文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

一项为期8周的稳定化训练计划对腰骶部节律和屈伸放松现象的影响。

The effect of an 8-week stabilization exercise program on the lumbopelvic rhythm and flexion-relaxation phenomenon.

作者信息

Shahvarpour Ali, Henry Sharon M, Preuss Richard, Mecheri Hakim, Larivière Christian

机构信息

School of Rehabilitation, Faculty of Medicine, Université de Montréal, 2900 Boul. Edouard-Montpetit, Montreal, Quebec H3T 1J4, Canada; Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST), 505 Boul. de Maisonneuve O, Montreal, Quebec H3A 3C2, Canada.

Department of Rehabilitation and Movement Science, The University of Vermont, 305 Rowell Building, Burlington, VT 05405-0068, United States.

出版信息

Clin Biomech (Bristol). 2017 Oct;48:1-8. doi: 10.1016/j.clinbiomech.2017.06.010. Epub 2017 Jun 23.


DOI:10.1016/j.clinbiomech.2017.06.010
PMID:28668552
Abstract

BACKGROUND: Lumbar stabilization exercise programs should normalize the aberrant movements patterns often observed in patients with low back pain. This study aimed to determine the effect of an 8-week lumbar stabilization program on EMG/kinematics measures of the aberrant movement patterns in such patients. A secondary goal was to assess the 8-week test-retest reliability of these measures. METHODS: The patients followed an 8-week lumbar stabilization program while no intervention was carried out on the controls. Before and after this period, kinematics of the spine along with the EMG of paraspinal muscles were recorded during trunk maximal flexion-extension. ANOVAs tested the effect of the intervention in the patients, relative to the controls. Within the patients, correlation of the EMG/kinematics measures with the change in disability and pain following the intervention was investigated. FINDINGS: A significant reduction in pain (Hedges's g effect size=2.31) and improvement in function (g=1.74) was reported in the patients. While EMG/kinematics measures disclosed impairments in the patients at baseline compared to the controls, no change was observed over the intervention. Nevertheless, the change of lumbar range of motion was positively correlated (r=0.42; P=0.015) with the change in disability. INTERPRETATION: Although pain and disability decreased following the intervention, the EMG/kinematics measures did not change concomitantly suggesting that the patients learned to stiffen the lumbar spine during the treatment, and this technique was applied even if pain and disability unequivocally decreased after the treatment, which would not necessarily be beneficial to the patient.

摘要

背景:腰椎稳定训练计划应使腰痛患者中常见的异常运动模式恢复正常。本研究旨在确定为期8周的腰椎稳定训练计划对此类患者异常运动模式的肌电图/运动学指标的影响。第二个目标是评估这些指标在8周内的重测信度。 方法:患者进行为期8周的腰椎稳定训练计划,而对照组不进行干预。在此期间前后,在躯干最大屈伸过程中记录脊柱的运动学指标以及椎旁肌的肌电图。方差分析测试了干预对患者相对于对照组的影响。在患者组内,研究了肌电图/运动学指标与干预后残疾和疼痛变化的相关性。 结果:患者报告疼痛显著减轻(赫奇斯g效应量=2.31),功能改善(g=1.74)。虽然与对照组相比,患者在基线时的肌电图/运动学指标显示有损伤,但在干预过程中未观察到变化。然而,腰椎活动范围的变化与残疾变化呈正相关(r=0.42;P=0.015)。 解读:尽管干预后疼痛和残疾程度有所降低,但肌电图/运动学指标并未随之改变,这表明患者在治疗过程中学会了使腰椎僵硬,并且即使治疗后疼痛和残疾明显减轻,这种技巧仍在应用,而这不一定对患者有益。

相似文献

[1]
The effect of an 8-week stabilization exercise program on the lumbopelvic rhythm and flexion-relaxation phenomenon.

Clin Biomech (Bristol). 2017-10

[2]
Trunk postural adjustments: Medium-term reliability and correlation with changes of clinical outcomes following an 8-week lumbar stabilization exercise program.

J Electromyogr Kinesiol. 2018-8

[3]
Comparison of lumbopelvic rhythm and flexion-relaxation response between 2 different low back pain subtypes.

Spine (Phila Pa 1976). 2013-7-1

[4]
Inter-joint coordination and the flexion-relaxation phenomenon among adults with low back pain during bending.

Gait Posture. 2021-3

[5]
A comparison of lumbopelvic motion patterns and erector spinae behavior between asymptomatic subjects and patients with recurrent low back pain during pain-free periods.

J Manipulative Physiol Ther. 2015-2

[6]
Trunk postural balance and low back pain: Reliability and relationship with clinical changes following a lumbar stabilization exercise program.

Gait Posture. 2018-3

[7]
Differences in lumbopelvic rhythm between trunk flexion and extension.

Clin Biomech (Bristol). 2016-2

[8]
The Effects of an 8-Week Stabilization Exercise Program on Lumbar Multifidus Muscle Thickness and Activation as Measured With Ultrasound Imaging in Patients With Low Back Pain: An Exploratory Study.

PM R. 2017-10-31

[9]
The effects of stance width and foot posture on lumbar muscle flexion-relaxation phenomenon.

Clin Biomech (Bristol). 2014-3

[10]
Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross-sectional Study.

PM R. 2019-2-27

引用本文的文献

[1]
Finger-Floor Distance Is Not a Valid Parameter for the Assessment of Lumbar Mobility.

Diagnostics (Basel). 2023-2-8

[2]
The relationship between clinical examination measures and ultrasound measures of fascia thickness surrounding trunk muscles or lumbar multifidus fatty infiltrations: An exploratory study.

J Anat. 2023-4

[3]
Changes in Lumbo-Pelvic Coordination of Individuals With and Without Low Back Pain When Wearing a Hip Orthosis.

Front Sports Act Living. 2020-7-16

[4]
A prospective study of lumbo-pelvic coordination in patients with non-chronic low back pain.

J Biomech. 2020-3-26

[5]
Aberrant intervertebral motion in patients with treatment-resistant nonspecific low back pain: a retrospective cohort study and control comparison.

Eur Spine J. 2018-6-20

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索