不同干预方式对斜方肌在运动中激活模式的影响

doi:10.3969/j.issn.1006-9771.2021.08.010

Abstract

Abstract:

Objective To analyze the activation characteristics of trapezius muscle in normal people, and explore whether different interventions could restore the activation pattern of people with abnormal trapezius muscles to normal during subsequent exercises. Methods From September to October, 2017, 20 persons with normal shoulder joints (control group) and 20 persons with mild discomfort in shoulder joints (observation group) participated in the study. All of them were treated randomly with four steps, including no intervention, static traction of upper trapezius muscle (UT), isometric contraction of lower trapezius muscle (LT) and combined intervention. Then, they were asked to complete three actions, including straight arm side lifting, sitting in rowing and flying birds. Myoelectric signal was recorded before and after test. Results Compared with the control group, the UT activation degree increased (P < 0.05), and the activation time shortened (P < 0.05); the activation degrees of middle trapezius muscle (MT) and LT decreased (P < 0.05), and the activation time delayed (P < 0.05); the ratios of UT/LT and UT/MT increased (P < 0.05) in the observation group with no intervention. After static traction of UT, isometric contraction of LT, and both interventions, the MVE%, activation time and the ratios of activation varied in different muscles under different actions in both groups (P < 0.05). Conclusion In different actions, the activation degree and activation time of three trapezius muscles are different. Static traction of UT and isometric contraction of LT before exercise could improve the activation pattern of trapezius muscles of people with shoulder joint discomfort during exercise, which is conducive to the normal function of the shoulder joint.

Key words: trapezius, isometric contraction, static traction, activation pattern, surface electromyography

ZHANG Si-yuan,ZHANG Pei-zhen,ZHOU Xing-long. Effects of Different Interventions on Activation Mode of Trapezius Muscle during Exercise[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 951-961.

