拇外翻老年人坐立过程中的肌肉协同特征分析

doi:10.3969/j.issn.1006-5725.2024.10.008

Abstract

Abstract:

Objective To analyze changes in neuromuscular control during sit-to-stand （STS） in older adults with hallux valgus （HV） through muscle synergy， and thus to explore the effect of falls in older adults with HV. Methods Four groups of subjects were included in this study， 13 young controls （YC）； 12 young HVgroup （HVY）； 14 healthy elderly controls （EC）； and 15 elderly HV group （HVE）. All subjects completed the STS maneuver in an armless chair， and EMG data were integrated using non-negative matrix factorization to compare muscle synergies in the YC， HVY， EC， and HVE groups； plantar pressures （COP）， ground reaction forces （GRF）， and fall scores （FES-I） were collected. Results Compared with YC group， HVY， EC， and HVE groups had lower relative activation amplitude of abductor hallucis and lateral gastrocnemius in STS preparation phase； meanwhile， EC and HVE groups needed more muscle activation to maintain stability of trunk and foot-ankle joints in STS stabilization phase； and HVE group needed more co-contractions of thigh muscles to maintain stability of the knee joint. The COP， FES-I of HVE group was higher than that of the other groups （P < 0.05）. Conclusion In STS， healthy older adults and older adults with HV required more muscle activation to maintain trunk and ankle stability； older adults with HV required more co-contraction of the thigh muscles to maintain knee stability； in addition to this， older adults with HV were more prone to falls.

Key words: elderly hallux valgus, muscle synergy, sit-to-stand exercise, nonnegative matrix factorization

CLC Number:

R496

Yanyan LIU,Lei QIAN,Ruiping LIU,Jun OUYANG,Gang. LIU. Characterization of muscle synergy during sitting and standing in older adults with hallux valgus[J]. The Journal of Practical Medicine, 2024, 40(10): 1376-1381.

Figures/Tables 6

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References 37

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	YC组	HVY组	EC组	HVE组	F值	P值
性别（男/女，例）	7/6	3/9	8/6	5/10
年龄（x ± s，岁）	26.31 ± 2.50	25.17 ± 2.25	66.71 ± 6.06*	70.67 ± 6.01*	373.653	0.000
身高（x ± s，cm）	168.31 ± 7.32	166.58 ± 10.64	166.07 ± 9.66	161.4 ± 5.10	1.794	0.160
体质量（x ± s，kg）	61.15 ± 10.21	59.58 ± 13.20	68.14 ± 13.07	62.8 ± 6.97	1.524	0.220

	YC组	HVY组	EC组	HVE组	F值	P 值
COP-A	0.66 ± 0.10	0.69 ± 0.09	0.69 ± 0.10	0.86 ± 0.34	3.005	0.039
COP-P	-0.75 ± 0.21	-1.22 ± 0.97	-0.85 ± 0.95	-0.65 ± 0.79	0.765	0.519
COP-D	2.60 ± 0.97	2.72 ± 0.99	2.91 ± 1.93	2.91 ± 1.15	0.178	0.911
GRF-Max	1.05 ± 0.09	1.05 ± 0.06	1.03 ± 0.11	1.01 ± 0.19	0.242	0.867
MT	1.56 ± 0.40	1.41 ± 0.19	1.43 ± 0.34	1.29 ± 0.34	1.598	0.202
T-SO	0.33 ± 0.06	0.32 ± 0.04	0.28 ± 0.08	0.29 ± 0.10	1.453	0.239
FES-I	22.85 ± 3.60	24.17 ± 7.32	25.50 ± 3.01	32.47 ± 11.32	4.937	0.004

Characterization of muscle synergy during sitting and standing in older adults with hallux valgus

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