I. はじめに Activities of daily living ADL 1) Osteoarthritis of the knee OAK Anterior cruciate ligament ACL OAK Open kinetic chain OKC 2) OKC OAK
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1 原著 Motor Control of Quadriceps Femoris during Isometric Knee Flexion Contraction 1) 2) TAKAHIRO UCHIDA, RPT 1), TOSHIO SOMA, RPT, PhD 2) 1) Department of Rehabilitation Center, Kanazawa Medical University Hospital: 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa , Japan TEL Street.zigzag@gmail.com 2) Department of Physical Therapy, Niigata University of Health and Welfare Rigakuryoho Kagaku 32(1): 51 55, Submitted Jun. 16, Accepted Sep. 14, ABSTRACT: [Purpose] To clarify the effect of changes in flexion torque and angle in knee flexion exercises on the muscle activity of the quadriceps femoris, an antagonist of flexion. [Subjects and Methods] The subjects were 12 healthy adults. An isometric knee flexion exercise was performed with the knee flexed at 30 and 90. The muscle activities of the rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) were measured using electromyography. [Results] The muscle activity of RF at knee flexion of 30 was significantly lower than that of 90. In contrast, the muscle activity of VL was significantly greater at knee flexion of 30 than that of 90. [Conclusion] The results suggest that in open kinetic chain knee flexion exercises, the posterior cruciate ligament experiences stress at knee flexion of 90, suppressing the muscle activity of RF. Key words: quadriceps femoris, open kinetic chain, co-activation 要旨 : キーワード : 1) TEL )
2 I. はじめに Activities of daily living ADL 1) Osteoarthritis of the knee OAK Anterior cruciate ligament ACL OAK Open kinetic chain OKC 2) OKC OAK Total knee arthroplasty TKA 3) ACL Closed kinetic chain CKC 3) CKC ADL OKC CKC 4) CKC OKC OKC 5 8) OKC 5,6) OKC 9,10) OKC 10) CKC OKC Chandramouli OKC 7) OKC II. 対象と方法 cm kg 2 BIODEX SYSTEM Maximum voluntary contraction MVC 5 MVC 2 MVC MVC 20 MVC 30 MVC 50 MVC Rectus femoris RF Vastus medialis VM Vastus lateralis VLRF VM 4 55 VL blue sensor
3 cm DPA-10P DPA-10PB-J16 LabChart AD instrument AD Power Lab AD instrument 10 Hz 1 khz 2 khz Integrated 1 Electromyography IEMG MVC 10 MVC MVC 2 IEMG 100 IEMG IEMG MVC Tukey-Kramer t Wilcoxon 5 図 1 III. 結 果 MVC MVC 10 MVC 20 MVC 30 MVC RF VL 10 MVC 30 MVC RF VL MVC VM 1 IV. 考 察 図 2 OKC 表 1 MVC 10 MVC 20 MVC 30 MVC 50 MVC **,, **, **, **, ** ** ** ** ** ** * **,, **, **, **, ** ** n 12 p 0.05 p MVC * p 0.05 ** p MVC p 0.05 p 0.01
4 ACL ACL 11) ACL 6,12) OKC Posterior cruciate ligament PCL 13,14) OKC PCL OKC 50 MVC 10 MVC 7) OKC 50 MVC 10 MVC RF RF RF 15) 16) Ia 17) RF VL VL 18,19) VL VL 30 RF VM VL 20) RF VM VL RF VL VM 21) VM VL 22) 30 VL RF OKC ) 引用文献 1) 2006, pp ) Fulkerson JP: Diagnosis and treatment of patients with patellofemoral pain. Am J Spoets Med, 2002, 30(3): ) 2013, pp ) 2002, 23: ) Kellis E: Quantification of quadriceps and hamstring antagonist actinity. Sports Med, 1998, 25(1): ) Baratta R, Solomonow M, Zhou BH, et al.: Muscular coactivation. The role of the antagonist musculature in maintaining knee stability. Am J Sports Med, 1988, 16(2): ) Chandramouli K, Eric J, Glenn N: Effect of knee position on quadriceps muscle force steadiness and activation strategies. Muscle Nerve, 2011, 43(4): ) Frey L, Avin KG: Muscle coactivation: A generalized or localized motor control strategy? Muscle Nerve, 2013, 48(4): ) Brain L, Roger M: Older adults are less steady during submaximal isometric with the knee extensor muscle. J Appl Physiol (1985), 2002, 92(3):
5 55 10) Brian C, Clark R, Pierce M, et al.: Effect of prolonged unweighting of human skeletal muscle on neuromotor force control. Eur J Appl Physiol, 2007, 100(1): ) Schutte MJ, Dabezies EJ, Zimny ML, et al.: Neural anatomy of the human anterior cruciate ligament. J Bone Joint Surg Am, 1987, 69(2): ) Draganich LF, Vahey JW: An in vitro study of anterior cruciate ligament strain induced by quadriceps and hamstrings forces. J Orthop Res, 1990, 8(1): ) Wilk KE: Rehabilitation of isolated and combined posterior cruciate ligament injuries. Clin Sports Med, 1994, 13(3): ) Wang CJ: Injuries to the posterior cruciate ligament and posterolateral instabilities of the knee. Chang Gung Med J, 2002, 25(5): ) 1996, 11(1): ) Kapandji I A: pp ) 2010, pp ) Gans C, Vree F: Functional bases of fiber length and angulation in muscle. J Morphol, 1987, 192(1): ) 2003, pp ) Heegaard J, Leyvraz PF, Van Kampen A, et al.: Influence of soft structures on patellar three dimensional tracking. Clin Orthop Relat Res, 1994, 299: ) Neumann DA: 2012, pp ) Heino Brechter J, Powers CM: Patellofemoral stress during walking in persons with and without patellofemoral pain. Med Sci Sports Exerc, 2002, 34(10): ) 1999, 26(2):
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