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治疗性运动中马匹小跑时多裂肌的肌电图

Electromyography of the Multifidus Muscle in Horses Trotting During Therapeutic Exercises.

作者信息

Ursini Tena, Shaw Karen, Levine David, Richards Jim, Adair Henry Steve

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Equine Performance and Rehabilitation Center, University of Tennessee, Knoxville, TN, United States.

Department of Physical Therapy, University of Tennessee at Chattanooga, Chattanooga, TN, United States.

出版信息

Front Vet Sci. 2022 May 27;9:844776. doi: 10.3389/fvets.2022.844776. eCollection 2022.

Abstract

Thoracolumbar pain has been identified in both human and equine patients. Rehabilitation and conditioning programs have focused specifically on improving trunk and abdominal muscle function (1-5). Equine exercise programs routinely incorporate ground poles and training devices for the similar goals of increasing spinal and core stability and strength (6-8). The multifidus muscle has been an area of focus due to atrophy associated with disease (9). To date, there have been no reports on the activity of the multifidus muscle in horses in relation to therapeutic exercises. Our objectives were to use electromyography to determine the average work performed and peak muscle activity of the multifidus in horses trotting, trotting over ground poles, trotting while wearing a resistance band-based training device and trotting while wearing the training device over ground poles. We hypothesized that ground poles and the training device would each increase average work performed and peak multifidus muscle activity. Right and left cranial thoracic locations showed significant increased muscle work and peak activation when horses were trotted over ground poles versus without. The peak activation was significantly greater in horses trotting over poles in both lumbar regions, but there was no significant change in peak activation in either location due to the training device. When the influence of the training device was investigated without ground poles, left caudal thoracic muscle work and peak activity, and right lumbar muscle work were significantly lower when using the training device, as compared to without. When the training device was combined with trotting over ground poles, both left and right caudal thoracic regions showed significantly lower muscle work and peak activity when the device was used. There was no significant difference between with and without the device in either left or right lumbar muscle work. In conclusion, implementing ground poles can be an effective strategy to increase the activation of the multifidus muscle, however, caution should be taken when incorporating the use of a resistance band training device as muscle work and peak activation were significantly reduced in most locations. Further study should be performed in regards to the training device to determine its effects on epaxial musculature.

摘要

胸腰段疼痛在人类和马类患者中均有发现。康复和体能训练计划特别注重改善躯干和腹部肌肉功能(1-5)。马类运动计划通常会纳入地杆和训练设备,以实现增强脊柱和核心稳定性及力量的类似目标(6-8)。由于与疾病相关的萎缩,多裂肌一直是研究的重点领域(9)。迄今为止,尚无关于马类多裂肌在治疗性运动中的活动情况的报道。我们的目标是使用肌电图来确定马在小跑、在地杆上小跑、佩戴基于阻力带的训练设备小跑以及佩戴训练设备在地杆上小跑时多裂肌的平均做功和峰值肌肉活动。我们假设地杆和训练设备都会增加平均做功和多裂肌的峰值肌肉活动。与不经过地杆小跑相比,当马在地杆上小跑时,左右颅胸段位置的肌肉做功和峰值激活显著增加。在两个腰段区域,马在地杆上小跑时的峰值激活明显更大,但训练设备对任一位置的峰值激活均无显著变化。在不使用地杆的情况下研究训练设备的影响时,与不使用训练设备相比,使用训练设备时左尾胸段肌肉做功和峰值活动以及右腰段肌肉做功显著降低。当训练设备与在地杆上小跑相结合时,使用该设备时左右尾胸段区域的肌肉做功和峰值活动均显著降低。左右腰段肌肉做功在使用和不使用设备之间均无显著差异。总之,使用地杆可以是增加多裂肌激活的有效策略,然而,在使用阻力带训练设备时应谨慎,因为在大多数位置肌肉做功和峰值激活会显著降低。应针对训练设备进行进一步研究,以确定其对轴上肌肉组织的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b5d/9184818/19db0e2afc75/fvets-09-844776-g0001.jpg

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