超重肥胖老年女性下肢肌力及平衡能力的运动干预实验研究

目的：针对超重肥胖老年人进行循环训练运动干预设计,探讨循环训练对超重肥胖老年人下肢肌力及平衡能力的影响。方法：以34名老年女性为受试者,分为超重组和对照组,均坚持12周循环训练干预,比较干预前后两组受试者双侧下肢膝踝屈伸等速肌力、静动态平衡能力、计时"起立-行走"时间和Berg平衡量表得分情况。结果：运动干预12周后,两组下肢膝踝屈伸肌标准化峰值力矩、屈伸肌肌力比值和双侧肌力比值、静态与动态平衡能力、Berg平衡量表得分及计时"起立-行走"时间均有显著提高;且超重组的右膝伸肌标准化峰值力矩的提高程度明显高于对照组。结论：循环训练可以显著提高老年人的下肢肌力和平衡能力,且对提高超重肥胖老年人下肢伸肌肌力有更明显的改善效果,是预防老年人跌倒的有效运动方法。     

足球运动对6~12岁儿童下肢本体感觉与平衡控制能力的影响及相关性研究

目的探讨足球运动对6~12岁儿童下肢本体感觉与平衡控制能力的影响及本体感觉、肌肉力量、平衡能力和运球能力间的关系。方法选取6~12岁的小学足球班学生38人(男女各19人)和同年级普通班学生19人(男10人、女9人)分别进行足球运动和一般性身体锻炼干预,使用运动加速度计监测锻炼强度,并在运动干预前后进行下肢本体感觉、肌肉力量、平衡能力和变向运球测试。结果 (1)2组学生下肢本体感觉的性别差异不显著,20周干预后,足球班学生的踝、膝、髋关节本体感觉要显著优于普通班学生(P<0.01);(2)2组学生下肢力量和平衡能力的性别差异不显著,20周干预后,足球班学生的平衡能力提高更多(P<0.01);(3)平衡能力的改善同下肢本体感觉和力量的提升正相关(P<0.05),运球能力的提高同本体感觉和平衡能力的提高正相关(P<0.05)。结论对于6~12岁儿童,同一般性锻炼相比,足球运动在提高下肢力量的同时还能更为全面地提高踝、膝、髋关节本体感觉,从而更好地改善平衡能力。性别差异对儿童本体感觉和平衡能力的影响不显著。同时,加强下肢本体感觉和平衡能力锻炼,可能会更好地提升运球能力。     

Relationship of proprioception,cutaneous sensitivity,and muscle strength with the balance control among older adults

BackgroundBalance impairment is one of the strongest risk factors for falls. Proprioception, cutaneous sensitivity, and muscle strength are 3 important contributors to balance control in older adults. The relationship that dynamic and static balance control has to proprioception, cutaneous sensitivity, and muscle strength is still unclear. This study was performed to investigate the relationship these contributors have to dynamic and static balance control.MethodsA total of 164 older adults (female = 89, left dominant = 15, age: 73.5 ± 7.8 years, height: 161.6 ± 7.1 cm, weight: 63.7 ± 8.9 kg, mean ± SD) participated in this study. It tested the proprioception of their knee flexion/extension and ankle dorsi/plantarflexion, along with cutaneous sensitivity at the great toe, first and fifth metatarsals, arch, and heel, and the muscle strength of their ankle dorsi/plantarflexion and hip abduction. The Berg Balance Scale (BBS) and the root mean square (RMS) of the center of pressure (CoP) were collected as indications of dynamic and static balance control. A partial correlation was used to determine the relationship between the measured outcomes variables (BBS and CoP-RMS) and the proprioception, cutaneous sensitivity, and muscle strength variables.ResultsProprioception of ankle plantarflexion (r = –0.306, p = 0.002) and dorsiflexion (r = –0.217, p = 0.030), and muscle strength of ankle plantarflexion (r = 0.275, p = 0.004), dorsiflexion (r = 0.369, p < 0.001), and hip abduction (r = 0.342, p < 0.001) were weakly to moderately correlated with BBS. Proprioception of ankle dorsiflexion (r = 0.218, p = 0.020) and cutaneous sensitivity at the great toe (r = 0.231, p = 0.041) and arch (r = 0.285, p = 0.002) were weakly correlated with CoP-RMS in the anteroposterior direction. Proprioception of ankle dorsiflexion (r = 0.220, p = 0.035), knee flexion (r = 0.308, p = 0.001) and extension (r = 0.193, p = 0.040), and cutaneous sensitivity at the arch (r = 0.206, p = 0.028) were weakly to moderately correlated with CoP-RMS in the mediolateral direction.ConclusionThere is a weak-to-moderate relationship between proprioception and dynamic and static balance control, a weak relationship between cutaneous sensitivity and static balance control, and a weak-to-moderate relationship between muscle strength and dynamic balance control.     

