不同运动模式下Flexi-bar训练对躯干稳定性肌肉的影响

doi:10.3969/j.issn.1006-9771.2022.04.003

Abstract

Abstract:

Objective To compare the effects of Flexi-bar training in different exercise patterns on trunk stability muscles.Methods From June, 2020 to January, 2021, 21 healthy men in Beijing Bo'ai Hospital finished Flexi-bar exercise in seven patterns in random order, namely no vibration, two hands-front vibration, dominant hand-front vibration, non dominant hand-front vibration, two hands-up vibration, two hands-down vibration and two hands-back vibration. The average voltage of electromyography of upper trapezius, middle trapezius, lower trapezius, latissimus dorsi and lumbar multifidus were recorded with surface electromyography during seven kinds of Flexi-bar exercise.Results The average voltage of lumbar multifidus was the most as two hands-front vibration (F=42.362, P<0.001); however, it was the most for upper trapezius and lower trapezius as two hands-up vibration (F > 10.935, P<0.001), it was the most for latissimus dorsi as two hands-back vibration (F=35.243, P<0.001), and it was the most for ipsilateral middle trapezius as non dominant hand-front vibration (F=40.400, P<0.001).Conclusion Flexi-bar training can effectively activate the contraction of trunk stability muscles, and it can be optimized in targeted patterns.

Key words: Flexi-bar, stabilizing muscle, surface electromyography

ZHOU Yue,LIU Xu,SUN Yuemei,HU Chunying,ZHU Yuetong,LI Bo. Effect of Flexi-bar training in different exercise patterns on trunk stability muscles[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 384-388.

