Madokoro Sachiko, Miaki Hiroichi, Yamazaki Toshiaki
Division of Rehabilitation Science, Department of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan.
J Phys Ther Sci. 2014 Jun;26(6):889-93. doi: 10.1589/jpts.26.889. Epub 2014 Jun 30.
[Purpose] A decrease in hip extension has been reported to be a factor in short step width and slow walking speed. Hip motion is related to pelvic and spinal motion, and transversus abdominis (TrA) activation is important for stabilising the pelvis and spine. The abdominal drawing-in manoeuvre (ADIM) can be performed to activate the TrA. The purpose of this study was to examine the influence of the ADIM on forward steps as a gait exercise. [Subjects] The subjects were 20 healthy men (mean age, 20.8 ± 2.4 years). [Methods] Thicknesses of the lateral abdominal muscles during forward step posture with and without ADIM were measured using ultrasound, and kinematics of the hip and pelvis were examined using a three-dimensional motion capture system. [Results] Thicknesses of the TrA and internal oblique increased during forward steps with ADIM. In addition, hip extension increased and pelvic rotation and oblique angles decreased during forward step with ADIM. [Conclusion] We believe that ADIM activates the so-called corset muscles, which consequently stabilise the pelvis and spine and increase hip extension. Our results suggest that an ADIM could increase hip extension during gait exercise.
[目的] 据报道,髋关节伸展度降低是步幅变窄和步行速度减慢的一个因素。髋关节运动与骨盆和脊柱运动相关,腹横肌(TrA)激活对于稳定骨盆和脊柱很重要。可以通过进行收腹动作(ADIM)来激活TrA。本研究的目的是检验ADIM作为一种步态训练对向前迈步的影响。[对象] 对象为20名健康男性(平均年龄,20.8±2.4岁)。[方法] 使用超声测量有或无ADIM时向前迈步姿势下侧腹部肌肉的厚度,并使用三维运动捕捉系统检查髋关节和骨盆的运动学情况。[结果] 进行ADIM时向前迈步过程中,TrA和腹内斜肌厚度增加。此外,进行ADIM时向前迈步过程中,髋关节伸展增加,骨盆旋转和倾斜角度减小。[结论] 我们认为ADIM激活了所谓的束腰肌肉,从而稳定了骨盆和脊柱并增加了髋关节伸展。我们的结果表明,ADIM可以在步态训练中增加髋关节伸展。