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Joint Kinetics and Kinematics During Common Lower Limb Rehabilitation Exercises

机译:常见的下肢康复锻炼过程中的联合动力学和运动学

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Context: Unilateral body-weight exercises are commonly used to strengthen the lower limbs during rehabilitation after injury, but data comparing the loading of the limbs during these tasks are limited. Objective: To compare joint kinetics and kinematics during 3 commonly used rehabilitation exercises. Design: Descriptive laboratory study. Setting: Laboratory. Patients or Other Participants: A total of 9 men (age = 22.1 ± 1.3 years, height = 1.76 ± 0.08 m, mass = 80.1 ± 12.2 kg) participated. Intervention(s): Participants performed the single-legged squat, forward lunge, and reverse lunge with kinetic data captured via 2 force plates and 3-dimensional kinematic data collected using a motion-capture system. Main Outcome Measure(s): Peak ground reaction forces, maximum joint angles, and peak sagittal-joint moments. Results: We observed greater eccentric and concentric peak vertical ground reaction forces during the single-legged squat than during both lunge variations (P ≤ .001). Both lunge variations demonstrated greater knee and hip angles than did the single-legged squat (P .05). Greater dorsiflexion occurred during the single-legged squat than during both lunge variations (P < .05), but we noted no differences between lunge variations (P = .70). Hip-joint moments were greater during the forward lunge than during the reverse lunge (P = .003) and the single-legged squat (P = .011). Knee-joint moments were greater in the single-legged squat than in the reverse lunge (P < .001) but not greater in the single-legged squat than in the forward lunge (P = .41). Ankle-joint moments were greater during the single-legged squat than during the forward lunge (P = .002) and reverse lunge (P < .001). Conclusions: Appropriate loading progressions for the hip should begin with the single-legged squat and progress to the reverse lunge and then the forward lunge. In contrast, loading progressions for the knee and ankle should begin with the reverse lunge and progress to the forward lunge and then the single-legged squat.
机译:背景:单侧减肥运动通常用于在受伤后的康复过程中增强下肢的力量,但在这些任务中比较四肢负荷的数据有限。目的:比较三种常用的康复运动中的关节动力学和运动学。设计:描述性实验室研究。地点:实验室。患者或其他参与者:总共9名男性(年龄= 22.1±1.3岁,身高= 1.76±0.08 m,质量= 80.1±12.2 kg)。干预:参与者进行单腿深蹲,向前弓箭和向后弓箭,并通过2个测力板捕获动力学数据,并使用运动捕捉系统收集3维运动学数据。主要指标:地面反作用力峰值,最大接缝角和最大矢状弯矩。结果:我们观察到,单腿下蹲期间的偏心和同心峰值垂直地面反作用力大于两个弓步变化期间的偏心和同心峰值垂直作用力(P≤.001)。两种弓步都比单腿下蹲表现出更大的膝盖和臀部角度(P .05)。单腿深蹲发生的背屈大于两个弓步变化(P <.05),但我们注意到弓步变化之间没有差异(P = .70)。前刺时的髋关节力矩大于倒刺时的髋关节力矩(P = .003)和单腿下蹲时(P = .011)。单腿深蹲的膝关节力矩大于反向弓步的力矩(P <.001),但单腿深蹲的膝盖关节力矩不大于向前弓箭的力矩(P = .41)。单腿深蹲时的踝关节力矩大于向前弓步(P = .002)和向后弓步(P <.001)。结论:适当的髋关节负重进程应从单腿下蹲开始,然后发展到反向弓步,然后是向前弓步。相反,膝盖和脚踝的负重进行过程应从反向弓步开始,然后发展到向前弓步,然后是单腿下蹲。

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