【長姿勢系列-骨盆前傾】
骨盆前傾這詞已有點被妖魔化
好像什麼腰痛都是骨盆前傾
乾阿捏❓
今天先來講講三個骨盆前傾的問題
1️⃣骨盆前傾是什麼❓
2️⃣為何腰痛與骨盆前傾有關係❓
3️⃣我久坐、蹲舉、硬舉會腰痛,我是骨盆前傾嗎❓
1️⃣骨盆前傾是什麼❓
骨盆前傾其實只是代表一個動作
在文獻上有著些許不同的定義
✔️後上髂骨脊-前上髂骨脊連線:往下倒就是前傾;有研究寫站姿75-85%人前傾
✔️前上髂骨脊-恥骨聯合連線:往前倒就是前傾
如果上述文字看不懂...請看圖
因解剖構造的關係
骨盆前傾這動作
在上下的身體不改變動作的情況下
臨近的兩個關節
會出現1️⃣髖屈 2️⃣腰椎背伸
🔑重申:骨盆前傾只是個動作!!🔑
重點在於它會連動髖關節、腰椎的動作
所以重點在於✔️髖關節 ✔️腰椎的角度及動作分析
2️⃣為何腰痛與骨盆前傾有關係?
過度、且固定不動的骨盆前傾是個會造成腰痛的原因
骨盆往上連結腰椎
在上半身直立的情形下
骨盆前傾的動作會帶動腰椎的背伸
因此✖️過度、✖️固定不動的骨盆前傾
將伴隨著✖️過伸、✖️固定不動的腰椎
久了就會產生腰痛
3️⃣我久坐、蹲舉、硬舉會腰痛,我是骨盆前傾嗎?
為何會提這問題...因為我門診遇到好幾個自己google然後說自己骨盆前傾的病患
答案:介於是與不是之間,但87%不是,這些動作反而是骨盆後傾造成疼痛的機率高
如同第一個問題寫的
骨盆前傾產生的動作:髖屈+腰椎背伸(hip flexion + lumbar extension)
久坐,除非你可以坐到超級無敵正(比第一頁的韓國瑜伽老師還正)
但多數人是擺爛彎腰,這是骨盆後傾
請參考先前選椅子的文章
【久坐腰痠痛要怎辦?】選擇桌椅五大撇步
https://www.facebook.com/permalink.php?story_fbid=244404597043310&id=107381010745670
【久坐腰痠痛該怎辦】
https://www.facebook.com/permalink.php?story_fbid=243138383836598&id=107381010745670
蹲舉,多數人腰爆掉是蹲到比較低的時候爆掉的
也就是之前很多人愛討論的屁股眨眼
屁股眨眼這動作就是一個骨盆後傾的動作
硬舉,最多人爆掉的就是地板起槓或放下槓時彎腰
腰椎彎曲是個骨盆後傾的動作
請參考個人代表作【我有椎間盤突出能硬舉嗎】
https://www.ptt.cc/bbs/MuscleBeach/M.1597906901.A.4F3.html
https://www.facebook.com/permalink.php?story_fbid=188248022658968&id=107381010745670
以筆者在健身房的觀察
男生愛拚全蹲、硬舉敲地板的大概87%骨盆後傾機率高
女生愛拍網美大屁股的比較會出現骨盆前傾
結論:
✏️骨盆前傾=髖屈+背伸(會根據上下半身動作有些許變化)
✖️過度、✖️固定不動的腰椎背伸,才是造成腰痛的原因
🔍不是什麼腰痛都是骨盆前傾,要評估過動作才知道
下一集骨盆前傾
將再來討論三個問題
1️⃣要怎麼知道自己有沒有骨盆前傾?
2️⃣我的腰痛是骨盆前傾造成的嗎?
3️⃣有骨盆前傾要怎辦?