Figures/Tables 1

References 35

[1]	ALUKO A, DESOUZA L, PEACOCK J. The effect of core stability exercises on variations in acceleration of trunk movement, pain, and disability during an episode of acute nonspecific low back pain: a pilot clinical trial[J]. J Manipul Physiol Ther, 2013, 36(8):497-504. doi: 10.1016/j.jmpt.2012.12.012
[2]	SEO H R, KIM T H. The effects of Gyrotonic expansion system exercise and trunk stability exercise on muscle activity and lumbar stability for the subjects with chronic low back pain[J]. J Exerc Rehabil, 2019, 15(1):129-133. doi: 10.12965/jer.1836512.256
[3]	KANNUS P, SIEVANEN H, PALVANEN M, et al. Prevention of falls and consequent injuries in elderly people[J]. Lancet, 2005, 366(9500):1885-1893. doi: 10.1016/S0140-6736(05)67604-0
[4]	KARLSSON M K, VONSCHEWELOV T, KARLSSON C, et al. Prevention of falls in the elderly: a review[J]. Scand J Public Health, 2013, 41(5):442-454. doi: 10.1177/1403494813483215
[5]	HAMED A, BOHM S, MERSMANN F, et al. Exercises of dynamic stability under unstable conditions increase muscle strength and balance ability in the elderly[J]. Scand J Med Sci Sports, 2018, 28(3):961-971. doi: 10.1111/sms.13019
[6]	ZOU C J, LI J H, WU F C, et al. The effects of core stability training in nurses with nonspecific low back pain[J]. Medicine (Baltimore), 2021, 100(25):e26357.
[7]	LIN Y C, NIU C C, NIKKHOO M, et al. Postural stability and trunk muscle responses to the static and perturbed balance tasks in individuals with and without symptomatic degenerative lumbar disease[J]. Gait Posture, 2018, 64:159-164. doi: 10.1016/j.gaitpost.2018.06.021
[8]	PARK S H, LEE M M. Effects of lower trapezius strengthening exercises on pain, dysfunction, posture alignment, muscle thickness and contraction rate in patients with neck pain: randomized controlled trial[J]. Med Sci Monit, 2020, 26:e920208.
[9]	FONTANA C A, DUFRESNE S S, ROGERIO D O M, et al. Effects of lumbar stabilization and muscular stretching on pain, disabilities, postural control and muscle activation in pregnant woman with low back pain[J]. Eur J Phys Rehabil Med, 2020, 56(3):297-306.
[10]	HUANG Q, ZHANG Y, LI D, et al. The evaluation of chronic low back pain by determining the ratio of the lumbar multifidus muscle cross-sectional areas of the unaffected and affected sides[J]. J Phys Ther Sci, 2014, 26(10):1613-1614. doi: 10.1589/jpts.26.1613
[11]	HUANG Q, LI D, ZHANG J, et al. Comparison of the efficacy of different long-term interventions on chronic low back pain using the cross-sectional area of the multifidus muscle and the thickness of the transversus abdominis muscle as evaluation indicators[J]. J Phys Ther Sci, 2014, 26(12):1851-1854. doi: 10.1589/jpts.26.1851
[12]	SZAFRANIEC R, BARTKOWSKI J, KAWCZYNSKI A. Effects of short-term core stability training on dynamic balance and trunk muscle endurance in novice olympic weightlifters[J]. J Hum Kinet, 2020, 74:43-50. doi: 10.2478/hukin-2020-0012
[13]	朱传芳, 黄强民, 彭金凤. 核心稳定性训练的理论基础与发展近况[J]. 中国组织工程研究, 2014, 18(11):1787-1792.
	ZHU C F, HUANG Q M, PENG J F. Theoretical basis and recent development of core stability training[J]. Chin Tissue Eng Res, 2014, 18(11):1787-1792.
[14]	MARKOVIC G, SARABON N, GREBLO Z, et al. Effects of feedback-based balance and core resistance training vs. Pilates training on balance and muscle function in older women: a randomized-controlled trial[J]. Arch Gerontol Geriatr, 2015, 61(2):117-123. doi: 10.1016/j.archger.2015.05.009
[15]	LIN W, WANG W, WU L, et al. Acute cardiovascular stress induced by shoulder vibratory exercise of different amplitudes[J]. J Back Musculoskelet Rehabil, 2021, 34(5):865-875. doi: 10.3233/BMR-200044
[16]	MILEVA K N, KADR M, AMIN N, et al. Acute effects of Flexi-bar vs. Sham-bar exercise on muscle electromyography activity and performance[J]. J Strength Cond Res, 2010, 24(3):737-748. doi: 10.1519/JSC.0b013e3181c7c2d8
[17]	PHANPHENG Y, HIRUNTRAKUL A. Effects of flexi bar training model to health-related physical fitness in overweight adults[J]. J Phys Ther Sci, 2020, 32(8):489-495. doi: 10.1589/jpts.32.489
[18]	孙悦梅, 裴倩, 黄秋晨, 等. Flexi-bar训练对非特异性腰痛的治疗效果[J]. 中国康复理论与实践, 2021, 27(10):1205-1210.
