Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique
Exercises for Spine Stabilization: Motion/Motor Patterns, Stability Progressions, and Clinical Technique
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DOI：
10.1016/j.apmr.2008.06.026
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发表时间：
2009-01-01
影响因子：
4.3
通讯作者：
Karpowicz, Amy
中科院分区：
文献类型：
--
作者：
McGill, Stuart M.;Karpowicz, Amy
目的：量化几种形式的屈唇、侧桥和鸟犬式练习（肌肉活动和三维[3D]脊柱位置），包括一些矫正技术，以帮助临床决策设计：一项基础科学研究，方便样本与专家干预的重新测试。设置：脊柱生物力学实验室/研究诊所。参与者：健康男性（N=8）进行练习，5名受试者重复练习，作为专家应用纠正技术。干预措施：不适用。主要结果测量：收集选定躯干和臀部肌肉的表面肌电图以及视频分析和3D脊柱姿势。结果：肌肉激活水平的比较显示，在每种运动形式中都有合理的进展。一般来说，腹壁支撑增强了肌肉的激活，但不同的技术导致肌肉活动迁移到其他肌肉。具体调查结果的例子如下。在这些传统的等长运动中的运动，例如在鸟狗姿势中用手/脚画正方形，可以增强许多肌肉群的激活。保持等长运动时的呼吸对肌肉激活有不同的影响，这是运动依赖性的。一些纠正运动技术，如筋膜耙，实质上改变了相对激活肌肉之间的abdominal wall.Conclusions：在这项研究中提出的数据可用于指导临床决策过程时，选择一个特定的运动形式，选择正确的起始水平。合理的进展、合适的剂量和可能的矫正技术以增强患者的耐受性。
Objective: To quantify several forms of the curt-LIP, side-bridge, and birddog exercises (muscle activity and 3-dimensional [3D] spine position) including some corrective techniques to assist clinical decision-makingDesign: A basic science study of a convenience sample with a retest of expert intervention.Setting: Spine Biomechanics Laboratory/Research Clinic.Participants: Healthy men (N=8) performed the exercises, and 5 subjects repeated the exercises as an expert applied corrective techniques.Interventions: Not applicable.Main Outcome Measures: Surface electromyography of selected trunk and hip muscles together with video analysis and 3D spine posture were collected.Results: Comparison of muscle activation levels showed there were justifiable progressions in each exercise form, In general, bracing of the abdominal wall enhanced activation of the obliques, but different techniques caused migration of muscle activity to other muscles. Examples of specific findings include the following. Movement during these traditionally isometric exercises such as drawing squares with the hand/foot while in the birddog posture enhances activation of many muscle groups. Breathing while holding the isometric exercises had differing effects on muscle activation which was exercise dependent. Some Corrective exercise techniques, such as fascial raking, substantially changed relative activation between muscles in the abdominal wall.Conclusions: The data presented in this study may be used to guide the clinical decision process when choosing a specific exercise form together with selecting the correct starting level., a logical progression, suitable dosage, and possible corrective technique to enhance tolerance of a patient.