Changes in ankle joint stiffness due to stretching: The role of tendon elongation of the gastrocnemius muscle

Abstract

The purpose of this study was to investigate changes in ankle joint stiffness and the associated changes in the gastrocnemius muscle and tendon due to static stretching. Seven healthy male participants lay supine with the hip and knee joints fully extended. The right ankle joint was rotated into dorsiflexion from a 30° plantar flexed position and the torque measured by a dynamometer. The ankle joint was maintained in a dorsiflexed position for 20 min (static stretching of the calf muscles). We performed surface electromyography of the medial and lateral gastrocnemii, the soleus, and the tibialis anterior of the right leg to confirm no muscle activity throughout static stretching and the passive test (passive dorsiflexion). During static stretching, the ankle joint angle and elongation of the gastrocnemius were recorded by goniometry and ultrasonography, respectively. Tendon elongation of the gastrocnemius was calculated based on the changes in the ankle joint angle and muscle elongation. In addition, the relationships between passive torques and ankle joint angles, and elongation of muscle and tendon, were examined before and after static stretching. The ankle dorsiflexion angle and tendon elongation increased significantly by 10 min after the onset of static stretching, while there was no further increase in muscle length. In addition, ankle dorsiflexion angle and tendon elongation at an identical passive torque (30 N · m) increased significantly (from 24±7° to 33±5° and from 17±2 mm to 22±1 mm, respectively) after static stretching. However, muscle elongation was unchanged. In conclusion, the current results suggest that an increase in the ankle joint dorsiflexion angle due to static stretching is attributable to a change in tendon not muscle stiffness.     

新型太极拳干预对老年女性膝骨关节炎患者

目的：验证6个月的新型太极拳康复方案干预是否可以改善老年女性膝关节炎患者的下肢肌力和动态平衡能力。方法：招募46名老年女性膝骨关节炎患者,随机分为太极组和对照组,进行为期6个月的实验干预。实验前后,通过等速肌力测试仪和动态平衡测试指标,测量所有受试者下肢肌力和动态平衡能力。结果：6个月前后,太极组下肢肌力无显著性差异（P>0.05）,但动态稳定性显著性提高（P<0.05）。结论：新型太极拳康复干预可促进女性膝骨关节炎患者动态平衡稳定性,简易有效,易于推广。     

