Comparison of twelve commonly used training methods for activating the anterior tibial muscle in clini-cal practice
10.3969/j.issn.1001-1242.2025.01.011
- VernacularTitle:胫骨前肌临床12种常用训练方式的激活比较
- Author:
Xuan XU
1
;
Guanglei LIU
;
Wenting DUAN
Author Information
1. 昆明医科大学康复学院,云南省 昆明市,650500
- Publication Type:Journal Article
- Keywords:
tibialis anterior muscle;
muscle activation;
surface EMG
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(1):67-72,100
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To quantify and compare electromyographic(EMG)amplitude changes in the activation of the tibia-lis anterior muscle by 12 commonly used training methods in clinical rehabilitation training,and to identify the optimal activation method of the tibialis anterior muscle.Method:Sixteen healthy college students were participated in the study.Surface electromyography(sEMG)was used to quantify the activity level of the tibialis anterior muscle during 12 tests.Univariate variance was used to analyze the integrated electromyography(iEMG)and root mean square(RMS).Result:Among the 12 training methods targeting the activation of the tibialis anterior muscle,the maximum activation mode is T2"double feet standing(foam pad)ankle joint from zero to the maximum angle",fol-lowed by T1"double feet standing(floor),ankle joint from zero to the maximum angle"and T5"double feet standing(foam pad)ankle joint from zero to the maximum angle"foot dorsiflexion and invertion to the maxi-mum angle;The minimum activation was T12"the subject walked on the ground with a natural step",fol-lowed by T6"the subject jumped from a 30cm high step to the floor"and T7"the subject jumped from a 30cm high step to a foam pad".In RMS comparison,there was a statistical difference between the activation of T12,T6,T7,and T2(P＜0.05),and between the activation of T12,T6,and T1(P＜0.05).In iEMG com-parison,there were statistical differences(P＜0.05)between the activation of T12,T6,T7 and T2,T1,and T5(P＜0.05),and between the activation of T12,T6,and T3,with no significant statistical difference noted other comparisons.When comparing activation between male and female participants across the 12 tests,males generally had higher activation in the anterior tibial muscle than that in female,but no significant statistical difference was found.Conclusion:Increasing weight bearing,reducing support surface stability,increasing initial muscle initial length,and selecting difficulty training methods matching patient abilities can enhance the activation of anteri-or tibial muscle,while functional activities and balance strategies are not as effective in healthy population as other targeted tests.The training method for activating the tibialis anterior muscle is to stand on both feet(foam pad)with ankle dorsiflexion from a neutral position to maximum angle.The results of this study pro-vide information on the relative activation of the tibialis anterior muscle during specific movements,which can serve as evidence for prescribing exercise in clinical rehabilitation treatment and injury prevention.
