共查询到20条相似文献,搜索用时 15 毫秒
1.
[Purpose] The gross morphology of the vastus medialis (VM) muscle has been thoroughly
described. However, there is insufficient evidence of physiological differentiation
between the VM obliquus (VMO) and VM longus (VML). To elucidate spinal reflex arc
excitability in two divisions of the VM, we compared H-reflexes and T-waves in VMO and
VML. [Subjects] Twenty-three healthy male volunteers participated in this study. [Methods]
The H-reflex was evoked from the VMO and VML by electrical stimulation of the femoral
nerve during knee extension at 10% maximal voluntary isometric contraction. Also, the
patellar tendon was tapped by an examiner using an electrical tendon hammer, and a
component of the compound muscle action potential (T-wave) was recorded. [Results] The
configurations of the H-reflex and T-wave were sharp and slow in VMO and VML,
respectively. No significant differences in the amplitudes of the H-reflexes and T-waves
were observed between VMO and VML. The durations of VML H-reflexes and T-waves were
significantly longer than those in VMO. [Conclusion] Spinal reflex arc excitability
corresponding to VMO and VML was similar. However, the configurations and durations of the
H-reflex and T-wave were differentiated with electromyography. On the basis of these
findings, we suggest that VMO and VML are electrophysiologically distinct entities.Key words: Vastus medialis, H-reflex, T-wave 相似文献
2.
Wen-Dien Chang Wei-Syuan Huang Chia-Lun Lee Hung-Yu Lin Ping-Tung Lai 《Journal of Physical Therapy Science》2014,26(9):1363-1366
[Purpose] The muscle strength of the quadriceps muscle is critical in patellofemoral pain
syndrome. The quadriceps muscle supplies the power for dynamic patellar movement, and the
vastus medialis oblique (VMO) and vastus lateralis (VL) enable the patella to stabilize
during tracking. We followed the theories about open and closed kinetic chain exercises to
design two exercises, sling open chain knee extension (SOCKE) exercise and sling closed
chain knee extension (SCCKE) exercise. The purpose of our study was to research the
changes in quadriceps muscle activity during both exercises. [Methods] Electromyographic
analysis was used to explore the different effects of the two exercises. The MVC% was
calculated for the VMO and VL during exercise for analysis. [Results] We found that the
mean MVC% values of the VMO and VL during the SOCKE exercise were higher than those during
the SCCKE exercise. The ratio of the VMO to VL was 1.0 ± 0.19 during the SOCKE exercise
and 1.11 ± 0.15 during the SCCKE exercise. [Conclusions] The SOCKE exercise is targeted at
quadriceps muscle training and has a recruitment effect on the VMO. The beneficial effect
of the SOCKE exercise is better than that of the SCCKE exercise.Key words: Patellofemoral pain syndrome, Sling exercise therapy, Electromyography 相似文献
3.
太极拳特定动作下股内侧肌和股外侧肌表面肌电特征的研究 总被引:1,自引:1,他引:0
目的 研究太极拳特定动作中股内侧肌(VMO)和股外侧肌(VL)的肌纤维募集情况.方法 收集15名健康志愿者在维持5个太极拳定势(白鹤亮翅、金鸡独立、搂膝拗步、十字手、仆步)时VL、VMO的表面肌电信号,比较平均肌电值(AEMG)、平均功率频率(MPF)、中位频率(MF)、零点通过率(ZCR).结果 维持白鹤亮翅、金鸡独立时,其支撑脚VMO、VL的所有指标均无显著性差异;维持搂膝拗步、十字手、仆步时,其支撑脚VL的AEMG、MFC、ZCR、MF均小于VMO(P<0.05);与股四头肌的最大随意收缩负荷相比,所测试的动作下,肌肉负荷属于中小负荷,并且能募集到更多的慢肌纤维.结论 进行太极拳运动时,肌肉负荷较小,并且能募集到更多的慢肌纤维;某些太极拳动作下,VMO可以较多地募集到肌纤维. 相似文献
4.