Figures/Tables 10

References 57

[1]	SEIDI F, BAYATTORK M, MINOONEJAD H, et al. Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: randomized controlled trial[J]. Sci Rep, 2020, 10(1):20688. doi: 10.1038/s41598-020-77571-4
[2]	YIP C H, CHIU T T, POON A T. The relationship between head posture and severity and disability of patients with neck pain[J]. Man Ther, 2008, 13(2):148-154. doi: 10.1016/j.math.2006.11.002
[3]	CLAUS A P, HIDES J A, MOSELEY G L, et al. Thoracic and lumbar posture behaviour in sitting tasks and standing: progressing the biomechanics from observations to measurements[J]. Appl Ergon, 2016, 53(10):161-168. doi: 10.1016/j.apergo.2015.09.006
[4]	AMBROSI D. Understanding the job of a dressmaker: with emphasis on the sitting posture[J]. Revbrassaúde Ocup, 2004, 29(109):11-19.
[5]	LI G, HASLEGRAVE C M, CORLETT E N. Factors affecting posture for machine sewing tasks: the need for changes in sewing machine design[J]. Appl Ergon, 1995, 26(1):35-46. doi: 10.1016/0003-6870(94)00005-J
[6]	IJMKER S, HUYSMANS M A, BLATTER B M, et al. Should office workers spend fewer hours at their computer? A systematic review of the literature[J]. Occup Environ Med, 2007, 64(4):211-222. doi: 10.1136/oem.2006.026468
[7]	GRIEGEL-MORRIS P, LARSON K, MUELLER-KLAUS K, et al. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects[J]. Phys Ther, 1992, 72(6):425-431. doi: 10.1093/ptj/72.6.425
[8]	YOO W G, PARK S Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work[J]. Work, 2015, 50(2):187-191. doi: 10.3233/WOR-131738
[9]	BARRETT E, O'KEEFFE M, O'SULLIVAN K, et al. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review[J]. Man Ther, 2016, 26(5):38-46. doi: 10.1016/j.math.2016.07.008
[10]	PAGE P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes[J]. Int J Sports Phys Ther, 2011, 6(1):51-58.
[11]	KIBLER W B, SCIASCIA A. Current concepts: scapular dyskinesis[J]. Br J Sports Med, 2010, 44(10):300-305. doi: 10.1136/bjsm.2009.058834
[12]	宋国强, 张东亮. 斜方肌的形态学分析及其肌力练习[J]. 南京体育学院学报(社会科学版), 2001, 15(1):13-15.
	SONG G Q, ZHANG D L. On morphologic analysis of trapezius and strength practice of muscle[J]. J Nanjing Ins Phys Educ (Soc Sci), 2001, 15(1):13-15.
[13]	韦清, 朱俊平, 卓杰先, 等. 肌肉刺激仪对拳击运动员训练后斜方肌弹性和伸缩性恢复的影响研究[J]. 广州体育学院学报, 2015, 35(6):100-103.
	WEI Q, ZHU J P, ZHUO J X, et al. Impact of muscle stimulator on the recovery of elasticity and flexibility of boxers' cowl muscle after training[J]. J Guangzhou Sport Univ, 2015, 35(6):100-103.
[14]	郭全清. 青年男子网球运动员主要动作的肌电分析与应用[D]. 北京: 北京体育大学, 2006.
	GUO Q Q. Electromyographic analysis and application of main movements of young male tennis players[D]. Beijing: Beijing Sport Univ, 2006.
[15]	KIBLER W B, UHL T L, MADDUX J W, et al. Qualitative clinical evaluation of scapular dysfunction: a reliability study[J]. J Shoulder Elbow Surg, 2002, 11(6):550-556. doi: 10.1067/mse.2002.126766
[16]	PARK J Y, HWANG J T, KIM K M, et al. How to assess scapular dyskinesis precisely: 3-dimensional wing computer tomography: a new diagnostic modality[J]. J Shoulder Elbow Surg, 2013, 22(8):1084-1091. doi: 10.1016/j.jse.2012.10.046
[17]	DE MEY K, DANNEELS L A, CAGNIE B, et al. Conscious correction of scapular orientation in overhead athletes performing selected shoulder rehabilitation exercises: the effect on trapezius muscle activation measured by surface electromyography[J]. J Orthop Sports Phys Ther, 2013, 43(1):3-10.
[18]	DAVID G, MAGAREY M E, JONES M A, et al. EMG and strength correlates of selected shoulder muscles during rotations of the glenohumeral joint[J]. Clin Biomech, 2000, 15(2):95-102. doi: 10.1016/S0268-0033(99)00052-2
[19]	COOLS A M, DEWITTE V, LANSZWEERT F, et al. Rehabilitation of scapular muscle balance: which exercises to prescribe?[J]. Am J Sports Med, 2007, 35(10):1744-1751. doi: 10.1177/0363546507303560
[20]	DE MEY K, CAGNIE B, DANNEELS L A, et al. Trapezius muscle timing during selected shoulder rehabilitation exercises[J]. J Orthop Sports Phys Ther, 2009, 39(10):743-752. doi: 10.2519/jospt.2009.3089
