伸展或强化炼对脊柱和腰椎部姿势的影响:通过元分析进行系统审查
Konstantin Warneke1, Lars Hubertus Lohmann2, Jan Wilke1
1Institute of Sport Science, Department of Movement Sciences, Alpen-Adrian-University Klagenfurt, Klagenfurt, Austria.
伸展不会改善姿势,但强化炼对脊柱对齐有显著的益处. 专注于加强肌肉不平衡的强化计划,因为伸展是无效的.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 运动生理学 运动生理学
- 康复科学是康复的科学.
背景情况:
- 异常的姿势,如失去了主症,与肌肉骨疼痛有关.
- 肌肉失衡的常见治疗包括拉伸紧张的肌肉和加强对立的肌肉.
- 关于拉伸和加强方法有效性的证据缺乏定量合成.
研究的目的:
- 系统地审查和元分析关于伸展和强化改善姿势的有效性证据.
- 评估这些干预措施对健康个体的脊椎和腰椎腰姿势的影响.
主要方法:
- 对受控临床试验的系统审查和元分析.
- 在PubMed,科学网和谷歌学者中进行的搜索.
- 用于评估证据确定性的GRADE方法.
主要成果:
- 无论是急性还是慢性拉伸都没有显著影响姿势.
- 慢性强化证明了姿势的大幅改善.
- 强化优于伸展,对胸部和椎有效,但对腰部/腰骨区域不有效.
结论:
- 中等确定性证据表明,拉伸在治疗肌肉不平衡方面并不有效.
- 治疗干预应优先考虑加强软弱肌肉的强化计划.
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