表现为下肢神经肌肉产生适应姿势障碍的张力的能力。目的:通过静态体位仪分析青少年下肢(髋关节、膝关节和踝关节)关节扭矩参数对体位平衡变量的影响。方法:本研究纳入25名年轻成人(23.08±4.44岁),他们交替进行运动任务:基础支持;测力板的表面和视觉状况。用等速测功机测量关节扭矩。结果:在最具挑战性和最不具挑战性的几种情况下,髋外展、髋内收和髋外伸扭矩与压力中心位移变量呈负相关。踝关节扭矩(背屈和足底屈)与姿势控制负相关,仅在半串联条件下,表面坚硬,眼睛睁开。另一方面,膝关节扭矩与压力位移中心呈正相关。功率测量与姿势控制的关系大于峰值扭矩。结论:在年轻人中,似乎更多地使用髋关节策略,髋关节扭矩相对于踝关节扭矩对姿势平衡控制的影响更大。因此,加强臀部肌肉可能对年轻人的姿势控制有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Joint torque parameters of lower limbs and the relationship with postural balance in young adults: a cross-sectional study
BACKGROUND: Different factors can influence the performance of postural control (PC), one of them being muscle function, which emerges as the neuromuscular capacity to generate tension adaptable to postural disturbances in the lower limbs. AIM: To investigate the influence of joint torque parameters of the lower limbs (hip, knee, and ankle) on the variables of postural balance, analyzed by static posturography in young adults. METHOD: This study included 25 young adults (23.08 ± 4.44 years) who were submitted to motor tasks alternating: the base of support; the surface and vision conditions on a force plate. Joint torque was measured using an isokinetic dynamometer. RESULTS: The hip-abduction, -adduction, and -extension torques were negatively associated with the variables of center of pressure displacement in several conditions, both the most challenging and the least challenging ones. The ankle torque (dorsiflexion and plantar flexion) was negatively associated with postural control only in the semi-tandem condition with a rigid surface and eyes open. On the other hand, the knee torque was positively associated with the center of pressure displacement. Power measurements were more associated with postural control than peak torque. CONCLUSION: In young adults, there seems to be a greater use of the hip strategy, with greater influence of hip torque in relation to ankle torque for postural balance control. Therefore, the strengthening of hip muscles could have an impact on postural control in young adults.
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