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侧卧位髋关节外展时骨盆压缩带对臀中肌、腰方肌和多裂肌活动的影响。

Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction.

机构信息

Department of Physical Therapy, College of Health and Sport Science, Daejeon University, 96-3, Yongun-dong, Dong-gu, Daejeon 300-716, Republic of Korea.

出版信息

J Electromyogr Kinesiol. 2010 Dec;20(6):1141-5. doi: 10.1016/j.jelekin.2010.05.009. Epub 2010 Jun 19.

Abstract

The aims of this study were to assess the effect of the pelvic compression belt on the electromyographic (EMG) activities of gluteus medius (GM), quadratus lumborum (QL), and lumbar multifidus (LM) during side-lying hip abduction. Thirty-one volunteers (15 men and 16 women) with no history of pathology volunteered for this study. Subjects were instructed to perform hip abduction in side-lying position with and without applying the pelvic compression belt. The pelvic compression belt was adjusted just below the anterior superior iliac spines with the stabilizing pressure using elastic compression bands. Surface EMG data were collected from the GM, QL, and LM of the dominant limb. Significantly decreased EMG activity in the QL (without the pelvic compression belt, 60.19±23.66% maximal voluntary isometric contraction [MVIC]; with the pelvic compression belt, 51.44±23.00% MVIC) and significantly increased EMG activity in the GM (without the pelvic compression belt, 26.71±12.88% MVIC; with the pelvic compression belt, 35.02±18.28% MVIC) and in the LM (without the pelvic compression belt, 30.28±14.60% MVIC; with the pelvic compression belt, 37.47±18.94% MVIC) were found when the pelvic compression belt was applied (p<0.05). However, there were no significant differences of the EMG activity between male and female subjects. The findings suggest that the pelvic compression belt may be helpful to prevent unwanted substitution movement during side-lying hip abduction, through increasing the GM and LM and decreasing the QL.

摘要

本研究旨在评估骨盆压缩带对侧卧位髋关节外展时臀中肌(GM)、腰方肌(QL)和多裂肌(LM)肌电图(EMG)活动的影响。31 名志愿者(15 名男性和 16 名女性)无病史,自愿参加本研究。要求受试者在侧卧位下进行髋关节外展运动,并在应用和不应用骨盆压缩带两种情况下进行。骨盆压缩带在髂前上棘下方调整,使用弹性压缩带施加稳定压力。从优势肢体的 GM、QL 和 LM 采集表面 EMG 数据。当应用骨盆压缩带时,QL 的 EMG 活动显著降低(无骨盆压缩带时,60.19±23.66%最大自主等长收缩[MVIC];有骨盆压缩带时,51.44±23.00% MVIC),GM 和 LM 的 EMG 活动显著增加(无骨盆压缩带时,GM 为 26.71±12.88% MVIC;有骨盆压缩带时,GM 为 35.02±18.28% MVIC;无骨盆压缩带时,LM 为 30.28±14.60% MVIC;有骨盆压缩带时,LM 为 37.47±18.94% MVIC)(p<0.05)。然而,男性和女性受试者之间的 EMG 活动没有显著差异。研究结果表明,骨盆压缩带可能有助于防止侧卧位髋关节外展时出现不必要的代偿运动,其机制可能是通过增加 GM 和 LM,减少 QL。

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