Malátová Renata, Rokytová Jitka, Stumbauer Jan
Department of Physical Education and Sports, Pedagogical Faculty, University of South Bohemia, České Budějovice, Czech Republic.
Proc Inst Mech Eng H. 2013 Aug;227(8):896-903. doi: 10.1177/0954411913486078. Epub 2013 May 1.
Dorsal pain caused by spine dysfunctions belongs to most frequent chronic illnesses. The muscles of the deep stabilising spine system work as a single functional unit where a dysfunction of only one muscle causes dysfunction of the whole system. Non-invasive, objective and statistically measurable evaluation of the condition of deep stabilising spine system has been made possible by the construction of muscular dynamometer. The aim of our work has been the assessment of deep stabilising spine system by diaphragm test and muscular dynamometer measurements. Based on an initial examination, a 6-week intervention programme was established including instructions on physiological body posture and correct basic body stabilisation for the given exercises and muscle strengthening. Consecutive measurements are then compared with the initial ones. It was presumed that a smaller number of the tested subjects would be able to correctly activate the deep stabilising spine system muscles before the intervention programme when compared to those after the intervention programme. A positive change of 87% has been found. It is clear that if a person actively approaches the programme, then positive adaptation changes on the deep stabilising spine system are seen only after 6 weeks. With the muscular dynamometer, activation of deep stabilising spine system can be objectively measured. Changes between the initial condition of a subject and the difference after some exercise or rehabilitation are especially noticeable. Also, the effect of given therapy or correct performance of the exercise can be followed and observed.
脊柱功能障碍引起的背痛属于最常见的慢性疾病。脊柱深层稳定系统的肌肉作为一个单一的功能单元发挥作用，其中仅一块肌肉的功能障碍就会导致整个系统的功能障碍。肌肉测力计的构建使得对脊柱深层稳定系统状况进行非侵入性、客观且可统计测量的评估成为可能。我们工作的目的是通过膈肌测试和肌肉测力计测量来评估脊柱深层稳定系统。基于初步检查，制定了一个为期6周的干预计划，包括关于生理身体姿势的指导以及针对给定练习和肌肉强化的正确基本身体稳定方法。然后将连续测量结果与初始测量结果进行比较。据推测，与干预计划后的受试者相比，较少数量的受试对象在干预计划之前能够正确激活脊柱深层稳定系统的肌肉。已发现有87%的积极变化。很明显，如果一个人积极参与该计划，那么只有在6周后才能看到脊柱深层稳定系统的积极适应性变化。使用肌肉测力计，可以客观地测量脊柱深层稳定系统的激活情况。受试者初始状态与经过一些运动或康复后的差异尤其明显。此外，还可以跟踪和观察给定治疗或正确执行练习的效果。
