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[1]劉靜文,李輝,趙玉敏,等.不同高度負(fù)跟鞋對(duì)健康成人腰腹肌和下肢肌活動(dòng)的影響[J].中醫(yī)正骨,2023,35(05):14-19.
　LIU Jingwen,LI Hui,ZHAO Yumin,et al.Effects of negative heel shoes of different heights on the activity of psoas and abdominal muscles and lower limb muscles in healthy adults[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(05):14-19.
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不同高度負(fù)跟鞋對(duì)健康成人腰腹肌和下肢肌活動(dòng)的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年05期
頁碼:
14-19
欄目:
臨床研究
出版日期:
2023-05-20

文章信息/Info

Title:
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:
劉靜文; 李輝; 趙玉敏; 劉鵬民; 王文彪
(新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院,河南 衛(wèi)輝 453100)
Author(s):
LIU Jingwen; LI Hui; ZHAO Yumin; LIU Pengmin; WANG Wenbiao
The First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan,China
關(guān)鍵詞:
肌電描記術(shù);  負(fù)跟鞋;  腰肌;  腹肌;  下肢肌;  橫斷面研究
Keywords:
electromyography;  negative heel shoes;  psoas muscles;  abdominal muscles;  muscle of lower limb;  cross-sectional studies
摘要:
目的:探討不同高度負(fù)跟鞋對(duì)健康成人腰腹肌和下肢肌活動(dòng)的影響。方法:選取45名健康成人作為受試者,男15名、女30名,年齡(34.87±12.79)歲,身高(167.93±7.15)cm,體質(zhì)量(65.87±10.82)kg。采用BTS FreeEMG300無線表面肌電系統(tǒng)測(cè)定受試者依次穿5種不同高度的負(fù)跟鞋(平底鞋、0.5 cm負(fù)跟鞋、1 cm負(fù)跟鞋、1.5 cm負(fù)跟鞋、2 cm負(fù)跟鞋)自然勻速直線行走7個(gè)步行周期時(shí),雙側(cè)腹直肌、腰椎旁肌、脛骨前肌及腓腸肌內(nèi)側(cè)頭的表面肌電信號(hào)均方根值(root mean square,RMS)。結(jié)果:①腹直肌。受試者穿同一高度負(fù)跟鞋行走時(shí),雙側(cè)腹直肌表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義[平底鞋:(15.80,13.59)μV,(17.81,11.70)μV,Z=-5.150,P=0.606; 0.5 cm負(fù)跟鞋:(16.58,11.77)μV,(17.38,10.77)μV,Z=-0.125,P=0.901; 1 cm負(fù)跟鞋:(16.33,11.62)μV,(17.25,12.12)μV,Z=-5.190,P=0.604; 1.5 cm負(fù)跟鞋:(17.50,11.51)μV,(18.09,12.47)μV,Z=-0.023,P=0.981; 2 cm負(fù)跟鞋:(16.80,11.41)μV,(17.64,10.86)μV,Z=-0.164,P=0.870]; 受試者穿不同高度負(fù)跟鞋行走時(shí),同側(cè)腹直肌表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義(左側(cè):χ2=9.191,P=0.056; 右側(cè):χ2=8.645,P=0.071)。②腰椎旁肌。受試者穿同一高度負(fù)跟鞋行走時(shí),雙側(cè)腰椎旁肌表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義[平底鞋:(5.43,5.46)μV,(5.65,3.45)μV,Z=-0.412,P=0.681; 0.5 cm負(fù)跟鞋:(6.04,5.25)μV,(6.53,3.54)μV,Z=-0.198,P=0.843; 1 cm 負(fù)跟鞋:(6.10,5.60)μV,(6.00,4.21)μV,Z=-0.149,P=0.881; 1.5 cm負(fù)跟鞋:(5.85,5.82)μV,(5.83,4.20)μV,Z=-0.222,P=0.824; 2 cm負(fù)跟鞋:(6.60,5.15)μV,(5.73,4.41)μV,Z=-0.052,P=0.958]; 受試者穿不同高度負(fù)跟鞋行走時(shí),同側(cè)腰椎旁肌表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義(左側(cè):χ2=4.996,P=0.288; 右側(cè):χ2=9.156,P=0.057)。③脛骨前肌。