膝骨关节炎患者与正常人股内侧肌、股直肌和股外侧肌收缩特征的对照研究 总被引:2,自引:1,他引:1
目的 应用表面肌电图和等速肌力评测方法比较膝骨关节炎患者与正常人股内侧肌、股直肌、股外侧肌肌肉收缩特征,包括收缩速度、收缩力量和抗疲劳性.方法 34例膝骨关节炎患者参与观察组;34名健康人参与对照组.两组的年龄、身高、体重、性别、左右侧、Q角相匹配.所有受试者均在膝关节屈曲10°、60°、100°等长伸膝和等速60°/s、180°/s伸膝运动测试模式下,进行股内侧肌、股直肌和股外侧肌的表面肌电图和股四头肌肌力的评测.采用独立样本 t检验对两组评定指标包括募集速率、平均振幅、峰力矩/体重比、疲劳指数分别进行对比分析.结果 ①观察组股内侧肌在膝屈60°等长伸膝测试和等速60°/s、180°/s伸膝测试中募集速率较对照组减小;股直肌在膝屈60°等长伸膝测试和等速60°/s伸膝测试中募集速率较对照组减小;股外侧肌在等长膝屈10°和100°伸膝测试和等速60°/s伸膝测试中募集速率较对照组减小( P<0.05).②观察组股内侧肌、股直肌在等速60°/s、180°/s伸膝测试中平均振幅较对照组增大;观察组股直肌、股外侧肌在等长膝屈10°伸膝测试中平均振幅较对照组增大( P<0.05).③观察组股内侧肌、股直肌和股外侧肌在膝屈10°、60°、100°等长伸膝和等速60°/s、180°/s伸膝运动测试模式中峰力矩/体重比均小于对照组( P<0.05).④观察组在等速180°/s伸膝测试中股四头肌耐疲劳能力较对照组增强( P<0.05).结论 膝骨关节炎患者患侧股内侧肌、股直肌和股外侧肌的收缩速度减慢、收缩力量减小、抗疲劳性增加. 相似文献
5.
6.
Queenie Mae Torrente Alban Killingback Philip J Adds Claire Robertson 《International Journal of Sports Physical Therapy》2022,17(4):636
BackgroundMaintenance of patellar stability requires a balance between the vastus medialis oblique (VMO) and the vastus lateralis (VL). The imbalance between these muscles is thought to be implicated in the etiology of patellofemoral pain (PFP). Where there is hypertrophy of the VL in PFP patients, self-myofascial release (SMR) may be utilized for its management. However, there is no current evidence regarding SMR and its effects on VMO and VL architecture. The aim of this study, therefore, was to use ultrasound to gain further understanding of the effects of a program of SMR on the fiber angles of the VMO and VL.HypothesisThere will be a significant decrease in the pennation angles of the VMO and VL after seven weeks of SMR using a foam roller.Study DesignCohort StudyMethodsTwenty-five young, athletic, male participants were recruited to use a foam roller, along the full length of both anterior thighs, three times weekly, on three separate days, for seven weeks. Ultrasound was used to determine the initial and final VMO and VL pennation angles on both limbs. One eligible participant was chosen as an intra-rater control and did not partake in the SMR regimen.ResultsThere was a statistically significant (p < 0.001) decrease in the pennation angles of the VMO and VL after the SMR regime. Mean combined right and left VL angle change was -6.65° (-18% mean change) and the mean combined right and left VMO angle change was -7.65° (-11.5% mean change). A weak negative correlation was found between initial VMO fiber angle and the angle change (Rsquared = -0.21), as well as moderate negative correlation for the VL (Rsquared = -0.51).ConclusionA program of SMR on the anterior thighs of young, asymptomatic males resulted in changes to the fiber angles of both the VMO and VL. There was a significant decrease in pennation angle after seven weeks of SMR using a foam roller. 相似文献
7.
目的应用表面肌电图和等速肌力测定方法比较膝骨关节炎患者与正常人股内侧肌、股直肌和股外侧肌间的协调性改变。方法34例膝骨关节炎患者和34名膝关节健康者在膝关节屈曲10°、60°、100°等长伸膝和等速60°/s、180°/s伸膝运动测试模式下,进行股内侧肌(VM)、股直肌(RF)和股外侧肌(VL)的表面肌电图和股四头肌肌力的评测,包括肌肉激活启动顺序和VM/VL神经肌电比值。结果与正常人对比,膝骨关节炎患者在等速180°/s伸膝运动时VM相对于VL启动延迟(P<0.05);在膝屈10°等长伸膝运动时,VM/VL神经肌电比值降低(P<0.05)。结论膝骨关节炎患者患侧股四头肌的协调性减退。 相似文献
8.
9.
Won-gyu Yoo 《Journal of Physical Therapy Science》2014,26(10):1537-1538
[Purpose] The purpose of this study was to show the effect of different forefoot and heel
support surfaces on the activities of the rectus femoris and medial hamstring muscles
during the sit-to-stand task while wearing high-heel shoes. [Subjects] Fifteen female
subjects were recruited. [Methods] The muscle activities of the rectus femoris and
hamstring muscles were recorded using an MP150 system during the sit-to-stand task while
wearing various high-heeled shoes. [Results] The activities of the rectus femoris and
medial hamstring muscles significantly decreased when subjects wore condition 1 shoes
compared with when they wore condition 2, 3 or 4 high-heeled shoes. The activities of the
rectus femoris and medial hamstring muscles significantly decreased when subjects wore
condition 2 high-heeled shoes compared with condition 3 or 4 high-heeled shoes.
