Karst Gregory M, Willett Gilbert M
Division of Physical Therapy Education, University of Nebraska Medical Center, Omaha, NE 68198-4420, USA.
J Orthop Sports Phys Ther. 2004 Jan;34(1):4-12. doi: 10.2519/jospt.2004.34.1.4.
A repeated-measures, counterbalanced design.
To test whether subjects could learn and retain the ability to alter the relative activity of abdominal muscle groups when performing trunk curl exercises.
Although trunk curl exercises are widely prescribed, a disadvantage of trunk curls is that they primarily activate rectus abdominis, while the internal and external oblique abdominis muscles are considered to be more important contributors to lumbar stability.
A convenience sample of 25 subjects performed trunk curl exercises in accordance with 3 different sets of instructions: nonspecific instructions (NS), instructions intended to emphasize rectus abdominis activity (RE), and instructions intended to emphasize oblique abdominis activity (OE). Electromyographic (EMG) activity was recorded from the upper and lower rectus and the internal and external oblique abdominis muscles while a physical target was used to insure that the trunk was raised to the same height for all conditions. Normalized root-mean-square EMG amplitude measures were used to test for instruction-dependent changes in the relative EMG activity of the rectus and oblique muscle groups.
Following a single, brief, instruction session, subjects performing trunk curls had significantly greater normalized oblique:rectus EMG ratios when following OE instructions (mean [+/- SD] oblique-rectus ratio, 1.45 +/- 0.34) than when following RE (mean [+/- SD] oblique-rectus ratio, 0.76 +/- 0.24) or NS (mean [ISD] oblique-rectus ratio, 0.63 +/- 0.23) instructions. Retesting 1 week later indicated that subjects retained this skill.
With minimal instruction, subjects are able to volitionally alter the relative activity of the oblique and rectus abdominis muscles when performing trunk curls. Incorporating instructions emphasizing oblique abdominis activity into lumbar stabilization programs appears promising and has potential advantages over other approaches to altering abdominal muscle activity during trunk
重复测量、平衡设计。
测试受试者在进行仰卧起坐练习时是否能够学习并保持改变腹部肌肉群相对活动的能力。
尽管仰卧起坐练习被广泛应用,但仰卧起坐的一个缺点是它们主要激活腹直肌,而腹内斜肌和腹外斜肌被认为对腰椎稳定性的贡献更为重要。
选取25名受试者作为便利样本,按照3组不同的指导语进行仰卧起坐练习:非特定指导语(NS)、旨在强调腹直肌活动的指导语(RE)以及旨在强调腹斜肌活动的指导语(OE)。在使用物理目标确保所有条件下躯干都抬高到相同高度时,记录腹直肌上下部以及腹内斜肌和腹外斜肌的肌电图(EMG)活动。使用归一化均方根EMG幅度测量来测试腹直肌和腹斜肌群相对EMG活动中与指导语相关的变化。
在单次简短的指导课程后,按照OE指导语进行仰卧起坐的受试者,其归一化斜肌:直肌EMG比率(平均[±标准差]斜肌 - 直肌比率,1.45±0.34)显著高于按照RE(平均[±标准差]斜肌 - 直肌比率,0.76±0.24)或NS(平均[±标准差]斜肌 - 直肌比率,0.63±0.23)指导语的情况。1周后重新测试表明受试者保留了这项技能。
只需极少的指导,受试者在进行仰卧起坐时就能自主改变腹斜肌和腹直肌的相对活动。将强调腹斜肌活动的指导语纳入腰椎稳定训练计划似乎很有前景,并且相对于其他在躯干运动时改变腹部肌肉活动的方法具有潜在优势。