延伸閱讀:骨盆前傾=腰椎背伸,其他腰椎背伸疼痛相關文章
【你的下背痛不是我的下背痛】淺談疼痛的方向性
https://www.facebook.com/permalink.php?story_fbid=199992761484494&id=107381010745670
【年輕運動員的腰痛-椎弓解離】
https://www.facebook.com/permalink.php?story_fbid=225592522257851&id=107381010745670
【粗談椎弓解離運動】
https://www.facebook.com/permalink.php?story_fbid=230522728431497&id=107381010745670
#KineticControl
#韓國瑜伽老師
#骨盆前傾 #腰痛 #下背痛
#解離運動聽過沒有 #極致的動作控制
#疼痛治療 #運動治療
#傷後復健要與生活運動連結
#疼痛有方向聽過沒有
同時也有1部Youtube影片,追蹤數超過20萬的網紅An Nguyen Fitness,也在其Youtube影片中提到,Tăng Cơ Chân Cực Mạnh với cách tập này!! | An Nguyen Fitness Xin chào xin chàooo Vẫn là mình với những chiếc vlog mang lại một vài value nho nhỏ cho c...
「hip flexion」的推薦目錄:
- 關於hip flexion 在 張嘉哲 骨科醫師 Facebook 的精選貼文
- 關於hip flexion 在 Hunter 物理治療師 Facebook 的最佳貼文
- 關於hip flexion 在 Mr. Muscular - 你的網上健身百科全書 Facebook 的最佳貼文
- 關於hip flexion 在 An Nguyen Fitness Youtube 的最佳解答
- 關於hip flexion 在 Hip flexor muscles - YouTube 的評價
- 關於hip flexion 在 Embodia Exercise - Assisted Hip Flexion | Facebook 的評價
hip flexion 在 Hunter 物理治療師 Facebook 的最佳貼文
【踮起腳尖痛,腳踝也會有夾擠問題?】
(這次文章內容稍長,若懶得看文字內容可直接觀看影片)
大家應該對於肩夾擠、髖夾擠這兩個名詞不陌生,但你有聽過腳踝夾擠嗎?夾擠指的是我們的骨頭過度擠壓到周遭的軟組織,可能是肌腱、韌帶或是滑液膜等等,造成疼痛或角度受限。夾擠是一個症候群,並非一個特定的病症,夾擠症候群底這個名詞底下,可能夾到的組織不同,造成的原因歧異度也非常大,造成評估上其實並不是那麼容易。腳踝夾擠雖然沒有像肩夾擠一樣有被正式分類成不同的夾擠類型,但仍能根據症狀呈現的方式跟解剖構造簡單分為前夾擠跟後夾擠,若還要再細分還會分前內側、前外側夾擠,以及後內側、後外側夾擠。
前側夾擠的症狀主要出現在腳踝背屈末端角度的時候,脛距關節 (Tibiotalar joint) 前側的組織受到擠壓。腳踝前側的有不少脂肪、滑囊組織,正常情況,這些組織會在腳踝背屈15度過後受到擠壓,但如果在遠端脛骨前側或是距骨頸有增生的骨頭的話,便可能限縮前側的空間,讓組織提早受到壓迫。如果長期在這角度下活動,就可能進一步造成慢性的發炎,或是造成關節囊韌帶的增生。除此之外,如果腳踝曾經扭過傷,造成韌帶或皺襞增厚的話,也是可能造成前側夾擠的原因之一。
雖然這些解剖構造上的變化已有多篇文章有所描述。但造成這些組織增生的原因卻仍不是很清楚。因為運動員有比較高的比例有這樣的問題,有些學者認為前側夾擠可能是因為頻繁地做出大角度的背屈,或是因為運動過程中受到的外力,讓前側軟骨邊緣反覆受到衝擊所造成。也有些學者認為,踝關節的不穩定,造成關節有不正常的微小滑動,也是一個可能造成骨質增生、或是軟組織受到夾擠的的原因。另外在比較早期的文章,一開始學者認為前側的骨質增生可能是來自於頻繁地蹠屈,牽拉到關節囊,進而造成關節處的增生,只是這樣的假設被後來的研究給推翻了。
