Trunk muscle reflex amplitudes increased in patients with subacute, recurrent LBP treated with a 10-week stabilization exercise program.

Trunk muscle reflex amplitudes increased in patients with subacute, recurrent LBP treated with a 10-week stabilization exercise program.
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亚急性、复发性腰痛患者接受为期 10 周的稳定锻炼计划后,躯干肌肉反射幅度增加。

DOI:
10.1123/mcj.17.1.1
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发表时间:
2013
期刊:
影响因子:
1.1
通讯作者:
Givens,DeborahL
Givens,DeborahL
中科院分区:
医学4区
文献类型:
--
作者:
Navalgund,Anand;Buford,JohnA;Briggs,MathewS;Givens,DeborahL

文献摘要

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在腰痛(LBP)患者中观察到躯干肌反射改变。反射改变可能导致姿势控制受损,并可能导致腰痛复发。特定的稳定运动(SSE)计划已被证明可以降低急性首次发作LBP患者的LBP复发风险。目前尚不清楚当用SSE方案治疗时,躯干肌反射反应是否随着亚急性复发性LBP的消退而改善。扰动测试被用来比较躯干肌反射的亚急性,复发性LBP患者,之前和之后10周的SSE程序和一组匹配的对照组(CNTL)。治疗前LBP组与CNTL组相比,躯干肌反射延迟。治疗后反射潜伏期仍然延迟,但幅度增加。增加反射幅度可以限制脊柱在受到干扰时的过度运动;可能有助于防止复发。
Altered trunk muscle reflexes have been observed in patients with low back pain (LBP). Altered reflexes may contribute to impaired postural control, and possibly recurrence of LBP. Specific stabilization exercise (SSE) programs have been shown to decrease the risk of LBP recurrence in a select group of patients with acute, first episode LBP. It is not known if trunk muscle reflex responses improve with resolution of subacute, recurrent LBP when treated with a SSE program. A perturbation test was used to compare trunk muscle reflexes in patients with subacute, recurrent LBP, before and after 10 weeks of a SSE program and a group of matched control subjects (CNTL). The LBP group pre therapy had delayed trunk muscle reflexes compared with the CNTL group. Post therapy reflex latencies remained delayed, but amplitudes increased. Increased reflex amplitudes could limit excessive movement of the spine when perturbed; potentially helping prevent recurrence.