受試者穿同一高度負(fù)跟鞋行走時(shí),雙側(cè)脛骨前肌表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義[平底鞋:(51.27,39.27)μV,(49.65,48.12)μV,Z=-0.399,P=0.690; 0.5 cm負(fù)跟鞋:(51.92,42.07)μV,(54.11,46.61)μV,Z=-0.101,P=0.920; 1 cm負(fù)跟鞋:(51.46,39.79)μV,(58.69,33.93)μV,Z=-0.488,P=0.625; 1.5 cm負(fù)跟鞋:(58.53,29.36)μV,(49.16,47.71)μV,Z=-0.480,P=0.631; 2 cm負(fù)跟鞋:(56.26,41.17)μV,(53.54,45.56)μV,Z=-0.246,P=0.806]。受試者穿不同高度負(fù)跟鞋行走時(shí),右側(cè)脛骨前肌表面肌電信號(hào)RMS的差異無統(tǒng)計(jì)學(xué)意義(χ2=5.831,P=0.212)。受試者穿平底鞋、0.5 cm負(fù)跟鞋、1 cm負(fù)跟鞋行走時(shí)的左側(cè)脛骨前肌表面肌電信號(hào)RMS均低于穿2 cm負(fù)跟鞋行走時(shí)的左側(cè)脛骨前肌表面肌電信號(hào)RMS(χ2=-4.133,P=0.000; χ2=-2.867,P=0.041; χ2=-3.000,P=0.027),穿平底鞋行走時(shí)的左側(cè)脛骨前肌表面肌電信號(hào)RMS低于穿1.5 cm負(fù)跟鞋行走時(shí)的左側(cè)脛骨前肌表面肌電信號(hào)RMS(χ2=-3.133,P=0.017)。④腓腸肌內(nèi)側(cè)頭。受試者穿同一高度負(fù)跟鞋行走時(shí),雙側(cè)腓腸肌內(nèi)側(cè)頭表面肌電信號(hào)RMS比較,差異均無統(tǒng)計(jì)學(xué)意義[平底鞋:(50.13,28.83)μV,(51.75,30.80)μV,Z=-0.344,P=0.731; 0.5 cm負(fù)跟鞋:(53.14,28.77)μV,(56.79,32.07)μV,Z=-0.246,P=0.806; 1 cm負(fù)跟鞋:(53.04,27.31)μV,(54.46,26.19)μV,Z=-0.026,P=0.979; 1.5 cm負(fù)跟鞋:(56.17,27.91)μV,(58.90,31.46)μV,Z=-0.064,P=0.949; 2 cm負(fù)跟鞋:(53.36,34.45)μV,(58.19,32.32)μV,Z=-0.563,P=0.573]。受試者穿不同高度負(fù)跟鞋行走時(shí),左側(cè)腓腸肌內(nèi)側(cè)頭表面肌電信號(hào)RMS兩兩比較,差異均無統(tǒng)計(jì)學(xué)意義。受試者穿平底鞋、0.5 cm負(fù)跟鞋、1 cm負(fù)跟鞋行走時(shí)的右側(cè)腓腸肌內(nèi)側(cè)頭表面肌電信號(hào)RMS均低于穿2 cm負(fù)跟鞋行走時(shí)的右側(cè)腓腸肌內(nèi)側(cè)頭表面肌電信號(hào)RMS(χ2=-3.333,P=0.009; χ2=-3.000,P=0.027; χ2=-3.467,P=0.005)。結(jié)論:健康成人穿高度≤2 cm的負(fù)跟鞋短時(shí)間勻速直線行走,不會(huì)影響兩側(cè)腰腹肌和下肢肌收縮的對(duì)稱性; 負(fù)跟鞋高度對(duì)下肢肌活動(dòng)影響較大,對(duì)腰腹肌無明顯影響。
Abstract:
Objective: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:χ2=9.191,P=0.056; right side:χ2=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)μV,Z=-0.149,P=0.881; 1.5 cm negative heel shoes:(5.85,5.82)vs(5.83,4.20)μV,Z=-0.222,P=0.824; 2 cm negative heel shoes:(6.60,5.15)vs(5.73,4.41)μV,Z=-0.052,P=0.958).When the participants walked in negative heel shoes of different heights,there was no statistical difference in the RMS of surface EMG signals of the ipsilateral paravertebral muscle(left side:χ2=4.996,P=0.288; right side:χ2=9.156,P=0.057).③Tibialis anterior.