因為前側夾擠症狀大多是在腳踝背屈的末端角度下出現,上樓梯、跑步、走上坡、爬梯還有深蹲是幾個比較容易會加劇前側疼痛的活動。若未接受妥善治療,在症狀後期可能會因為組織的增生或疼痛,造成更進一步的活動度受限、夾擠和周圍組織的傷害,再回頭限制關節活動度與功能,形成惡性循環。
後側夾擠的症狀主要出現在腳踝蹠屈到末端角度的時候,脛距關節與距跟關節後側的組織受到擠壓。後側夾擠常出現在需要頻繁把腳踝往下壓的人身上,像是芭蕾舞者、需要頻繁跳躍的運動員等等。與前側夾擠雷同,後側夾擠可能是骨質或是軟組織的夾擠,或是兩者同時存在。距骨後外側 (trigonal process) 的骨質增生是比較常被認為導致後側夾擠的原因。除此之外,頻繁的將腳板大幅度的往下踩,可能會導致後側關節囊、後下脛腓韌帶、三角韌帶的後側韌帶發炎,產生疤痕組織,進而造成組織增厚。另外我們的屈足拇長肌的肌腱經過距骨後側的內、外骨突中間的凹槽,也很容易因為過度使用,或是周遭骨質的增生,造成肌腱病變,像是肌腱或腱鞘炎的問題。
與前側夾擠的疼痛大多較為淺層、可觸摸的到相反,後側夾擠的症狀通常較為模糊,比較難有一個特定的單點疼痛,而且位置較深,通常落在阿基里斯腱底下。這也讓後側夾擠不容易和阿基里斯腱或是腓骨長肌的問題做區分。因為症狀出現在腳踝往下踩的時候,走下坡、下樓梯或是穿鞋跟較高的鞋子是幾個容易誘發症狀出現的活動。芭蕾舞者之所以比較容易出現這樣的症狀,被認為是因為需要頻繁的做出踮腳站,承重在前足的關係。
雖然影像檢查出來的骨質、軟組織的病變被認為是可能導致腳踝夾擠的原因之一,但實際上研究還是有提到,我們仍然不能光靠這些影像結果證據就判斷踝關節是否夾擠。影像檢查與我們的症狀表現之間的相關程度有限,仍需要結合其他理學檢查做綜合判斷才行。針對踝關節夾擠的介入,目前比較常見的作法仍是先採取保守治療,若在急性疼痛期,需要先避免會造成疼痛的動作,有必要的話也會使用消炎藥來控制疼痛。在非急性期,甚至是已經是慢性問題的個案,我們則需要著重在踝關節穩定、本體感覺的訓練上,畢竟前面有提到,踝關節不穩、扭傷都是可能造成夾擠的原因之一。與其他肌肉骨骼問題一樣,即使解剖構造上的異常也會被認為是造成踝關節夾擠的原因,但大多數的個案都能在不開刀的情況下有很好的進步。若有類似的狀況,一樣記得先找醫療人員的協助,避免症狀隨著時間越變越嚴重。底下的影片 (6:52) 將跟大家分享幾個簡單的踝關節穩定與本體感覺的訓練。
Impingement syndrome is a common musculoskeletal problem in shoulder and hip joints. But have you ever heard of ankle impingement? Impingement syndrome refers to abnormal contact of bony structures or soft tissue, e.g., tendon, ligament, synovial tissue, resulting in pain and restriction. Through different causes of impingement syndrome, it includes different medical signs or symptoms. Therefore, causes of impingement syndrome differ from person to person, making it more difficult to make a right diagnosis. Although ankle impingement is not officially classified into different types like shoulder impingement, researchers still sort it into anterior and posterior impingement according to anatomical structures are involved. More specifically, it can be classified into anteriomedial, anteriolateral, posteriomedial and posteriolateral impingement.
