健康中老年女性上下楼梯时下肢肌肉的表面肌电图表现

doi:10.3969/j.issn.1006-9771.2023.06.016

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (6): 731-737.doi: 10.3969/j.issn.1006-9771.2023.06.016

健康中老年女性上下楼梯时下肢肌肉的表面肌电图表现

李丹¹, 王剑雄¹^,², 黄茂茂¹, 胥方元¹, 曾秋¹, 李佶钖¹, 李洋¹, 夏翠宏¹, 郑雅丹¹, 胥章彧¹, 方雯凤¹, 万腾刚¹()

1.西南医科大学附属医院康复医学科，四川泸州市 646000
2.核医学与分子影像四川省重点实验室，四川泸州市 646000

收稿日期:2023-03-01 修回日期:2023-04-28 出版日期:2023-06-25 发布日期:2023-07-14
通讯作者: 万腾刚(1988-)，男，汉族，四川雅安市人，技师，主要从事疼痛康复、骨科疾病康复。E-mail： 350303280@qq.com
作者简介:李丹(1993-)，女，汉族，四川简阳市人，硕士，医师，主要研究方向：骨科、脊髓损伤康复和疼痛康复的研究。
基金资助:
1.四川省科学技术厅项目(2023YFS0210);2.四川省保健委员会科研项目(2021-1505);3.西南医科大学青年科技人才培育计划项目(00160273);4.西南医科大学自然科学青年项目(2022QN120)

Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent

LI Dan¹, WANG Jianxiong¹^,², HUANG Maomao¹, XU Fangyuan¹, ZENG Qiu¹, LI Jiyang¹, LI Yang¹, XIA Cuihong¹, ZHENG Yadan¹, XU Zhangyu¹, FANG Wenfeng¹, WAN Tenggang¹()

1. Department of Rehabilitation Medicine, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, China
2. Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan, Luzhou, Sichuan 646000, China

Received:2023-03-01 Revised:2023-04-28 Published:2023-06-25 Online:2023-07-14
Contact: E-mail: 350303280@qq.com
Supported by:
Sichuan Department of Science and Technology(2023YFS0210);Sichuan Health Commission Scientific Research Project(2021-1505);Southwest Medical University Young Scientific and Technological Talents Training Program(00160273);Southwest Medical University Natural Science Project for Youth(2022QN120)

摘要/Abstract

摘要：

目的采用表面肌电图观察健康中老年女性上下楼梯时下肢肌肉的激活策略。
方法 2021年8月至2022年2月，于西南医科大学附属医院招募健康中老年女性20例，采用表面肌电图仪测量上楼梯、下楼梯时，双侧股外侧肌、股直肌、股内侧肌、股二头肌、半腱肌的均方根值(RMS)和积分肌电值，计算共同收缩比。
结果上楼梯时，双侧股外侧肌、股直肌、股内侧肌启动阶段RMS均显著高于跟随阶段(|t| > 6.650, P < 0.001)，右侧股二头肌和双侧半腱肌RMS均明显低于跟随阶段(t > 3.559, P < 0.01)；启动阶段腘绳肌/股四头肌共同收缩比显著低于跟随阶段(t > 8.185, P < 0.001)。下楼梯时，双侧股外侧肌、股内侧肌、股二头肌、半腱肌跟随阶段RMS高于启动阶段(t > 2.345, P < 0.05)，腘绳肌/股四头肌共同收缩比跟随阶段高于启动阶段(t > 2.405, P < 0.05)。
结论健康中老年女性上下楼梯时双侧膝周肌肉的活动大致对称。不同活动阶段，股四头肌和腘绳肌的激活和共同收缩存在差异。

关键词: 上下楼梯, 股四头肌, 腘绳肌, 表面肌电图

Abstract:

Objective To observe the lower limb muscle activation strategy of healthy middle-aged and old women during stair ascent and descent with surface electromyography.
Methods From August, 2021 to February, 2022, 20 healthy middle-aged and old women were measured the surface electromyography root mean square (RMS) and integrated electromyography (iEMG) of bilateral vastus lateral, rectus femoris, vastus medialis, biceps femoris and semitendinosus during stair ascent and descent, and co-contraction ratio was calculated.
Results During stair ascent, the RMS of bilateral vastus lateral, rectus femoris and vastus medialis was higher at starting stage than at following stage (|t| > 6.650, P < 0.001), while the RMS of biceps femoris and semitendinosus was lower (t > 3.559, P < 0.01); and the co-contraction ratio of hamstrings/quadriceps was lower at starting stage than at following stage (t > 8.185, P < 0.001). During stair descent, the RMS of bilateral vastus lateral, vastus medialis, biceps femoris and semitendinosus was higher at following stage than at starting stage (t > 2.345, P < 0.05), as well as the co-contraction ratio of hamstrings/quadriceps (t > 2.405, P < 0.05).
Conclusion The activities of the muscles around the knees are almost symmetrical during stair ascent and descent for healthy middle-aged and old women. The activation and co-contraction ratio of quadriceps and hamstring are various at starting/following stages.

Key words: stair climbing, quadriceps, hamstring, surface electromyography

中图分类号:

R694

李丹, 王剑雄, 黄茂茂, 胥方元, 曾秋, 李佶钖, 李洋, 夏翠宏, 郑雅丹, 胥章彧, 方雯凤, 万腾刚. 健康中老年女性上下楼梯时下肢肌肉的表面肌电图表现[J]. 《中国康复理论与实践》, 2023, 29(6): 731-737.