[Conclusion] The results can be interpreted as indicating that the size of the forefoot
supporting surface can influence the lower extremity muscles of women wearing high-heeled
shoes more than the size of the heel supporting surface.Key words: High-heeled shoes, Imbalance, Sit-to-stand 相似文献
10.
Anastasia Benjafield Franklyn A Howe Alban Killingback Philip J Adds 《Journal of Physical Therapy Science》2014,26(1):165-166
[Purpose] This report describes an unusual incidental finding during ultrasound
investigation of the vastus medialis muscle. Volunteers underwent ultrasound scanning as
part of an on-going investigation into the architecture of the vastus medialis muscle.
[Subjects and Methods] The distal thighs of forty-one subjects were scanned using the
Philips iU22 US system. An unusual muscle morphology was detected bilaterally in one
subject, who then underwent a 3T Magnetic Resonance Imaging (MRI) scan in order to further
investigate the muscle morphology. The subject in question was a 32 year-old female who
suffers from recurrent bilateral patellar dislocations. [Results] The MRI scan confirmed
the ultrasound findings, and indicated the presence of the vastus medialis in two layers,
with the VML continuing deep, separate from the VMO. [Conclusion] Although this rare
variant has been been reported in previous cadaveric studies, we believe this to be the
first report in the literature of this morphology in vivo. The
biomechanical implications of this muscle arrangement are unknown, but it may not be
without significance that this individual suffers from recurrent patellar
dislocations.Key words: Vastus medialis, Ultrasound, MRI 相似文献
11.
[Purpose] The purpose of this study was to examine the effects of different types of
bridging exercises on the activities of the trunk muscles. [Methods] Twenty-four students
participated in this experiment. The activities of the internal oblique (IO), external
oblique (EO), rectus abdominis (RA), and erector spinae (ES) muscles were measured in four
different bridging exercises. [Results] There were significant differences in the IO, EO,
RA, and ES among the four kinds of bridging exercise. The activities of IO, EO and RA were
the highest in prone bridging (exercise 4), followed by unilateral bridging (exercise 3),
and supine bridging on balance pads (exercise 2). In conventional bridging (exercise 1),
the activities of IO, EO, and RA were the lowest. The activity of ES was the highest in
exercise 3 followed by exercises 2 and 1. The activity of ES was the lowest than in
exercise 1. [Conclusions] Bridging exercise in the prone position may be a more effective
method of enhancing trunk muscle activities exercises in other positions.Key words: Bridge exercise, Muscle activity, EMG 相似文献
12.
Sea Hyun Bae Hong Gyun Lee Young Eok Kim Gye Yeop Kim Hyun Woo Jung Kyung Yoon Kim 《Journal of Physical Therapy Science》2013,25(6):741-745
[Purpose] The purpose of this study was to examine the effects on stroke patients of
trunk stabilization exercise on different support surfaces. [Subjects and Methods] Sixteen
stroke patients with onset of stroke six months earlier or longer were randomly and
equally assigned to group I (exercise performed on a stable support surface) and group II
(exercise performed on an unstable support surface). The two groups conducted the trunk
stabilization exercises on the respective support surfaces, in addition to existing
rehabilitation exercises five times per week for 12 weeks. Changes in the cross-sectional
area (CSA) of the muscles were examined using computed tomography (CT), and changes in the
balance ability were assessed using a measuring system and the trunk impairment scale
(TIS). [Results] In group I, there was a significant increase in the CSA of the mulifidus
muscle on the side contralateral to the brain lesion and in the paravertebral and
multifidus muscles on the side ipsilateral to the brain lesion. In group II, there was a
significant increase in the CSA of the paravertebral and multifidus muscles on the side
contralateral to the brain lesion and on the side ipsilateral to the brain lesion. In
terms of changes in balance ability, the sway path (SP) and TIS significantly improved in
group I, and the SP, sway area (SA), and TIS significantly improved in group II .
[Conclusion] Exercise on the unstable support surface enhanced the size of the
cross-sectional area of the trunk muscles and balance ability significantly more than
exercise on the stable support surface.Key words: Cross-sectional areas, Trunk control, Balance 相似文献
13.
