Coghlan Simon, Crowe Louis, McCarthypersson Ulrik, Minogue Conor, Caulfield Brian
Institute for Sport and Health, University College Dublin, Belfield, Dublin 4, Ireland.
Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:7622-5. doi: 10.1109/IEMBS.2011.6091878.
Low back pain is associated with dysfunction in recruitment of muscles in the lumbopelvic region. Effective rehabilitation requires preferential activation of deep stabilizing muscle groups yet training these muscles poses challenges in a clinical setting. This study was carried out in order to quantify the response of deep stabilizing muscles (transverses abdominis and deep fibres of multifidus) to a period of training using a novel neuromuscular electrical stimulation (NMES) application in a group of patients with chronic low back pain. Analysis of results revealed clinically and statistically significant improvements in indicators of both muscle groups' performance, as evidenced by ultrasound evaluation of activation during voluntary activity. These improvements were associated with significant improvements in self reported pain levels, suggesting that NMES has an important role to play in CLBP rehabilitation.
下背痛与腰骨盆区域肌肉募集功能障碍有关。有效的康复需要优先激活深层稳定肌群，但在临床环境中训练这些肌肉具有挑战性。本研究旨在量化一组慢性下背痛患者使用新型神经肌肉电刺激（NMES）进行一段时间训练后，深层稳定肌（腹横肌和多裂肌深层纤维）的反应。结果分析显示，两组肌肉的性能指标在临床和统计学上均有显著改善，这通过自愿活动期间激活的超声评估得到证实。这些改善与自我报告的疼痛水平显著改善相关，表明NMES在慢性下背痛康复中具有重要作用。
