分析与慢性脚不稳定性相关的下肢肌肉失衡模式
Sonam Jagadale1, Sandeep Shinde1, Sawani Aphale1
1Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, IND.
Cureus
|February 17, 2025
概括
慢性脚不稳定 (CAI) 与近距离肌肉失衡有关. 核心肌肉衰弱和下肢不平衡显著导致CAI,影响稳定性和功能.
科学领域:
- 物理治疗和运动医学
- 生物力学和运动控制
背景情况:
- 慢性脚不稳定 (CAI) 是一种普遍的疾病,通常与神经肌肉控制受损有关.
- 下肢近距离肌肉失衡可能在CAI的发展和持久性中发挥重要作用.
研究的目的:
- 调查慢性脚不稳定性和近距离肌肉失衡之间的复杂关系.
- 确定与CAI相关的特定肌肉群和功能缺陷.
主要方法:
- 一项涉及111名患有CAI的志愿者的横截面研究.
- 评估包括手动肌肉测试,运动范围评估和步态模式分析.
主要成果:
- 患有CAI的个体表现出显著的肌肉失衡,87.2%的人表现出核心肌肉弱 (多,直腹肌),84.6%的人表现出下肢肌肉弱.
- 脚关节的运动范围受到显著影响,特别是脚部 flexors 和 evertors.
- 观察到异常的步行模式,包括谨慎的步行 (75%),膝盖过度延伸 (22%) 和脚 (3%).
结论:
- 由于肌肉衰弱,损伤的长度-张力关系和运动范围的减少,CAI可能导致异常的步态.
- 核心肌肉力量对于运动链效率和近位稳定性至关重要,直接影响CAI.
- 解决下肢肌肉失衡和核心弱点对于有效的CAI康复和改善功能结果至关重要.
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