Symptoms of anterior ankle impingement are generally induced by compression of anterior margin of tibiotalar joint in terminal dorsiflexion. There are adipose and synovial tissues in the anterior joint space. Normally, these tissues are compressed after 15 degree of dorsiflexion in healthy individuals. However, if there is osteophyte at anterior distal tibia or talus neck, it will take up the space and limit ankle movement, causing early compression. This will result in chronic inflammation, synovitis, and capsuloligamentous hypertrophy. Apart from this, ankle sprain, thickened anterior tibiofibular ligament and synovial plica are also possible causative factors.
Even though structural pathologies are well described in much research, their exact etiologies are still less understood. Research showed that athletes are tend to affected by anterior impingement, and it led to hypothesis that pathologies are caused by repetitive impact injury to anterior chondral margin from hyper-dorsiflexion or direct impact during sports. Chronic ankle instability has also been hypothesized to be the causative factor of anterior impingement, because abnormal repetitive micromotion may develop bony and soft tissue lesions. In addition, early research hypothesized anterior osteophyte is caused by traction to the anterior capsule during repetitive plantar flexion, but this theory was disproved by later anatomic studies.
Anterior impingement symptom typically presents as anterior ankle pain during terminal dorsiflexion. Climbing stairs, running, walking up hills, ascending ladders and deep squat are common aggravating activities. If anterior impingement doesn’t get treated well, in the later stage, joint mobility may be further restricted due to mechanical block or pain, resulting in vicious circle.
Posterior ankle impingement symptom typically occurs in terminal plantarflexion, due to compression of tissues posterior to the tibiotalar and talocalcaneal joint. Posterior impingement tend to occur in athletes who need to plantarflex frequently, like ballet dancers, etc. Similarly, posterior impingement can result from compression of bony or soft tissue in isolation or in combination. Trigonal process of posterior talus is the most common cause of posterior impingement. Besides this, repetitive hyper-plantarflexion may cause posterior capsule, inferior tibiofibular ligament, and posterior fiber of deltoid ligament inflammation, scarring, and thickening. Lastly, tendinitis and tenosynovitis are easily found in flexor hallucis longus tendon, running between the medial and lateral posterior process of the talus. This probably results from overuse or irritation from surrounding abnormal bony tissue. The tissues mentioned above are all possible causative factors to the posterior ankle impingement.
In contrast to patients with anterior impingement pain that are accessible to palpation, posterior impingement pain is less specific, deep to the Achilles tendon. This makes it difficult to differentiate from Achilles tendon or peroneal tendon pathology. Since posterior impingement symptom is usually irritated by repetitive plantarflexion, walking downstairs, downhill running, and wearing high-heeled shoes are some common exacerbated activities to posterior impingement syndrome. Ballet dancers are commonly affected by posterior impingement syndrome due to weight bearing on forefoot in plantarflexion position over and over again.
Though osseous or soft tissues abnormality in radiography is seen to be one of the causes of ankle impingement, it doesn’t mean that we can simply blame patient’s symptom on these structural pathology. In fact, there is a limited correlation between medical image findings and our symptom. We should integrate patient’s history, physical examination, imaging studies, etc., for accurate diagnosis. Conservative treatment remains first option to manage ankle impingement. In acute stage, patient should avoid from doing provocative activities. If it is necessary, NSAIDs can be used for pain management. In chronic stage, clinicians should focus on ankle stability and proprioception training because ankle instability and sprain are both causative factors of ankle impingement. Just like other musculoskeletal disease, even though structural abnormality is thought to be a possible cause of ankle impingement, most ankle impingement cases still respond well to conservative treatment. If you have any similar medical problem, please find medical professions for help. The video below will show you some simple ways to train our ankle stability and proprioception.
