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水中运动训练对乳腺癌幸存者矢状位脊柱曲度和等速躯干肌肉耐力的关系。

The relationship between sagittal spinal curvatures and isokinetic trunk muscle endurance after aquatic exercise training in survivors of breast cancer.

机构信息

Department of Rehabilitation in Internal Diseases, Faculty of Physiotherapy, University School of Physical Education in Wrocław, Wrocław, Poland.

出版信息

Acta Bioeng Biomech. 2020;22(1):21-30.

Abstract

PURPOSE

Assessment of the impact of aquatic exercises on the relationship between sagittal spinal curvatures and isokinetic trunk muscle endurance against standard land exercises in women after breast cancer treatment.

METHODS

40 women post breast cancer divided into two groups: a study group (n = 20) participated in the aquatic exercises and a control group (n = 20) performed the land exercises. Data collection occurred both before and after the 8 week intervention. Measurements were taken from the SG and CG performing antagonistic movements (flexions/extensions) to assess the endurance (120 °/s) in isokinetic conditions and a photogrammetric examination to define sagittal spinal curvatures.

RESULTS

A significant improvement (p < 0.05) in total work and average power was found among women after the aquatic exercises irrespective of the muscle group under examination. There were no significant changes in any examined parameters after the land exercises. In the study group, there was a significant association of gamma angle decrease and an increase of all examined functional parameters of total work and average power of both the extensor muscles (r = -0,49 to -0.51) and the trunk flexors (r = -0.48 to -0.51). In the control group, a similar tendency of functional-postural changes was observed only for the extensor muscles of the trunk (r = -0.54 to -0.58).

CONCLUSIONS

General exercises performed in water, as opposed to those performed on land, are more effective in terms of the functional-postural retations in women after breast cancer.

摘要

目的

评估水中运动对乳腺癌治疗后女性矢状脊柱曲率与躯干等速肌肉耐力之间关系的影响,与标准陆地运动相比。

方法

将 40 名乳腺癌后女性分为两组:研究组(n=20)参加水上运动,对照组(n=20)进行陆地运动。在 8 周干预前后均进行数据收集。测量来自 SG 和 CG 进行拮抗运动(屈伸),以评估等速条件下的耐力(120°/s),并进行摄影测量检查以定义矢状脊柱曲率。

结果

无论检查的肌肉群如何,水上运动后女性的总工作和平均功率均有显著提高(p<0.05)。陆地运动后,所有检查参数均无显著变化。在研究组中,γ角的减少与躯干伸肌(r=-0.49 至-0.51)和躯干屈肌(r=-0.48 至-0.51)的总工作和平均功率的所有检查功能参数的增加呈显著相关性。在对照组中,仅观察到躯干伸肌的功能-姿势变化呈类似趋势(r=-0.54 至-0.58)。

结论

与陆地运动相比,水中进行的一般性运动在乳腺癌后女性的功能-姿势关系方面更为有效。

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