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坐姿时躯干肌肉共同收缩对脊柱曲度的影响。

Influence of trunk muscle co-contraction on spinal curvature during sitting.

作者信息

Watanabe Susumu, Kobara Kenichi, Yoshimura Yosuke, Osaka Hiroshi, Ishida Hiroshi

机构信息

Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki City, Japan.

出版信息

J Back Musculoskelet Rehabil. 2014;27(1):55-61. doi: 10.3233/BMR-130419.

Abstract

BACKGROUND AND PURPOSE

Slumped sitting is known to increase disc pressure and aggravate chronic low back pain. In addition, it has been recognized that co-contraction of the deep spine-stabilizing muscles enhances lumbar segmental stability and the sacro-iliac joint. The purpose of this study was to compare the electromyographic (EMG) activity of the trunk muscles and the muscle thickness of the transverse abdominis (TrA) during slumped sitting with the same parameters during co-contraction and investigate how co-contraction influences spinal curvature.

SUBJECTS AND METHODS

Nine healthy male volunteers participated in the study. EMG signals were recorded during both sitting postures. In order to measure the muscle thickness of the TrA, ultrasound images were captured. While the subjects performed both sitting postures, spinal curvature was measured using a hand-held device.

RESULTS

Significantly more activity of the trunk muscles, with the exception of the rectus abdominis muscle, and significantly greater muscle thickness of the TrA were observed during co-contraction of the trunk muscles than during slumped sitting. Co-contraction also resulted in significantly increased lumbar lordosis and a greater sacral angle when compared to slumped sitting.

CONCLUSION

In this study, it was demonstrated that the instructions given to the subjects on co-contraction of the trunk muscles during sitting increased muscle activity with the exception of the rectus abdominis muscle, muscle thickness of the TrA, and lumbar lordosis.

摘要

背景与目的

已知弯腰坐姿会增加椎间盘压力并加重慢性下腰痛。此外,人们已经认识到脊柱深层稳定肌的共同收缩可增强腰椎节段稳定性和骶髂关节稳定性。本研究的目的是比较弯腰坐姿时躯干肌肉的肌电图(EMG)活动以及腹横肌(TrA)的肌肉厚度与共同收缩时相同参数的情况,并研究共同收缩如何影响脊柱曲度。

受试者与方法

九名健康男性志愿者参与了本研究。在两种坐姿下均记录EMG信号。为了测量TrA的肌肉厚度,采集了超声图像。当受试者进行两种坐姿时,使用手持设备测量脊柱曲度。

结果

与弯腰坐姿相比,在躯干肌肉共同收缩期间,除腹直肌外,躯干肌肉的活动明显更多,TrA的肌肉厚度也明显更大。与弯腰坐姿相比,共同收缩还导致腰椎前凸明显增加和骶骨角增大。

结论

在本研究中,证明了在坐姿时向受试者给出的关于躯干肌肉共同收缩的指令增加了除腹直肌外的肌肉活动、TrA的肌肉厚度以及腰椎前凸。

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