اثر خستگی در نقطه شکست ضربان قلب بر هم‌انقباضی عضلات مچ پا طی دویدن در افراد سالم و با پای پرونیت

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 استاد فیزیولوژی ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 دانشیار فیزیولوژی ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

4 دانشجوی کارشناسی ارشد فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه علامه طباطبایی، تهران، ایران

10.22037/jrm.2020.113535.2386

چکیده

مقدمه و اهداف
پای پرونیت، به­ عنوان یکی از ناهنجاری‌های رایج پا می‌تواند بیومکانیک دویدن و خطر آسیب­ دیدگی اندام ‌تحتانی را تحت تأثیر قرار دهد. خستگی پیامد یک فعالیت سنگین می‌تواند پارامترهای بیومکانیکی حرکت را تغییر دهد، تحت شرایط خستگی اختلافات بیومکانیکی افراد پای پرونیت و سالم آسان­تر مشخص می‌شود؛ بنابراین هدف اصلی مطالعه حاضر بررسی تاثیر خستگی در نقطه شکست ضربان قلب بر هم‌انقباضی عضلات مچ پا در افراد پای پرونیت و سالم طی دویدن بود.
مواد و روش ­ها
تعداد 14 نفر مرد جوان با پای پرونیت و 14 نفر با پای سالم در مطالعه حاضر شرکت کردند. فعالیت الکترومایوگرافی عضلات منتخب قبل و بعد از اجرای پروتکل ثبت گردید. داده‌ها با استفاده از نرم‌افزار SPSS و آزمون تحلیل واریانس با اندازه­گیری­ های مکرر مورد تجزیه­ و­تحلیل قرار گرفت (0/05>p)
یافته­ ها
یافته‌ها در گروه پای پرونیت در مقایسه با پای سالم نشان داد که در هم‌انقباضی عمومی طی فاز میانه‌استقرار، به­طور معنا‌داری کمتر (0/049=p ،0/81=d) و در هم‌انقباضی جهت‌دار طی فاز جدا‌ شدن پاشنه به­طور معنا‌داری بیشتر بود (0/038= p،0/85=d). سایر مؤلفه‌ها هیچ‌گونه اختلاف معنا‌داری را نشان ندادند.
نتیجه­ گیری
هم‌انقباضی عمومی افراد پای پرونیت در مقایسه با گروه سالم در فاز میانه استقرار کمتر بود. شاید ضعف عضلات اطراف مفصل به دلیل تغییر راستای استخوان‌های کف پا یکی از دلایل آن باشد. افزایش در هم‌انقباضی جهت‌دار در افراد پای پرونیت، نشان از افزایش فشار بر ساختارهای داخلی مچ پا می‌باشد. شاید دویدن‌های طولانی‌مدت ساختارهای داخلی پای این افراد را بیشتر در معرض خطر اضافه‌بار و آسیب قرار دهد؛ لذا پیشنهاد می‌شود برای این افراد برنامه‌های توانبخشی در نظر گرفته شود که هم‌انقباضی عمومی رو به ویژه در فاز میانه استقرار افزایش دهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Fatigue at Heart Rate Deflection Point on Ankle Muscle Co-Contraction during Running in Healthy Individuals and Those with a Pronated Foot

نویسندگان [English]

  • Ahmad Fasihi 1
  • Marefat Siahkouhian 2
  • Amirali Jaafarnejad 3
  • Lotfali Bolboli 3
  • Leila Fasihi 4
1 PhD Student, Sport Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2 Professor, Sport Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3 Associate Professor, Sport Biomechanic, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
4 Masters Student, Sport Physiology, Faculty of Physical Education and Sport Science, University of Allameh Tabatabaii, Tehran, Iran
چکیده [English]

Background and Aims: Pronated foot, as one of the common foot deformities, can affect the biomechanics of running and risk of lower extremity injury. Fatigue, as a result of doing heavy tasks, can also change biomechanical parameters of locomotion. Under the fatigue conditions, the biomechanical differences between individuals with pronated and healthy feet are more easily identified. Thus, the main objective of the present study was to examine the effects of fatigue at heart rate deflection point on ankle muscle co-contraction between pronated and healthy feet during running.
Materials and Methods: A total of 14 young men with pronated feet and 14 individuals with healthy feet participated in the study. Electromyographic activities of the selected muscles before and after fatigue protocol were recorded. The statistical analysis was performed using the SPSS software and running ANOVA (p≤0.05).
Results: Findings in the pronated foot compared with the healthy footgroup showed that the ankle general co-contraction was significantly lower in the mid-stance phase (p=0.049; d=0.81) and the directed co-contraction was significantly more in the heel off phase (p=0.038; d=0.85). Other components did not show any significant differences (P > 0.05).
Conclusion: The general co-contraction of the pronated feet was less than that in the healthy group in the middle phase. Weakness of the muscles around the joint may be one of the reasons for the change in the direction of the bones of the sole of the foot. An increase in directional co-contraction in people with pronated feet indicates an increase in pressure on the internal structures of the ankle. Long-term running may expose the internal structures of the foot to the risk of overload and injury. Therefore, it is suggested that rehabilitation programs be considered for these individuals, which will also increase the general co-contraction, especially in the mid-stance phase.

