重新思考肌肉测试:动态EMG研究肘部定位作为pronator Teres和Quadratus功能的区分器
Ray M Lunasin1, William Capell1, Kenton R Kaufman2
1Motion Analysis Laboratory, Mayo Clinic, Rochester, MN.
The Journal of hand surgery
|October 29, 2025
概括
肘部定位在前臂伸展任务中并不能隔离前臂伸展肌肉 (PT) 和前臂伸展肌肉 (PQ) 的功能. 推动态EMG评估,以精确评估pronator组的功能.
科学领域:
- 解剖学和生理学的解剖学和生理学
- 生物力学 生物力学
- 电动肌图学 电动肌图学
背景情况:
- 前肌 (PT) 和前肌 (PQ) 是前臂的关键前肌.
- 了解它们独特的功能作用对于临床应用至关重要,特别是在手术前规划中.
研究的目的:
- 分析PT和PQ在前臂伸展过程中的贡献.
- 确定肘部定位是否可以使用动态肌电图 (EMG) 来区分PT和PQ的肌肉激活模式.
主要方法:
- 12名健康的受试者执行了前臂伸展任务,肘部曲角度不同 (完全伸展,90°,最大曲).
- 肌内动态电磁共振记录了PT和PQ在最大自发同度收缩,无阻力和高阻力条件下的激活.
- 超过肌肉激活值的参与者比例是主要结果指标.
主要成果:
- 所有参与者都显示了PT和PQ激活,当抵抗被应用.
- 在没有抵抗的情况下,PT和PQ的同时激活发生在58.3%的参与者在全肘伸展和90°曲时,以及75%的最大曲时.
- 百分之五十的参与者在所有测试条件下显示同时激活,有或没有电阻.
结论:
- 肘部曲定位不足以隔离PT和PQ的功能贡献.
- 动态电磁图谱评估对于精确的前肌的功能评估至关重要,特别是在手术前的规划中.
相关概念视频
Muscles that Move the Forearm
3.6K
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
3.6K
Spinal Nerves: Plexus I
2.3K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.3K
Muscle Coordination and Action
2.9K
Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
2.9K


