Ben-Masaud AbdAllah, Solomonow Deborah, Davidson Bradley, Zhou Bing He, Lu Yun, Patel Vikas, Solomonow Moshe
Musculoskeletal Disorders Research Laboratory, Bioengineering Division, Department of Orthopedic Surgery, University of Colorado, Health Sciences Center, Denver, CO 80045, USA.
Eur Spine J. 2009 Jul;18(7):1022-34. doi: 10.1007/s00586-009-0952-6. Epub 2009 Apr 15.
The motor control system may compensate for lumbar instability following cyclic work with differential response to load magnitude. In vivo felines were exposed to a cumulative 1 h of cyclic work at 0.25 Hz. One group exposed to light whereas the second to heavy load while recording lumbar displacement and multifidus EMG during work and in single test cycles over 7 h rest post-work. Significant laxity and reduced reflexive EMG activity were evident immediately post-work in both groups. EMG and laxity recovered over 7 h rest in the group exposed to light load whereas in the group exposed to heavy load, motor control compensation was triggered within 1-2 h post-work. The compensation was expressed by earlier and stronger muscular activation than in baseline. It is concluded that cyclic work is deleterious to spine stability immediately after work. Work with heavy loads elicits delayed motor control compensation whereas work with light loads leaves the spine unstable and exposed to injury for several hours. Overall, prolonged cyclic or repetitive work elicits a transient instability disorder, regardless of the load handled, exposing the individual to potential injury.
运动控制系统可能会在周期性工作后对腰椎不稳定进行补偿,且对负荷大小有不同的反应。将活体猫暴露于0.25Hz的累积1小时周期性工作中。一组暴露于轻负荷,而另一组暴露于重负荷,同时在工作期间以及工作后7小时休息期间的单个测试周期中记录腰椎位移和多裂肌肌电图。两组在工作刚结束后均出现明显的松弛和反射性肌电活动降低。在轻负荷组中,肌电图和松弛在7小时的休息时间内恢复,而在重负荷组中,运动控制补偿在工作后1-2小时内触发。这种补偿表现为比基线更早且更强的肌肉激活。得出的结论是,周期性工作在工作刚结束后对脊柱稳定性有害。重负荷工作会引发延迟的运动控制补偿,而轻负荷工作会使脊柱在数小时内保持不稳定并易受损伤。总体而言,长时间的周期性或重复性工作会引发短暂的不稳定病症,无论所处理的负荷如何,都会使个体面临潜在的损伤。