主动直腿抬高动作核心肌群的募集模式
摘要
目的探讨主动直腿抬高(ASLR)动作相关核心肌群的募集模式。方法 12例健康在校大学生进行ASLR动作时,用表面肌电分析系统采集同侧股直肌以及双侧腹直肌、腹外斜肌、腹内斜肌、多裂肌的肌电信号,分析这些肌肉的最大自主等长收缩募集率(%MVIC)。结果在ASLR动作中,双侧腹直肌、多裂肌%MVIC比较无统计学差异(P>0.05),同侧腹内斜肌和腹外斜肌的%MVIC大于对侧[(4.50±2.24)%vs.(3.41±1.81)%和(3.98±2.64)%vs.(2.55±1.52)%](P<0.05)。结论正常人做ASLR动作时,同侧腹内斜肌和腹外斜肌表现为同侧优势模式,帮助建立骨盆稳定性,保证ASLR动作质量。
引文
[1] Gatti R,Corti M,Cervi P,et al.Biomechanics of lower limb raising from the supine position[J].Eura Medicophys,2006,42(3):185-193.
[2] O′Sullivan PB,Beales DJ,Beetham JA,et al.Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test[J].Spine (Phila Pa 1976),2002,27(1):E1-E8.
[3] Willson JD,Dougherty CP,Ireland ML,et al.Core stability and its relationship to lower extremity function and injury[J].J Am Acad Orthop Surg,2005,13(5):316-325.
[4] Sinclair J,Taylor PJ,Hebron J,et al.The reliability of electromyographic normalization methods for cycling analyses[J].J Hum Kinet,2015,46:19-27.
[5] Knutson LM,Soderberg GL,Ballantyne BT,et al.A study of various normalization procedures for within day electromyographic data[J].J Electromyogr Kinesiol,1994,4(1):47-59.
[6] Hennessey WJ.Anatomical Guide for the Electromyographer:the limbs and trunk[J].Am J Physic Med Rehabil,1995,74(3):253.
[7] Sahrmann S,Azevedo DC,Dillen LV.Diagnosis and treatment of movement system impairment syndromes[J].Braz J Phys Ther,2017,21(6):391-399.
[8] Girard J,Ferre P,Pegorier JP,et al.Muscles,testing and functions with posture and pain[J].Physiol Rev,1992,72(2):507-562.
[9] Snijders CJ,Ribbers MT,de Bakker HV,et al.EMG recordings of abdominal and back muscles in various standing postures:validation of a biomechanical model on sacroiliac joint stability[J].J Electromyogr Kinesiol,1998,8(4):205-214.
[10] Beales DJ,O′Sullivan PB,Briffa NK.Motor control patterns during an active straight leg raise in pain-free subjects[J].Spine (Phila Pa 1976),2009,34(1):E1-E8.
[11] Hu H,Meijer OG,van Die?n JH,et al.Muscle activity during the active straight leg raise (ASLR),and the effects of a pelvic belt on the ASLR and on treadmill walking[J].J Biomech,2010,43(3):532-539.
[12] Pool-Goudzwaard AL,Vleeming A,Stoeckart R,et al.Insufficient lumbopelvic stability:a clinical,anatomical and biomechanical approach to ‘a-specific’ low back pain[J].Man Ther,1998,3(1):12-20.
[13] Vleeming A,Pool-Goudzwaard AL,Stoeckart R,et al.The posterior layer of the thoracolumbar fascia.Its function in load transfer from spine to legs[J].Spine (Phila Pa 1976),1995,20(7):753-758.
[14] Snijders CJ,Slagter AH,van Strik R,et al.Why leg crossing?The influence of common postures on abdominal muscle activity[J].Spine (Phila Pa 1976),1995,20(18):1989-1993.
[15] Mooney V,Pozos R,Vleeming A,et al.Exercise treatment for sacroiliac pain[J].Orthopedics,2001,24(1):29-32.
[16] Noh KH,Kim JW,Kim GM,et al.The influence of dual pressure biofeedback units on pelvic rotation and abdominal muscle activity during the active straight leg raise in women with chronic lower back pain[J].J Phys Ther Sci,2014,26(5):717-719.
