{"title":"利用超声波成像评估背痛妇女腹部横肌和腹内斜肌的厚度","authors":"Priscila Kalil Morelhão , Viviane Akemi Kakazu , Ygor Matos Luciano , Crystian Bitencourt Soares Oliveira , Rafael Zambelli Pinto , Cynthia Gobbi , Paulo Fernandes Pires , Fabrício José Jassi","doi":"10.1016/j.jbmt.2024.04.031","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>It has been estimated that chronic low back pain (LBP) affects 18% of young people, and 28–42% of people in middle age, with women being more affected than men. Chronic LBP can arise from a variety of factors, among which are biomechanical changes in core muscles, such as in their thickness, which can impair spinal stability.</p></div><div><h3>Objective</h3><p>To analyze the thickness of the transversus abdominis (TrA) and internal oblique (IO) and muscles on the right side in different postures.</p></div><div><h3>Methods</h3><p>Sedentary women with a normal Body Mass Index were recruited. Participants with a history of chronic LBP comprised the LBP Group, and individuals without LBP, the control group. The young women underwent analysis of the thickness of the abdominal muscles using ultrasound imaging. ANOVA was used to compare changes in muscle thickness in the three positions.</p></div><div><h3>Results</h3><p>There was no significant difference between the groups in the supine and sitting position for the TrA and IO muscles. In the sitting position with the left lower limb raised, a significant difference was observed for TrA (p = 0.0013) among groups.</p></div><div><h3>Conclusions</h3><p>The LBP group showed a decrease in the TrA thickness in the sitting position with the lower limb raised, when compared to the control group, indicating failure in muscle activation in this group. These findings suggest that as stability decreases, TrA thickness increases in women without LBP. Finally, in women who report having LBP, TrA recruitment is not efficient for unstable postures.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of the thickness of the transverse muscles of the abdomen and the internal oblique muscles using ultrasound imaging in women with back pain\",\"authors\":\"Priscila Kalil Morelhão , Viviane Akemi Kakazu , Ygor Matos Luciano , Crystian Bitencourt Soares Oliveira , Rafael Zambelli Pinto , Cynthia Gobbi , Paulo Fernandes Pires , Fabrício José Jassi\",\"doi\":\"10.1016/j.jbmt.2024.04.031\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>It has been estimated that chronic low back pain (LBP) affects 18% of young people, and 28–42% of people in middle age, with women being more affected than men. Chronic LBP can arise from a variety of factors, among which are biomechanical changes in core muscles, such as in their thickness, which can impair spinal stability.</p></div><div><h3>Objective</h3><p>To analyze the thickness of the transversus abdominis (TrA) and internal oblique (IO) and muscles on the right side in different postures.</p></div><div><h3>Methods</h3><p>Sedentary women with a normal Body Mass Index were recruited. Participants with a history of chronic LBP comprised the LBP Group, and individuals without LBP, the control group. The young women underwent analysis of the thickness of the abdominal muscles using ultrasound imaging. ANOVA was used to compare changes in muscle thickness in the three positions.</p></div><div><h3>Results</h3><p>There was no significant difference between the groups in the supine and sitting position for the TrA and IO muscles. In the sitting position with the left lower limb raised, a significant difference was observed for TrA (p = 0.0013) among groups.</p></div><div><h3>Conclusions</h3><p>The LBP group showed a decrease in the TrA thickness in the sitting position with the lower limb raised, when compared to the control group, indicating failure in muscle activation in this group. These findings suggest that as stability decreases, TrA thickness increases in women without LBP. Finally, in women who report having LBP, TrA recruitment is not efficient for unstable postures.</p></div>\",\"PeriodicalId\":51431,\"journal\":{\"name\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-04-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1360859224002195\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1360859224002195","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
导言据估计,18%的年轻人和28-42%的中年人患有慢性腰背痛,其中女性患者多于男性。慢性腰背痛可由多种因素引起,其中包括核心肌肉的生物力学变化,如肌肉的厚度,这会影响脊柱的稳定性。方法招募体重指数正常的久坐女性。有慢性腰背痛病史者为腰背痛组,无腰背痛者为对照组。年轻女性通过超声波成像对腹部肌肉的厚度进行了分析。采用方差分析比较三种体位下肌肉厚度的变化。结论与对照组相比,LBP 组在下肢抬高的坐姿下 TrA 肌肉厚度有所减少,这表明该组肌肉激活失败。这些研究结果表明,随着稳定性的降低,无 LBP 妇女的 TrA 厚度会增加。最后,在报告患有腰椎间盘突出症的女性中,不稳定姿势下的TRA激活效率不高。
Evaluation of the thickness of the transverse muscles of the abdomen and the internal oblique muscles using ultrasound imaging in women with back pain
Introduction
It has been estimated that chronic low back pain (LBP) affects 18% of young people, and 28–42% of people in middle age, with women being more affected than men. Chronic LBP can arise from a variety of factors, among which are biomechanical changes in core muscles, such as in their thickness, which can impair spinal stability.
Objective
To analyze the thickness of the transversus abdominis (TrA) and internal oblique (IO) and muscles on the right side in different postures.
Methods
Sedentary women with a normal Body Mass Index were recruited. Participants with a history of chronic LBP comprised the LBP Group, and individuals without LBP, the control group. The young women underwent analysis of the thickness of the abdominal muscles using ultrasound imaging. ANOVA was used to compare changes in muscle thickness in the three positions.
Results
There was no significant difference between the groups in the supine and sitting position for the TrA and IO muscles. In the sitting position with the left lower limb raised, a significant difference was observed for TrA (p = 0.0013) among groups.
Conclusions
The LBP group showed a decrease in the TrA thickness in the sitting position with the lower limb raised, when compared to the control group, indicating failure in muscle activation in this group. These findings suggest that as stability decreases, TrA thickness increases in women without LBP. Finally, in women who report having LBP, TrA recruitment is not efficient for unstable postures.
期刊介绍:
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina