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慢性下腰痛患者步行时的神经肌肉控制

Neuromuscular control of walking with chronic low-back pain.

作者信息

Vogt L, Pfeifer K, Banzer W

机构信息

Department of Sports Medicine, Institute for Sport Sciences, Johann Wolfgang Goethe-University, Ginnheimer Landstrasse 39, 60487 Frankfurt/Main, Germany.

出版信息

Man Ther. 2003 Feb;8(1):21-8. doi: 10.1054/math.2002.0476.

Abstract

The reported association of low-back pain and musculoskeletal disorders contributed to the examination of the lumbar spine and hip extensor activation patterns in back pain sufferers during walking. Seventeen idiopathic low-back pain male subjects and 16 healthy volunteers participated in the study. Hip joint ROMs in the sagittal plane and neuromuscular activities of erector spinae [L3, T12], gluteus maximus and biceps femoris were recorded on one randomly selected body side in each group. Analysis using the Student's t-test revealed significant differences for hip joint range of motion, stride time and significantly earlier onsets of the lumbar spine and hip extensors of the back pain sufferers compared with the healthy controls. It is assumed, that low-back disorders are related to changes of the lumbar spine and hip extensor recruitment pattern.

摘要

据报道,下背痛与肌肉骨骼疾病之间的关联促使人们对背痛患者行走时腰椎和髋部伸肌的激活模式进行研究。17名特发性下背痛男性受试者和16名健康志愿者参与了该研究。在每组中随机选择一侧身体,记录矢状面髋关节活动范围以及竖脊肌[L3、T12]、臀大肌和股二头肌的神经肌肉活动。使用学生t检验进行分析发现,与健康对照组相比,背痛患者的髋关节活动范围、步幅时间以及腰椎和髋部伸肌的起始时间明显更早,存在显著差异。据推测,下背部疾病与腰椎和髋部伸肌募集模式的变化有关。

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