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[超声分析强筋健骨运动对腰骶多裂肌的影响]

[Ultrasonic analysis on the effect of strengthening exercise with strong tendon on lumbosacral multifidus muscles].

作者信息

Hu Ling-San, Yuan Wei-An, Chen Wei-Ye, Gao Zhi-Ling, Zhan Hong-Sheng

机构信息

Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200120, China;

出版信息

Zhongguo Gu Shang. 2017 Nov 25;30(11):1034-1038. doi: 10.3969/j.issn.1003-0034.2017.11.013.

Abstract

OBJECTIVE

To study effects of strengthening exercise with strong tendon on the lumbosacral multifidus muscle.

METHODS

Among 30 healthy volunteers, there were 21 males and 9 females, with an average age of(31.30±6.48) years old(ranged, 25 to 55 years old). The mean BMI was (21.70±1.95) kg/m²(ranged, 18.1 to 24.9 kg/m²). The ultrasonic image was used to analyze the thickness of lumbosacral multifidus(LM) under the follow conditions: supine position, and supine position with leg lifting 30°, 60°, 90°; seat and hip flexion, flexion to limit position, front to limit position with both hands climbing and strengthening the kidneys and the waist.

RESULTS

The average lumbosacral multifidus thickness was (16.867±2.460) mm, (19.010±2.510) mm, (22.477±2.220) mm, and(27.593±2.370) mm respectively in supine position with leg lifting 0°, 30°, 60°, 90°. There were statistical differences(=423.619, <0.05). The average lumbosacral multifidus thickness was (25.810±2.440) mm, (15.677±2.130) mm, and (15.533±2.110) mm respectively in seat and hip flexion, flexion to limit, front to limit positions with both hands climbing and strengthening the kidneys and the waist. There were statistical differences(=597.789, <0.05).

CONCLUSIONS

When healthy volunteers in Shi's Orthopedics strengthen muscle exercises training, multifidus thickness is increased with the increasing of leg degree, reduced with the increasing of the flexion degree. It can change the stretching state of multifidus muscle by a specific training, so as to achieve the purpose of training the multifidus muscle.

摘要

目的

研究强筋健骨锻炼对腰骶部多裂肌的影响。

方法

选取30名健康志愿者,其中男性21名,女性9名,平均年龄(31.30±6.48)岁(年龄范围25至55岁)。平均体重指数为(21.70±1.95)kg/m²(范围18.1至24.9 kg/m²)。采用超声图像分析腰骶部多裂肌(LM)在以下条件下的厚度:仰卧位、仰卧位抬腿30°、60°、90°;坐位髋部屈曲、屈曲至极限位、双手攀爬并强肾壮腰的前屈至极限位。

结果

仰卧位抬腿0°、30°、60°、90°时,腰骶部多裂肌平均厚度分别为(16.867±2.460)mm、(19.010±2.510)mm、(22.477±2.220)mm和(27.593±2.370)mm。差异有统计学意义(=423.619,<0.05)。坐位髋部屈曲、屈曲至极限位、双手攀爬并强肾壮腰的前屈至极限位时,腰骶部多裂肌平均厚度分别为(25.810±2.440)mm、(15.677±2.130)mm和(15.533±2.110)mm。差异有统计学意义(=597.789,<0.05)。

结论

施氏骨科健康志愿者进行肌肉锻炼训练时,多裂肌厚度随抬腿角度增加而增厚,随屈曲角度增加而变薄。通过特定训练可改变多裂肌的拉伸状态,从而达到训练多裂肌的目的。

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