Hye-Young Jung Moonyoung Chang Kyeong-Mi Kim Wongyu Yoo Byoung-Jin Jeon Gi-Chul Hwang 《Journal of Physical Therapy Science》2013,25(11):1411-1414
[Purpose] This study measured %isolation and investigated whether it shows a difference
between the presence and absence of wrist joint restriction, as well as changes in muscle
activity patterns. [Methods] Twenty subjects performed upper extremity functional movement
in the Manual Function Test (MFT) with and without wrist restriction, and the muscle
activities of the trapezius, middle deltoid, biceps brachii, triceps brachii, extensor
carpi radialis, and flexor carpi radialis were recorded. When there were differences in
muscle activation, %isolation was implemented and the changes in the muscle activity
patterns were noted. [Results] In the grasping and pinching tasks, there was a significant
increase in %isolation of the upper trapezius and a significant decrease in %isolation of
the extensor carpi radialis. Carrying a cube task, %isolation of the upper trapezius and
middle deltoid significantly increased, whereas %isolation of the triceps brachii and
extensor carpi radialis significantly decreased. In the pegboard task, the %isolation
values of the extensor carpi radialis and flexor carpi radialis significantly decreased.
[Conclusion] The data of this study should be useful for therapists, who can employ the
information as material for the education and treatment of patients with wrist joint
restriction. Therapists may thus look for ways to improve the quality of mobility by
predicting the complement mobility depending on the activity performed and then determine
whether to facilitate or restrict mobility.Key words: Functional upper extremity activity, %isolation, Wrist joint restriction 相似文献
14.
Effect of Assistive Device for Neck Retraction (ANR) on Neck Muscles during
Neck Retraction Exercise
[Purpose] The purpose of present study was to develop an exercise device for assisting
neck retraction exercise and to investigate its effectiveness. [Subjects] Fifteen male
subjects were recruited. [Methods] The subjects performed the neck retraction exercises
with and without assistive device for neck retraction (ANR). EMG activities of the lower
cervical erector spinae (LCE), and sternocleidomatoid (SCM) muscles were recorded.
[Results] The ANR condition significantly increased LCE activation compared to the control
condition. The ANR condition significantly decreased SCM activation compared to the
control condition. [Conclusion] We suggest that the ANR condition will help the efficacy
of the neck retraction exercise.Key words: Electromyography, Forward head posture, Neck retraction exercise 相似文献
15.
[Purpose] The aim of this study was to investigate muscle thickness changes in the
external oblique (EO), internal oblique (IO), and transversus abdominis (TrA) muscles
between the neutral position and trunk rotation, under a state of rest without voluntary
contractions, and isometric contractions to both sides with resistance of 50% of the
maximum trunk rotation strength. [Subjects] The subjects of this study were 21 healthy
young men. [Methods] Muscle thickness changes in the EO, IO, and TrA in each position and
state were evaluated by ultrasound. The range of motion at maximum trunk rotation and the
maximum strength of trunk rotation were measured using a hand-held dynamometer. [Results]
In the neutral position and at 50% trunk rotation to the right side, the thicknesses of
the IO and TrA significantly increased with resistance. In both states, the thicknesses of
the IO and TrA significantly increased at 50% trunk rotation to the right side.
[Conclusion] The muscular contractions of the IO and TrA were stronger during ipsilateral
rotation than in the neutral position and with resistance than at rest. Moreover, the
muscular contraction was strongest in the resistive state during ipsilateral rotation.Key words: Trunk rotation, Low back pain, Functional evaluation 相似文献
16.
Sung doo Park 《Journal of Physical Therapy Science》2013,25(7):845-847
[Purpose] The purpose of this study was to investigate the reliability of ultrasound
imaging (USI) measurements of muscle thicknesses of patients with low back pain (LBP)
performing the abdominal drawing-in maneuver (ADIM) [Subjects] Twenty patients with LBP
were the subjects. [Methods] Muscle thickness measurements of transversus abdominis (Tra),
internal obliques (IO), and external obliques (EO) muscles were measured using ultrasound
imaging at rest and during performance of the ADIM. [Results] The intra-examiner
reliability estimates ranged from 0.55 to 0.97 in the rest position, and from 0.82 to 0.95
during ADIM. The inter-examiner reliability estimates ranged from 0.77 to 0.98 in the rest
position, and from 0.86 to 0.98 during ADIM. [Conclusion] ADIM thickness measurements of
the TrA, IO, and EO muscles in patients with LBP based on the mean of 2 measures are
highly reliable when taken by a single examiner and adequately reliable when taken by
different examiners.Key words: Reliability, Abdominal drawing-in maneuver, Ultrasound imaging 相似文献
17.