	SUN Y M, PEI Q, HUANG Q C, et al. Effects of Flexi-bar on nonspecific low back pain[J]. Chin J Rehabil Theory Pract, 2021, 27(10):1205-1210.
[19]	张倩, 张通. 悬吊固定Flexi-bar训练对恢复期脑卒中患者的效果[J]. 中国康复理论与实践, 2020, 26(9):1010-1014.
	ZHANG Q, ZHANG T. Effects of fixing Flexi-bar training on motor function for patients with stroke at recovery stage[J]. Chin J Rehabil Theory Pract, 2020, 26(9):1010-1014.
[20]	LEE D K, HAN J W. Effects of active vibration exercise using a Flexi-Bar on balance and gait in patients with chronic stroke[J]. J Phys Ther Sci, 2018, 30(6):832-834. doi: 10.1589/jpts.30.832
[21]	董煜琳, 王惠芳, 郑依粒, 等. 不同振动条件对慢性下背痛患者腰腹部肌群表面肌电信号的影响[J]. 中国康复医学杂志, 2018, 33(3):297-303.
	DONG Y L, WANG H F, ZHENG Y L, et al. Analysis of surface electromyography of lumbo-abdominal muscles in patients with chronic low back pain under different vibration conditions[J]. Chin J Rehabil Med, 2018, 33(3):297-303.
[22]	王泽熙, 姜贵云, 范飞, 等. 表面肌电生物反馈指导下的康复训练治疗慢性非特异性下背痛的疗效观察[J]. 中华物理医学与康复杂志, 2017, 39(10):765-768.
	WANG Z X, JIANG G Y, FAN F, et al. Observation on the efficacy of rehabilitation training under the guidance of sEMG biofeedback in the treatment of chronic nonspecific lower back pain[J]. Chin J Phys Med Rehabil, 2017, 39(10):765-768.
[23]	CHOI D Y, CHUNG S H, SHIM J H. Comparisons of shoulder stabilization muscle activities according to postural changes during Flexi-bar exercise[J]. J Phys Ther Sci, 2015, 27(6):1889-1891. doi: 10.1589/jpts.27.1889
[24]	ABDOLLAHI M, NIKKHOO M, ASHOURI S, et al. A model for Flexi-bar to evaluate intervertebral disc and muscle forces in exercises[J]. Med Eng Phys, 2016, 38(10):1076-1082. doi: 10.1016/j.medengphy.2016.07.006
[25]	KIM J W, KIM Y N, LEE D K. The effect of combined exercise with slings and a flexi-bar on muscle activity and pain in rotator cuff repair patients[J]. J Phys Ther Sci, 2016, 28(10):2890-2893. doi: 10.1589/jpts.28.2890
[26]	LEE S J, KIM Y N, LEE D K. The effect of Flexi-bar exercise with vibration on trunk muscle thickness and balance in university students in their twenties[J]. J Phys Ther Sci, 2016, 28(4):1298-1302. doi: 10.1589/jpts.28.1298
[27]	MENDEZ-REBOLLEDO G, MORALES-VERDUGO J, OROZCO-CHAVEZ I, et al. Optimal activation ratio of the scapular muscles in closed kinetic chain shoulder exercises: a systematic review[J]. J Back Musculoskelet Rehabil, 2021, 34(1):3-16. doi: 10.3233/BMR-191771
[28]	CHEN W Y, WANG K, YUAN W A, et al. Relationship between lumbosacral multifidus muscle and lumbar disc herniation[J]. Zhongguo Gu Shang, 2016, 29(6):581-584.
[29]	KIM E K, KIM S G. The effect of an active vibration stimulus according to different shoulder joint angles on functional reach and stability of the shoulder joint[J]. J Phys Ther Sci, 2016, 28(3):747-751. doi: 10.1589/jpts.28.747
[30]	CHUNG J S, PARK S, KIM J, et al. Effects of Flexi-bar and non-Flexi-bar exercises on trunk muscles activity in different postures in healthy adults[J]. J Phys Ther Sci, 2015, 27(7):2275-2278. doi: 10.1589/jpts.27.2275
[31]	DOROUDIAN A, ROOSTAYI M M, NAIMI S S, et al. Effect of using the Flexi-bar tool on erector spinae muscle activation under different standing weight-bearing conditions[J]. J Back Musculoskelet Rehabil, 2019, 32(3):505-509. doi: 10.3233/BMR-171011
[32]	CHUNG S H, YOU Y Y, LEE H J, et al. Effects of stabilization exercise using Flexi-bar on functional disability and transverse abdominis thickness in patients with chronic low back pain[J]. J Phys Ther Sci, 2018, 30(3):400-404. doi: 10.1589/jpts.30.400
[33]	陈健, 孙金水, 张雪梅. Flexi-bar运动治疗非特异性下腰痛患者的腰肌表面肌电变化特征分析[J]. 当代医学, 2019, 25(21):130-133.
	CHEN J, SUN J S, ZHANG X M. The characteristic of surface electromyography of lumbar muscles in patients with non-specific low back pain treated with Flexi-bar exercise[J]. Contemp Med, 2019, 25(21):130-133.
[34]	WEI N, WANG X, CHEN L, et al. Effects of flexi-bar training on muscle strength and physical performance in older people with dynapenia: the protocol of a randomised controlled trial[J]. BMJ Open, 2021, 11(8):e48629.
[35]	KIM J H, SO K H, BAE Y R, et al. A comparison of Flexi-bar and general lumbar stabilizing exercise effects on muscle activity and fatigue[J]. J Phys Ther Sci, 2014, 26(2):229-233. doi: 10.1589/jpts.26.229

