Kurustien Nopporn, Mekhora Keerin, Jalayondeja Wattana, Nanthavanij Suebsak
J Med Assoc Thai. 2014 Jul;97 Suppl 7:S75-9.
The present study evaluated the changes in trunk-stabilizer electromyography (EMG) activities during manual lifting with and without a back belt in experienced back belt users.
Eighteen participants from a warehouse and distribution center in Thailand, aged 22 to 44 years, were assessed for trunk stabilizer muscle EMG activity including the rectus abdominis (RA), external abdominal oblique (EO), transversus abdominis (TrA), internal abdominal oblique (IO), erector spinae (ES), and multifidus (MF). The EMG data were recorded during (1) rest and (2) the initial phase of manual lifting in a dynamic semi-squat posture. For both conditions, the data were compared with and without wearing a back belt.
The results showed that wearing a back belt significantly decreased TrA/IO activity during rest (p<0.01) and significantly increased RA activity during the lifting period (p<0.05) as compared with the condition of no back belt.
The present study does not recommend healthy workers wear a back belt as a protective device for lower back injury, particularly without any lifting activity. However the back belt can be applied during lifting as it can enhance RA activity, which may help improve abdominal pressure and is less likely cause weakness of the TrA.
本研究评估了有经验的背带使用者在使用和不使用背带进行手动搬运过程中躯干稳定肌肌电图(EMG)活动的变化。
来自泰国一家仓库和配送中心的18名参与者,年龄在22至44岁之间,对其躯干稳定肌的肌电活动进行评估,包括腹直肌(RA)、腹外斜肌(EO)、腹横肌(TrA)、腹内斜肌(IO)、竖脊肌(ES)和多裂肌(MF)。在(1)休息时和(2)动态半蹲姿势下手动搬运的初始阶段记录肌电数据。对于这两种情况,比较了佩戴和不佩戴背带时的数据。
结果表明,与不佩戴背带的情况相比,佩戴背带在休息时显著降低了TrA/IO的活动(p<0.01),在搬运期间显著增加了RA的活动(p<0.05)。
本研究不建议健康的工人将背带作为预防下背部损伤的保护装置,特别是在没有任何搬运活动的情况下。然而,背带可以在搬运过程中使用,因为它可以增强RA的活动,这可能有助于提高腹压,并且不太可能导致TrA无力。