[21]	DE MEY K, DANNEELS L, CAGNIE B, et al. Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms: effect of a 6-week training program on muscle recruitment and functional outcome[J]. Am J Sports Med, 2012, 40(8):1906-1915. doi: 10.1177/0363546512453297
[22]	KRYGER A I, ANDERSEN J H, LASSEN C F, et al. Does computer use pose an occupational hazard for forearm pain; from the NUDATA study[J]. Occup Environ Med, 2003, 60(11):e14. doi: 10.1136/oem.60.11.e14
[23]	KAERGAARD A, ANDERSEN J H, RASMUSSEN K, et al. Identification of neck-shoulder disorders in a 1 year follow-up study. Validation of a questionnaire-based method[J]. Pain, 2000, 86(3):305-310. doi: 10.1016/S0304-3959(00)00261-X
[24]	KENDALL F, PROVANCE P, RODGERS M, et al. Muscles: Testing and Function, with Posture and Pain[M]. Philadelphia: Lippincott Williams Wilkins, 2013: 1689-1699.
[25]	朱学雷. 体能训练概论[M]. 上海: 上海三联书店, 2011: 245.
	ZHU X L. Essentials of Strength Training & Conditioning[M]. Shanghai: Shanghai Sanlian Bookstore, 2011: 245.
[26]	ARLOTTA M, LOVASCO G, MCLEAN L. Selective recruitment of the lower fibers of the trapezius muscle[J]. J Electromyogr Kinesiol, 2011, 21(3):403-410. doi: 10.1016/j.jelekin.2010.11.006
[27]	王会宁. 汽车装配工人局部肌肉骨骼损伤及表面肌电特征研究[D]. 北京: 中国疾病预防控制中心, 2012.
	WANG H N. The study of the local musculoskeletal disorders and the surface electromyography characteristics during car assembly tasks[D]. Beijing: China Center for Disease Control and Prevention, 2012.
[28]	王世娟, 张忠彬, 王生, 等. 表面肌电描记术在工作相关肌肉骨骼损伤研究中的应用[J]. 环境与职业医学, 2017, 34(9):812-816.
	WANG S J, ZHANG Z B, WANG S, et al. Application of surface electromyography to work-related musculoskeletal disorders research[J]. J Envir Occup Med, 2017, 34(9):812-816.
[29]	MCLEAN L, CHISLETT M, KEITH M, et al. The effect of head position, electrode site, movement and smoothing window in the determination of a reliable maximum voluntary activation of the upper trapezius muscle[J]. J Electromyogr Kinesiol, 2003, 13(2):169-180. doi: 10.1016/S1050-6411(02)00051-2
[30]	COOLS A M, WITVROUW E E, DE CLERCQ G A, et al. Scapular muscle recruitment pattern: electromyographic response of the trapezius muscle to sudden shoulder movement before and after a fatiguing exercise[J]. J Orthop Sports Phys Ther, 2002, 32(5):221-229. doi: 10.2519/jospt.2002.32.5.221
[31]	ROZZI S L, LEPHART S M, FU F H. Effects of muscular fatigue on knee joint laxity and neuromuscular characteristics of male and female athletes[J]. J Athl Train, 1999, 34(2):106-114.
[32]	DI FABIO R P. Reliability of computerized surface electromyography for determining the onset of muscle activity[J]. Phys Ther, 1987, 67(1):43-48. doi: 10.1093/ptj/67.1.43
[33]	DIGIOVINE N M, JOBE F W, PINK M, et al. An electromyographic analysis of the upper extremity in pitching[J]. J Shoulder Elbow Surg, 1992, 1(1):15-25. doi: 10.1016/S1058-2746(09)80011-6
[34]	KIBLER W B, CHANDLER T J, LIVINGSTON B P, et al. Shoulder range of motion in elite tennis players. Effect of age and years of tournament play[J]. Am J Sports Med, 1996, 24(3):279-285. doi: 10.1177/036354659602400306
[35]	MCCANN P D, WOOTTEN M E, KADABA M P, et al. A kinematic and electromyographic study of shoulder rehabilitation exercises[J]. Clin Orthop Relat Res, 1993, (288):179-188.
[36]	PHADKE V, CAMARGO P, LUDEWIG P. Scapular and rotator cuff muscle activity during arm elevation: a review of normal function and alterations with shoulder impingement[J]. Rev Bras Fisioter, 2009, 13(1):1-9.
[37]	MCCLURE P W, MICHENER L A, SENNETT B J, et al. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo[J]. J Shoulder Elbow Surg, 2001, 10(3):269-277. doi: 10.1067/mse.2001.112954
[38]	菲尔·佩治, 克莱尔·弗兰克, 罗伯特·拉德纳. 肌肉失衡的评估与治疗[M]. 焦颖, 李阳,王松, 译. 北京: 人民体育出版社, 2016: 57-153.
	PAGE P, FRANK C, LARDNER R. Assessment and Treatment of Muscle Imbalance [M]. JIAO Y, LI Y, WANG S. Beijing: People's Sports Press, 2016: 57-153.
[39]	黄彩华, 高松龄. PNF伸展和静态伸展对女大学生身体柔韧性的影响[J]. 福建师范大学学报(自然科学版), 2004, 20(3):94-97.
