Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients
Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients
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DOI：
10.1016/j.apmr.2003.06.013
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发表时间：
2004-05-01
影响因子：
4.3
通讯作者：
Airaksinen, A
中科院分区：
文献类型：
--
作者：
Arokoski, JP;Valta, T;Airaksinen, A
目的：为了评估活动的椎旁和腹部肌肉在治疗运动治疗非特异性慢性腰痛（CLBP）的患者，并研究积极的物理康复对这些activity.Design的影响：一个横断面研究比较肌肉活动在18个稳定演习，并前瞻性随访患者在康复过程中CLBP。芬兰大学医院的康复诊所。参与者：9名志愿者（5名男性，4名女性），年龄27 - 58岁。干预：3个月的积极门诊康复（在康复诊所进行4 - 6次，辅以在家自我激励锻炼），由理疗师监督。主要结果指标：记录双侧L5水平椎旁、腹直肌和腹外肌的表面肌电图。将记录的信号平均化并归一化为最大随意收缩期间获得的最大肌电图振幅。测量之前和之后的运动treatment period.Results：CLBP患者表现出可变的躯干肌肉活动模式在不同的治疗演习，类似于我们之前报道的健康受试者。最大躯干等长伸展（前，147.3+/-75.9Nm;后，170.1+/-72.3Nm）和屈曲（前，72.0+/-37.9Nm;后，93.5+/-42.5Nm）扭矩在运动期间没有显示出显著变化。然而，躯干旋转-屈曲扭矩（前，52.9 ± 26.5Nm;后，82.4 ± 65.8Nm）在运动期后显著增加（35.8%）（P
Objectives: To assess the activities of paraspinal and abdominal muscles during therapeutic exercises for the treatment of patients with nonspecific chronic low back pain (CLBP), and to study the effects of active physical rehabilitation on these activities.Design: A cross-sectional study comparing muscle activities during 18 stabilization exercises, and a prospective follow-up of patients with CLBP during rehabilitation.Setting: Rehabilitation clinic in university hospital in Finland.Participants: Nine volunteers (5 men, 4 women) aged 27 to 58 years.Intervention: Three months of active outpatient rehabilitation (4 to 6 times in a rehabilitation clinic, supplemented with self-motivated exercise at home) supervised by a physiotherapist.Main Outcome Measures: Surface electromyography was recorded bilaterally from L5 level paraspinal, rectus abdominis, and obliquus externus abdominis muscles. The recorded signal was averaged and normalized to the maximal electromyo-graphic amplitude obtained during the maximal voluntary contraction. The measurements were taken before and after the exercise treatment period.Results: CLBP patients showed variable trunk muscle activity patterns during the different therapeutic exercises, similar to those that we reported earlier in healthy subjects. The maximal trunk isometric extension (pre, 147.3+/-75.9Nm; post, 170.1+/-72.3Nm) and flexion (pre, 72.0+/-37.9Nm; post, 93.5+/-42.5Nm) torques did not show a significant changes during the exercise period. However, trunk rotation-flexion torque (pre, 52.9+/-26.5Nm; post, 82.4+/-65.8Nm) increased significantly (35.8%) after the exercise period (P