慢性踝关节不稳患者下肢肌肉激活特征研究现状

doi:10.3969/j.issn.1006-9771.2018.06.011

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (6): 678-681.doi: 10.3969/j.issn.1006-9771.2018.06.011

慢性踝关节不稳患者下肢肌肉激活特征研究现状

裴子文^1a,孟宪梅²,杨建强^1a,陈建^1b

1. 武汉体育学院,a.研究生院,b.健康科学学院,湖北武汉市 430079;
2. 武汉大学健康学院综合模拟康复中心,湖北武汉市 430071

收稿日期:2018-01-31 修回日期:2018-03-23 出版日期:2018-06-25 发布日期:2018-06-28
通讯作者: 陈建。E-mail: 57277028@qq.com
作者简介:裴子文(1993-),男,汉族,湖北武汉市人,硕士研究生,主要研究方向：神经损伤运动康复。
基金资助:
武汉体育学院研究生教育创新基金资助项目(No. 201726)

Neuromuscular Activation in Patients with Chronic Ankle Instability (review)

PEI Zi-wen^1a, MENG Xian-mei², YANG Jian-qiang^1a, CHEN Jian^1b

1. a. Graduate Department, b. School of Health Science, Wuhan Sports University, Wuhan, Hubei 430079, China;
2. Comprehensive Simulated Rehabilitation Center, Wuhan University, Wuhan, Hubei 430071, China

Received:2018-01-31 Revised:2018-03-23 Published:2018-06-25 Online:2018-06-28
Contact: CHEN Jian. E-mail: 57277028@qq.com

摘要/Abstract

摘要： 本文通过系统回顾国内外相关研究,介绍慢性踝关节不稳患者在不同动作模式下的神经肌肉激活特征,并结合下肢的运动学和动力学参数变化分析其神经肌肉控制缺陷,旨在进一步明确慢性踝关节不稳的损伤机制,并为其康复训练提供理论依据。

关键词: 慢性踝关节不稳, 神经肌肉控制, 肌肉激活, 综述

Abstract: This article introduced the neuromuscular activation characteristics of patients with chronic ankle instability during different movement patterns, and explained the reasons of deficits of neuromuscular control in lower extremity muscle activity, kinetics, and kinematics, which aimed at further clarifying the mechanism of chronic ankle instability, and providing theoretical basis for its rehabilitation training.

Key words: chronic ankle instability, neuromuscular control, muscle activation, review

中图分类号:

R684
R873

裴子文,孟宪梅,杨建强,陈建. 慢性踝关节不稳患者下肢肌肉激活特征研究现状[J]. 《中国康复理论与实践》, 2018, 24(6): 678-681.

PEI Zi-wen, MENG Xian-mei, YANG Jian-qiang, CHEN Jian. Neuromuscular Activation in Patients with Chronic Ankle Instability (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(6): 678-681.

