Kelly Marie, Jacobs Dee, Wooten Mary E, Edeer Ayse Ozcan
Department of Physical Therapy, Helen Hayes Hospital, USA.
Gait Laboratory, Helen Hayes Hospital, USA.
J Phys Ther Sci. 2016 Oct;28(10):2950-2954. doi: 10.1589/jpts.28.2950. Epub 2016 Oct 28.
[Purpose] The purposes of this study were: 1) describe a hierarchy of electromyographic activity production, using percentage maximum voluntary contraction of lumbar iliocostalis and lumbar multifidus muscles during prone, quadruped and sitting exercises; and 2) identify optimal recruitment exercises for both lumbar iliocostalis as a global multi-segmental stabilizer and lumbar multifidus as a segmental stabilizer. [Subjects] Twelve healthy volunteers (six male and six female) aged 24 to 45 participated. [Methods] Surface electromyographic activity data were collected bilaterally from lumbar iliocostalis and lumbar multifidus muscles during exercises. [Results] Two-way ANOVA showed that prone extension, and prone alternate arm and leg lifting exercises produce a statistically significant difference in percent maximum voluntary contraction of lumbar iliocostalis and lumbar multifidus bilaterally compared to other exercises. Quadruped alternate arm and leg lifting exercises produce greater activity in lumbar multifidus muscle than sitting exercises [Conclusion] Prone exercises generate the greatest electromyographic activity and may be the most effective exercises for strengthening both lumbar iliocostalis and lumbar multifidus muscles. Quadruped alternate arm and leg lifting produces electromyographic activity at the recommended percent maximum voluntary contraction for training the lumbar multifidus in its role as a segmental stabilizer and is an effective training exercise for this goal.
[目的] 本研究的目的是:1)描述肌电图活动产生的层次结构,采用俯卧位、四足位和坐位运动时腰椎髂肋肌和多裂肌最大自主收缩百分比;2)确定作为整体多节段稳定肌的腰椎髂肋肌和作为节段稳定肌的多裂肌的最佳募集运动。[受试者] 12名年龄在24至45岁之间的健康志愿者(6名男性和6名女性)参与。[方法] 在运动过程中双侧收集腰椎髂肋肌和多裂肌的表面肌电图活动数据。[结果] 双向方差分析表明,与其他运动相比,俯卧位伸展以及俯卧位交替手臂和腿部抬起运动在双侧腰椎髂肋肌和多裂肌最大自主收缩百分比方面产生了统计学上的显著差异。四足位交替手臂和腿部抬起运动在多裂肌中产生的活动比坐位运动更多 [结论] 俯卧位运动产生最大的肌电图活动,可能是增强腰椎髂肋肌和多裂肌的最有效运动。四足位交替手臂和腿部抬起运动在训练多裂肌作为节段稳定肌的作用时,以推荐的最大自主收缩百分比产生肌电图活动,是实现该目标的有效训练运动。