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躯干肌肉激活与核心稳定性的关系:基于普拉提的稳定性练习的生物力学分析。

The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pilates-Based Stabilization Exercise.

机构信息

Department of Physical Therapy, College of Health Science, Kyungdong University, Wonju 24764, Korea.

出版信息

Int J Environ Res Public Health. 2021 Dec 4;18(23):12804. doi: 10.3390/ijerph182312804.


DOI:10.3390/ijerph182312804
PMID:34886530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8657451/
Abstract

Pilates is an effective exercise method for rehabilitating musculoskeletal disorders as its principles are based on the activation of local muscles. This study aimed to compare the subjects with and without Pilates experience to find out the effect of the experience on the core muscle activity and muscle co-contraction, and to examine the relationship between the core muscle activation level and the kinematic data. This study involved 32 subjects, including 16 experienced Pilates practitioners and 16 non-experienced subjects. The knee stretch on the reformer was performed in three different positions: flat back with a neutral pelvis, round back with posteriorly tilted pelvis (RPP), and extended back anteriorly tilted pelvis (EAP). The electromyography of the internal oblique (IO), rectus abdominis (RA), multifidus (MU), and iliocostalis lumborum (IL) muscles were measured, as well as kinematic data from a 3D motion analysis system. Compared to the non-experienced subjects, the experienced subjects activated the IO muscles more than the RA muscles, and the most significant difference was seen in the RPP position ( < 0.05). The experienced patients activated the MU muscles more often than the IL muscles, with the most significant difference observed in the RPP position and the least significant in the EAP position ( < 0.05). All kinematic data and muscle activity (IO, IO/RA ratio, MU/IL ratio) showed significant differences between the experienced and non-experienced subjects ( < 0.05). The subjects presented a moderate correlation between muscle activation and core stability. It was confirmed that the experienced Pilates practitioners activated the abdominal and low back core muscles effectively, and the stability of the pelvis and trunk were better than that of the non-experienced participants. In addition, the better the trunk stability was maintained, the larger and more accurate movement of the mobility segment was observed.

摘要

普拉提是一种有效的骨骼肌肉疾病康复运动方法,其原理基于局部肌肉的激活。本研究旨在比较有和无普拉提经验的受试者,以发现经验对核心肌肉活动和肌肉协同收缩的影响,并研究核心肌肉激活水平与运动学数据之间的关系。本研究共纳入 32 名受试者,包括 16 名有经验的普拉提练习者和 16 名无经验的受试者。在三种不同位置下进行了改良式普拉提的伸展膝动作:平背中立骨盆位、圆背后倾骨盆位(RPP)和伸展背前倾骨盆位(EAP)。测量了腹内斜肌(IO)、腹直肌(RA)、多裂肌(MU)和髂肋肌(IL)的肌电图以及 3D 运动分析系统的运动学数据。与无经验的受试者相比,有经验的受试者在 RPP 位置时 IO 肌肉的激活程度高于 RA 肌肉( < 0.05)。有经验的患者 MU 肌肉的激活频率高于 IL 肌肉,在 RPP 位置差异最显著,在 EAP 位置差异最不显著( < 0.05)。所有运动学数据和肌肉活动(IO、IO/RA 比值、MU/IL 比值)在有经验和无经验的受试者之间均显示出显著差异( < 0.05)。受试者的肌肉激活与核心稳定性之间存在中度相关性。证实了有经验的普拉提练习者能够有效地激活腹部和下背部核心肌肉,骨盆和躯干的稳定性优于无经验的参与者。此外,维持更好的躯干稳定性时,可观察到更大和更准确的活动度节段运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8657451/9738bd5571a4/ijerph-18-12804-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8657451/09fbd4e6bc5e/ijerph-18-12804-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8657451/9738bd5571a4/ijerph-18-12804-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8657451/09fbd4e6bc5e/ijerph-18-12804-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67a/8657451/9738bd5571a4/ijerph-18-12804-g002.jpg

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The efficacy and safety of pilates exercise in patients with knee osteoarthritis: a systematic review with meta-analysis of randomized controlled trials.

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[2]
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[3]
Effects of reformer pilates on body composition, strength, and psychosomatic factors in overweight and obese women A randomized controlled trial.

Sci Rep. 2025-7-2

[4]
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[5]
Electromyographic Patterns of Muscle Activation During Running with Different Footwear at Different Speeds in Nulliparous Women: A Secondary Analysis.

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[6]
Randomised controlled study on the effects of pilates exercises in soccer: Comparing mat and reformer methods on physical and technical performance.

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[7]
Enhancing postural control in stroke patients: advances in mechanisms and functional recovery analysis of core stability training.

Neurol Sci. 2025-4-7

[8]
Changes in Shoulder Girdle Muscle Activity and Ratio During Pilates-Based Exercises.

Life (Basel). 2025-2-14

[9]
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Front Sports Act Living. 2025-1-8

[10]
Effect of Reformer Spring Resistance Modifications on Core Muscle Activity During Basic Core Muscle Exercises.

Healthcare (Basel). 2024-12-5

本文引用的文献

[1]
Pilates-based core exercise improves health-related quality of life in people living with chronic low back pain: A pilot study.

J Bodyw Mov Ther. 2021-7

[2]
Effect of Pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain.

J Orthop Sci. 2021-11

[3]
Investigation of Electromyographic Activity of Pelvic Floor Muscles in Different Body Positions to Prevent Urinary Incontinence.

Med Sci Monit. 2019-12-8

[4]
Co-contraction of the core muscles during Pilates exercise on the Wunda Chair.

J Back Musculoskelet Rehabil. 2020

[5]
Neuromuscular efficiency of the multifidus muscle in pilates practitioners and non-practitioners.

Complement Ther Med. 2018-7-29

[6]
Pilates experience vs. muscle activation during abdominal drawing-in maneuver.

J Bodyw Mov Ther. 2018-4

[7]
Trunk postural balance and low back pain: Reliability and relationship with clinical changes following a lumbar stabilization exercise program.

Gait Posture. 2018-3

[8]
Audiovisual Biofeedback-Based Trunk Stabilization Training Using a Pressure Biofeedback System in Stroke Patients: A Randomized, Single-Blinded Study.

Stroke Res Treat. 2017

[9]
Comparison of deep and superficial abdominal muscle activity between experienced Pilates and resistance exercise instructors and controls during stabilization exercise.

J Exerc Rehabil. 2015-6-30

[10]
The Pilates breathing technique increases the electromyographic amplitude level of the deep abdominal muscles in untrained people.

J Bodyw Mov Ther. 2015-1

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