参考文献

[1] Waterman BR, Owens BD, Davey S, et al.The epidemiology of ankle sprains in the United States[J]. J Bone Joint Surg Am, 2010, 92(13): 2279-2284.
[2] 梁炳寅,李坤,王予彬,等. 本体感觉功能与慢性踝关节不稳相关性的初步研究[J]. 中华物理医学与康复杂志, 2016, 38(11): 850-852.
[3] 李宏云,郑洁皎,华英汇,等. 机械性踝关节不稳与功能性踝关节不稳患者肌肉激活时间差异比较[J]. 中国运动医学杂志, 2016, 35(6): 515-519.
[4] 王健,金德闻. 康复医学领域的表面肌电应用研究[J]. 中国康复医学杂志, 2006, 21(1): 6-7.
[5] Moisan G, Descarreaux M, Cantin V.Effects of chronic ankle instability on kinetics, kinematics and muscle activity during walking and running: A systematic review[J]. Gait Posture, 2017, 52: 381-399.
[6] Chinn L, Dicharry J, Hertel J.Ankle kinematics of individuals with chronic ankle instability while walking and jogging on a treadmill in shoes[J]. Phys Ther Sport, 2013, 14(4): 232-239.
[7] Delahunt E, Monaghan K, Caulfield B.Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint[J]. Am J Sports Med, 2006, 34(12): 1970-1976.
[8] Monaghan K, Delahunt E, Caulfield B.Ankle function during gait in patients with chronic ankle instability compared to controls[J]. Clin Biomech, 2006, 21(2): 168-174.
[9] Hopkins J, Coglianese M, Glasgow P, et al.Alterations in evertor/invertor muscle activation and center of pressure trajectory in participants with functional ankle instability[J]. J Electromyogr Kinesiol, 2012, 22(2): 280-285.
[10] Morrison KE, Hudson DJ, Davis IS, et al.Plantar pressure during running in subjects with chronic ankle instability[J]. Foot Ankle Int, 2010, 31(11): 994-1000.
[11] Feger MA, Donovan L, Hart JM, et al.Lower extremity muscle activation in patients with or without chronic ankle instability[J]. J Athl Train, 2015, 50(4): 350-357.
[12] Koldenhoven RM, Feger MA, Fraser JJ, et al.Surface electromyography and plantar pressure during walking in young adults with chronic ankle instability[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(4): 1060-1070.
[13] Brown C.Foot clearance in walking and running in individuals with ankle instability[J]. Am J Sports Med, 2011, 39(8): 1769-1776.
[14] Louwerens JW, van Linge B, de Klerk LW, et al. Peroneus longus and tibialis anterior muscle activity in the stance phase. A quantified electromyographic study of 10 controls and 25 patients with chronic ankle instability[J]. Acta Orthop Scand, 1995, 66(6): 517-523.
[15] Santilli V, Frascarelli MA, Paoloni M, et al.Peroneus longus muscle activation pattern during gait cycle in athletes affected by functional ankle instability: a surface electromyographic study[J]. Am J Sports Med, 2005, 33(8): 1183-1187.
[16] Caulfield BM, Garrett M.Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump[J]. Int J Sports Med, 2002, 23(1): 64-68.
[17] Caulfield BM, Crammond T, O'Sullivan A, et al. Altered ankle-muscle activation during jump landing in participants with functional instability of the ankle joint[J]. J Sport Rehabil, 2004, 13(3): 189-200.
[18] Delahunt E, Monaghan K, Caulfield B.Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump[J]. J Orthop Res, 2006, 24(10): 1991-2000.
[19] Gutierrez GM, Knight CA, Swanik CB, et al.Examining neuromuscular control during landings on a supinating platform in persons with and without ankle instability[J]. Am J Sports Med, 2012, 40(1): 193-201.
[20] Levin O, Vanwanseele B, Thijsen JR, et al.Proactive and reactive neuromuscular control in subjects with chronic ankle instability: evidence from a pilot study on landing[J]. Gait Posture, 2015, 41(1): 106-111.
[21] Levin O, VanNevel A, Malone C, et al. Sway activity and muscle recruitment order during transition from double to single-leg stance I subjects with chronic ankle instability[J]. Gait Posture, 2012, 36(3): 546-551.
[22] Delahunt E, Monaghan K, Caulfield B.Ankle function during hopping in subjects with functional instability of the ankle joint[J]. Scand J Med Sci Sports, 2007, 17(6): 641-648.
[23] Monteleone BJ, Ronsky JL, Meeuwisse WH, et al.Ankle kinematics and muscle activity in functional ankle instability[J]. Clin J Sport Med, 2013, 24(1): 62-68.
[24] Webster KA, Pietrosimone BG, Gribble PA.Muscle activation during landing before and after fatigue in individuals with or without chronic ankle instability[J]. J Athl Train, 2016, 51(8): 629-636.
[25] Lin CF, Chen CY, Lin CW.Dynamic ankle control in athletes with ankle instability during sports maneuvers[J]. Am J Sports Med, 2011, 39(9):2007-2015.
[26] Webster KA, Gribble PA.A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises[J]. Phys Ther Sport, 2013, 14(1): 17-22.
[27] Feger MA, Donovan L, Hart JM, et al.Lower extremity muscle activation during functional exercises in patients with and without chronic ankle instability[J]. PM R, 2014, 6(7): 602-611.
[28] Kazemi K, Arab AM, Abdollahi I, et al.Electromiography comparison of distal and proximal lower limb muscle activity patterns during external perturbation in subjects with and without functional ankle instability[J]. Hum Mov Sci, 2017, 55: 211-220.
[29] Cavanagh PR, Komi PV.Electromechanical delay in human skeletal muscle under concentric and eccentric contractions[J].Eur J Appl Physiol Occup Physiol, 1979, 42(3): 159-163.
[30] Vos EJ, Harlaar J, van IngenSchenau GJ. Electromechanical delay during knee extensor contractions[J]. Med Sci Sports Exerc, 1991, 23(10): 1187-1193.
[31] Vaes P, Van Gheluwe B, Duquet W, et al.Control of acceleration during sudden ankle supination in people with unstable ankles[J]. J Orthop Sports Phys Ther, 2001, 31(12): 741-752.
[32] Ebig M, Lephart SM, Burdett RG, et al.The effect of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in the chronically unstable ankle[J]. J Orthop Sports Phys Ther, 1997, 26(2): 73-77.
[33] Hoch MC, McKeon PO. Peroneal reaction time after ankle sprain: a systematic review and meta-analysis[J]. Med Sci Sports Exerc, 2014, 46(3): 546-556.
[34] Ty Hopkins J, McLoda T, McCaw S. Muscle activation following sudden ankle inversion during standing and walking[J]. Eur J Appl Physiol, 2007, 99(4): 371-378.
[35] Hopkins JT, Brown TN, Christensen L, et al.Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability[J]. J Orthop Res, 2009, 27(12): 1541-1546.
[36] 汪嘉鸿,封旭华,华英汇. 机械性踝关节不稳定患者中腓骨肌功能的表面肌电研究[J]. 生物医学工程研究, 2011, 30(4): 229-231.
[37] Mora I, Quinteiro-Blondin S, Pérot C, et al.Electromechanical assessment of ankle stability[J]. Eur J Appl Physiol, 2003, 88(6): 558-564.
[38] Flevas DA, Bernard M, Ristanis S, et al.Peroneal electromechanical delay and fatigue in patients with chronic ankle instability[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(6): 1903-1907.
[39] 裴子文,徐霞,陈建. 电-机械延迟:神经肌肉传导之关键[J]. 中国组织工程研究, 2017, 21(24): 3931-3936.
[40] Vaes P, Duquet W, Van Gheluwe B.Peroneal reaction times and eversion motor response in healthy and unstable ankles[J]. J Athl Train, 2002, 37(4): 475-480.

慢性踝关节不稳患者下肢肌肉激活特征研究现状

Neuromuscular Activation in Patients with Chronic Ankle Instability (review)

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