	HUANG C H, GAO S L. The effects of static stretching and PNF stretching on flexibility in college females[J]. J Fujian Norm Univ (Nat Sci Ed), 2004, 20(3):94-97.
[40]	FRANCO B L, SIGNORELLI G R, TRAJANO G S, et al. Acute effects of three different stretching protocols on the Wingate test performance[J]. J Sports Sci Med, 2012, 11(1):1-7. doi: 10.1016/j.jsams.2007.10.014
[41]	HERBERT R D, GABRIEL M. Effects of stretching before and after exercising on muscle soreness and risk of injury: systematic review[J]. BMJ, 2002, 325(7362):468. doi: 10.1136/bmj.325.7362.468
[42]	CHAN S P, HONG Y, ROBINSON P D. Flexibility and passive resistance of the hamstrings of young adults using two different static stretching protocols[J]. Scand J Med Sci Sports, 2001, 11(2):81-86. doi: 10.1034/j.1600-0838.2001.011002081.x
[43]	WILLY R W, KYLE B A, MOORE S A, et al. Effect of cessation and resumption of static hamstring muscle stretching on joint range of motion[J]. J Orthop Sports Phys Ther, 2001, 31(3):138-144. doi: 10.2519/jospt.2001.31.3.138
[44]	FELAND J B, MYRER J W, SCHULTHIES S S, et al. The effect of duration of stretching of the hamstring muscle group for increasing range of motion in people aged 65 years or older[J]. Phys Ther, 2001, 81(5):1110-1117. doi: 10.1093/ptj/81.5.1110
[45]	DRAPER D O, CASTRO J L, FELAND B, et al. Shortwave diathermy and prolonged stretching increase hamstring flexibility more than prolonged stretching alone[J]. J Orthop Sports Phys Ther, 2004, 34(1):13-20.
[46]	FOLPP H, DEALL S, HARVEY L A, et al. Can apparent increases in muscle extensibility with regular stretch be explained by changes in tolerance to stretch?[J]. Aust J Physiother, 2006, 52(1):45-50. doi: 10.1016/S0004-9514(06)70061-7
[47]	REID D A, MCNAIR P J. Passive force, angle, and stiffness changes after stretching of hamstring muscles[J]. Med Sci Sports Exerc, 2004, 36(11):1944-1948. doi: 10.1249/01.MSS.0000145462.36207.20
[48]	DE WEIJER V C, GORNIAK G C, SHAMUS E. The effect of static stretch and warm-up exercise on hamstring length over the course of 24 hours[J]. J Orthop Sports Phys Ther, 2003, 33(12):727-733. doi: 10.2519/jospt.2003.33.12.727
[49]	WEPPLER C H, MAGNUSSON S P. Increasing muscle extensibility: a matter of increasing length or modifying sensation?[J]. Phys Ther, 2010, 90(3):438-449. doi: 10.2522/ptj.20090012
[50]	YLINEN J, TAKALA E P, NYKÄNEN M, et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial[J]. JAMA, 2003, 289(19):2509-2516. doi: 10.1001/jama.289.19.2509
[51]	朱才兴, 郭燕梅, 焦伟国. 等长收缩运动治疗单纯颈伸肌劳损的疗效观察[J]. 临床军医杂志, 2010, 38(2):206-207.
	ZHU C X, GUO Y M, JIAO W G. Observation on therapeutic effectiveness of isometric contraction movement simple neck extensor strain[J]. Clin J Med Officer, 2010, 38(2):206-207.
[52]	ERIKSSON P O, BUTLER-BROWNE G S, THORNELL L E. Immunohistochemical characterization of human masseter muscle spindles[J]. Muscle Nerve, 1994, 17(1):31-41. doi: 10.1002/(ISSN)1097-4598
[53]	杨方玖, 薛黔, 李季容. 斜方肌各亚部的肌构筑肌梭分布研究及其临床意义[J]. 中国临床解剖学杂志, 2010, 28(1):7-9.
	YANG F J, XUE Q, LI J R. Muscle architecture and distribution of muscle spindles of compartments of trapezius and their clinical significance[J]. Chin J Clin Anat, 2010, 28(1):7-9.
[54]	AMONOO-KUOFI H S. The density of muscle spindles in the medial, intermediate and lateral columns of human intrinsic postvertebral muscles[J]. J Anat, 1983, 136(Pt 3):509-519.
[55]	HINTERMEISTER R A, LANGE G W, SCHULTHEIS J M, et al. Electromyographic activity and applied load during shoulder rehabilitation exercises using elastic resistance[J]. Am J Sports Med, 1998, 26(2):210-220. doi: 10.1177/03635465980260021001
[56]	MAGAREY M E, JONES M A. Dynamic evaluation and early management of altered motor control around the shoulder complex[J]. Man Ther, 2003, 8(4):195-206. doi: 10.1016/S1356-689X(03)00094-8
[57]	李望. 多通道无线表面肌电采集的同步技术研究[D]. 杭州:浙江大学, 2018.
	LI W. Study on multi-channel wireless sEMG simultaneous acquisition technology[D]. Hangzhou: Zhejiang University, 2018.