[17] de Groot M,Pool-Goudzwaard AL,Spoor CW,et al.The active straight leg raising test (ASLR) in pregnant women:differences in muscle activity and force between patients and healthy subjects[J].Man Ther,2008,13(1):68-74.
[18] Liebenson C,Karpowicz AM,Brown SH,et al.The active straight leg raise test and lumbar spine stability[J].PM R,2009,1(6):530-535.
[19] Cholewicki J,McGill SM.Mechanical stability of the in vivo lumbar spine:implications for injury and chronic low back pain[J].Clin Biomech (Bristol,Avon),1996,11(1):1-15.
[2] O′Sullivan PB,Beales DJ,Beetham JA,et al.Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test[J].Spine (Phila Pa 1976),2002,27(1):E1-E8.
[3] Willson JD,Dougherty CP,Ireland ML,et al.Core stability and its relationship to lower extremity function and injury[J].J Am Acad Orthop Surg,2005,13(5):316-325.
[4] Sinclair J,Taylor PJ,Hebron J,et al.The reliability of electromyographic normalization methods for cycling analyses[J].J Hum Kinet,2015,46:19-27.
[5] Knutson LM,Soderberg GL,Ballantyne BT,et al.A study of various normalization procedures for within day electromyographic data[J].J Electromyogr Kinesiol,1994,4(1):47-59.
[6] Hennessey WJ.Anatomical Guide for the Electromyographer:the limbs and trunk[J].Am J Physic Med Rehabil,1995,74(3):253.
[7] Sahrmann S,Azevedo DC,Dillen LV.Diagnosis and treatment of movement system impairment syndromes[J].Braz J Phys Ther,2017,21(6):391-399.
[8] Girard J,Ferre P,Pegorier JP,et al.Muscles,testing and functions with posture and pain[J].Physiol Rev,1992,72(2):507-562.
[9] Snijders CJ,Ribbers MT,de Bakker HV,et al.EMG recordings of abdominal and back muscles in various standing postures:validation of a biomechanical model on sacroiliac joint stability[J].J Electromyogr Kinesiol,1998,8(4):205-214.
[10] Beales DJ,O′Sullivan PB,Briffa NK.Motor control patterns during an active straight leg raise in pain-free subjects[J].Spine (Phila Pa 1976),2009,34(1):E1-E8.
[11] Hu H,Meijer OG,van Die?n JH,et al.Muscle activity during the active straight leg raise (ASLR),and the effects of a pelvic belt on the ASLR and on treadmill walking[J].J Biomech,2010,43(3):532-539.
[12] Pool-Goudzwaard AL,Vleeming A,Stoeckart R,et al.Insufficient lumbopelvic stability:a clinical,anatomical and biomechanical approach to ‘a-specific’ low back pain[J].Man Ther,1998,3(1):12-20.
[13] Vleeming A,Pool-Goudzwaard AL,Stoeckart R,et al.The posterior layer of the thoracolumbar fascia.Its function in load transfer from spine to legs[J].Spine (Phila Pa 1976),1995,20(7):753-758.
[14] Snijders CJ,Slagter AH,van Strik R,et al.Why leg crossing?The influence of common postures on abdominal muscle activity[J].Spine (Phila Pa 1976),1995,20(18):1989-1993.
[15] Mooney V,Pozos R,Vleeming A,et al.Exercise treatment for sacroiliac pain[J].Orthopedics,2001,24(1):29-32.
[16] Noh KH,Kim JW,Kim GM,et al.The influence of dual pressure biofeedback units on pelvic rotation and abdominal muscle activity during the active straight leg raise in women with chronic lower back pain[J].J Phys Ther Sci,2014,26(5):717-719.
[17] de Groot M,Pool-Goudzwaard AL,Spoor CW,et al.The active straight leg raising test (ASLR) in pregnant women:differences in muscle activity and force between patients and healthy subjects[J].Man Ther,2008,13(1):68-74.
[18] Liebenson C,Karpowicz AM,Brown SH,et al.The active straight leg raise test and lumbar spine stability[J].PM R,2009,1(6):530-535.
[19] Cholewicki J,McGill SM.Mechanical stability of the in vivo lumbar spine:implications for injury and chronic low back pain[J].Clin Biomech (Bristol,Avon),1996,11(1):1-15.