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躯干伸肌的肌电活动:罗马椅运动中不同髋关节位置和腰椎姿势的影响。

Electromyographic activity of the trunk extensor muscles: effect of varying hip position and lumbar posture during Roman chair exercise.

作者信息

Mayer John M, Verna Joe L, Manini Todd M, Mooney Vert, Graves James E

机构信息

US Spine & Sport Foundation-San Diego, 0532 Via Mallorca, D, La Jolla, CA 92037, USA.

出版信息

Arch Phys Med Rehabil. 2002 Nov;83(11):1543-6. doi: 10.1053/apmr.2002.35103.

Abstract

OBJECTIVE

To evaluate the effect of hip position and lumbar posture on the surface electromyographic activity of the trunk extensors during Roman chair exercise.

DESIGN

Descriptive, repeated measures.

SETTING

University-based musculoskeletal research laboratory.

PARTICIPANTS

Twelve healthy volunteers (7 men, 5 women; age range, 18-35y) without a history of low back pain were recruited from a university setting.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

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).

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

设计

描述性、重复测量。

设置

大学肌肉骨骼研究实验室。

参与者

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)。

干预措施

不适用。

主要观察指标

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)。

结果

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)。

结论

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。

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