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女性慢性下腰痛:任务执行过程中的肌肉激活

Chronic Low Back Pain in Women: Muscle Activation during Task Performance.

作者信息

Santos Fernanda G, Carmo Carolina M, Fracini América C, Pereira Rita R P, Takara Kelly S, Tanaka Clarice

机构信息

Department of Physiotherapy, Communication Science and Disorders, Occupational Therapy, Faculty of Medicine, University of São Paulo, Brazil.

出版信息

J Phys Ther Sci. 2013 Dec;25(12):1569-73. doi: 10.1589/jpts.25.1569. Epub 2014 Jan 8.

Abstract

[Purpose] The aim of this study was to compare the activities of the trunk and hip muscles in chronic low back pain (CLBP) women and asymptomatic subjects during the kneeling to half-kneeling task. [Subjects] Twenty-nine CLBP women and thirty asymptomatic subjects (C) participated in this study. [Methods] Electromyography activity (EMG) of the obliquus internus abdominis (OI), the lumbar erector spinae (LES) and the gluteus medius (GM) muscles was recorded bilaterally. The peak amplitude, the time of peak amplitude and the integrated linear envelope EMG for each muscle were obtained. [Results] The C group bilateral OI and GM muscles displayed higher peak amplitudes and earlier times of peak amplitude. They also had higher integrated linear envelope EMG values. The CLBP group bilateral LES muscles had higher peak amplitudes and earlier times of peak amplitude. They also showed an increased integrated linear envelope EMG values. [Conclusion] The CLBP women activate the LES muscles in the kneeling to half-kneeling task, showing different patterns of motor planning activity.

摘要

[目的]本研究旨在比较慢性下腰痛(CLBP)女性和无症状受试者在从跪姿到半跪姿任务中躯干和髋部肌肉的活动情况。[受试者]29名CLBP女性和30名无症状受试者(C组)参与了本研究。[方法]双侧记录腹内斜肌(OI)、腰竖脊肌(LES)和臀中肌(GM)的肌电图活动(EMG)。获取每块肌肉的峰值振幅、峰值振幅出现时间以及肌电图的积分线性包络值。[结果]C组双侧OI和GM肌肉显示出更高的峰值振幅和更早的峰值振幅出现时间。它们的肌电图积分线性包络值也更高。CLBP组双侧LES肌肉有更高的峰值振幅和更早的峰值振幅出现时间。它们还显示出肌电图积分线性包络值增加。[结论]CLBP女性在从跪姿到半跪姿任务中激活LES肌肉,表现出不同的运动规划活动模式。

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