姿势	上斜方肌	中斜方肌	下斜方肌	背阔肌	多裂肌
a.休息	6.7±1.9	14.0±12.1	20.4±6.4	12.4±2.1	22.6±10.3
b.前侧	342.0±157.9	235.1±79.8	208.2±125.4	74.7±35.4	113.9±52.1
c.非利手	433.0±213.9	459.7±137.6	156.2±103.4	107.9±56.0	55.7±28.9
d.利手	171.4±143.7	112.3±91.3	113.3±81.2	90.0±54.7	80.2±60.6
e.上侧	824.0±219.8	316.8±192.0	293.6±162.5	95.1±35.1	79.7±88.0
f.下侧	265.0±187.9	121.6±49.6	83.2±37.8	95.5±61.7	98.1±43.7
g.后侧	326.6±203.7	196.8±76.5	137.0±100.3	329.6±92.8	71.0±31.5
F值	10.935	40.400	73.976	35.243	42.362
P值	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001
两两比较	a<d<f=g<b<c<e	a<d=f<b=g<e<c	a<d=f=g<b=c<e	a<b=c=d=f=e<g b<e	a<d a<c<g<f<b

Effect of Flexi-bar training in different exercise patterns on trunk stability muscles

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 35

Related Articles 15

Metrics

Comments

Recommended 0

[1]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[2]	CUI Yao, CONG Fang, HUANG Fubiao, ZENG Ming, YAN Ruxiu. Brain and muscle activation under mirror neuron-based training strategies: a near-infrared spectroscopy and surface electromyography study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 782-790.
[3]	LI Dan, WANG Jianxiong, HUANG Maomao, XU Fangyuan, ZENG Qiu, LI Jiyang, LI Yang, XIA Cuihong, ZHENG Yadan, XU Zhangyu, FANG Wenfeng, WAN Tenggang. Surface electromyography of lower limb muscles in healthy middle-aged and old women during stair ascent and descent [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 731-737.
[4]	WANG Zhao, JIA Fan, ZHAO Ying, XU Fuguo, ZHU Weiwei, LI Hang, ZHANG Ming. Effect of combination of pressure biofeedback therapy and Flexi-bar in sitting on chronic non-specific low back pain [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 110-118.
[5]	ZHU Xu,LIU Jing,DONG Zeping,QIU Dawei. Gesture action intent recognition based on surface electromyography: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1032-1038.
[6]	TIAN Yaxing,HONG Yongfeng,KAN Xiuli,SHEN Xianshan,MAO Jing,JIANG Yan,HE Ziyan,WU Yu,HU Wei,SUN Xiaoning,HU Shunyin. Effects of manual digitorum sensory stimulation on spasticity of fingers for stroke patients: a surface electromyography study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 515-519.
[7]	HUANG Zhaoxin,ZHANG Yi,CUI Chenxi,ZHU Xiaojing,XIAO Xiaofei. Biomechanical analysis of in-toeing gait in young females based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1459-1465.
[8]	GUO Jingwei,GE Ruidong,BAI Shuo,WANG Jiaxi,WU Shuai,WANG Le. Characteristics of surface electromyography of muscles in stroke patients with lower limb spasticity under isokinetic passive movement [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1473-1477.
[9]	ZHI Wenqian,HUANG Qiang,LI Qiang,LI Yanchao,WANG Yuzhang,YANG Ming,LIU Xiaohua. Application of surface electromyography in motor function evaluation of patients after elbow fracture surgery [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1478-1483.
[10]	LI Jingyue,ZHANG Tong,WANG Ya'nan,WANG Chen. Application of three-dimensional dynamic capture system and surface electromyography in upper extremity motor evaluation for stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1241-1246.
[11]	ZHANG Jing,GUO Feng. Neuromodulation for Flexion of Fingers under Initiative Inadequate of Flexor Digitorum [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(9): 1104-1109.
[12]	ZHANG Mei-ying,ZHAO Lei,LI Hui,WANG Ying-ying,DAI Shi-you. Effect of Strength Training of Hip Muscles on Functional Ankle Instability: Evaluated with Surface Electromyography [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 936-942.
[13]	ZHANG Si-yuan,ZHANG Pei-zhen,ZHOU Xing-long. Effects of Different Interventions on Activation Mode of Trapezius Muscle during Exercise [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 951-961.
[14]	Meng-lin CAO,Yu-hao CHEN,Jue WANG,Tian LIU. Advance in Human Motion Intention Recognition Based on Surface Electromyography (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(5): 595-603.
[15]	Yu WANG,Xiang-dong WU,Chang-cheng SHI,Jia-ji ZHANG,Na LI,Ye-hao MA,Liang TAO,Min TANG,Guo-kun ZUO. Visual and Haptic Feedback Fusion Based on Force Tracking in Upper-limb Rehabilitation Robot System [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(4): 478-486.