參考資料:
https://pubmed.ncbi.nlm.nih.gov/27608626/
https://link.springer.com/article/10.1007/s00247-019-04459-5
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5065672/
#腳踝夾擠 #踝關節不穩 #腳踝扭傷 #本體感覺訓練 #物理治療 #ankleimingement #ankleinstability #anklesprain #proprioception #physiotherapy #hunterptworkout
hip flexion 在 Mr. Muscular - 你的網上健身百科全書 Facebook 的最佳貼文
深蹲:訓練肌群是...❓
✅✅✅
深蹲是一個非常好的複合式動作,其中參與的肌群甚多,因此容許大家使用較大的重量。同時,深蹲的發展空間也很優秀,更容易做到漸進式超負荷(progressive overload)。相信大家都知道,漸進式超負荷對長期肌肉成長的重要性!詳細也不在這裏講解了!
‼️‼️‼️
在深蹲時,我們主要訓練到四頭肌(quadriceps)、內收大肌(adductor magnus)、臀大肌(glute maximus)和比目魚肌(soleus)。而內收大肌、臀部肌肉和比目魚肌都是飾演着協同肌(synergist)的角色。
膕旁肌群的主要用途
1️⃣膝蓋彎曲(Knee flexion)
2️⃣髖關節伸直(Hip extension)
Leg curl和RDL能充分刺激膕旁肌群🔥
膕旁肌群在深蹲時的角色⁉️
當然,當膝關節在彎曲的狀態(大於90度)時,膕旁肌群會是一個動態穩定性肌群,抗衡著四頭肌的前向力(anterior directed force)。在向心收縮(concentric contraction)時,並不能完全針對訓練膕旁肌群。因為當我們在伸展髖關節(knee joint)和膝關節(hip joint)的時候,膕旁肌群並不會進行充分的收縮。
很多人認為深蹲能針對膕旁肌群,但事實上,大多數人在深蹲時感受到的是內收大肌,並不是膕旁肌群。膕旁肌群和內收大肌的位置很接近喔!
重點‼️‼️‼️‼️
雖然膕旁肌群有參與到深蹲的動作,但並不能充分刺激到膕旁肌群。如果想有效訓練膕旁肌群,我們還有更佳的選擇🔥
圖片來源:@pheasyque
如果你覺得帖子對你有用的話,請追蹤我們IG:@mr_muscular2017
#增肌減脂 #增肌 #健身 #健美 #飲食控制 #肌肉 #健康 #健體 #深蹲 #腹肌 #重訓 #重量訓練 #肱二頭肌 #二頭肌 #運動 #增肌 #減脂 #健身迷因
hip flexion 在 An Nguyen Fitness Youtube 的最佳解答
Tăng Cơ Chân Cực Mạnh với cách tập này!! | An Nguyen Fitness
Xin chào xin chàooo
Vẫn là mình với những chiếc vlog mang lại một vài value nho nhỏ cho các bạn đâyy
Ở video lần trước mình đã làm về một buổi pushday khá là chi tiết rồi (link mình sẽ để bên dưới cho các bạn chưa xem), còn ở video lần này chủ đề cũng tương tự, mình hướng dẫn các bạn một bài tập dành cho thân dưới nhée
Nhớ xem đến cuối clip nha, mình có đôi lời yêu thương muốn gửi tới các bạn đó ^O^
Chapter:
0:00 Introdution
3:11 Unilateral seated calble hip flexion
5:07 1- Machine adduction
6:20 2- Lying hamsting curl
7:35 3- Leg extension
10:05 4- Leg press
11:50 5- Barbell hipthrust
13:45 6- 45 hip extension
15:40 7- Leg press calf raise
Còn rất nhiều tips và kiến thức tập nữa mà mình muốn chia sẻ cho các bạn, vì vậy hãy luôn luôn ủng hộ mình để mình có thêm động lực ra thật nhiều video mới nhaa
Cảm ơn và cảm ơn mọi người lắmmmm!!!
Link video Pushday:
https://www.youtube.com/watch?v=NMRVKPysehE&t=314s
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