Ha Sung-min, Oh Jae-seop, Jeon In-cheol, Kwon Oh-yun
Department of Physical Therapy, College of Health Science, Sangji University, Republic of Korea.
Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Republic of Korea.
J Electromyogr Kinesiol. 2015 Feb;25(1):28-33. doi: 10.1016/j.jelekin.2014.07.001. Epub 2014 Jul 9.
To treat low-back pain, various spinal stability exercises are commonly used to improve trunk muscle function and strength. Because human movement for normal daily activity occurs in multi-dimensions, the importance of exercise in multi-dimensions or on unstable surfaces has been emphasized. Recently, a motorized rotating platform (MRP) for facilitating multi-dimensions dynamic movement was introduced for clinical use. However, the abdominal muscle activity with this device has not been reported. The purpose of this study was to compare the abdominal muscle activity (rectus abdominis, external and internal oblique muscles) during an active single-leg-hold (SLH) exercise on a floor (stable surface), foam roll, and motorized rotating platform (MRP). Thirteen healthy male subjects participated in this study. Using electromyography, the abdominal muscle activity was measured while the subjects performed SLH exercises on floor (stable surface), foam roll, and MRP. There were significant differences in the abdominal muscle activities among conditions (P<.05), except for left EO (P>.05) (Fig. 2). After the Bonferroni correction, however, no significant differences among conditions remained, except for differences in both side IO muscle activity between the floor and foam roll conditions (padj<0.017). The findings suggest that performing the SLH exercises on a foam roll and MRP is more effective increased activities of both side of RA and IO, and Rt. EO compared to floor condition. However, there were no significant differences in abdominal muscles activity in the multiple comparison between conditions (mean difference were smaller than the standard deviation in the abdominal muscle activities) (padj>0.017), except for differences in both side IO muscle activity between the floor (stable surface) and foam roll (padj<0.017) (effect size: 0.79/0.62 (non-supporting/supporting leg) for foam-roll versus floor).
为治疗下背痛,通常采用各种脊柱稳定性锻炼来改善躯干肌肉功能和力量。由于人体日常正常活动中的运动发生在多个维度,因此强调了在多个维度或不稳定表面上进行锻炼的重要性。最近,一种用于促进多维度动态运动的电动旋转平台(MRP)被引入临床使用。然而,使用该设备时的腹部肌肉活动情况尚未见报道。本研究的目的是比较在地面(稳定表面)、泡沫轴和电动旋转平台(MRP)上进行主动单腿支撑(SLH)锻炼时的腹部肌肉活动(腹直肌、腹外斜肌和腹内斜肌)。13名健康男性受试者参与了本研究。使用肌电图,在受试者在地面(稳定表面)、泡沫轴和MRP上进行SLH锻炼时测量腹部肌肉活动。各条件下的腹部肌肉活动存在显著差异(P<0.05),除左侧腹外斜肌(P>0.05)外(图2)。然而,经过Bonferroni校正后,各条件之间除地面和泡沫轴条件下双侧腹内斜肌活动存在差异外(校正P值<0.017),其余均无显著差异。研究结果表明,与在地面上相比,在泡沫轴和MRP上进行SLH锻炼能更有效地增加双侧腹直肌和腹内斜肌以及右侧腹外斜肌的活动。然而,各条件之间的腹部肌肉活动在多重比较中无显著差异(腹部肌肉活动的平均差异小于标准差)(校正P值>0.017),除地面(稳定表面)和泡沫轴之间双侧腹内斜肌活动存在差异外(校正P值<0.017)(效应大小:泡沫轴与地面相比为0.79/0.62(非支撑/支撑腿))。