组别	n	性别(男/女,n)	年龄(岁)	体质量(kg)	身高(cm)	体质量指数(kg/m²)
正常组	20	9/11	20.7±1.3	61.6±13.4	167.7±8.5	21.7±2.9
观察组	20	13/7	21.5±1.7	67.2±12.4	171.6±7.1	22.6±2.9
t值		1.616	1.672	1.372	1.575	0.981
P值		0.203	0.055	0.093	0.065	0.169

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	33.8±14.1	30.9±10.1	46.8±10.4	0.760	0.472
		UT静力牵拉	35.3±19.9	32.1±13.6	46.1±13.8	0.209	0.812
		LT等长收缩	37.3±10.2^d	32.9±14.1	47.1±7.7	0.438	0.648
		组合干预	36.7±14.8	34.6±13.2	47.1±14.1	0.227	0.798
观察组	20	无干预	28.1±14.4^a,c	18.6±13.3^a,c	57.5±11.4^a	2.266	0.017
		UT静力牵拉	27.3±11.9^b,c	20.0±11.1^c	49.5±12.6^d	1.999	0.046
		LT等长收缩	31.8±13.7^c	22.4±12.7^c	53.0±10.1	2.086	0.032
		组合干预	30.9±14.0^c	23.4±10.2^c	50.0±7.6^d	2.017	0.037

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	44.4±15.8^c	40.6±19.6^c	25.3±9.9	2.141	0.016
		UT静力牵拉	42.9±17.4^c	38.7±17.3	26.6±11.3	2.013	0.049
		LT等长收缩	49.7±14.6^c,d	41.1±18.2^c	26.4±10.3	2.535	0.008
		组合干预	48.8±12.7^c,d	47.5±12.6^c,d	27.4±8.6	2.794	0.004
观察组	20	无干预	25.6±10.0^b	30.5±12.6	34.7±12.5	0.149	0.861
		UT静力牵拉	26.4±9.6^a	31.3±13.6	33.1±12.3	0.084	0.919
		LT等长收缩	28.4±6.7^a	35.6±11.2	37.3±10.9^a	0.232	0.794
		组合干预	27.4±9.9^a	33.7±11.8	31.4±13.6	0.072	0.930

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	38.2±13.9	49.5±20.6	32.7±16.6	0.246	0.782
		UT静力牵拉	41.1±15.5	54.2±19.2	32.2±14.4	0.450	0.639
		LT等长收缩	45.6±21.3^c	53.2±23.9	35.2±14.1	0.200	0.819
		组合干预	42.2±16.6	51.7±21.0	33.4±12.7	0.286	0.752
观察组	20	无干预	29.8±9.9^a,b	44.1±17.3	41.9±12.9	2.246	0.017
		UT静力牵拉	31.7±17.2	47.0±18.4	42.0±20.8^a	0.171	0.843
		LT等长收缩	37.0±18.8^c,d	49.1±16.8	43.4±19.8^a	0.107	0.899
		组合干预	36.2±19.5	42.2±18.6	41.4±13.3	0.035	0.965

