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特发性脊柱侧凸青少年在习惯性站立和坐姿时椎旁肌肌电活动的评估

Evaluation of Myoelectric Activity of Paraspinal Muscles in Adolescents with Idiopathic Scoliosis during Habitual Standing and Sitting.

作者信息

Kwok Garcia, Yip Joanne, Cheung Mei-Chun, Yick Kit-Lun

机构信息

Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

Department of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.

出版信息

Biomed Res Int. 2015;2015:958450. doi: 10.1155/2015/958450. Epub 2015 Oct 25.

Abstract

There is a number of research work in the literature that have applied sEMG biofeedback as an instrument for muscle rehabilitation. Therefore, sEMG is a good tool for this research work and is used to record the myoelectric activity in the paraspinal muscles of those with AIS during habitual standing and sitting. After the sEMG evaluation, the root-mean-square (RMS) sEMG values of the paraspinal muscles in the habitual postures reflect the spinal curvature situation of the PUMC Type Ia and IIc subjects. Both groups have a stronger average RMS sEMG value on the convex side of the affected muscle regions. Correction to posture as instructed by the physiotherapist has helped the subjects to achieve a more balanced RMS sEMG ratio in the trapezius and latissimus dorsi regions; the erector spinae in the thoracic region and/or erector spinae in the lumbar region. It is, therefore, considered that with regular practice of the suggested positions, those with AIS can use motor learning to achieve a more balanced posture. Consequently, the findings can be used in less intrusive early orthotic intervention and provision of care to those with AIS.

摘要

文献中有许多研究工作将表面肌电图(sEMG)生物反馈作为肌肉康复的一种手段。因此,sEMG是这项研究工作的一个良好工具,用于记录青少年特发性脊柱侧弯(AIS)患者在习惯性站立和坐姿时椎旁肌的肌电活动。经过sEMG评估,习惯性姿势下椎旁肌的均方根(RMS)sEMG值反映了北京协和医院(PUMC)I型a和IIc型受试者的脊柱弯曲情况。两组在受影响肌肉区域凸侧的平均RMS sEMG值都更强。按照物理治疗师的指示纠正姿势,有助于受试者在斜方肌和背阔肌区域、胸椎区域的竖脊肌和/或腰椎区域的竖脊肌中实现更平衡的RMS sEMG比率。因此,人们认为,通过定期练习建议的姿势,AIS患者可以利用运动学习来实现更平衡的姿势。因此,这些发现可用于对AIS患者进行侵入性较小的早期矫形干预和提供护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b639/4637075/eafd77a1bb7a/BMRI2015-958450.001.jpg

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