在功能脚不稳定时,胃角肌和肌的缺陷:一项观察性研究
Nasr Awad Abdelkader1, Mostafa Mohammed Khafagaa2, Marihan Zakaria Aziz3
1Department of Physical Therapy for Musculoskeletal Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. dr.nasrawad@cu.edu.eg.
BMC musculoskeletal disorders
|November 14, 2025
概括
胃角肌和肌肌中的奇特强度缺陷显著损害了功能脚不稳定性 (FAI) 的表现. 康复应该优先考虑异常强化,以提高动态稳定性和减少再次受伤的风险.
科学领域:
- 生物力学 生物力学
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 功能脚不稳定性 (FAI) 在活跃个体中很普遍,通常与体位和神经肌肉控制不佳有关.
- 这项研究研究了肌肉力量缺陷及其对FAI患者平衡和功能表现的影响.
研究的目的:
- 为了比较FAI患者受影响和未受影响四肢之间的胃角肌肉和腹肌肌肉的偏心和集中肌肉强度.
- 为了确定肌肉强度,平衡和功能表现在FAI患者受影响的肢体之间的关系.
主要方法:
- 38名患有单边FAI的参与者 (15-32岁) 接受了异动力学动力学测量 (60°/120°/s) 进行脚力强度评估.
- 通过单腿姿势 (SLS) 和Y平衡测试 (YBT) 评估平衡;通过侧跳测试 (SHT) 评估功能性表现.
- 统计分析包括t测试,皮尔森相关性和多重回归.
主要成果:
- 与非受影响的肢体相比,受影响的肢体在60°/s时观察到显著的异常扭矩缺陷 (p=0.048).
- 在SHT性能和所有强度指标之间发现了中等的间接相关性 (r=-0.51到-0.61).
- YBT表现与强度指标有中度至强度的直接相关性;强度缺陷预测了闭眼时SLS变异的41.7%.
结论:
- 胃角肌和肌肌中的异常强度缺陷在FAI中显著损害功能表现 (SHT,YBT).
- 肌肉力量缺陷是动态平衡受损 (闭眼的SLS) 的重要预测因素.
- 速度特定的强度评估和异常强化对于有效的FAI康复和预防复发至关重要.
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