Jae Yun Cha Doo Chul Shin Seung Ho Shin Myung Mo Lee Kyoung Jin Lee Chang Ho Song 《Journal of Physical Therapy Science》2014,26(5):749-751
[Purpose] This study examined the relationship between core stability and exercise
intensity during a pulley-based shoulder exercise (PBSE) on an unstable support surface.
[Subjects] Twenty healthy college students enrolled in this study. [Methods] Surface EMG
was carried out in twenty healthy adult men. The electromyographic activities of the
rectus abdominis (RA), erector spinae (ES), exercises with 14 kg or 26 kg of resistance
and external oblique (EO) muscles during pulley-based shoulder on an unstable support
surface (USS) were compared. [Results] The EMG signals of the RA, ES, and EO did not
increase with increasing exercise resistance. [Conclusion] Increasing the exercise
intensity to increase the core stability during PBSE on a USS may be ineffective.Key words: Electromyography, Core stability, Ankle strategy 相似文献
18.
Taro Matsuzaki Shinya Yoshida Satoshi Kojima Masanori Watanabe Masahiro Hoso 《Journal of Physical Therapy Science》2013,25(12):1547-1551
[Purpose] The aim of this study was to clarify the effects of the ROM exercise on joint
components according to histopathological analysis. [Subjects and Methods] In total,
twenty-six 9-week-old adult male Wistar rats were used in this study. The rats were
randomly divided into three groups, the immobilization group (n=10), exercise group
(n=10), and control group (n=6). The immobilization group and exercise group were
anaesthetized and operated on under sterile conditions. The right knee joints in the
immobilization group and exercise group were immobilized with external fixation at 120
degrees of flexion. Range of motion exercise was started from the day after
immobilization. ROM exercise was performed in the exercise group once a day for 3 minutes,
6 days a week, for 2 weeks. [Result] The joint capsule in the immobilization group and
exercise group showed narrowing of the collagen bundles in interstitial spaces but was
less dense in the control group. In the immobilized group, a hyperplastic reaction was
associated with infiltration into the articular cavity and adhesion to the surface of the
articular cartilage. Conversely, in the exercise group, hyperplasia of tissue was
localized to the synovial membrane. [Conclusion] This finding may suggest that ROM
exercise induces some changes within the joint components and tissue metabolism.Key words: Joint immobilization, Contracture, ROM exercise 相似文献
19.
[Purpose] The purpose of this study was to identify the effects of bridging exercise on
different support surfaces on the thickness of the musculus transversus abdominis and
lower extremity muscle activities. [Subjects] Thirty-five students of H University.
[Methods] The experimental group (n=18) performed bridging exercise on the sling support
surface, and the control group (n=17) performed bridging exercise on a general support
surface. [Results] Thickness changes in the musculus transversus abdominis were 0.35 cm in
the experimental group, and 0.17 cm in the control group, suggesting that the experimental
group showed a more significant change. For the lower extremity muscular activity, there
was a significant difference between the experimental group and the control group only in
the biceps femoris muscle. [Conclusion] Based on these results, we consider that bridging
exercise on a sling support surface would increase the thickness of the transversus
abdominis and lower extremity muscle activities in rehabilitation programs for patients
with back pain.Key words: Bridging exercise, Sling exercise, Transversus abdominis 相似文献
20.
Hiromichi Sugiura Shunji Sako Yoshiharu Oshida 《Journal of Physical Therapy Science》2013,25(11):1491-1495
[Purpose] The aim of this study was to reveal the effect of expiratory muscle fatigue
(EMF) on respiratory response under two different exercise conditions: exercise (EX) with
EMF (EMF-EX) and control EX without EMF (CON-EX). [Methods] Nine healthy adult men
performed cycle exercise with a ramp load, and a spirometer was used to measure forced
vital capacity (FVC), forced expiratory volume in one second, percent of forced expiratory
volume, maximal expiratory mouth pressure, and maximal inspiratory mouth pressure
(PImax) to evaluate respiratory functions immediately and at 15 and 30 min
after exercise. To assess the respiratory response during exercise, an exhaled gas
analyzer was used to measure minute ventilation (VE), respiratory frequency
(f), tidal volume (VT), oxygen uptake, and carbon dioxide output. In addition,
the Borg Scale was used to evaluate dyspnea, while electrocardiography was used to measure
heart rate. [Results] The results showed that compared with the CON-EX condition, no
change in VE, an increase in f, or a decrease in VT was observed
under the medium-intensity EMF-EX condition, while high-intensity exercise reduced
VE and f without changing VT. [Conclusion] These results suggest
that during medium-intensity exercise, EMF modulates the respiratory response by inducing
shallow and fast breathing to increase ventilation volume.Key words: Expiratory muscle fatigue, Maximal mouth pressure, Respiratory response 相似文献