Mun Woo-Lim, Roh Su-Yeon
Department of Exercise Rehabilitation, Gachon University, Incheon 21936, Republic of Korea.
J Clin Med. 2024 Jul 26;13(15):4376. doi: 10.3390/jcm13154376.
: This study determined the effects of 60 min or 30 min Pilates program on cervicothoracic alignment, muscular strength, and endurance in university students with upper-crossed syndrome (UCS). : Twenty-six university students with UCS were randomly allocated into 60 min Pilates (60 PG, = 9), 30 min Pilates (30 PG, = 9), and control (CG, = 8) groups. The 60 and 30 PG students participated in the Pilates program, focusing on relaxation, stability, mobility, and strengthening of the cervical, thoracic, and scapular muscles for 60 or 30 min per session, twice a week, for 12 weeks. Cervicothoracic alignment was measured using BodyStyle to determine craniovertebral angle (CVA), forward shoulder angle (FSA), head position angle (HPA), head tilt angle (HTA), and kyphosis angle (KA). We measured the muscular strength and endurance of the shoulder on the dominant side. : After the intervention, CVA, HPA, HTA, and KA significantly improved in the 60 and 30 PG (all < 0.01) but not in the CG ( > 0.05). There were no significant differences between the 60 and 30 PG at 4, 8, and 12 weeks. Shoulder strength differed between shoulder flexion and horizontal abduction ( < 0.01). Shoulder endurance differed between extension, flexion, and horizontal abduction ( < 0.05, < 0.01, and < 0.001, respectively). : This study confirmed the effectiveness of the Pilates program in improving cervicothoracic sagittal alignment and shoulder muscular function in university students with UCS. Additionally, the effects of participating in 60 and 30 min Pilates programs were found to be equivalent. Therefore, encouraging busy university students to participate in at least 30 min of the Pilates program is important.
本研究确定了60分钟或30分钟普拉提课程对患有上交叉综合征（UCS）的大学生的颈胸 alignment、肌肉力量和耐力的影响。26名患有UCS的大学生被随机分为60分钟普拉提组（60 PG，n = 9）、30分钟普拉提组（30 PG，n = 9）和对照组（CG，n = 8）。60 PG组和30 PG组的学生参加普拉提课程，重点是放松、稳定、活动度以及颈部、胸部和肩胛部肌肉的强化，每次课程60或30分钟，每周两次，共12周。使用BodyStyle测量颈胸alignment，以确定颅椎角（CVA）、前肩角（FSA）、头部位置角（HPA）、头部倾斜角（HTA）和驼背角（KA）。我们测量了优势侧肩部的肌肉力量和耐力。干预后，60 PG组和30 PG组的CVA、HPA、HTA和KA均有显著改善（均P < 0.01），而CG组无显著改善（P > 0.05）。60 PG组和30 PG组在第4、8和12周时无显著差异。肩部力量在肩屈曲和水平外展之间存在差异（P < 0.01）。肩部耐力在伸展、屈曲和水平外展之间存在差异（分别为P < 0.05、P < 0.01和P < 0.001）。本研究证实了普拉提课程在改善患有UCS的大学生颈胸矢状面alignment和肩部肌肉功能方面的有效性。此外，发现参加60分钟和30分钟普拉提课程的效果相当。因此，鼓励忙碌的大学生至少参加30分钟的普拉提课程很重要。
