等速肌力测试在躯干核心肌群中的应用进展
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摘要
等速肌力测试目前应用于运动员、健康人群以及肌肉萎缩患者等,均取得一定效果。但由于训练部位和目的不同,训练强度和方法各异,信息零散,整体模糊,缺少较完整的等速肌力临床应用资料。本文主要综述等速肌力测试对躯干肌群各个领域的研究现状,包括腰痛、脑卒中等神经系统疾病和运动医学等。另外,也对躯干肌群和核心肌群的研究指标及影响因素进行梳理,整合一些较常用的研究方法。
Isokinetic muscle strength test has been applied to athletes, healthy people and patients with muscular dystrophy, and some results have been achieved. However, due to the different parts, purposes, intensity and methods of training, the information integration are unclear, lacking a complete overview of clinical application of isokinetic muscle test and training. This paper mainly reviewed the current research status of isokinetic muscle strength test and training in various fields of trunk muscle group, including low back pain, stroke, and sports medicine, etc. In addition, the indexes and influencing factors of trunk muscle group and core muscle group were briefly constructed, and some common research methods were integrated.
Isokinetic muscle strength test has been applied to athletes, healthy people and patients with muscular dystrophy, and some results have been achieved. However, due to the different parts, purposes, intensity and methods of training, the information integration are unclear, lacking a complete overview of clinical application of isokinetic muscle test and training. This paper mainly reviewed the current research status of isokinetic muscle strength test and training in various fields of trunk muscle group, including low back pain, stroke, and sports medicine, etc. In addition, the indexes and influencing factors of trunk muscle group and core muscle group were briefly constructed, and some common research methods were integrated.
引文
[1] Guilhem G, Giroux C, Couturier A, et al. Validity of trunk extensor and flexor torque measurements using isokinetic dynamometry[J]. J Elec‐tromyogr Kinesiol, 2014, 24(6):986-993.
[2] Rothstein J M, Lamb R L, Mayhew T P. Clinical uses of isokinetic mea‐surements. Critical issues[J]. Phys Ther, 1987, 67(12):1840-1844.
[3]蒋凯,张光明,陶星光.慢性非特异性腰痛患者腰部本体感觉变化及其与肌力的关系分析[J].颈腰痛杂志, 2018, 39(5):623-625.
[4] Bernard J C, Boudokhane S, Pujol A, et al. Isokinetic trunk muscle per‐formance in pre-teens and teens with and without back pain[J]. Ann Phys Rehabil Med, 2014, 57(1):38-54.
[5] Sertpoyraz F, Eyigor S, Karapolat H, et al. Comparison of isokinetic ex‐ercise versus standard exercise training in patients with chronic low back pain:a randomized controlled study[J]. Clin Rehabil, 2009, 23(3):238-247.
[6]张德辉,黄昌林,毛同斌.青年慢性下腰痛患者腰背肌耐力比较研究[J].中国康复医学杂志, 2002, 17(6):337-339.
[7] Gundewall B, Liljeqvist M, Hansson T. Primary prevention of back symptoms and absence from work. A prospective randomized study among hospital employees[J]. Spine(Phila Pa1976), 1993, 18(5):587-594.
[8] Verheyden G, Vereek L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability[J]. Clin Rehabil, 2006. 20(5):451-458.
[9] Quintino L F, Franco J, Gusmao A F M, et al. Trunk flexor and extensor muscle performance in chronic stroke patients:a case-control study[J].Braz J Phys Ther, 2018, 22(3):231-237.
[10]沈雅萍,柏京,王中莉,等.强化躯干肌等速肌力训练对脑卒中偏瘫患者步行功能的影响[J].护理与康复, 2018, 17(9):65-67.
[11]王中莉,傅建明,姚云海,等.脑卒中患者躯干核心肌群等速定量测定与步态参数的相关性研究[J].中华物理医学与康复杂志, 2017, 39(10):738-741.
