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在坐姿下进行的姿势矫正运动中,深层颈屈肌的募集情况。

Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting.

作者信息

Falla Deborah, O'Leary Shaun, Fagan Amy, Jull Gwendolen

机构信息

Division of Physiotherapy, The University of Queensland, Brisbane, Australia.

出版信息

Man Ther. 2007 May;12(2):139-43. doi: 10.1016/j.math.2006.06.003. Epub 2006 Aug 8.

Abstract

Specific strategies to optimally facilitate postural muscles to retrain postural form are advocated in the clinical management of neck pain. The purpose of this study was to compare the activation of selected cervical, thoracic and lumbar muscles during independent and facilitated postural correction in sitting in 10 subjects with chronic neck pain. Deep cervical flexor (DCF) muscle activity was recorded with custom electrodes inserted via the nose and fixed by suction to the posterior mucosa of the oropharynx. Surface electrodes were placed over the thoracic erector spinae and lumbar multifidus muscles. Root-mean-square EMG amplitude was measured for each muscle across two conditions. In the first condition, subjects were instructed to spontaneously "sit up straight" from a slumped posture without any other guidance from the therapist. In the second condition the therapist provided specific manual and verbal facilitation to assist the patient to correct to an upright pelvic position with a neutral spinal lumbo-pelvic position. Activation of the DCF and lumbar multifidus muscles (P<0.05) were significantly greater when the therapist facilitated postural correction compared to independent sitting correction. Specific postural-correction strategies result in better facilitation of key postural muscles compared to non-specific postural advice. The results of this study highlight the need for clinical skill and precision in postural training of patients with neck pain.

摘要

在颈部疼痛的临床管理中,提倡采用特定策略来最佳地促进姿势肌肉重新训练姿势形态。本研究的目的是比较10名慢性颈部疼痛患者在独立和辅助坐姿姿势矫正过程中,所选颈部、胸部和腰部肌肉的激活情况。通过经鼻腔插入并通过吸力固定在口咽后壁黏膜上的定制电极记录颈深屈肌(DCF)的肌肉活动。将表面电极放置在胸段竖脊肌和腰段多裂肌上。在两种情况下测量每块肌肉的均方根肌电图幅度。在第一种情况下,受试者被指示从 slumped 姿势自发地“坐直”,无需治疗师的任何其他指导。在第二种情况下,治疗师提供特定的手动和言语辅助,以帮助患者矫正到直立的骨盆位置,并保持脊柱腰骨盆中立位。与独立坐姿矫正相比,当治疗师辅助姿势矫正时,DCF 和腰段多裂肌的激活(P<0.05)明显更大。与非特定姿势建议相比,特定的姿势矫正策略能更好地促进关键姿势肌肉。本研究结果强调了在颈部疼痛患者姿势训练中临床技能和精准度的必要性。

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