REFLEX ACTIVATION OF GLUTEAL MUSCLES IN WALKING - AN APPROACH TO RESTORATION OF MUSCLE FUNCTION FOR PATIENTS WITH LOW-BACK-PAIN

被引：54
作者：
BULLOCKSAXTON, JE
JANDA, V
BULLOCK, MI
机构：
[1] Department of Physiotherapy, University of Queensland, St Lucia
[2] Department of Rehabilitation Medicine, Postgraduate Medical Institute, Charles University Hospital, Prague
来源：
SPINE | 1993年 / 18卷 / 06期
关键词：
Gluteal facilitation; Low-back pain; Pelvic stability; Proprioceptive stimuli;
D O I：
10.1097/00007632-199305000-00005
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Gluteal activation and pelvic stability often are decreased in chronic low-back pain sufferers, but the importance of motor control and programming in treatment has not been fully evaluated. This study investigated whether gluteal muscles could be activated more effectively by stimulating the proprioceptive mechanism during walking. Labile support, through wearing ''balance shoes,'' offered facilitation of cerebellovestibular circuits. Electromyographic recordings of gluteus maximus and medius in 15 healthy subjects were made during barefoot and balance shoes walking before and after 1 week of facilitation. Significant increases (P < 0.0002) in gluteal activity and significant decreases (P < 0.01) in time to 75% maximum contraction, demonstrated the value of sensorimotor elicitation of subconscious and automatic responses in muscles often weakened in back pain sufferers.
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页码：704 / 708
页数：5
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