腰椎斜扳治疗小关节紊乱的多种运动下肌电研究
DOI:
作者:
作者单位:

上海交通大学医学院附属瑞金医院骨科,上海市伤骨科研究所,上海市中西医结合防治骨与关节病损重点实验室,上海 200025

作者简介:

通讯作者:

中图分类号:

基金项目:

上海市卫生和计划生育委员会中医药科研课题(2020LP034);上海市卫生和计划生育委员会面上项目(202140130)


SEMG study of lumbar spine oblique wrench for treatment of facet joint disorder under various movements
Author:
Affiliation:

Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai 200025, P. R. China.

Fund Project:

Chinese Medicine Scientific Research Project of Shanghai Health and Family Planning Commission, No. 2020LP034;the Scientific Research Projects of Shanghai Health and Family Planning Commission (General Project), No. 202140130

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要 [目的] 定量评价腰椎斜扳治疗小关节紊乱患者在多种运动下的肌电变化。 [方法] 采用表面肌电图对腰椎斜扳治疗前后的小关节紊乱患者(患者组)和正常人(正常人组)进行几种运动的腰背肌表面肌电测试,结合量表评分,分析患者与正常人在运动过程中腰背肌的肌电活动差异和患者的症状、体征转归。 [结果] 治疗后小关节紊乱患者VAS评分较治疗前降低(P<0.05)。治疗后小关节紊乱患者JOA评分较治疗前增高(P<0.05)。受试者在几种运动中,治疗后小关节紊乱患者竖脊肌和多裂肌的肌电平均振幅、中位频率均较治疗前降低(P<0.05);而治疗后小关节紊乱患者竖脊肌和多裂肌的肌电平均振幅、中位频率与正常人相比差异无统计学意义(P>0.05)。 [结论] 腰椎斜扳治疗小关节紊乱患者可以缓解患者疼痛,促进腰部肌肉功能恢复,此研究为开拓最佳治疗策略提供科学理论依据。

    Abstract:

    Abstract [Objective] Quantitative evaluation of EMG changes in patients with facet joint disorders treated by lumbar oblique wrench under various movements. [Method] The surface electromyography was used to test the surface electromyography of the lumbar dorsal muscle of patients with small joint disorder (patient group) and normal people (normal group) before and after the treatment of lumbar oblique wrench. Score in combination with the scale. To analyze the difference of myoelectric activity of lumbodorsal muscle between patients and normal people during exercise, and the prognosis of symptoms and signs of patients. [Result] The VAS score of patients with facet joint disorder after treatment was lower than that before treatment (P<0.05). JOA score of patients with facet joint disorder after treatment was higher than that before treatment (P<0.05). After treatment, the mean amplitude and median frequency of the EMG of the erector spine and multifidus muscles in the patients with facet joint disorders were lower than those before treatment (P<0.05); However, the average amplitude and median frequency of EMG of erector spinalis and multifidus in patients with facet joint disorder after treatment were not significantly different from those of normal people (P>0.05). [Conclusion] Lumbar oblique wrench can relieve pain and promote the recovery of lumbar muscle function in patients with small joint disorders. This study provides scientific theoretical basis for exploring the best treatment strategy.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-11-02
  • 最后修改日期:2023-04-03
  • 录用日期:2023-06-14
  • 在线发布日期:
  • 出版日期: