Urquhart Donna M, Hodges Paul W, Story Ian H
School of Physiotherapy, The University of Melbourne, Vic., Australia.
Gait Posture. 2005 Dec;22(4):295-301. doi: 10.1016/j.gaitpost.2004.09.012. Epub 2005 Jan 19.
The abdominal muscles have an important role in control and movement of the lumbar spine and pelvis. Given there is new evidence of morphological and functional differences between distinct anatomical regions of the abdominal muscles, this study investigated whether there are regional differences in postural activity of these muscles and whether recruitment varies between different body positions. Eleven subjects with no history of low back pain that affected function or for which they sought treatment participated in the study. Electromyographic (EMG) activity of the upper, middle and lower regions of transversus abdominis (TrA), the middle and lower regions of obliquus internus abdominis (OI) and the middle region of obliquus externus abdominis (OE) was recorded using intramuscular electrodes. All subjects performed rapid, unilateral shoulder flexion in standing and six subjects also moved their upper limb in sitting. There were regional differences in the postural responses of TrA with limb movement. Notably, the onset of EMG of the upper region was later than that of the lower and middle regions. There were no differences in the EMG onsets of lower and middle TrA or OI. The postural responses of the abdominal muscles were also found to differ between body positions, with recruitment delayed in sitting compared to standing. This study showed that there is regional differentiation in TrA activity with challenges to postural control and that body position influences the postural responses of the abdominal muscles. These results may reflect variation in the contribution of abdominal muscle regions to stability of the trunk.
腹肌在腰椎和骨盆的控制与运动中发挥着重要作用。鉴于有新证据表明腹肌不同解剖区域在形态和功能上存在差异,本研究调查了这些肌肉在姿势活动中是否存在区域差异,以及不同身体姿势下的募集情况是否有所不同。11名无影响功能或寻求治疗的腰痛病史的受试者参与了该研究。使用肌内电极记录腹横肌(TrA)上、中、下区域、腹内斜肌(OI)中、下区域以及腹外斜肌(OE)中间区域的肌电图(EMG)活动。所有受试者在站立位进行快速单侧肩屈曲动作,6名受试者还在坐位移动上肢。TrA在肢体运动时的姿势反应存在区域差异。值得注意的是,上区域EMG的起始时间晚于下区域和中间区域。TrA下区域和中间区域或OI的EMG起始时间没有差异。还发现腹肌的姿势反应在不同身体姿势之间也存在差异,与站立位相比,坐位时募集延迟。本研究表明,在姿势控制受到挑战时,TrA活动存在区域差异,并且身体姿势会影响腹肌的姿势反应。这些结果可能反映了腹肌不同区域对躯干稳定性贡献的差异。