Plane Dependent Subject-Specific Neuromuscular Training for Knee Rehabilitation.
Plane Dependent Subject-Specific Neuromuscular Training for Knee Rehabilitation.
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用于膝关节康复的平面相关主题特定神经肌肉训练。
DOI：
10.1109/tnsre.2020.3005119
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Zhang,Li-Qun
中科院分区：
文献类型：
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作者：
Lee,SongJoo;Ren,Yupeng;Chang,AlisonH;Press,JoelM;Hochberg,MarcC;Zhang,Li-Qun
有创伤后膝关节骨关节炎（PTOA）和膝关节骨关节炎（OA）风险的膝关节损伤与膝关节横面和/或额面不稳定和过度负荷密切相关。然而，大多数现有的训练和康复装置主要涉及矢状平面中的运动。开发了一种离轴椭圆训练系统，用于训练和评估关于离轴（膝关节内翻/外翻和胫骨旋转）以及主屈曲/伸展轴（矢状运动）的神经肌肉控制。通过对存在PTOA或内侧膝关节骨关节炎风险的膝关节损伤受试者进行6周受试者特定神经肌肉训练，证明了离轴椭圆训练系统在根据受试者需求改善横向或额叶神经肌肉控制方面的效果（旋转组，滑动组）。旋转和滑动组合组（称为偏心组）显示旋转不稳定性、最小旋转角和滑动不稳定性显著降低。旋转组在旋转不稳定性、最大和最小旋转角方面比滑动组减少更多。另一方面，滑动组表现出更多的减少滑动不稳定性，最大和最小滑动距离比枢转组。基于这些发现，离轴椭圆训练机系统可以潜在地被用作治疗和研究工具，以训练人类受试者在功能性负重步进运动期间的神经肌肉控制的平面依赖性改善。
Knee injuries at risk of post-traumatic knee osteoarthritis (PTOA) and knee osteoarthritis (OA) are closely associated with knee transverse plane and/or frontal plane instability and excessive loading. However, most existing training and rehabilitation devices involve mainly movements in the sagittal plane. An offaxis elliptical training system was developed to train and evaluate neuromuscular control about the off-axes (knee varus/valgus and tibial rotation) as well as the main flexion/extension axis (sagittal movements). Effects of the offaxis elliptical training system in improving either transverse or frontal neuromuscular control depending on subjects' need (Pivoting group, Sliding group) were demonstrated through 6-week subject-specific neuromuscular training in subjects with knee injuries at risk of PTOA or medial knee osteoarthritis. The combined pivoting and sliding group, named as offxis group demonstrated significant reduction in pivoting instability, minimum pivoting angle, and sliding instability. The pivoting group showed more reduction in pivoting instability, maximum and minimum pivoting angle than the sliding group. On the other hand, the sliding group showed more reduction in sliding instability, maximum and minimum sliding distance than the pivoting group. Based on these findings, the offaxis elliptical trainer system can potentially be used as a therapeutic and research tool to train human subjects for plane-dependent improvements in their neuromuscular control during functional weight-bearing stepping movements.