自愿运动训练后前馈姿势调整的即时变化。

Immediate changes in feedforward postural adjustments following voluntary motor training.

作者信息

Tsao Henry, Hodges Paul W

机构信息

NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia.

出版信息

Exp Brain Res. 2007 Aug;181(4):537-46. doi: 10.1007/s00221-007-0950-z. Epub 2007 May 3.

Abstract

There is limited evidence that preprogrammed feedforward adjustments, which are modified in people with neurological and musculoskeletal conditions, can be trained and whether this depends on the type of training. As previous findings demonstrate consistent delays in feedforward activation of the deep abdominal muscle, transversus abdominis (TrA), in people with recurrent low back pain (LBP), we investigated whether training involving voluntary muscle activation can change feedforward mechanisms, and whether this depends on the manner in which the muscle is trained. Twenty-two volunteers with recurrent LBP were randomly assigned to undertake either training of isolated voluntary activation of TrA or sit-up training to activate TrA in a non-isolated manner to identical amplitude. Subjects performed a trunk perturbation task involving arm movement prior to and after training, and surface and fine-wire electromyography (EMG) recordings were made from trunk and arm muscles. Following a single session of training of isolated voluntary activation of TrA, onset of TrA EMG was earlier during rapid arm flexion and extension, to more closely resemble the responses in pain-free individuals. The magnitude of change in TrA EMG onset was correlated with the quality of isolated training. In contrast, all of the abdominal muscles were recruited earlier during arm flexion after sit-up training, while onset of TrA EMG was further delayed during arm extension. The results provide evidence that training of isolated muscle activation leads to changes in feedforward postural strategies, and the magnitude of the effect is dependent on the type and quality of motor training.

摘要

有有限的证据表明,预先设定的前馈调整在患有神经和肌肉骨骼疾病的人群中会发生改变,这种调整是否可以训练以及这是否取决于训练类型尚不清楚。正如先前的研究结果表明,复发性腰痛(LBP)患者的腹横肌(TrA),即深层腹部肌肉的前馈激活存在持续延迟,我们研究了涉及自主肌肉激活的训练是否能改变前馈机制,以及这是否取决于肌肉的训练方式。22名复发性LBP志愿者被随机分配,分别进行TrA孤立自主激活训练或仰卧起坐训练,以非孤立方式激活TrA至相同幅度。受试者在训练前后进行了一项涉及手臂运动的躯干扰动任务,并对躯干和手臂肌肉进行了表面和细针肌电图(EMG)记录。在进行了一次TrA孤立自主激活训练后,在快速手臂屈伸过程中,TrA肌电图的起始时间更早,更接近无疼痛个体的反应。TrA肌电图起始时间的变化幅度与孤立训练的质量相关。相比之下,仰卧起坐训练后,在手臂屈曲过程中,所有腹部肌肉的募集时间更早,而在手臂伸展过程中,TrA肌电图的起始时间进一步延迟。结果表明,孤立肌肉激活训练会导致前馈姿势策略的改变,且效果的大小取决于运动训练的类型和质量。

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