冷水浴对短跑运动员离心运动后DOMS症状的干预效果研究

目的:探究冷水浴对延迟性肌肉酸痛(DOMS)患者膝关节本体感觉的干预效果及作用机制。方法:采用随机对照试验,24名男性二级短跑运动员随机分为冷水浴干预组(n=12)和静坐对照组(n=12)。经离心运动诱发下肢肌群出现DOMS,静坐休息5min后进行冷水干预或静坐。分别在运动前、运动后24h、48h、72h、96h测量受试者的左大腿围度、自觉疼痛程度、左腿股四头肌最大等长肌力以及左腿膝关节本体感觉(位置觉+肌肉力觉)。在运动前、运动后即刻(0min)、5min、10min、15min分别测量血乳酸值。结果:(1)离心运动后即刻,两组大腿围度均显著性增加(P<0.05),运动后24h、48h、72h,CWI组的左大腿围度显著低于CON组(P<0.01);(2)离心运动后即刻,两组自觉疼痛程度均显著性增加,运动后24h、72h,CWI组的疼痛程度显著性低于CON组(P<0.01);(3)离心运动后即刻,两组血乳酸值均出现显著性上升(P<0.05),运动后0min~15min,两组间无显著性差异(P>0.05);(4)离心运动后即刻,两组的左腿MVIC均出现显著性下降(P<0.05),运动后24h~96h,CWI组MVIC显著高于CON组(P<0.01),(5)离心运动后即刻,两组左腿的本体感觉(主、被动位置觉、肌肉力觉)均出现显著性下降(P<0.05);运动后24h~96h,CWI组的主动位置觉显著高于CON组(P<0.01),运动后72h,CWI组的被动位置觉显著低于CON组(P<0.01),其他时间点(24h、48h、96h)无显著性差异(P>0.05),运动后24h~96h,CWI组的肌肉力觉显著高于CON组(P<0.01)。结论:冷水浴是运动训练或比赛后快速减轻DOMS症状的有效手段,有利于肌肉肿胀的恢复、减轻疼痛感、促进工作肌肉最大等长肌力及该肌肉所附着关节的本体感觉的恢复,总体有利于减轻DOMS症状。     

多模态功能训练对女大学生功能性踝关节不稳患者下肢肌力、本体感觉和动态平衡能力的影响

目的:探讨多模态功能训练对功能性踝关节不稳(Functional ankle instability,FAI)患者肌肉力量、本体感觉功能和动态平衡能力的影响。方法:45名FAI患者随机分为常规力量训练组(strengh training,ST组,n=22)和多模态功能训练组(multimodal function training,MFT组,n=23)。ST组常规力量训练,MFT组在常规力量力量训练的基础上增加本体感觉和姿势控制训练,康复训练共进行8周,2个训练周期。实验前后分别对2组实验对象患侧踝关节屈、伸、内翻和外翻肌群60°/s和180°/s等动向心收缩相对峰值力矩、本体感觉(踝关节屈、伸、内收和外翻运动感觉功能、腓骨肌反应时)和动态平衡能力(前方得分(A)、后内侧得分(PM)、后外侧得分(PL)和YBT-CS总得分)进行测试。结果:1)2组受试者患侧踝关节60°/s和180°/s等动向心踝关节肌群相对峰值力矩均显著大于实验前(P<0.05),且二者组间没有显著性差异(P>0.05);2)实验后,ST组本体感觉功能没有显著性改变(P>0.05),MFI组本体感觉各项指标均显著小于实验前(P<0.005,P<0.01,P<0.05),且均显著低于ST组(P<0.05);3)试验后,2组受试者动态平衡各指标均优于实验前(P<0.05,P<0.01),且MFI动态平衡各项指标均优于ST组(P>0.05)。结论:MFT康复训练能够显著改善FAI患者肌力、本体感觉和动态平衡能力,且效果更优于ST组。     

自由式滑雪女子空中技巧优秀运动员下肢肌力与静态平衡能力特征

采用等速测试和平衡测试方法,对我国优秀自由式滑雪空中技巧女子运动员的髋关节、膝关节屈肌力和伸肌力以及4种站姿下的静态平衡能力特征进行研究。结果表明髋关节右侧屈伸肌力、屈伸肌力比、平均功率值稍大于左侧屈肌力量,膝关节伸肌左、右侧单位体重峰力矩和左、右侧平均功率4个指标数值均大于屈肌,在60°/s（慢速）和240°/s（快速）不同的测试速度下,单位体重屈伸峰力矩、屈伸平均功率、屈伸肌力、平均功率随着测试速度的增加出现了显著性差异;正常双脚站立的平衡性大于单脚站立的平衡性。建议合理控制体重及均衡的训练肌肉力量,在适度提高运动速度的情况下,加强下肢伸肌力量的训练,为运动员进行针对性的力量训练、训练后肌肉效果的评价、运动员选材提供科学依据及有价值的理论参考。     

动静力牵张练习在射箭整理活动中的应用

阐明动静力牵张在射箭训练整理活动中的作用,分析动静力牵张的整理机制,掌握动静力牵张练习的基本设计原则和注意事项,从而设计出主要的肌肉块动静力牵张的练习方法.     

