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8 周选择性矫正运动方案对上交叉综合征患者肩胛带和颈部肌肉肌电图活动的影响:随机对照试验。

Effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome: Randomized controlled trial.

机构信息

Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran.

Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran.

出版信息

Phys Ther Sport. 2019 May;37:113-119. doi: 10.1016/j.ptsp.2019.03.008. Epub 2019 Mar 21.

Abstract

OBJECTIVES

Postural disorders disturb muscle activity and lead to joint dysfunction. This study aimed to evaluate the effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome (UCS).

DESIGN

Randomized controlled trial.

SETTING

Exercise evaluation was conducted in a laboratory setting.

PARTICIPANT

Study recruited 30 healthy males with UCS from university students, who were then randomly divided into the control group (age = 20.14 ± 1.71 years; height = 176.86 ± 4.7 cm; BMI = 21.20 ± 1.96 kg/m) and the exercise group (age = 21.44 ± 2.06 years; height = 174.2 ± 4.0 cm; BMI = 20.62 ± 3.9 kg/m).

MAIN OUTCOME MEASURES

Electromyography activity of upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), serratus anterior (SA), and sternocleidomastoid (SCM) was recorded before and after 8-week exercise program.

RESULTS

T-test results revealed that baseline activity of SA (P < 0.05), had increased while UT (P < 0.05) and SCM (P < 0.05) activity as well as UT/SA (P < 0.05) and UT/LT (P < 0.05) ratios had decreased. In connection with these finding the effect sizes were large.

CONCLUSION

Eight week corrective exercises balance muscles activity and can be used to manage developing upper quadrant musculoskeletal disorders in person with UCS.

摘要

目的

姿势障碍会扰乱肌肉活动,导致关节功能障碍。本研究旨在评估 8 周选择性矫正运动方案对患有上交叉综合征(UCS)的个体肩胛带和颈部肌肉肌电图活动的影响。

设计

随机对照试验。

设置

在实验室环境中进行运动评估。

参与者

研究招募了 30 名来自大学生的患有 UCS 的健康男性,然后将他们随机分为对照组(年龄=20.14±1.71 岁;身高=176.86±4.7cm;BMI=21.20±1.96kg/m²)和运动组(年龄=21.44±2.06 岁;身高=174.2±4.0cm;BMI=20.62±3.9kg/m²)。

主要观察指标

在 8 周运动方案前后记录上斜方肌(UT)、中斜方肌(MT)、下斜方肌(LT)、前锯肌(SA)和胸锁乳突肌(SCM)的肌电图活动。

结果

T 检验结果显示,SA 的基线活动(P<0.05)增加,而 UT(P<0.05)和 SCM(P<0.05)的活动以及 UT/SA(P<0.05)和 UT/LT(P<0.05)的比值降低。与这些发现相关的效应量较大。

结论

8 周的矫正运动可以平衡肌肉活动,用于管理患有 UCS 的人上象限肌肉骨骼疾病的发展。

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