不同高度负跟鞋对健康成人腰腹肌和下肢肌活动的影响  

Effects of negative heel shoes of different heights on the activity of psoas and abdominal muscles and lower limb muscles in healthy adults

作　　者：刘静文 李辉[1] 赵玉敏 刘鹏民 王文彪[1] LIU Jingwen;LI Hui;ZHAO Yumin;LIU Pengmin;WANG Wenbiao(The First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan,China)

机构地区：[1]新乡医学院第一附属医院,河南卫辉453100

出　　处：《中医正骨》2023年第5期14-19,共6页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：二○二一年度新乡医学院第一附属医院青年培育基金项目(QN-2021-B04)。

摘　　要：目的:探讨不同高度负跟鞋对健康成人腰腹肌和下肢肌活动的影响。方法:选取45名健康成人作为受试者,男15名、女30名,年龄(34.87±12.79)岁,身高(167.93±7.15)cm,体质量(65.87±10.82)kg。采用BTS FreeEMG300无线表面肌电系统测定受试者依次穿5种不同高度的负跟鞋(平底鞋、0.5 cm负跟鞋、1 cm负跟鞋、1.5 cm负跟鞋、2 cm负跟鞋)自然匀速直线行走7个步行周期时,双侧腹直肌、腰椎旁肌、胫骨前肌及腓肠肌内侧头的表面肌电信号均方根值(root mean square,RMS)。结果:①腹直肌。受试者穿同一高度负跟鞋行走时,双侧腹直肌表面肌电信号RMS比较,差异均无统计学意义[平底鞋:(15.80,13.59)μV,(17.81,11.70)μV,Z=-5.150,P=0.606;0.5 cm负跟鞋:(16.58,11.77)μV,(17.38,10.77)μV,Z=-0.125,P=0.901;1 cm负跟鞋:(16.33,11.62)μV,(17.25,12.12)μV,Z=-5.190,P=0.604;1.5 cm负跟鞋:(17.50,11.51)μV,(18.09,12.47)μV,Z=-0.023,P=0.981;2 cm负跟鞋:(16.80,11.41)μV,(17.64,10.86)μV,Z=-0.164,P=0.870];受试者穿不同高度负跟鞋行走时,同侧腹直肌表面肌电信号RMS比较,差异均无统计学意义(左侧:χ^(2)=9.191,P=0.056;右侧:χ^(2)=8.645,P=0.071)。②腰椎旁肌。受试者穿同一高度负跟鞋行走时,双侧腰椎旁肌表面肌电信号RMS比较,差异均无统计学意义[平底鞋:(5.43,5.46)μV,(5.65,3.45)μV,Z=-0.412,P=0.681;0.5 cm负跟鞋:(6.04,5.25)μV,(6.53,3.54)μV,Z=-0.198,P=0.843;1 cm负跟鞋:(6.10,5.60)μV,(6.00,4.21)μV,Z=-0.149,P=0.881;1.5 cm负跟鞋:(5.85,5.82)μV,(5.83,4.20)μV,Z=-0.222,P=0.824;2 cm负跟鞋:(6.60,5.15)μV,(5.73,4.41)μV,Z=-0.052,P=0.958];受试者穿不同高度负跟鞋行走时,同侧腰椎旁肌表面肌电信号RMS比较,差异均无统计学意义(左侧:χ^(2)=4.996,P=0.288;右侧:χ^(2)=9.156,P=0.057)。③胫骨前肌。受试者穿同一高度负跟鞋行走时,双侧胫骨前肌表面肌电信号RMS比较,差异均无统计学意义[平底鞋:(51.27,39.27)μV,(49.65,48.12)μV,Z=-0.399,P=0.690;0.5 cm负跟鞋:(51.92,42.07Objective:To investigate the effects of negative heel shoes of different heights on the activity of psoas and abdominal muscles and lower limb muscles in healthy adults.Methods:Forty-five healthy adults were enrolled,including 15 males and 30 females,with age of(34.87±12.79)years,height of(167.93±7.15)cm,and weight of(65.87±10.82)kg.The surface electromyography(EMG)signals of the bilateral rectus abdominis,paravertebral muscle,tibialis anterior,and medial head of the gastrocnemius muscle were measured using the BTS FreeEMG300 wireless surface EMG system while the participants walked in a straight line at a natural and uniform pace for seven walking cycles in five different heights of negative heel shoes(flat shoes,0.5 cm,1 cm,1.5 cm,and 2 cm negative heel shoes).The root mean square(RMS)of the surface EMG signals was calculated.Results:①Rectus abdominis.When the participants walked in negative heel shoes of the same height,there was no statistical difference in the RMS of the surface EMG signals between the bilateral rectus abdominis(flat shoes:(15.80,13.59)vs(17.81,11.70)μV,Z=-5.150,P=0.606;0.5 cm negative heel shoes:(16.58,11.77)vs(17.38,10.77)μV,Z=-0.125,P=0.901;1 cm negative heel shoes:(16.33,11.62)vs(17.25,12.12)μV,Z=-5.190,P=0.604;1.5 cm negative heel shoes:(17.50,11.51)vs(18.09,12.47)μV,Z=-0.023,P=0.981;2 cm negative heel shoes:(16.80,11.41)vs(17.64,10.86)μV,Z=-0.164,P=0.870).When the participants walked in negative heel shoes of different heights,there was no statistical difference in the RMS of the surface EMG signals of the ipsilateral rectus abdominis(left side:χ^(2)=9.191,P=0.056;right side:χ^(2)=8.645,P=0.071).②Paravertebral muscle.When the participants walked in negative heel shoes of the same height,there was no statistical difference in the RMS of surface EMG signals between the bilateral paravertebral muscle(flat shoes:(5.43,5.46)vs(5.65,3.45)μV,Z=-0.412,P=0.681;0.5 cm negative heel shoes:(6.04,5.25)vs(6.53,3.54)μV,Z=-0.198,P=0.843;1 cm negative heel shoes:(6.10,5.60)vs(6.00,4.21)

关 键 词：肌电描记术 负跟鞋 腰肌 腹肌 下肢肌 横断面研究 

分 类 号：R685[医药卫生—骨科学]