Kumar S
Department of Physical Therapy, University of Alberta, Canada.
Clin Biomech (Bristol). 1988 Aug;3(3):137-44. doi: 10.1016/0268-0033(88)90059-9.
Sagittal and coronal moment arm lengths of spinal extensors, flexors, and rotators were measured from the cross-sectional CT scans of 56 patients (35 males and 21 females) with no musculoskeletal disorders at 7th and 12th thoracic vertebral levels and 3rd and 5th lumbar vertebral levels. The sample had a mean age of 58·6 years (s.d. 15·5 years, range 23-90 years), mean body weight 73·15 kg (s.d. 13·9 kg, range 49·5-11·28 kg) and a mean body height of 169·9cm (s.d. 11·9cm, range 130-189cm). Transverso spinalis (TS), erectores spinae (ES), quadratus lumborum (QL), psoas (PS), rectus abdominis (RA), internal obliques (10), and external obliques (EO) were measured at L3 and L5 levels. TS, ES, RA and combined obliques (CO) were measured at the T12 level; however, at T7 level only TS and ES were measured. The extensor moment arm measured (6·0cm) was significantly different from the conventional value (5·0 cm). The moment arms of these muscles on the right and left sides did not differ significantly. The effect of age on the moment arm was significant only with respect to people over 60 years on the coronal plane measurements of the obliques. The gender significantly influenced the moment arms. The height, weight, and height-weight product did not regress significantly on moment arms.
对56例(35例男性和21例女性)无肌肉骨骼疾病患者的第7和第12胸椎水平以及第3和第5腰椎水平进行横断面CT扫描,测量脊柱伸肌、屈肌和旋转肌的矢状面和冠状面力臂长度。样本的平均年龄为58.6岁(标准差15.5岁,范围23 - 90岁),平均体重73.15千克(标准差13.9千克,范围49.5 - 112.8千克),平均身高169.9厘米(标准差11.9厘米,范围130 - 189厘米)。在L3和L5水平测量横突棘肌(TS)、竖脊肌(ES)、腰方肌(QL)、腰大肌(PS)、腹直肌(RA)、腹内斜肌(IO)和腹外斜肌(EO)。在T12水平测量TS、ES、RA和联合斜肌(CO);然而,在T7水平仅测量TS和ES。测量得到的伸肌力臂(6.0厘米)与传统值(5.0厘米)有显著差异。这些肌肉左右两侧的力臂没有显著差异。年龄对力臂的影响仅在60岁以上人群的斜肌冠状面测量中显著。性别对力臂有显著影响。身高、体重和身高体重乘积与力臂之间没有显著的回归关系。