LI Dan, WANG Jianxiong, HUANG Maomao, XU Fangyuan, ZENG Qiu, LI Jiyang, LI Yang, XIA Cuihong, ZHENG Yadan, XU Zhangyu, FANG Wenfeng, WAN Tenggang. Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 731-737.

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肌肉	启动阶段		跟随阶段		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
肌肉	左侧	右侧	左侧	右侧	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
股外侧肌	32.29±6.24	35.51±8.74	21.20±6.00	20.68±6.37	1.570	0.133	0.316	0.756	-9.451	< 0.001	-10.780	< 0.001
股直肌	27.53±5.92	25.68±6.34	16.61±5.18	16.73±5.62	-1.468	0.158	-0.099	0.922	-12.526	< 0.001	-8.350	< 0.001
股内侧肌	32.56±9.72	28.71±5.86	18.53±8.51	17.13±6.74	-1.986	0.062	0.718	0.481	-10.090	< 0.001	-6.550	< 0.001
股二头肌	26.46±9.22	21.90±5.70	30.50±10.22	33.58±12.52	-2.495	0.022	-1.012	0.324	1.805	0.087	4.540	< 0.001
半腱肌	26.63±8.23	25.12±7.58	34.76±12.66	33.56±10.98	-0.816	0.425	0.410	0.686	3.559	0.002	5.080	< 0.001

肌肉	启动阶段		跟随阶段		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
肌肉	左侧	右侧	左侧	右侧	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
股外侧肌/Q	0.35±0.05	0.39±0.05	0.39±0.08	0.38±0.07	3.084	0.006	0.120	0.906	2.805	0.011	-0.906	0.376
股直肌/Q	0.30±0.04	0.28±0.04	0.29±0.04	0.30±0.06	-1.153	0.263	-0.824	0.420	-0.896	0.381	1.570	0.133
股内侧肌/Q	0.35±0.07	0.32±0.05	0.32±0.09	0.31±0.09	-1.939	0.067	0.366	0.719	-2.200	0.040	-0.570	0.575
股二头肌/H	0.50±0.07	0.47±0.09	0.47±0.09	0.49±0.10	-1.332	0.199	-0.898	0.381	-1.461	0.160	1.752	0.096
半腱肌/H	0.50±0.07	0.53±0.09	0.53±0.09	0.51±0.10	1.332	0.199	0.898	0.381	1.461	0.160	-1.752	0.096
H/Q	0.58±0.16	0.54±0.13	1.21±0.38	1.26±0.46	-1.214	0.240	-0.482	0.635	8.185	< 0.001	8.437	< 0.001
M/L	1.03±0.23	0.98±0.27	1.05±0.28	1.01±0.33	-0.835	0.414	0.458	0.652	0.376	0.711	0.851	0.406

肌肉	启动阶段		跟随阶段		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
肌肉	左侧	右侧	左侧	右侧	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
股外侧肌	20.76±6.31	20.97±5.02	29.20±7.91	27.72±6.91	0.178	0.861	0.710	0.486	5.832	< 0.001	4.133	0.001
股直肌	20.91±6.01	24.51±10.54	22.07±4.52	22.69±7.17	1.807	0.087	-0.389	0.701	0.901	0.379	-0.835	0.414
股内侧肌	23.68±11.74	21.17±9.36	29.04±8.06	27.60±12.07	-2.103	0.049	0.502	0.621	2.345	0.030	3.898	0.001
股二头肌	19.05±7.66	18.26±6.49	27.77±8.23	27.16±10.98	-0.375	0.712	0.284	0.779	5.278	< 0.001	4.756	< 0.001
半腱肌	21.10±9.94	20.69±7.45	33.26±14.00	28.92±8.32	-0.193	0.849	1.419	0.172	4.772	< 0.001	6.659	< 0.001

肌肉	启动阶段		跟随阶段		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
肌肉	左侧	右侧	左侧	右侧	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
股外侧肌/Q	0.33±0.06	0.33±0.06	0.36±0.05	0.36±0.06	0.008	0.994	0.105	0.917	2.891	0.009	3.864	0.001
股直肌/Q	0.33±0.05	0.36±0.07	0.28±0.05	0.29±0.06	1.839	0.082	-0.958	0.350	-4.341	< 0.001	-5.075	< 0.001
股内侧肌/Q	0.35±0.09	0.32±0.08	0.36±0.07	0.35±0.08	-1.999	0.060	0.658	0.519	0.673	0.509	2.576	0.019
股二头肌/H	0.48±0.07	0.47±0.10	0.47±0.06	0.48±0.10	-0.148	0.884	-0.241	0.812	-0.424	0.676	0.341	0.737
半腱肌/H	0.52±0.07	0.53±0.10	0.53±0.06	0.52±0.10	0.148	0.884	0.241	0.812	0.424	0.676	-0.341	0.737
H/Q	0.64±0.25	0.63±0.26	0.75±0.23	0.73±0.18	-0.118	0.907	0.239	0.814	2.988	0.008	2.405	0.027
M/L	1.14±0.25	1.09±0.33	1.08±0.19	1.07±0.33	-0.758	0.458	0.026	0.980	-1.356	0.191	-0.395	0.698

健康中老年女性上下楼梯时下肢肌肉的表面肌电图表现

Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent

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