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 tibialis anterior(flat shoes:(51.27,39.27)vs(49.65,48.12)μV,Z=-0.399,P=0.690; 0.5 cm negative heel shoes:(51.92,42.07)vs(54.11,46.61)μV,Z=-0.101,P=0.920; 1 cm negative heel shoes:(51.46,39.79)vs(58.69,33.93)μV,Z=-0.488,P=0.625; 1.5 cm negative heel shoes:(58.53,29.36)vs(49.16,47.71)μV,Z=-0.480,P=0.631; 2 cm negative heel shoes:(56.26,41.17)vs(53.54,45.56)μV,Z=-0.246,P=0.806).When the participants walked in negative heel shoes of different heights,there was no statistical difference in the RMS of surface EMG signals of the tibialis anterior on the right side(χ2=5.831,P=0.212).The RMS of the surface EMG signals of the tibialis anterior on the left side when participants walked in flat shoes,0.5 cm negative heel shoes,and 1 cm negative heel shoes was lower than that in 2 cm negative heel shoes(χ2=-4.133,P=0.000; χ2=-2.867,P=0.041; χ2=-3.000,P=0.027).The RMS of the surface EMG signals of the tibialis anterior on the left side when participants walked in flat shoes was lower than that in 1.5 cm negative heel shoes(χ2=-3.133,P=0.017).④Medial head of the gastrocnemius 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 medial head of the gastrocnemius muscle(flat shoes:(50.13,28.83)vs(51.75,30.80)μV,Z=-0.344,P=0.731; 0.5 cm negative heel shoes:(53.14,28.77)vs(56.79,32.07)μV,Z=-0.246,P=0.806; 1 cm negative heel shoes:(53.04,27.31)vs(54.46,26.19)μV,Z=-0.026,P=0.979; 1.5 cm negative heel shoes:(56.17,27.91)vs(58.90,31.46)μV,Z=-0.064,P=0.949; 2 cm negative heel shoes:(53.36,34.45)vs(58.19,32.32)μV,Z=-0.563,P=0.573).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 medial head of the gastrocnemius muscle on the left side.The RMS of the surface EMG signals of the medial head of the gastrocnemius muscle on the right side when participants walked in flat shoes,0.5 cm negative heel shoes,and 1 cm negative heel shoes was lower than that in 2 cm negative heel shoes(χ2=-3.333,P=0.009; χ2=-3.000,P=0.027; χ2=-3.467,P=0.005).Conclusion:For healthy adults,walking in a straight line at a constant speed in negative heel shoes with a height of≤2 cm does not affect the symmetry of the contraction of the bilateral psoas muscles,abdominal muscles,and muscle of lower limb.The height of the negative heel shoes has a significant impact on the activity of the muscle of lower limb but has no significant effect on the psoas and abdominal muscles.

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中醫(yī)正骨2023年5月第35卷第5期 J Trad Chin Orthop Trauma,2023,Vol.35,No.5(總339)
(總340)中醫(yī)正骨2023年5月第35卷第5期 J Trad Chin Orthop Trauma,2023,Vol.35,No.5
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備注/Memo

備注/Memo:
基金項(xiàng)目:二〇二一年度新鄉(xiāng)醫(yī)學(xué)院第一附屬醫(yī)院青年培育基金項(xiàng)目(QN-2021-B04) 通訊作者:王文彪 E-mail:[email protected]
更新日期/Last Update: 1900-01-01