本文選題：超聲成像 + 腹內(nèi)斜肌��； 參考：《蘇州大學(xué)》2015年碩士論文

【摘要】：第一部分:健康人兩側(cè)腹肌在不同坐姿下的厚度變化的研究目的運(yùn)用超聲測(cè)量技術(shù),比較正常人兩側(cè)腹肌在不同穩(wěn)定度的坐姿下腹橫肌和腹內(nèi)斜肌厚度的變化。方法招募正常受試者(N=30)參與此次研究。通過超聲測(cè)量三種不同坐位(坐無靠背椅、坐靠背椅及坐體操球)平衡狀態(tài)下兩側(cè)的肌肉厚度與仰臥休息體位下測(cè)得的腹橫肌和腹內(nèi)斜肌的肌肉厚度的變化(三種不同坐姿肌肉厚度變化/仰臥位肌肉厚度),然后將得出的結(jié)果以百分?jǐn)?shù)的形式表示肌肉厚度的變化。結(jié)果正常受試者腹橫肌和腹內(nèi)斜肌的厚度改變百分比隨著坐姿的穩(wěn)定度的下降而增加,左右兩側(cè)腹內(nèi)斜肌與腹橫肌肌肉厚度皆無顯著差異(P0.05)。結(jié)論腹橫肌及腹內(nèi)斜肌對(duì)于正常人坐位平衡的調(diào)節(jié)具有重要作用,且正常人兩側(cè)腹肌是對(duì)稱平衡的。第二部分:偏癱患者不同坐姿下腹肌厚度變化的研究目的運(yùn)用超聲測(cè)量技術(shù),比較偏癱患者與正常對(duì)照組在不同穩(wěn)定度的坐姿下腹橫肌和腹內(nèi)斜肌厚度的變化。方法招募年齡、身高、體重相匹配的偏癱患者(N=30)和正常受試者(N=30)參與此次研究。通過超聲測(cè)量三種不同坐位(坐無靠背椅、坐靠背椅及坐體操球)平衡狀態(tài)下肌肉厚度與仰臥休息體位下測(cè)得的腹橫肌和腹內(nèi)斜肌的肌肉厚度的變化(三種不同坐姿肌肉厚度變化/仰臥位肌肉厚度),然后將得出的結(jié)果以百分?jǐn)?shù)的形式表示肌肉厚度的變化。結(jié)果偏癱患者腹橫肌的厚度改變百分比隨著坐姿的穩(wěn)定度的下降而變薄,但是腹內(nèi)斜肌無明顯變化,而正常受試者腹橫肌和腹內(nèi)斜肌的厚度改變百分比隨著坐姿的穩(wěn)定度的下降而增加。在正常人和偏癱患者之間,坐在體操球上或坐在椅子上(無論有無靠背),正常受試者和偏癱患者腹橫肌變化有顯著差距。而在不同坐姿時(shí),兩組內(nèi)腹內(nèi)斜肌厚度變化無明顯差距。結(jié)論隨著坐位穩(wěn)定度的下降,正常受試者及偏癱患者腹橫肌厚度變化是相反的,正常受試者逐漸增大,偏癱患者逐漸減小。
[Abstract]:Part one: study on the thickness changes of bilateral abdominal muscles in healthy subjects under different sitting positions objective to compare the thickness of the inferior transverse and oblique abdominal muscles in the normal subjects with different stability by using ultrasonic measurement technique. Methods normal subjects (NN30) were recruited to participate in the study. Measured by ultrasound in three different seating positions (sitting in a backless chair, Muscle thickness of both sides in balanced position and that of abdominal transverse muscle and internal oblique muscle measured in supine resting position (three different sitting positions / supine position) The result is then expressed as a percentage change in muscle thickness. Results the percentage of the thickness changes of the transverse and oblique abdominal muscles increased with the decrease of sitting position in normal subjects, and there was no significant difference between the left and right oblique abdominal muscles and the transverse abdominal muscles in the left and right sides (P0.05). Conclusion the abdominal transverse muscle and the internal oblique muscle play an important role in regulating the balance of sitting position in normal people, and the bilateral abdominal muscles of normal people are symmetrical balanced. Part two: study on the thickness change of abdominal muscle in different sitting posture of hemiplegic patients objective to compare the thickness of abdominal transverse muscle and internal oblique muscle between patients with hemiplegia and normal control group. Methods to recruit age, height and weight matched hemiplegic patients (NN30) and normal subjects (N30) to participate in the study. Measured by ultrasound in three different seating positions (sitting in a backless chair, The changes in muscle thickness in balance between the abdominal transverse muscle and the internal oblique muscle measured under the supine resting position (the muscle thickness changes in three different sitting positions / in the supine position), and then the muscle thickness in the supine position and the muscle thickness of the abdominal transverse muscle and the internal oblique muscle in the supine position are measured under the balance of the sitting chair and the gymnastic ball. The result is expressed as a percentage change in muscle thickness. Results the percentage of the thickness change of abdominal transverse muscle in hemiplegic patients decreased with the stability of sitting position, but there was no obvious change in the oblique abdominal muscle. The percentage change of the thickness of the transverse and oblique abdominal muscles in normal subjects increased with the decrease of the stability of sitting position. There was a significant difference between normal subjects and hemiplegic patients in the changes of abdominal transverse muscles between normal subjects and patients with hemiplegia, sitting on a gymnastic ball or sitting on a chair (with or without backrest). However, there was no significant difference in the thickness of the internal oblique abdominal muscle between the two groups in different sitting positions. Conclusion the thickness of abdominal transverse muscle in normal subjects and hemiplegic patients is opposite with the decrease of sitting stability. The thickness of abdominal transverse muscle increases gradually in normal subjects and decreases in patients with hemiplegia.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R49

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