太极拳运动与健身走运动对中老年人下肢肌力的影响对比研究

文章通过BIODEX-3多关节等速测力系统对对太极拳运动和健身走运动的中老年人（60人）的下肢肌力进行对比研究与分析。研究结果表明：长期太极拳运动的中老年人踝关节、膝关节的相对峰力矩（PT/BW））和相对爆发力（PT/Time to PK/BW）明显优于健身走运动（P〈0.05,P〈0.01）,因此长期坚持太极拳运动对提高和改善中老年人的下肢肌力具有积极作用。     

Repeated exercise stress impairs volitional but not magnetically evoked electromechanical delay of the knee flexors

The effects of serial episodes of fatigue and recovery on volitional and magnetically evoked neuromuscular performance of the knee flexors were assessed in 20 female soccer players during: (i) an intervention comprising 4 × 35 s maximal static exercise, and (ii) a control condition. Volitional peak force was impaired progressively (-16% vs. baseline: 235.3 ± 54.7 to 198.1 ± 38.5 N) by the fatiguing exercise and recovered to within -97% of baseline values following 6 min of rest. Evoked peak twitch force was diminished subsequent to the fourth episode of exercise (23.3%: 21.4 ± 13.8 vs. 16.4 ± 14.6 N) and remained impaired at this level throughout the recovery. Impairment of volitional electromechanical delay performance following the first episode of exercise (25.5%: 55.3 ± 11.9 vs. 69.5 ± 24.5 ms) contrasted with concurrent improvement (10.0%: 24.5 ± 4.7 vs. 22.1 ± 5.0 ms) in evoked electromechanical delay (P < 0.05), and this increased disparity between evoked and volitional electromechanical delay remained during subsequent periods of intervention and recovery. The fatiguing exercise provoked substantial impairments to volitional strength and volitional electromechanical delay that showed differential patterns of recovery. However, improved evoked electromechanical delay performance might identify a dormant capability for optimal muscle responses during acute stressful exercise and an improved capacity to maintain dynamic joint stability during critical episodes of loading.     

Stressors,social support,and effects upon performance in golf

Abstract

In this study, we investigated the effect of eccentric exercise on position sense and reaction angle of the elbow and knee flexors. Twelve males underwent two eccentric exercise sessions involving a randomized crossover design. In the first session participants used their elbow flexors and in the other session their knee flexors. Muscle damage indices, position sense, and joint reaction angle to release of the elbow and knee flexors were measured before, immediately after, and up to 7 days after exercise. Exercise induced greater muscle damage in the elbow flexors than knee flexors. Exercise disturbed position sense of the elbow and knee joint. For both limbs, the participants adopted a more extended position than the reference angle. The elbow and knee joint reaction angles to release increased after exercise for both the elbow and knee flexors. The disturbances in position sense and reaction angle after exercise were greater in the elbow flexors than knee flexors. The elbow flexors remained more accurate and faster than the knee flexors at all time points. These results may be explained by the higher density of muscle spindles and the lower innervation ratio of the elbow flexors compared with the knee flexors, as well as the fact that the arms are more accustomed than the legs to perform fast and accurate movements.     

Balance and proprioception responses to FIFA 11+ in amateur futsal players: Short and long-term effects

ABSTRACT

Background: The FIFA 11+ has shown positive effects on balance and proprioception parameters in football players. As there have been very few research studies involving futsal, we examined the short and long term effects of the FIFA 11+ on static and dynamic balance, as well as proprioception in male amateur futsal players.

