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坐姿和站姿——哪一种对腰椎的骨骼肌肉系统施加的负荷更大?基于数学建模方法的比较测试。

A sitting or standing position - which one exerts more loads on the musculoskeletal system of the lumbar spine? Comparative tests based on the methods of mathematical modelling.

机构信息

Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland.

出版信息

Acta Bioeng Biomech. 2021;23(1):113-120.

Abstract

PURPOSE

The work aimed to assess the functioning of the musculoskeletal system within the lumbar spine in relation to everyday postures of sitting and standing.

METHODS

The comparative analysis was based both on experimental tests and computer simulations performed in the AnyBody Modeling System environment. Input data used to prepare models were based on the information obtained in experimental tests. The test participants were tasked with adopting two postures: 1) standing position and 2) sitting position. Kinematics measurements were performed using the Zebris ultrasonic system. During sitting position, the tests additionally involved the use of a dynamometric platform measuring reaction forces occurring between buttocks and the seat.

RESULTS

The comparative analysis included measurements of the trunk inclination angle and the pelvic inclination angle as well as results of computer simulations. The sitting posture is responsible for increased trunk inclination and a change in the position of the pelvis. In terms of the sitting position, it was possible to observe an increase in the loads affecting individual intervertebral joints of the lumbar spine by 155-184% in comparison with the standing posture (100%). Simulations revealed an increased muscle activity of the erector spinae, abdominal internal oblique muscles and abdominal external oblique muscles.

CONCLUSIONS

Adopting a sitting position increases the loads on the lumbar spine and increases the activity of the erector spinae and abdominal muscles compared to the standing position, which is caused by change in the position of the pelvis and the curvature of the lumbar region.

摘要

目的

本研究旨在评估腰椎关节在坐姿和站姿这两种日常姿势下的骨骼肌肉系统功能。

方法

本研究采用实验测试和计算机模拟两种方法,并基于 AnyBody Modeling System 环境进行对比分析。模型制备所使用的输入数据基于实验测试所获得的信息。实验测试要求参与者采取两种姿势:1)站立位,2)坐位。运动学测量使用 Zebris 超声系统进行。在坐位测试中,还使用了一个测力平台来测量臀部和座位之间的反作用力。

结果

对比分析包括躯干倾斜角和骨盆倾斜角的测量值以及计算机模拟结果。坐姿会导致躯干倾斜度增加和骨盆位置改变。与站立位(100%)相比,坐姿会使腰椎各节段的椎间关节所受负荷增加 155-184%(155-184%)。模拟结果显示,竖脊肌、腹内斜肌和腹外斜肌的肌肉活动增加。

结论

与站立位相比,坐姿会增加腰椎的负荷,并增加竖脊肌和腹部肌肉的活动,这是由于骨盆位置和腰椎曲度的改变所致。

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