Trunk muscle activation patterns during active hip abduction test during remission from recurrent low back pain: an observational study.
Trunk muscle activation patterns during active hip abduction test during remission from recurrent low back pain: an observational study.
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复发性下背痛缓解期主动髋关节外展试验时躯干肌肉的激活模式：一项观察性研究
DOI：
10.1186/s12891-021-04538-5
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发表时间：
2021-08-09
影响因子：
2.3
通讯作者：
Kurozumi C
中科院分区：
文献类型：
--
作者：
Suehiro T;Ishida H;Kobara K;Osaka H;Kurozumi C
主动髋外展试验（AHAbd）被广泛用于评估腰骶部稳定性，但到目前为止，尚未对复发性下腰痛（rLBP）患者在该试验过程中躯干肌肉激活的起始情况进行研究。研究AHAbd试验过程中躯干肌肉的激活模式，对于深入理解基于观察的评估结果具有重要意义；从运动控制的角度来看，这可能有助于为寻求rLBP治疗的患者制定运动疗法干预措施。本研究旨在比较有rLBP和无rLBP个体之间躯干肌肉激活的时间，并评估潜在差异。
研究招募了17名处于缓解期的rLBP患者和17名无rLBP的受试者。在双侧AHAbd试验过程中，我们对腹横肌/腹内斜肌、腹外斜肌、竖脊肌和臀中肌进行了表面肌电图检测。躯干肌肉激活的起始时间是相对于原动肌臀中肌来计算的。采用独立样本t检验和曼-惠特尼U检验比较两组间躯干肌肉激活的起始时间。
与无rLBP的个体相比，rLBP患者在同侧（右侧AHAbd：−3.0±16.2毫秒 对 36.3±20.0毫秒，左侧AHAbd：−7.2±18.6毫秒 对 29.6±44.3毫秒）和对侧（右侧AHAbd：−11.5±13.9毫秒 对 24.4±32.3毫秒，左侧AHAbd：−10.1±12.5毫秒 对 23.3±17.2毫秒）的腹横肌/腹内斜肌激活起始时间，以及对侧竖脊肌激活起始时间（右侧AHAbd：76.1±84.9毫秒 对 183.9±114.6毫秒，左侧AHAbd：60.7±70.5毫秒 对 133.9±98.6毫秒）均显著延迟（p<0.01）。在左侧AHAbd试验中，rLBP患者同侧竖脊肌的激活起始时间也显著晚于无rLBP的个体（71.1±80.1毫秒 对 163.8±120.1毫秒，p<0.05）。在左右侧AHAbd试验中，腹外斜肌激活起始时间未观察到显著差异（p>0.05）。
我们的研究结果表明，rLBP患者的躯干肌肉激活模式与无rLBP的个体不同。这些发现有助于深入了解rLBP患者在AHAbd试验过程中潜在的肌肉激活模式，并可能为积极的早期神经肌肉控制干预提供支持 。
The active hip abduction test (AHAbd) is widely used to evaluate lumbopelvic stability, but the onset of trunk muscle activation during the test in individuals with recurrent low back pain (rLBP) has not been investigated so far. It is important to investigate the pattern of trunk muscle activation during the AHAbd test to provide insight into the interpretation of observation-based assessment results; this may help to create exercise therapy interventions, from a movement control perspective, for people seeking treatment for rLBP. The purpose of this study was to compare the timing of trunk muscle activation between individuals with and without rLBP and to assess potential differences. Seventeen subjects in remission from rLBP and 17 subjects without rLBP were recruited. We performed surface electromyography of the transversus abdominis/internal abdominal oblique, external oblique, erector spinae, and gluteus medius muscles during the AHAbd test on both sides. The onset of trunk muscle activation was calculated relative to the prime mover gluteus medius. The independent-samples t- and Mann-Whitney U tests were used to compare the onset of trunk muscle activation between the two groups. The onset of transversus abdominis/internal abdominal oblique activation on the ipsilateral (right AHAbd: −3.0 ± 16.2 vs. 36.3 ± 20.0 msec, left AHAbd: −7.2 ± 18.6 vs. 29.6 ± 44.3 ms) and contralateral sides (right AHAbd: −11.5 ± 13.9 vs. 24.4 ± 32.3 ms, left AHAbd: −10.1 ± 12.5 vs. 23.3 ± 17.2 ms) and erector spinae on the contralateral side (right AHAbd: 76.1 ± 84.9 vs. 183.9 ± 114.6 ms, left AHAbd: 60.7 ± 70.5 vs. 133.9 ± 98.6 ms) occurred significantly later in individuals with rLBP than in individuals without rLBP (p < 0.01). During the left AHAbd test, the ipsilateral erector spinae was also activated significantly later in individuals with rLBP than in individuals without rLBP (71.1 ± 80.1 vs. 163.8 ± 120.1 ms, p < 0.05). No significant difference was observed in the onset of the external oblique activation on the right and left AHAbd tests (p > 0.05). Our results suggest that individuals with rLBP possess a trunk muscle activation pattern that is different from that of individuals without rLBP. These findings provide an insight into the underlying muscle activation patterns during the AHAbd test for people with rLBP and may support aggressive early intervention for neuromuscular control.
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影响因子：
6.1
作者：
Macdonald, David A.;Dawson, Anna P.;Hodges, Paul W.
通讯作者：
Hodges, Paul W.
影响因子：
6.1
作者：
Allison, Garry T.;Morris, Sue L.;Lay, Brendan
通讯作者：
Lay, Brendan
DOI：
10.1016/s0013-4694(96)95190-5
发表时间：
1996-12-01
期刊：
ELECTROMYOGRAPHY AND MOTOR CONTROL-ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY
影响因子：
--
作者：
Hodges, PW;Bui, BH
通讯作者：
Bui, BH
影响因子：
2
作者：
Nelson-Wong, E.;Gallant, P.;Davis, A. M.
通讯作者：
Davis, A. M.
影响因子：
2.5
作者：
Alsubaie, A. M.;Martinez-Valdes, E.;Falla, D.
通讯作者：
Falla, D.