Methods: Seventy-one male futsal players were randomized to two groups (FIFA 11+: n = 37, age: 27.33 ± 4.33 years; Control: n = 34, age: 25.55 ± 4.65 years). Intervention lasted 10 weeks, 2 sessions per week, succeeded by a 10-week follow-up period. For balance testing, we assessed the single-legged postural sway with a force platform (static balance) and the Y balance test (dynamic balance). Proprioception was assessed with active joint position sense testing.

Results: Complete pre-post intervention and follow-up tests were available for 61 players. The FIFA 11+ group showed higher training exposure and lower body mass index and body weight. After adjustment for baseline differences, no significant differences between groups were observed in the pre-post changes for centre of pressure measures, Y-balance and proprioception parameters both at short and long-term.

Conclusions: Performing FIFA 11+ for 10 weeks did not improve static and dynamic balance as well as proprioception in amateur futsal players.     

从太极拳技法特点论人体核心稳定性——以“尾闾中正、收裆敛臀”为例

文章运用文献资料法、专家访谈法、实验研究法和数理统计法对中国传统体育项目——太极拳在技法指导下练习对人体核心区域的肌肉力量的增强,从而提高人体核心区域的稳定性进行研究.文章以遵义师范学院体育学院2008、2009级体育教育专业武术主项提高班的30位同学为研究对象.30名同学通过两年的太极拳练习,在练习前期、中期和后期进行核心稳定性的四项测试（双腿压球两手支撑平衡式、软垫平衡式、单腿半蹲支撑平衡式、8级腹桥测试）,并对所测试的数据进行分析,结果表明：在太极拳技法指导下练习太极拳,人体核心区域的肌肉在处于静态收缩或拉伸,持之以往,对其肌肉力量增强的同时确实提高了人体核心区域的稳定性.     

The effects of stretching on knee flexor fatigue and perceived exertion

Abstract

The objective of this study was to examine the effects of acute static muscle stretch on hamstring muscle fatigue and perceived exertion between young adult men and women. Twenty volunteers participated in two experimental sessions, in which we assessed maximal-effort isokinetic knee flexor force (90° · s^?1) and the number of sub-maximal (50% maximal) knee flexor repetitions to the point of failure. Immediately before the sub-maximal contractions on one randomly selected session, participants received ten 30-s passive knee flexor muscle stretches. Perceived exertion was sampled with a modified Borg category-ratio scale following each sub-maximal repetition. Each participant's perceived exertion response was estimated every 10% across the sub-maximal repetitions, via linear interpolation and power-function modelling. The men generated significantly greater force than the women during both experimental sessions, while muscle stretching had no significant effect on the number of sub-maximal repetitions. When estimated via power-function modelling, perceived exertion increased at a significantly greater rate following muscle stretch. Perceived exertion was significantly greater for the women following muscle stretch than the men. The findings suggest that the elevation in perceived exertion following knee flexor muscle stretching may be greater in women than men, despite no significant alterations in mechanical measures of muscle fatigue.     

踢毽对中老年人下肢肌肉力量和伸展的影响

采用CybexⅡ^ 等速肌力测试系统对持续踢毽锻炼2年的广州市128名中老年人的膝关节屈、伸肌群力量进行标准化、定量化测量，结果表明：男、女屈、伸膝肌群耐力(ER)、爆发力(TAE)自身前后对照各项肌力指标均有显著性差异。     

The differential effects of PNF versus passive stretch conditioning on neuromuscular performance