[12]姜璧珺,虞文魁,陈瑶,等.膝关节等速肌力训练对慢性脑卒中偏瘫患者移动能力的影响[J].中国实用神经疾病杂志, 2016, 19(9):29-30.
[13]雷蕾,吴秋鸿.等速训练对脑卒中后踝背屈肌痉挛患者功能障碍影响分析[J].中外医学研究, 2018, 16(17):180-181.
[14]钟裕,刘娟,卢青英.等速肌力训练模式干预在老年脑卒中偏瘫步行功能康复中的作用探讨[J].基层医学论坛, 2018, 22(4):457-459.
[15] Müller J, Müller S, Stoll J, et al. Reproducibility of maximum iso‐kinetic trunk strength testing in healthy adolescent athletes[J]. Sport Orthop Sport Traumatol, 2014, 30(3):229-237.
[16]刘夏,王惠娟,吴红英,等.腰背核心肌群在等速旋转运动中力矩和表面肌电的特征[J].中国康复医学杂志, 2013, 28(4):315-318, 355.
[17]王翠霞,周凯.躯干等速向心屈伸运动时屈伸肌肌力的变化:脊柱最易受损伤的角度范围[J].中国组织工程研究与临床康复, 2010, 14(7):1191-1195.
[18] Ben M Z A, Ben S F Z, Dziri C, et al. Comparison of isokinetic trunk flexion and extension torques and powers between athletes and nonath‐letes[J]. J Exerc Rehabil, 2018, 14(1):72-77.
[19] Bae J H, Kim D K, Seo K M, et al. Asymmetry of the isokinetic trunk rotation strength of Korean male professional golf players[J].Ann Rehabil Med, 2012, 36(6):821-827.
[20] Fan J Z, Liu X, Ni G X. Angular velocity affects trunk muscle strength and EMG activation during isokinetic axial rotation[J].Biomed Res Int, 2014, 2014:623191.
[21] Huang Q M, Thorstensson A. Trunk muscle strength in eccentric and concentric lateral flexion[J]. Eur J Appl Physiol, 2000, 83(6):573-577.
[22]孔令筠.不同方式腰背等速肌力测试结果比较[J].体育时空, 2015(23):134, 137.
[23] Roth R, Donath L, Kurz E, et al. Absolute and relative reliability of isokinetic and isometric trunk strength testing using the IsoMed-2000dynamometer[J]. PhysTher Sport, 2017, 24:26-31.
[24] Barczyk-Pawelec K, Piechura J R, Dziubek W, et al. Evaluation of isokinetic trunk muscle strength in adolescents with normal and abnor‐mal postures[J]. J Manipulative Physiol Ther, 2015, 38(7):484-492.
[25]刘业鹏,赵敬国.不同角速度与不同幅度腰背屈伸肌群等速肌力测量特征的研究[C]//中国体育科学学会.第十四届全国运动生物力学学术交流大会论文集.山东济南, 2010:122-125.
[2] Rothstein J M, Lamb R L, Mayhew T P. Clinical uses of isokinetic mea‐surements. Critical issues[J]. Phys Ther, 1987, 67(12):1840-1844.
[3]蒋凯,张光明,陶星光.慢性非特异性腰痛患者腰部本体感觉变化及其与肌力的关系分析[J].颈腰痛杂志, 2018, 39(5):623-625.
[4] Bernard J C, Boudokhane S, Pujol A, et al. Isokinetic trunk muscle per‐formance in pre-teens and teens with and without back pain[J]. Ann Phys Rehabil Med, 2014, 57(1):38-54.
[5] Sertpoyraz F, Eyigor S, Karapolat H, et al. Comparison of isokinetic ex‐ercise versus standard exercise training in patients with chronic low back pain:a randomized controlled study[J]. Clin Rehabil, 2009, 23(3):238-247.
[6]张德辉,黄昌林,毛同斌.青年慢性下腰痛患者腰背肌耐力比较研究[J].中国康复医学杂志, 2002, 17(6):337-339.
