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腰部肌肉组织对L4-L5椎间盘前向剪切力的减小作用。

Reduction in anterior shear forces on the L 4L 5 disc by the lumbar musculature.

作者信息

Potvin J R, Norman R W, McGill S M

机构信息

Occupational Biomechanics Laboratories, University of Waterloo, Ontario, Canada.

出版信息

Clin Biomech (Bristol). 1991 May;6(2):88-96. doi: 10.1016/0268-0033(91)90005-B.

Abstract

The purpose of this study was to assess the possible role of muscles in offsetting the anterior shear forces caused by the load and upper body mass and their accelerations that act on the L 4L 5, intervertebral joint during dynamic squat lifts. Fifteen males lifted five loads from 5.8 to 32.4 kg. Anterior shear forces estimated to be acting on the lumber spine, based on model output, ranged from 492 N at 5.8 kg to 736 N at 32.4 kg. However, the peak shear force that had to be supported by the facets and possibly the disc remained relatively constant at approximately 200 N, regardless of the load mass. The posteriorly directed fascicles of the lumbar portions of the iliocostalis lumborum and longissimus thoracis muscles increased their force output, as estimated from an EMG driven model, in proportion to the anterior load shear force demands, thereby sharing the load on the intervertebral joint. It appears that the combination of anatomical design and neural control of the musculature leads to a situation where the resultant shear force on the joint can be maintained at a relatively constant and safe level in the types of lifts studied. This 'safety' mechanism is useful only with the preservation of lordosis during lifting, when the muscles must provide the majority of the support moment.

摘要

本研究的目的是评估肌肉在抵消动态深蹲起过程中作用于L4-L5椎间关节的负荷、上身质量及其加速度所引起的前向剪切力方面可能发挥的作用。15名男性举起了5个重量从5.8千克到32.4千克的重物。根据模型输出估计,作用于腰椎的前向剪切力范围为5.8千克时的492牛至32.4千克时的736牛。然而,无论负荷质量如何,小关节以及可能还有椎间盘必须承受的峰值剪切力保持相对恒定,约为200牛。根据肌电图驱动模型估计,腰髂肋肌和胸最长肌腰部部分向后的肌束会根据前向负荷剪切力需求增加其力输出,从而分担椎间关节上的负荷。在所研究的举重类型中,肌肉组织的解剖学设计和神经控制的结合似乎导致了一种情况,即关节上的合成剪切力可以维持在相对恒定且安全的水平。这种“安全”机制仅在举重过程中保持腰椎前凸时才有用,此时肌肉必须提供大部分支撑力矩。

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