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用于预测和不可预测矢状面扰动的姿势控制的深部躯干肌肉活动:肌电图分析。

Activity of deep trunk muscles for postural control to predictable and unpredictable sagittal plane perturbations: Electromyographic analysis.

机构信息

Department of Rehabilitation, Health Sciences University of Hokkaido Hospital, Sapporo, Japan.

Department of PhysicalTherapy, Faculty of Rehabilitation Science, Health Sciences University of Hokkaido, Ishikari, Japan.

出版信息

J Back Musculoskelet Rehabil. 2023;36(6):1411-1420. doi: 10.3233/BMR-220416.

Abstract

BACKGROUND

The activity of deep trunk muscles (psoas major; PM, quadratus lumborum; QL, transverse abdominis; TrA, and lumbar multifidus; MF) in response to external perturbation is not clearly known.

OBJECTIVE

This study aimed to record the onset and amount of activity of the deep trunk muscles during sagittal plane perturbations.

METHODS

Fourteen healthy males participated in this study. The activity of the right deep trunk muscles was recorded using wire electrodes. In standing, the participants performed three tasks: a pendulum impacted from anterior with predictable and unpredictable and posterior with unpredictable.

RESULTS

In predictable anterior perturbation, the TrA and PM demonstrated feedforward activation, while all deep trunk muscles demonstrated feedback activation in unpredictable anterior and posterior perturbations. In the anticipatory postural adjustment phase, the activity of the TrA was large in predictable anterior perturbation, while that of all deep trunk muscles was slight in other perturbations. In the compensatory postural adjustment phase, the activity of the PM, QL, and TrA in unpredictable anterior perturbation and those of the PM, QL, and MF in unpredictable posterior perturbation were large.

CONCLUSIONS

These results showed that the onset and magnitude of deep trunk muscle activity changed depending on both predictable or unpredictable perturbation and the direction of perturbation.

摘要

背景

对于外界干扰,深层躯干肌肉(腰大肌;PM、腰方肌;QL、腹横肌;TrA 和多裂肌;MF)的活动情况尚不清楚。

目的

本研究旨在记录矢状面干扰下深层躯干肌肉的起始和活动量。

方法

14 名健康男性参与了这项研究。使用电级线记录右侧深层躯干肌肉的活动。参与者在站立位完成三个任务:从前向后摆动有预测性和无预测性的冲击,以及从后向前摆动无预测性的冲击。

结果

在可预测的前向干扰中,TrA 和 PM 表现出前馈激活,而所有深层躯干肌肉在不可预测的前向和后向干扰中均表现出反馈激活。在姿势预备调整阶段,可预测的前向干扰中 TrA 的活动较大,而其他干扰中所有深层躯干肌肉的活动较小。在补偿性姿势调整阶段,不可预测的前向干扰中 PM、QL 和 TrA 的活动以及不可预测的后向干扰中 PM、QL 和 MF 的活动较大。

结论

这些结果表明,深层躯干肌肉的活动起始和幅度取决于可预测或不可预测的干扰以及干扰的方向。

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