کلیدواژه‌ها [English]

  • Pronated foot
  • co-contraction
  • Fatigue
  • Running
  • Heart rate deflection point
1.         Gandevia SC. Spinal and supraspinal factors in human muscle fatigue. Physiological reviews. 2001;81(4):1725-89.##

2.         Anbarian M, Esmaeili H. Effects of running-induced fatigue on plantar pressure distribution in novice runners with different foot types. Gait & posture. 2016;48:52-6. ##

3.         Jafarnezhadgero A, Sorkhe E, Meamarbashi A. Efficacy of motion control shoes for reducing the frequency response of ground reaction forces in fatigued runners. Journal of Advanced Sport Technology. 2019;2(1):8-21. ##

4.         Milgrom C, Radeva-Petrova DR, Finestone A, Nyska M, Mendelson S, Benjuya N, et al. The effect of muscle fatigue on in vivo tibial strains. Journal of biomechanics. 2007;40(4):845-50. ##

5.         Mizrahi J, Verbitsky O, Isakov E, Daily D. Effect of fatigue on leg kinematics and impact acceleration in long distance running. Human movement science. 2000;19(2):139-51. ##

6.         Walsh M, Peper A, Bierbaum S, Karamanidis K, Arampatzis A. Effects of submaximal fatiguing contractions on the components of dynamic stability control after forward falls. Journal of Electromyography and Kinesiology. 2011;21(2):270-5. ##

7.         Cote KP, Brunet ME, II BMG, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. Journal of athletic training. 2005;40(1):41. ##

8.         Morasiewicz P, Urbański W, Kulej M, Dragan SŁ, Dragan SF, Pawik Ł. Balance and lower limb loads distribution after Ilizarov corticotomy. Injury. 2018;49(4):860-5. ##

9.         Baumfeld D, Baumfeld T, da Rocha RL, Macedo B, Raduan F, Zambelli R, et al. Reliability of baropodometry on the evaluation of plantar load distribution: a transversal study. BioMed research international. 2017;2017. ##

10.       Felson DT, Niu J, Gross KD, Englund M, Sharma L, Cooke TDV, et al. Valgus malalignment is a risk factor for lateral knee osteoarthritis incidence and progression: findings from the Multicenter Osteoarthritis Study and the Osteoarthritis Initiative. Arthritis & Rheumatism. 2013;65(2):355-62. ##

11.       Shojaedin S, Khaleghi Tazji M, Sadeghi H, Abasi A. Dynamic stability of the abnormality in the foot rotated in and out in motion of the jump–landing. J Motor Sciences and Sport. 2008;6(11):28-13. ##

12.       Schoenecker P, Rich M. The lower extremity,(Ed. 6), Lovell and Winter’s pediatric orthopaedics. Philadelphia: Lippincott, Williams and Wilkins. 2005;39(1):43-6. ##

13.       Chen J-P, Chung M-J, Wang M-J. Flatfoot prevalence and foot dimensions of 5–to 13-year-old children in Taiwan. Foot & ankle international. 2009;30(4):326-32. ##

14.       Mosca VS. Flexible flatfoot and skewfoot. JBJS. 1995;77(12):1937-45. ##

15.       Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research. 2009;2(1):35. ##

16.       Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2005;60(12):1546-52. ##

17.       Dahle LK, Mueller M, Delitto A, Diamond JE. Visual assessment of foot type and relationship of foot type to lower extremity injury. Journal of Orthopaedic & Sports Physical Therapy. 1991;14(2):70-4. ##

18.       Williams Iii DS, McClay IS, Hamill J. Arch structure and injury patterns in runners. Clinical biomechanics. 2001;16(4):341-7. ##

19.       Armstrong R. Initial events in exercise-induced muscular injury. Medicine and science in sports and exercise. 1990;22(4):429-35. ##

20.       Anbarian M, Esmailie H, Hosseini Nejad S, Rabiei M, Binabaji H. Comparison of knee joint muscles activity in subjects with genu varum and the controls during walking and running. J Res Rehabil Sci. 2012;8(2):298-309. ##

21.       ESMAEILI H, ANBARIAN M, HAJILOO B, SANJARI MA. The immediate effect of foot insole on electromyography activity and co-contraction of leg muscles in individuals with flat feet. 2013. ##

22.       Rabiei M, Jafarnejhad-Gre T, Binabaji H, Hosseininejad SE, Anbarian M. Assessment of postural response after sudden perturbation in subjects with genu valgum. Journal of Shahrekord Uuniversity of Medical Sciences. 2012;14. ##

23.       Hubley-Kozey C, Deluzio K, Dunbar M. Muscle co-activation patterns during walking in those with severe knee osteoarthritis. Clinical biomechanics. 2008;23(1):71-80. ##