[7] Gundewall B, Liljeqvist M, Hansson T. Primary prevention of back symptoms and absence from work. A prospective randomized study among hospital employees[J]. Spine(Phila Pa1976), 1993, 18(5):587-594.
[8] Verheyden G, Vereek L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability[J]. Clin Rehabil, 2006. 20(5):451-458.
[9] Quintino L F, Franco J, Gusmao A F M, et al. Trunk flexor and extensor muscle performance in chronic stroke patients:a case-control study[J].Braz J Phys Ther, 2018, 22(3):231-237.
[10]沈雅萍,柏京,王中莉,等.强化躯干肌等速肌力训练对脑卒中偏瘫患者步行功能的影响[J].护理与康复, 2018, 17(9):65-67.
[11]王中莉,傅建明,姚云海,等.脑卒中患者躯干核心肌群等速定量测定与步态参数的相关性研究[J].中华物理医学与康复杂志, 2017, 39(10):738-741.
[12]姜璧珺,虞文魁,陈瑶,等.膝关节等速肌力训练对慢性脑卒中偏瘫患者移动能力的影响[J].中国实用神经疾病杂志, 2016, 19(9):29-30.
[13]雷蕾,吴秋鸿.等速训练对脑卒中后踝背屈肌痉挛患者功能障碍影响分析[J].中外医学研究, 2018, 16(17):180-181.
[14]钟裕,刘娟,卢青英.等速肌力训练模式干预在老年脑卒中偏瘫步行功能康复中的作用探讨[J].基层医学论坛, 2018, 22(4):457-459.
[15] Müller J, Müller S, Stoll J, et al. Reproducibility of maximum iso‐kinetic trunk strength testing in healthy adolescent athletes[J]. Sport Orthop Sport Traumatol, 2014, 30(3):229-237.
[16]刘夏,王惠娟,吴红英,等.腰背核心肌群在等速旋转运动中力矩和表面肌电的特征[J].中国康复医学杂志, 2013, 28(4):315-318, 355.
[17]王翠霞,周凯.躯干等速向心屈伸运动时屈伸肌肌力的变化:脊柱最易受损伤的角度范围[J].中国组织工程研究与临床康复, 2010, 14(7):1191-1195.
[18] Ben M Z A, Ben S F Z, Dziri C, et al. Comparison of isokinetic trunk flexion and extension torques and powers between athletes and nonath‐letes[J]. J Exerc Rehabil, 2018, 14(1):72-77.
[19] Bae J H, Kim D K, Seo K M, et al. Asymmetry of the isokinetic trunk rotation strength of Korean male professional golf players[J].Ann Rehabil Med, 2012, 36(6):821-827.
[20] Fan J Z, Liu X, Ni G X. Angular velocity affects trunk muscle strength and EMG activation during isokinetic axial rotation[J].Biomed Res Int, 2014, 2014:623191.
[21] Huang Q M, Thorstensson A. Trunk muscle strength in eccentric and concentric lateral flexion[J]. Eur J Appl Physiol, 2000, 83(6):573-577.
[22]孔令筠.不同方式腰背等速肌力测试结果比较[J].体育时空, 2015(23):134, 137.
[23] Roth R, Donath L, Kurz E, et al. Absolute and relative reliability of isokinetic and isometric trunk strength testing using the IsoMed-2000dynamometer[J]. PhysTher Sport, 2017, 24:26-31.
[24] Barczyk-Pawelec K, Piechura J R, Dziubek W, et al. Evaluation of isokinetic trunk muscle strength in adolescents with normal and abnor‐mal postures[J]. J Manipulative Physiol Ther, 2015, 38(7):484-492.
[25]刘业鹏,赵敬国.不同角速度与不同幅度腰背屈伸肌群等速肌力测量特征的研究[C]//中国体育科学学会.第十四届全国运动生物力学学术交流大会论文集.山东济南, 2010:122-125.