Electromyographic analysis of the rectus abdominis muscle in pelvic retroversion and the decrease of the lower limbs.

R de Cássia Pelizário Munhoz Martinelli, R de Faria Negrão Filho, A C Silva
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Abstract

We often face patients searching for rehabilitation for lower back disorders during the physiotherapeutic routine, and it is known that the abdominal muscle, specially the rectus abdominis muscle, aid the stabilization of the pelvis. Therefore, this paper analyzes the electrical activity of the rectus abdominis muscle in the pelvic retroversion in dorsal decubitus and in orthostatic position and in the lowering of the lower limbs. 30 healthy students, male and female, 17 - 40 yr, divided into two groups--Group 1 : 15 volunteers (pelvic balance); Group 2 (pelvic unbalance) took part in this study. The electrical activity of the right and left supra-umbilical and infra-umbilical portions of the rectus abdominis muscle was detected. The mean RMS values from three attempts from the electromyographic traces were used for the analysis of the electrical activity. The RMS value was submitted to the normalization process. The data were submitted to statistic treatment by the Friedman test, and the analyses of the means and standard deviation towards a level of significance of 95%. The results demonstrated that the portions of the rectus abdominis muscle presented low electrical activity for the groups studied for pelvic retroversion either in dorsal decubitus or and orthostatic position. However, the decreasing movement of the lower limbs towards the portions of the rectus abdominis muscle presented more significant electrical activity whereas the lower portions presented higher activity than the higher ones for Group 2.

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骨盆后倾及下肢萎缩时腹直肌肌电图分析。
在物理治疗常规中,我们经常面对寻求下背部疾病康复的患者,众所周知,腹肌,特别是腹直肌,有助于骨盆的稳定。因此,本文分析了卧背位、直立位和下肢放低时骨盆后倾时腹直肌的电活动。健康学生30名,男女各30名,年龄17 - 40岁,分为两组:第一组:15名志愿者(骨盆平衡);第二组(骨盆失衡组)参与本研究。检测了腹直肌左右脐上和脐下部分的电活动。从肌电图轨迹的三次尝试的平均均方根值被用于分析电活动。将RMS值提交到规范化过程。数据通过Friedman检验进行统计处理,并对均值和标准差进行分析,达到95%的显著性水平。结果表明,无论是卧背位还是直立位,在骨盆后倾的研究中,腹直肌部分的电活动都很低。然而,下肢向腹直肌部分的减少运动表现出更显著的电活动,而下肢的电活动则高于高肌组。
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