表面肌电图在评估椎旁肌疲劳中的可靠性：一项更新的系统评价。
Reliability of surface electromyography in the assessment of paraspinal muscle fatigue: an updated systematic review.
作者信息
Mohseni Bandpei Mohammad A, Rahmani Nahid, Majdoleslam Basir, Abdollahi Iraj, Ali Shabnam Shah, Ahmad Ashfaq
机构信息
Professor, Iranian Research Centre on Aging, Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Evin, Tehran, Iran; Visiting Professor, University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.
PhD Student, Department of Physiotherapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
出版信息
J Manipulative Physiol Ther. 2014 Sep;37(7):510-21. doi: 10.1016/j.jmpt.2014.05.006.
OBJECTIVE
The purpose of this study was to review the literature to determine whether surface electromyography (EMG) is a reliable tool to assess paraspinal muscle fatigue in healthy subjects and in patients with low back pain (LBP).
METHODS
A literature search for the period of 2000 to 2012 was performed, using PubMed, ProQuest, Science Direct, EMBASE, OVID, CINAHL, and MEDLINE databases. Electromyography, reliability, median frequency, paraspinal muscle, endurance, low back pain, and muscle fatigue were used as keywords.
RESULTS
The literature search yielded 178 studies using the above keywords. Twelve articles were selected according to the inclusion criteria of the study. In 7 of the 12 studies, the surface EMG was only applied in healthy subjects, and in 5 studies, the reliability of surface EMG was investigated in patients with LBP or a comparison with a control group. In all of these studies, median frequency was shown to be a reliable EMG parameter to assess paraspinal muscles fatigue. There was a wide variation among studies in terms of methodology, surface EMG parameters, electrode location, procedure, and homogeneity of the study population.
CONCLUSIONS
The results suggest that there seems to be a convincing body of evidence to support the merit of surface EMG in the assessment of paraspinal muscle fatigue in healthy subject and in patients with LBP.
目的
本研究旨在回顾文献，以确定表面肌电图（EMG）是否是评估健康受试者和腰痛（LBP）患者椎旁肌疲劳的可靠工具。
方法
利用PubMed、ProQuest、Science Direct、EMBASE、OVID、CINAHL和MEDLINE数据库，对2000年至2012年期间的文献进行检索。使用肌电图、可靠性、中位频率、椎旁肌、耐力、腰痛和肌肉疲劳作为关键词。
结果
文献检索使用上述关键词共得到178项研究。根据研究的纳入标准，选择了12篇文章。在这12项研究中的7项中，表面肌电图仅应用于健康受试者，在5项研究中，对LBP患者表面肌电图的可靠性进行了研究或与对照组进行了比较。在所有这些研究中，中位频率被证明是评估椎旁肌疲劳的可靠肌电图参数。在方法、表面肌电图参数、电极位置、程序和研究人群的同质性方面，研究之间存在很大差异。
结论
结果表明，似乎有令人信服的证据支持表面肌电图在评估健康受试者和LBP患者椎旁肌疲劳方面的优点。
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