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针对有意识收缩腹部肌肉的指导和反馈,可增加肩部运动期间肩胛肌的激活。

Instruction and feedback for conscious contraction of the abdominal muscles increases the scapular muscles activation during shoulder exercises.

作者信息

Vega Toro Angie Stephanie, Cools Ann M J, de Oliveira Anamaria Siriani

机构信息

University of São Paulo, Ribeirão Preto Medical School, Ribeirão Preto, Brazil.

Ghent University, Department of Rehabilitation Sciences and Physiotherapy, Ghent, Belgium.

出版信息

Man Ther. 2016 Sep;25:11-8. doi: 10.1016/j.math.2016.05.331. Epub 2016 Jun 1.

Abstract

PURPOSE

The study aimed to investigate the effect of the instruction for conscious contraction of the abdominal muscles on the scapulothoracic muscles activation during shoulder exercises.

DESIGN

Repeated measures design in a single group, pre-post instruction.

METHODS

Sixty healthy male and female subjects (mean age 23.5 ± 3 years) volunteered for this study. Two isometric and three dynamic exercises for the scapulothoracic muscles, focusing on the serratus anterior muscle were assessed before and after familiarization training, standardized verbal, and tactile feedback applied to encourage abdominal muscle contraction. Repeated measures ANOVA and Bonferroni post-hoc test were used to compare normalized EMG amplitudes.

RESULTS

Instruction increased EMG amplitude only for serratus anterior muscle during isometric exercises (Inferior Glide and Isometric Low Row). Conscious contraction of the abdominal muscles resulted in significant increase (p < 0.05) in the serratus anterior, upper, middle and lower trapezius EMG amplitude, during dynamic exercises (Wall Slide, Wall Press, and Knee Push-Up).

CONCLUSION

Conscious contraction of the abdominal muscle increased the activation of the serratus anterior e the three parts of the trapezius during dynamic shoulder exercises with moderate to minimal levels of EMG activation. In the other hand, abdominal muscles contraction was effective to increase the activation of the serratus anterior during isometric exercises but did not increase the trapezius activation. So, Inferior Glide and Isometric Low Row performed along with encouraged abdominal muscle contraction are compatible to initial phases of the serratus anterior strengthening with low levels of upper trapezius muscle activation.

摘要

目的

本研究旨在探讨在肩部运动期间,有意识收缩腹部肌肉的指令对肩胛胸壁肌肉激活的影响。

设计

单组重复测量设计,指令前后对比。

方法

60名健康男女受试者(平均年龄23.5±3岁)自愿参与本研究。在熟悉训练前后,对针对肩胛胸壁肌肉的两项等长运动和三项动态运动进行评估,这三项动态运动重点关注前锯肌,同时应用标准化的言语和触觉反馈来鼓励腹部肌肉收缩。采用重复测量方差分析和Bonferroni事后检验来比较标准化肌电图振幅。

结果

在等长运动(下滑动和等长低位划船)期间,指令仅增加了前锯肌的肌电图振幅。在动态运动(墙壁滑动、墙壁按压和跪姿俯卧撑)期间,有意识收缩腹部肌肉导致前锯肌、上斜方肌、中斜方肌和下斜方肌的肌电图振幅显著增加(p<0.05)。

结论

在肌电图激活水平为中度至最低水平的动态肩部运动期间,有意识收缩腹部肌肉增加了前锯肌和斜方肌三个部分的激活。另一方面,腹部肌肉收缩在等长运动期间有效增加了前锯肌的激活,但未增加斜方肌的激活。因此,在下滑动和等长低位划船运动中同时鼓励腹部肌肉收缩,与低水平上斜方肌激活的前锯肌强化初始阶段是相容的。

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