Electromyographic analysis of transversus abdominis/internal oblique muscles during the execution of pelvic patterns of proprioceptive neuromuscular facilitation

J. K. D. O. Ferro, J. V. Martins, Bruna Rhayane da Cunha Melo Ribeiro, Thaís de Siqueira Manta, A. Lemos, Keytte Camilla Souza de Amorim, P. J. M. Barboza, A. M. Moura Filho, D. A. D. Oliveira
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Abstract

Objective: To evaluate the electromyographic response of the transversus abdominis/internal oblique muscles (TrA/IO) during the execution of the four pelvic patterns of proprioceptive neuromuscular facilitation (PNF). Methods: Cross-sectional study. Were evaluated 21 women aged 18-38 years. The right TrA/IO complex, ipsilateral to the execution of a PNF combination of isotonics technique was monitored by surface electromyography. Three repetitions were performed with two-minute intervals between them in the four PNF pelvic patterns: anterior elevation, posterior depression, anterior depression, and posterior elevation. For the analysis of the electromyographic signal, a period of 500ms adjusted to the central value was extracted and the Root Mean Square amplitude was analyzed. Descriptive statistics and ANOVA test was used with a 95% confidence interval. Results: There was a higher TrA/IO activity in the concentric phase in the anterior elevation pattern (36.2 ± 32.3%) when compared to previous depression (19.5 μV ± 12.9), posterior elevation (16.1 μV ± 8.7), posterior depression 14.6μV ± 5.9). In addition, in the antero-elevation there is greater activation of the TrA/IO muscle complex when compared to the other patterns (p <0.01). Conclusion: The higher EMG response of the TrA/IO found in the anterior elevation pattern reveals its usefulness for clinical use.
在本体感觉神经肌肉促进骨盆模式中腹横肌/内斜肌的肌电图分析
目的:评价四种盆腔本体感觉神经肌肉促进术(PNF)实施过程中腹横肌/内斜肌(TrA/IO)的肌电反应。方法:横断面研究。对21名年龄在18-38岁的女性进行评估。通过表面肌电图监测右TrA/IO复合体,同侧执行PNF组合等张力技术。在四种PNF骨盆模式中进行三次重复,每次间隔两分钟:前抬高、后降低、前降低和后升高。对于肌电信号的分析,提取500ms的周期,调整到中心值,并分析均方根振幅。采用描述性统计和方差分析,置信区间为95%。结果:与前抬高(19.5 μV±12.9)、后抬高(16.1 μV±8.7)、后抬高(14.6μV±5.9)相比,前抬高模式同心期TrA/IO活性(36.2±32.3%)较高。此外,与其他模式相比,前抬高有更大的TrA/IO肌肉复合体激活(p <0.01)。结论:前抬高模式下TrA/IO的肌电反应较高,具有临床应用价值。
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