Otsudo Takahiro, Mimura Kazuya, Akasaka Kiyokazu
School of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University:981 Kawakado, Moroyama City, Iruma Gun, Saitama 350-0496, Japan.
Department of Rehabilitation, Akabane Rehabilitation Hospital, Japan.
J Phys Ther Sci. 2018 Oct;30(10):1323-1328. doi: 10.1589/jpts.30.1323. Epub 2018 Oct 12.
[Purpose] To demonstrate immediate alteration in lumbar lordosis and the lumbar angle in each segment after the application of the mechanical pressure technique to the psoas major muscle (PM). [Participants and Methods] In all, 34 participants were assigned to either the PM pressure technique group (n=17) or control group (n=17). Three dimensional (3D) coordinates of the 12th thoracic spinous process and lumbar spinous processes were measured with a 3D digitizer in the prone position with 15° bilateral hip extension to compare the changes in lumbar lordosis and the lumbar extension angle in each segment in both the PM pressure technique group and control group. [Results] Mann-Whitney's U test revealed no significant differences in lumbar lordosis in either group. However, the lumbar extension angle at L4 decreased significantly after the PM pressure technique compared with that before the pressure technique. Additionally, the lumbar extension angle at L4 also decreased significantly after the PM pressure technique compared with the control group. Conversely, lumbar extension angle at L1 increased significantly after the PM pressure technique compared with that before. There was no significant difference in the lumbar extension angle at L2, L3 and L5 after the PM pressure technique. [Conclusion] This study suggests that the PM pressure technique possibly attenuates PM stiffness while reducing lumbar extension in each segment.
[目的] 证明在对腰大肌(PM)应用机械按压技术后,腰椎前凸及各节段腰椎角度的即时变化。[参与者与方法] 总共34名参与者被分为腰大肌按压技术组(n = 17)或对照组(n = 17)。在俯卧位、双侧髋关节伸展15°的情况下,使用三维(3D)数字化仪测量第12胸椎棘突和腰椎棘突的三维坐标,以比较腰大肌按压技术组和对照组中各节段腰椎前凸和腰椎伸展角度的变化。[结果] 曼-惠特尼U检验显示两组在腰椎前凸方面均无显著差异。然而,与按压技术前相比,腰大肌按压技术后L4节段的腰椎伸展角度显著减小。此外,与对照组相比,腰大肌按压技术后L4节段的腰椎伸展角度也显著减小。相反,与按压技术前相比,腰大肌按压技术后L1节段的腰椎伸展角度显著增加。腰大肌按压技术后L2、L3和L5节段的腰椎伸展角度无显著差异。[结论] 本研究表明,腰大肌按压技术可能会在降低各节段腰椎伸展的同时减弱腰大肌的刚度。