背景:高前凸是腰椎过度向内弯曲,影响脊柱功能。这项研究的目的是比较核心稳定性练习(CSE)的效果,全身肌电刺激(WB-EMS),和CSEPlus在久坐的人的腰椎前凸角度和动态平衡与过度前凸。
方法:在一项平行随机对照试验研究中,75名未经训练的男性成人患有过度前凸,从德黑兰的运动医学诊所和矫正运动中心招募,随机分为四组:CSE(n=19),WB-EMS(n=18),CSEPlus(n=18),对照组(CG)(n=20)。CSE小组进行了核心稳定性练习,WB-EMS组遵循全身肌电刺激联合训练方案,和CSEPlus组从事组合程序协议(CSE与WB-EMS背心),对照组只参加日常生活活动。人体测量参数和结果,包括脊柱前凸角度和动态平衡,在为期六周的培训计划之前和之后进行了评估。使用柔性标尺测量脊柱前凸的角度,采用Y平衡试验评价动平衡。
结果:结果表明,与后验的CG相比,CSE和CSEPlus组的前凸角均有所改善(P=0.017,P=0.024)。然而,其他组对之间没有观察到显著差异.此外,在后检验中,CSEPlus组和CG之间的动态平衡存在显着差异(P=0.001),而其他组之间没有观察到显著差异。此外,组内试验结果表明,与试验前相比,试验后腰椎前凸角度和动态平衡变量明显改善(P<0.05)。
结论:两个CSE和CSEPlus训练协议作为纠正某些参数和身体畸形的训练方法是有效的,包括腰椎前凸.此外,CSEPlus小组对改善动态平衡具有积极影响。因此,强烈建议患有过度前凸的人可以从本研究的练习中受益,特别是CSEPlus练习以及其他康复练习。
背景:该试验已在泰国临床试验注册中心注册(TCTR20221004011,注册日期:04/10/2022)。
BACKGROUND: Hyperlordosis is an excessive inward curvature of the lumbar spine that affects spinal function. The aim of this study was to compare the effects of core stability exercises (CSE), Whole-Body Electromyostimulation (WB-EMS), and CSE Plus on the Lumbar lordosis angle and dynamic balance in sedentary people with hyperlordosis.
METHODS: In a parallel randomized controlled trial study, seventy five untrained male adults with hyperlordosis, recruited from clinics of sports medicine and corrective exercise centers in Tehran, were randomly assigned to four groups: CSE (n = 19), WB-EMS (n = 18), CSE Plus (n = 18), and control Group (CG) (n = 20). The CSE group performed Core stability exercises, the WB-EMS group followed a Whole-body electromyostimulation combined training protocol, and the CSE Plus group engaged in a combined program protocol (CSE with the WB-EMS vest), and the control group only participated in activities of daily living. Anthropometric parameters and outcomes, including the lordosis angle and dynamic balance, were assessed before and after a six-week training program. A flexible ruler was used to measure the angle of lordosis, and the Y balance test was employed to evaluate the dynamic balance.
RESULTS: The results indicated that the lordosis angle improved in both the CSE and CSE Plus groups compared to the CG in the post-test (P = 0.017, P = 0.024). However, there were no significant differences observed between the other group pairs. Additionally, a significant difference in dynamic balance was found between the CSE Plus group and the CG in the post-test (P = 0.001), while no significant differences were observed between the other group pairs. Furthermore, within-group test results demonstrated that lumbar lordosis angle and dynamic balance variables significantly improved in the post-test compared to the pre-test stage (P < 0.05).
CONCLUSIONS: The two CSE and CSE Plus training protocols are effective as training methods for correcting certain parameters and physical deformities, including lumbar lordosis. Furthermore, the CSE Plus group demonstrated a positive impact on improving dynamic balance. Consequently, it is highly recommended that individuals with hyperlordosis can benefit from the exercises of the present study, especially CSE Plus exercises along with other rehabilitation exercises.
BACKGROUND: The trial was registered at Thai Clinical Trials Registry (TCTR20221004011, registration date: 04/10/2022).