组别	n	干预方式	UT/LT	UT/MT	F值	P值
正常组	20	无干预	139.3±42.2	153.3±49.9	0.046	0.832
		UT静力牵拉	131.4±58.0	143.7±57.1	0.023	0.881
		LT等长收缩	127.0±48.3^c	146.8±45.4	0.089	0.767
		组合干预	130.0±53.2	138.2±46.7^c	0.014	0.908
观察组	20	无干预	203.5±62.8^b	316.4±71.2^b	1.414	0.242
		UT静力牵拉	181.4±40.4	245.2±69.3^b,c	0.633	0.431
		LT等长收缩	171.9±54.3^c	240.9±55.1^b,c	0.796	0.378
		组合干预	186.6±63.8^a	237.3±58.1^b,c	0.345	0.560

Effects of Different Interventions on Activation Mode of Trapezius Muscle during Exercise

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 10

References 57

Related Articles 15

Metrics

Comments

Recommended 0

组别	n	干预方式	UT/LT	UT/MT	F值	P值
正常组	20	无干预	56.8±25.7	62.5±31.2	0.019	0.889
		UT静力牵拉	61.9±31.0	66.4±37.1	0.009	0.926
		LT等长收缩	53.0±23.6	63.4±35.3	0.060	0.808
		组合干预	56.2±25.1	57.4±22.1	0.001	0.972
观察组	20	无干预	146.0±58.1^a	113.3±46.9^a	0.192	0.664
		UT静力牵拉	143.9±59.1^a	106.4±41.3^a	0.271	0.606
		LT等长收缩	139.2±48.9^a	111.4±43.9^a	0.179	0.675
		组合干预	144.8±41.6^a	103.9±38.1	0.526	0.473

组别	n	干预方式	UT/LT	UT/MT	F值	P值
正常组	20	无干预	128.9±31.9	65.3±20.0	1.644	0.099
		UT静力牵拉	131.7±40.5	59.2±21.0^b	1.566	0.120
		LT等长收缩	117.4±53.0^b,c	66.0±32.3	0.686	0.413
		组合干预	121.7±47.0	64.7±19.0	1.264	0.268
观察组	20	无干预	151.7±54.4^a	93.1±37.5^a	0.787	0.381
		UT静力牵拉	151.6±63.7^a	89.3±32.3	0.761	0.389
		LT等长收缩	132.4±55.5^b,c	87.7±25.6	0.535	0.469
		组合干预	136.6±47.2^b	97.1±19.7^a	0.596	0.445

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	631±303	420±224	467±307	0.156	0.856
		UT静力牵拉	579±304	383±189	792±369^b	0.475	0.624
		LT等长收缩	458±282	241±151	607±330	0.481	0.621
		组合干预	496±310	340±207	506±248	0.129	0.879
观察组	20	无干预	811±477	556±346	280±148	0.573	0.567
		UT静力牵拉	699±346	450±220	478±315	0.209	0.812
		LT等长收缩	477±235^a	530±276	343±259	0.140	0.869
		组合干预	501±294	425±179	397±240	0.049	0.952

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	250±166^b	207±211^b	719±325	1.976	0.048
		UT静力牵拉	199±93^b	189±91^b	832±298	2.397	0.045
		LT等长收缩	105±76^b	157±84^b	798±308	2.428	0.035
		组合干预	174±133^b	150±111^b	801±341	2.207	0.046
观察组	20	无干预	350±269	634±346^a,b	277±175^a	2.211	0.047
		UT静力牵拉	250±128	532±282^a	484±276^c	0.397	0.674
		LT等长收缩	200±92	345±228^c	398±161^a	0.365	0.696
		组合干预	245±167	419±243^a	503±338^c	0.257	0.774

