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首页> 外文期刊>Physiotherapy theory and practice >The effect of core stability and general exercise on abdominal muscle thickness in non-specific chronic low back pain using ultrasound imaging
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The effect of core stability and general exercise on abdominal muscle thickness in non-specific chronic low back pain using ultrasound imaging

机译：超声成像对非特异性慢性下腰痛患者核心稳定性和一般运动对腹肌厚度的影响

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Background: There is a controversy regarding whether core stability exercise (CSE) is more effective than general exercise (GE) for chronic LBP. To compare different exercises regarding their effect on improving back strength and stability, performance of abdominal muscles is a useful index. Ultrasound imaging for measuring muscle thickness could be used to assess muscle performance. Objective: The aim of this study was to compare CSE and GE in chronic LBP using ultrasound imaging for measurement of thickness of the deep stabilizing and main global trunk muscles in non-specific chronic LBP. Methods: Each program included 16 training sessions three times a week. Using ultrasound imaging, four transabdominal muscle thickness were measured before and after the intervention. Disability and pain were measured as secondary outcomes. Results: After the intervention on participants (n = 43), a significant increase in muscle thickness (hypertrophy) was seen only in right and left rectus abdominis in the GE group, but significant difference to the CSE group was only on the right side. Disability and pain reduced within the groups without a significant difference in the change between them. Conclusions: The present results provided evidence that only GE increased right and left rectus muscle thickness. The only significant difference between CSE and GE groups was the right rectus thickness. As rectus is a global muscle, the effect of GE on strength improvement (one side stronger than the other) may have a negative effect on motor control of lumbopelvic muscles and possibly increase the risk of back pain occurring or becoming worse, though this was not observed in the present study.
机译：背景：对于慢性LBP，核心稳定性锻炼（CSE）是否比一般锻炼（GE）更有效，存在争议。为了比较不同运动对提高背部力量和稳定性的作用，腹肌的性能是一个有用的指标。用于测量肌肉厚度的超声成像可用于评估肌肉性能。目的：本研究的目的是使用超声成像技术比较慢性LBP中的CSE和GE，以测量非特异性慢性LBP中深部稳定肌和主要整体躯干肌的厚度。方法：每个程序每周进行3次，共16次培训。使用超声成像，在干预前后测量了四个经腹肌肉的厚度。残疾和疼痛作为次要结果进行测量。结果：在对参与者进行干预之后（n = 43），仅在GE组的左，右腹直肌中可见到肌肉厚度的显着增加（肥大），而与CSE组的显着差异仅在右侧。两组之间的残疾和痛苦减少了，而他们之间的变化没有显着差异。结论：目前的结果提供了证据，只有GE可以增加左右直肌的厚度。 CSE和GE组之间的唯一显着差异是正确的直肌厚度。由于直肌是整体肌肉，因此GE对力量增强的作用（一侧强于另一侧）可能会对腰椎骨盆肌的运动控制产生负面影响，并可能增加发生背痛或加重背痛的风险，尽管这并非如此。在本研究中观察到。

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