18~22岁女性Y平衡测试的下肢表面肌电和姿势稳定性特征

doi:10.3969/j.issn.1006-9771.2022.07.017

Abstract

Abstract:

Objective To investigate the characteristics of electromyography (EMG) and postural stability of lower limb muscles during Y-balance test (YBT) and their relationship.

Methods From October to November, 2021, a total of 26 female students aged 18 to 22 years were recruited from Binzhou Medical University to complete YBT; while the EMG of rectus femoris, biceps femoris, tibialis anterior and gastrocnemius of supporting legs were collected synchronously to measure root mean square (RMS), integral electromyography (iEMG), and muscle contribution rate; and the postural stabilities were measured with three-dimensional force platform, to record total, antero-posterior (A/P) and medio-lateral (M/L) path length of center of pressure (COP).

Results In three directions of YBT, the RMS of rectus femoris was the most (χ² > 56.952, P< 0.001), and the iEMG and contribution rate of the tibialis anterior were the most (χ² > 38.507, P < 0.001). All the path length of COP was the shortest in the anterior (P < 0.05). In the anterior, the total path length of COP correlated with iEMG of biceps femoris (r = 0.452, P = 0.02) and gastrocnemius (r= 0.397, P = 0.045); in the postero-medial, the total path length of COP correlated with iEMG of gastrocnemius (r= 0.478, P= 0.014); and in the postero-lateral, the total path length of COP correlated with iEMG of tibialis anterior (r = 0.437, P = 0.026).

Conclusion For YBT, the activation of rectus femoris, tibialis anterior and gastrocnemius muscles of supporting legs are significant, and different with the indicators of EMG. Postural stability is the best in the posterolateral. The joint extensors or flexors play a different role for dynamic postural stability in the different directions.

Key words: Y-balance test, electromyography, postural stability

CLC Number:

R493

HUANG Zhaoxin,LI Lei,ZHONG Jiamin,GUO Cunyang,ZHANG Liqiang,CHENG Zongshen,XIAO Xiaofei. Characteristics of surface electromyography and postural stability of lower limb muscles in Y-balance test in females aged 18 to 22 years[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 848-854.

Figures/Tables 5

References 36

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方向	a.股直肌	b.股二头肌	c.胫前肌	d.腓肠肌	χ²值	P值	两两比较
e.前侧	5.31(3.09, 7.39)	0.51(0.30, 0.75)	4.10(3.11, 5.40)	3.20(2.24, 4.50)	56.952	< 0.001	a = c = d > b
f.后内侧	6.96(4.75, 9.96)	0.33(0.25, 0.61)	5.37(4.20, 7.30)	2.40(1.19, 3.28)	74.396	< 0.001	a = c > d > b
g.后外侧	7.10(3.74, 9.69)	0.58 (0.38, 1.06)	5.90(4.09, 7.98)	2.35(1.10, 3.25)	66.044	< 0.001	a = c > d > b
χ²值	4.102	6.130	7.484	5.957
P值	0.129	0.047	0.024	0.051
两两比较	e = g = f	g > f, e = f, e = g	g > e, e = f, f = g	e = g = f

方向	a.股直肌	b.股二头肌	c.胫前肌	d.腓肠肌	χ²值	P值	两两比较
e.前侧	11.06(7.75, 18.22)	9.17(6.94, 11.71)	24.55(15.29, 35.13)	19.14(15.74, 21.72)	38.507	< 0.001	c = d > a > b
f.后内侧	15.64(9.52, 23.37)	7.87(4.36, 10.80)	31.65(23.27, 38.78)	13.62(11.12, 18.62)	56.312	< 0.001	c > a = d > b
g.后外侧	16.34(9.79, 23.06)	10.50(8.08, 15.95)	37.21(24.57, 52.53)	12.44(9.45, 21.26)	40.056	< 0.001	c > a = b = d
χ²值	3.957	6.894	6.865	15.841
P值	0.138	0.032	0.032	< 0.001
两两比较	e = g = f	g > f, e = f, e = g	g > e, e = f, f = g	e > f = g

方向	a.股直肌	b.股二头肌	c.胫前肌	d.腓肠肌	χ²值	P值	两两比较
e.前侧	18.14(12.75, 22.08)	14.55(10.13, 18.42)	34.13(25.78, 49.37)	30.05(23.12, 39.16)	48.155	< 0.001	c = d > a = b
f.后内侧	22.36(17.17, 30.18)	9.19(7.48, 13.98)	46.11(35.51, 51.06)	21.36(13.70, 27.10)	67.576	< 0.001	c > a = d > b
g.后外侧	19.94(14.56, 26.31)	13.22(10.09, 17.74)	48.23(38.94, 52.30)	18.29(12.18, 21.76)	51.102	< 0.001	c > a = d = b
χ²值	4.242	8.958	7.072	21.548
P值	0.120	0.011	0.029	< 0.001
两两比较	e = f = g	e > f, e = g, f = g	g > e, e = f, f = g	e > f = g

项目	前侧	后内侧	后外侧	F值	P值
YBT原始距离/cm	55.62±4.34	81.68±9.15^a	82.67±8.96^a	100.405	< 0.001
YBT标准分/%	67.39±5.72	99.09±12.68^a	100.20±11.67^a	82.123	< 0.001
COP总轨迹长/m	0.39±0.10	0.42±0.10	0.48±0.11^a,b	3.270	0.044
COP A/P轨迹长/m	0.29±0.08	0.29±0.07	0.34±0.08^a,b	2.894	0.062
COP M/L轨迹长/m	0.19±0.06	0.24±0.06^a	0.27±0.07^a	9.050	< 0.001

肌电		前侧		后内侧		后外侧
肌电		r值	P值	r值	P值	r值	P值
RMS值	股直肌	0.095	0.643	0.102	0.619	-0.128	0.533
	股二头肌	0.041	0.844	-0.091	0.657	-0.080	0.699
	胫前肌	-0.148	0.470	-0.295	0.143	-0.170	0.407
	腓肠肌	0.064	0.756	-0.104	0.615	-0.093	0.650
iEMG值	股直肌	0.147	0.473	0.121	0.555	-0.069	0.736
	股二头肌	0.452	0.020	0.199	0.329	0.132	0.519
	胫前肌	0.050	0.807	0.062	0.764	0.437	0.026
	腓肠肌	0.397	0.045	0.478	0.014	-0.006	0.975
肌肉贡献率	股直肌	0.063	0.759	0.034	0.870	-0.277	0.171
	股二头肌	0.305	0.130	0.171	0.405	0.106	0.608
	胫前肌	-0.179	0.380	-0.092	0.655	0.319	0.112
	腓肠肌	-0.017	0.933	0.138	0.502	-0.173	0.397

Characteristics of surface electromyography and postural stability of lower limb muscles in Y-balance test in females aged 18 to 22 years

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