24.       Tsai L-C, Yu B, Mercer VS, Gross MT. Comparison of different structural foot types for measures of standing postural control. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(12):942-53. ##

25.       Hofmann P, Peinhaupt G, Leitner H, Pokan R, editors. Evaluation of heart rate threshold by means of lactate steady state and endurance tests in white water kayakers. The Way To Win Proceedings of the International Congress on Applied Research in Sports held in Helsinki, Finland, on; 1994. ##

26.       Billat LV. Use of blood lactate measurements for prediction of exercise performance and for control of training. Sports medicine. 1996;22(3):157-75. ##

27.       Hopkins SR, McKenzie DC. The laboratory assessment of endurance performance in cyclists. Canadian journal of applied physiology. 1994;19(3):266-74. ##

28.       Murley GS, Menz HB, Landorf KB. A protocol for classifying normal-and flat-arched foot posture for research studies using clinical and radiographic measurements. Journal of foot and ankle research. 2009;2(1):22. ##

29.       Costa RR, Reichert T, Barroso BM, Rocha VdMBd, Preissler AAB, Santiago É, et al. Heart rate deflection point as an alternative to determining the anaerobic threshold in dyslipidaemic patients. Motriz: Revista de Educação Física. 2019;25(1). ##

30.       Leddy JJ, Baker JG, Kozlowski K, Bisson L, Willer B. Reliability of a graded exercise test for assessing recovery from concussion. Clinical Journal of Sport Medicine. 2011;21(2):89-94. ##

31.       Koblbauer IF, van Schooten KS, Verhagen EA, van Dieën JH. Kinematic changes during running-induced fatigue and relations with core endurance in novice runners. Journal of Science and Medicine in Sport. 2014;17(4):419-24. ##

32.       Farahpour N, Jafarnezhadgero A, Allard P, Majlesi M. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. Journal of Electromyography and Kinesiology. 2018;39:35-41. ##

33.       Cudkowicz M, Zhang H, Qureshi M, Schoenfeld D. Maximum voluntary isometric contraction (MVIC). Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders. 2004;5(sup1):84-5. ##

34.       Hislop HJ. Daniels and Worthingham's Muscle testing. Saunders/Elsevier; 2007. ##

35.       Heiden TL, Lloyd DG, Ackland TR. Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait. Clinical biomechanics. 2009;24(10):833-41. ##

36.       Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research. 2009;2(1):1-9. ##

37.       Conconi F, Ferrari M, Ziglio PG, Droghetti P, Codeca L. Determination of the anaerobic threshold by a noninvasive field test in runners. Journal of Applied Physiology. 1982;52(4):869-73. ##

38.       Gaisl G, Wiesspeiner G. A noninvasive method of determining the anaerobic threshold in children. International journal of sports medicine. 1988;9(01):41-4. ##

39.       Hofmann P, Pokan R, Preidler K, Leitner H, Szolar D, Eber B, et al. Relationship between heart rate threshold, lactate turn point and myocardial function. International journal of sports medicine. 1994;15(05):232-7. ##

40.       Anbarian M, Sepehrian M, Nazem F, Hajiloo B. The Effect of Pedaling and Fatigue on Changes of Knee Muscles Co-contraction During Running in Triathletes. Journal of Sport Biomechanics. 2015;1(1):5-13. ##

41.       Di Nardo F, Mengarelli A, Maranesi E, Burattini L, Fioretti S. Assessment of the ankle muscle co-contraction during normal gait: A surface electromyography study. Journal of Electromyography and Kinesiology. 2015;25(2):347-54. ##

42.       Gardinier ES. The Relationship Between Muscular Co-Contraction and Dynamic Knee Stiffness in ACL-Deficient Non-Copers. 2009. ##

43.       Setton L, Mow VC, Howell D. Mechanical behavior of articular cartilage in shear is altered by transection of the anterior cruciate ligament. Journal of Orthopaedic Research. 1995;13(4):473-82. ##

44.       Nodehi Moghadam A, Ehsani F, Tavahomi M. Assessing the effect of functional fatigue and gender on dynamic control of posture. Journal of Modern Rehabilitation. 2016;9(6):138-43. ##

45.       Nourshahi M, Alirezaei F, Bahrpeyma F. Contribution of peripheral and central fatigue in different conditions (gender and time of day differences). Journal of Human Kinetics. 2010;25(2010):27-34. ##

46.       Mizrahi J, Verbitsky O, Isakov E. Fatigue-induced changes in decline running. Clinical biomechanics. 2001;16(3):207-12. ##

47.       Dierks TA, Davis IS, Hamill J. The effects of running in an exerted state on lower extremity kinematics and joint timing. Journal of biomechanics. 2010;43(15):2993-8. ##

48.       Lee SS, Piazza SJ. Inversion–eversion moment arms of gastrocnemius and tibialis anterior measured in vivo. Journal of biomechanics. 2008;41(16):3366-70. ##