Ferraro Richard, Garman Sarah, Taylor Rebecca, Parrott J Scott, Kadlowec Jennifer
School of Health Professions, Rutgers, The State University of New Jersey: 200 College Drive, Jefferson Hall, Blackwood, New Jersey 08012, USA.
Departments of Interdisciplinary Studies and Epidemiology, Rutgers, The State University of New Jersey, USA.
J Phys Ther Sci. 2019 Sep;31(9):729-737. doi: 10.1589/jpts.31.729. Epub 2019 Sep 5.
[Purpose] This pilot study aims to determine whether improvements in postural sway, particularly among older adults, can be augmented immediately after training participants to activate and isolate the transverse abdominis (TrA) muscle. [Participants and Methods] Fifty six participants (in three age groups) took part in a single session TrA training intervention. Aspects of postural sway, balance and muscle activation patterns were measured before and after training and compared. [Results] There was significant improvement across four of six postural sway variables for the combined sample of all age groups. Older adults improved more than younger and middle-age participants in two important postural sway variables. No marked differences were evident in static reach distance across all age groups. There were no differences between groups with regard to surface electromyography (sEMG) amplitudes despite the emergence of different activation patterns among age groups. [Conclusion] Immediate effects were induced in postural sway measures after the single session training intervention. By improving neuromuscular control of the TrA and maximizing the efficiency of related proximal core muscles center of pressure (COP) sway velocities decreased during single limb standing (SLS).
[目的] 本试点研究旨在确定,在训练参与者激活并孤立腹横肌(TrA)后,姿势摆动的改善,尤其是在老年人中,是否能立即得到增强。[参与者与方法] 56名参与者(分三个年龄组)参加了单次TrA训练干预。在训练前后测量姿势摆动、平衡和肌肉激活模式等方面,并进行比较。[结果] 所有年龄组合并样本的六个姿势摆动变量中有四个有显著改善。在两个重要的姿势摆动变量上,老年人比年轻人和中年参与者改善得更多。所有年龄组在静态伸展距离上没有明显差异。尽管各年龄组出现了不同的激活模式,但在表面肌电图(sEMG)振幅方面,组间没有差异。[结论] 单次训练干预后,姿势摆动测量产生了即时效果。通过改善TrA的神经肌肉控制并使相关近端核心肌肉的效率最大化,单腿站立(SLS)期间压力中心(COP)的摆动速度降低。