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关节活动度增加与腹横肌收缩功能受损有关。

Increased Joint Mobility Is Associated With Impaired Transversus Abdominis Contraction.

机构信息

Department of Exercise Sciences, Brigham Young University, Provo, Utah.

Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Victoria, Australia ; and.

出版信息

J Strength Cond Res. 2022 Sep 1;36(9):2472-2478. doi: 10.1519/JSC.0000000000003752. Epub 2020 Aug 12.

Abstract

Mitchell, UH, Owen, PJ, Rantalainen, T, and Belavý, DL. Increased joint mobility is associated with impaired transversus abdominis contraction. J Strength Cond Res 36(9): 2472-2478, 2022-Increased joint mobility is a risk factor for joint injury, but muscle function may be able to compensate for it. Current evidence suggests reduced force production capacity in people with hypermobility. However, little is known about the lumbar spine. The purpose of this cross-sectional study was to assess whether there was a link between joint mobility and transverse abdominis and multifidus muscles contraction, muscles ascribed a core-stability role. Using a modified quantitative version of the Beighton scale (BOM score), we measured joint mobility of 30 middle-aged individuals without low back pain. These scores were correlated with magnetic resonance imaging-derived measures of transverse abdominis and multifidus muscle contraction during a spinal loading maneuver. The level of significance was set for p ≤ 0.05. The results showed greater joint mobility (a higher BOM score) correlated ( r = 0.468; p = 0.009) with reduced transversus abdominis (TrA) shortening during contraction (i.e., less muscle shortening in people with greater joint mobility). The trunk subdomain score exhibited a correlation of 0.354 with TrA length change, but this did not reach statistical significance ( p = 0.055). The subdomains of the BOM score did not correlate significantly with each other ( p ≥ 0.097). No association was seen between multifidus contraction and joint mobility. The results suggest that greater general joint mobility is associated with impaired contraction of the TrA muscle. This should be considered when coaching athletes or treating patients with (functional) spinal instability. The quantitative approach we developed to measure joint mobility could be used in the future studies of global flexibility.

摘要

米切尔、欧文、兰塔莱宁和贝拉维等人研究发现,关节活动度增加与腹横肌收缩功能受损有关。该研究结果发表于 2022 年《力量与训练研究杂志》。关节活动度增加是关节损伤的一个风险因素,但肌肉功能或许可以对此进行代偿。目前的证据表明,过度活动人群的肌肉力量产生能力降低。然而,人们对腰椎知之甚少。本横断面研究旨在评估关节活动度与腹横肌和多裂肌收缩之间是否存在关联,这两块肌肉被认为与核心稳定性有关。研究人员使用改良的贝氏活动度评分(BOM 评分)来测量 30 名无腰痛的中年人的关节活动度。这些评分与脊柱负荷试验中腹横肌和多裂肌收缩的磁共振成像衍生测量值相关。显著性水平设定为 p≤0.05。结果表明,更大的关节活动度(更高的 BOM 评分)与腹横肌收缩时的 TrA 缩短程度(即关节活动度较大的人群中肌肉缩短程度较小)相关(r=0.468;p=0.009)。躯干子域评分与 TrA 长度变化的相关性为 0.354,但未达到统计学意义(p=0.055)。BOM 评分的子域之间没有显著相关性(p≥0.097)。多裂肌收缩与关节活动度之间没有相关性。研究结果表明,更大的一般关节活动度与腹横肌收缩功能受损有关。在对运动员进行指导或治疗(功能性)脊柱不稳定患者时,应考虑到这一点。我们开发的测量关节活动度的定量方法可用于未来的整体柔韧性研究。

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