Abstract

The effects of flexibility conditioning on neuromuscular and sensorimotor performance were assessed near to full knee extension (25°). Eighteen males who were randomly assigned into two groups underwent eight weeks (three-times per week) of flexibility conditioning (hip region/knee flexor musculature; dominant limb) involving either proprioceptive neuromuscular facilitation (PNF) (n=9) or passive stretching (PASS) (n=9). Both modes of flexibility conditioning are popular within contemporary exercise and clinical settings and have demonstrated efficacy in improving range of motion. The contralateral limb and a prior ‘no exercise’ condition were used as controls. The PNF and PASS modes of conditioning improved passive hip flexibility to a similar extent (mean 19.3% vs. baseline, intervention limb, p<0.01) but did not alter knee flexor strength (overall mean 309.6±81 N) or sensorimotor performance (force and positional errors: 2.3±8.2% and 0.48±7.1%). Voluntary and magnetically evoked electromechanical delays (EMD_V and EMD_E, respectively) were increased but to a greater extent following PASS compared to PNF (PASS: 10.8% and 16.9% lengthening of EMD_V and EMD_E, respectively vs. PNF: 3.2% and 6.2%, p<0.01).The attenuated change to electromechanical delay (EMD) performance during PNF conditioning suggests a preserved capability for rapid muscle activation, which is important in the maintenance of dynamic joint stability. That PNF was also equally efficacious in flexibility conditioning would suggest that this mode of flexibility training should be used over passive to help preserve dynamic joint stability capabilities at this extended and vulnerable joint position.     

优秀散打运动员下肢关节等速肌力特征研究

运用IsoMed2000型肌力测试系统，选择60°/s和240°/s，对23名优秀男子散打运动员（健将级9名为A组，国家一级14名为B组）支撑腿和进攻腿髋、膝、踝屈伸肌群各项等速肌力指标进行测量。探讨优秀散打运动员支撑腿和进攻腿髋、膝、踝关节等速肌力特征，分析两腿的肌力差异，判断肌力平衡、关节稳定，运动员等级水平对肌力的影响。结果：国家健将级散打运动员双侧下肢髋、膝、踝关节等速肌力及稳定性显著优于国家一级运动员，支撑腿主要体现力的有效传递及稳定性，进攻腿主要体现屈伸肌力大小。     

Effects of low volume isometric leg press complex training at two knee angles on force-angle relationship and rate of force development

This study compared knee angle-specific neuromuscular adaptations after two low-volume isometric leg press complex training programmes performed at different muscle lengths. Fifteen young males were divided into two groups and trained three times per week for 6 weeks. One group (n?=?8) performed 5–7 sets of 3 s maximum isometric leg press exercise, with 4?min recovery, with knee angle at 85°?±?2° (longer muscle-tendon unit length; L-MTU). The other group (n?=?7) performed the same isometric training at a knee angle of 145°?±?2° (180°^?=?full extension; shorter muscle-tendon unit length; S-MTU). During the recovery after each set of isometric exercise, participants performed two CMJ every minute, as a form of complex training. Maximum isometric force (MIF) and rate of force development (RFD) were measured over a wide range of knee angles. Countermovement jump (CMJ) performance and maximum half-squat strength (1RM) were also assessed. Training at S-MTU induced a large increase of MIF (22–58%, p?p?p?=?0.001). In contrast, training at L-MTU, resulted in a moderate and similar (≈12.3%, p?=?0.028) improvement of force at all knee angles. CMJ performance and 1RM were equally increased in both groups after training by 10.4%?±?8.3% and 7.8%?±?4.7% (p?相似文献   

动态平衡训练对膝关节位置觉干预效果的研究

目的:研究动态平衡训练对膝关节位置觉的干预效果及其预防损伤机制,比较平衡板、平衡气囊、瑞士球训练方法改善下肢本体感觉功能的效果,为预防运动损伤提供理论依据和实践指导.方法:41名受试者分成平衡板平衡气囊训练组(n=13),瑞士球训练组(n=14),对照组(n=14),训练时间共8周,每周3次,每次练习50分钟,8周训练前后测试膝关节主动和被动位置觉.结果:①8周平衡板气囊训练和瑞士球训练后,男女受试者右膝关节位置觉(主动和被动)比训练前减小但无显著性差异(P＞0.05);②平衡板气囊组与瑞士球组在改善膝关节位置觉无显著差异(P ＞0.05).结论:8周动态平衡训练时间较短不足以使膝关节位置觉显著改变,但训练后位置觉平均误差减小,表明平衡板气囊训练和瑞士球训练对改善膝关节位置觉感知能力有积极意义.