Mayer John M, Verna Joe L, Manini Todd M, Mooney Vert, Graves James E
US Spine & Sport Foundation-San Diego, 0532 Via Mallorca, D, La Jolla, CA 92037, USA.
Arch Phys Med Rehabil. 2002 Nov;83(11):1543-6. doi: 10.1053/apmr.2002.35103.
To evaluate the effect of hip position and lumbar posture on the surface electromyographic activity of the trunk extensors during Roman chair exercise.
Descriptive, repeated measures.
University-based musculoskeletal research laboratory.
Twelve healthy volunteers (7 men, 5 women; age range, 18-35y) without a history of low back pain were recruited from a university setting.
Not applicable.
Surface electromyographic activity was recorded from the lumbar extensor, gluteal, and hamstring musculature during dynamic Roman chair exercise. For each muscle group, electromyographic activity (mV/rep) was compared among exercises with internal hip rotation and external hip rotation and among exercises by using a typical lumbar posture (nonbiphasic) and a posture that accentuated lumbar lordosis (biphasic).
For the lumbar extensors, electromyographic activity during exercise was 18% greater with internal hip rotation than external hip rotation (P< or =.05) and was 25% greater with a biphasic posture than with a nonbiphasic posture (P< or =.05). For the gluteals and hamstrings, there was no difference in electromyographic activity between internal and external hip rotation or between biphasic and nonbiphasic postures (P >.05).
The level of recruitment of the lumbar extensors can be modified during Roman chair exercise by altering hip position and lumbar posture. Clinicians can use these data to develop progressive exercise protocols for the lumbar extensors with a variety of resistance levels without the need for complex equipment.
评估罗马椅运动过程中髋关节位置和腰椎姿势对躯干伸肌表面肌电图活动的影响。
描述性、重复测量。
大学肌肉骨骼研究实验室。
从一所大学招募了12名无腰痛病史的健康志愿者(7名男性,5名女性;年龄范围18 - 35岁)。
不适用。
在动态罗马椅运动期间,记录腰椎伸肌、臀肌和腘绳肌的表面肌电图活动。对于每个肌肉群,比较髋关节内旋和外旋运动以及使用典型腰椎姿势(非双相)和强调腰椎前凸姿势(双相)运动时的肌电图活动(mV/重复)。
对于腰椎伸肌,运动期间髋关节内旋时的肌电图活动比外旋时高18%(P≤0.05),双相姿势时比非双相姿势高25%(P≤0.05)。对于臀肌和腘绳肌,髋关节内旋与外旋之间或双相与非双相姿势之间的肌电图活动无差异(P>0.05)。
在罗马椅运动过程中,可通过改变髋关节位置和腰椎姿势来改变腰椎伸肌的募集水平。临床医生可利用这些数据制定针对不同阻力水平的腰椎伸肌渐进性运动方案,而无需复杂设备。