Lee Su-Kyoung
Department of Physical Therapy, College of Nursing, Healthcare Sciences & Human Ecology, Dong-Eui University, Busan, Korea.
J Exerc Rehabil. 2019 Apr 26;15(2):224-228. doi: 10.12965/jer.1938056.028. eCollection 2019 Apr.
The purpose of this study was to investigate effects of abdominal drawing-in maneuver (ADIM) on the muscular activity of the trunk and the lower limbs during stair ascent. The subjects were healthy 15 men and 8 women who were in their 20s. After maintaining ADIM by using a pressure biofeedback unit for 15 min, the subjects performed stair ascent and their muscular activity of the right trunk and the legs was measured to determine difference between when the subjects maintained ADIM and did not. The activities of the sternocleidomastoid, the splenius capitis, the rectus abdominis (ABD), the external abdominal oblique (EO), the transverse abdominis (TRA), the elector spinae (ES), the vastus medialis (VM), and the vastus lateralis (VL) were measured using surface electromyogram (TM DTS). The collected data were statistically processed by the SPSS ver. 18.0 and analyzed with a paired -test. The muscular activities of the TRA, VM, and VL significantly increased (<0.05), while the activity of the ES significantly decreased (<0.05) during stair ascent when the ADIM was maintained than when it was not. In conclusion, the stair ascent with ADIM maintained activated the abdominal muscles to control trunk balance and perform lumbar stability, simultaneously reducing excessive lumbar lordosis or pelvic anterior tilt which will help to improve the function of the musculoskeletal system.
本研究旨在探讨收腹提肛运动(ADIM)对登楼梯过程中躯干和下肢肌肉活动的影响。研究对象为15名20多岁的健康男性和8名20多岁的健康女性。在使用压力生物反馈装置保持ADIM 15分钟后,受试者进行登楼梯活动,并测量其右侧躯干和腿部的肌肉活动,以确定受试者保持ADIM和未保持ADIM时的差异。使用表面肌电图(TM DTS)测量胸锁乳突肌、头夹肌、腹直肌(ABD)、腹外斜肌(EO)、腹横肌(TRA)、竖脊肌(ES)、股内侧肌(VM)和股外侧肌(VL)的活动。收集的数据通过SPSS 18.0版进行统计处理,并采用配对检验进行分析。与未保持ADIM时相比,保持ADIM时登楼梯过程中TRA、VM和VL的肌肉活动显著增加(<0.05),而ES的活动显著降低(<0.05)。总之,保持ADIM进行登楼梯可激活腹部肌肉以控制躯干平衡并实现腰椎稳定性,同时减少过度的腰椎前凸或骨盆前倾,这将有助于改善肌肉骨骼系统的功能。