Department of Physical Therapy, College of Health Science, Kyungdong University, Wonju 24764, Korea.
Int J Environ Res Public Health. 2021 Dec 4;18(23):12804. doi: 10.3390/ijerph182312804.
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.
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。
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