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站立和坐姿对年轻女性脊柱曲度和肌肉力学特性的影响:一种摄影测量和肌电描记分析。

Impact of Standing and Sitting Postures on Spinal Curvature and Muscle Mechanical Properties in Young Women: A Photogrammetric and MyotonPro Analysis.

机构信息

Department of Kinesiotherapy, Physiotherapy Faculty, Wroclaw University of Health and Sport Sciences, Wroclaw, Poland.

Department of Kinesiology, Physiotherapy Faculty, Wroclaw University of Health and Sport Sciences, Wroclaw, Poland.

出版信息

Med Sci Monit. 2024 Jul 29;30:e944930. doi: 10.12659/MSM.944930.

Abstract

BACKGROUND This study aimed to evaluate the effect of standing and sitting positions on spinal curvatures evaluated using projection moire and muscle tone and stiffness using the MyotonPRO hand-held device in young women. MATERIAL AND METHODS Thirty-three healthy women, aged 21 to 23 years, volunteered in the study. We used the projection moire method to examine spinal curvatures in both positions and the MyotonPRO device to measure the tone and stiffness of muscles in 3 regions. We evaluated the effects of positions (standing vs sitting), regions (cervical, thoracic, and lumbar), and side factor (right vs left) using multivariate analysis. RESULTS The sitting position significantly decreased the lumbosacral and thoracolumbar angles (P<0.001), but had no effect on the superior thoracic angle. Muscle tension and stiffness were the highest (P<0.001) in the cervical region and did not differ between positions (P>0.05) in this region. We found significantly higher muscle tone and stiffness in the thoracic and lumbar regions during sitting than during standing (P<0.001). There was symmetry in the muscle tone and the stiffness between the right and left sides of the spine. CONCLUSIONS The sitting posture decreased lumbosacral and thoracolumbar angles but increased muscle tension and stiffness in the lumbar and thoracic regions only. The symmetry of muscle tone and transverse stiffness in both positions was the normative value. This study provides insight into the adaptive physiological changes in spinal curvature and muscle mechanical properties in young women and serves as an important reference point for clinical studies of women.

摘要

背景

本研究旨在评估站立和坐姿对年轻女性脊柱曲度(采用投影云纹法评估)和肌肉张力及硬度(采用 MyotonPRO 手持设备评估)的影响。

材料和方法

33 名年龄在 21 至 23 岁的健康女性志愿者参与了本研究。我们采用投影云纹法在两种体位下评估脊柱曲度,采用 MyotonPRO 设备测量 3 个区域的肌肉张力和硬度。我们采用多变量分析评估体位(站立位与坐位)、区域(颈椎、胸椎和腰椎)和侧位因素(右侧与左侧)的影响。

结果

与站立位相比,坐位显著降低了腰骶角和胸腰角(P<0.001),但对上胸段角没有影响。颈椎区的肌肉张力和硬度最高(P<0.001),且在该区域两种体位间无差异(P>0.05)。与站立位相比,坐位时胸腰段和腰椎段的肌肉张力和硬度显著增加(P<0.001)。左右两侧的脊柱肌肉张力和硬度均存在对称性。

结论

坐姿降低了腰骶角和胸腰角,但仅增加了腰椎和胸椎区域的肌肉张力和硬度。两种体位下的肌肉张力和横向硬度的对称性是正常的。本研究为年轻女性脊柱曲度和肌肉力学特性的适应性生理变化提供了深入了解,为女性临床研究提供了重要参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a58/11297353/f96ff92b23cd/medscimonit-30-e944930-g001.jpg

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