组别	n	干预方式	LT	MT	UT	F值	P值
正常组	20	无干预	140±31^b	160±61^b	459±278	2.596	0.022
		UT静力牵拉	127±66^b	112±50^b	659±341	2.041	0.038
		LT等长收缩	119±48^b	67±29^b	505±237	1.983	0.047
		组合干预	143±56^b	134±110^b	546±222	2.318	0.021
观察组	20	无干预	428±274^a	250±118	350±243	0.161	0.851
		UT静力牵拉	311±143	158±66	422±214	0.747	0.479
		LT等长收缩	198±123^c	77±64^c	423±139	1.576	0.099
		组合干预	393±214	165±78	378±132	0.704	0.499

[1]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[2]	CUI Yao, CONG Fang, HUANG Fubiao, ZENG Ming, YAN Ruxiu. Brain and muscle activation under mirror neuron-based training strategies: a near-infrared spectroscopy and surface electromyography study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 782-790.
[3]	LI Dan, WANG Jianxiong, HUANG Maomao, XU Fangyuan, ZENG Qiu, LI Jiyang, LI Yang, XIA Cuihong, ZHENG Yadan, XU Zhangyu, FANG Wenfeng, WAN Tenggang. Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 731-737.
[4]	SHEN Xingxing, XIONG Yuling, CHEN Weijian, LI Congcong, LI Junyi, WANG Shuai, ZHANG Jiahao, XIANG Ruian, CHEN Jiahao, LIU Wengang, XU Xuemeng. Difference of cervical and shoulder muscle performance and its correlation with pain and body mass index in patients with chronic neck pain [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1420-1428.
[5]	ZHU Xu,LIU Jing,DONG Zeping,QIU Dawei. Gesture action intent recognition based on surface electromyography: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1032-1038.
[6]	TIAN Yaxing,HONG Yongfeng,KAN Xiuli,SHEN Xianshan,MAO Jing,JIANG Yan,HE Ziyan,WU Yu,HU Wei,SUN Xiaoning,HU Shunyin. Effects of manual digitorum sensory stimulation on spasticity of fingers for stroke patients: a surface electromyography study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 515-519.
[7]	ZHOU Yue,LIU Xu,SUN Yuemei,HU Chunying,ZHU Yuetong,LI Bo. Effect of Flexi-bar training in different exercise patterns on trunk stability muscles [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 384-388.
[8]	HUANG Zhaoxin,ZHANG Yi,CUI Chenxi,ZHU Xiaojing,XIAO Xiaofei. Biomechanical analysis of in-toeing gait in young females based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1459-1465.
[9]	GUO Jingwei,GE Ruidong,BAI Shuo,WANG Jiaxi,WU Shuai,WANG Le. Characteristics of surface electromyography of muscles in stroke patients with lower limb spasticity under isokinetic passive movement [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1473-1477.
[10]	ZHI Wenqian,HUANG Qiang,LI Qiang,LI Yanchao,WANG Yuzhang,YANG Ming,LIU Xiaohua. Application of surface electromyography in motor function evaluation of patients after elbow fracture surgery [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1478-1483.
[11]	LI Jingyue,ZHANG Tong,WANG Ya'nan,WANG Chen. Application of three-dimensional dynamic capture system and surface electromyography in upper extremity motor evaluation for stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1241-1246.
[12]	ZHANG Jing,GUO Feng. Neuromodulation for Flexion of Fingers under Initiative Inadequate of Flexor Digitorum [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1104-1109.
[13]	ZHANG Mei-ying,ZHAO Lei,LI Hui,WANG Ying-ying,DAI Shi-you. Effect of Strength Training of Hip Muscles on Functional Ankle Instability: Evaluated with Surface Electromyography [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 936-942.
[14]	Meng-lin CAO,Yu-hao CHEN,Jue WANG,Tian LIU. Advance in Human Motion Intention Recognition Based on Surface Electromyography (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 595-603.
[15]	Yu WANG,Xiang-dong WU,Chang-cheng SHI,Jia-ji ZHANG,Na LI,Ye-hao MA,Liang TAO,Min TANG,Guo-kun ZUO. Visual and Haptic Feedback Fusion Based on Force Tracking in Upper-limb Rehabilitation Robot System [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(4): 478-486.