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高密度肌电图为腰痛患者的屈肌松弛现象提供新的见解。

High-Density Electromyography Provides New Insights into the Flexion Relaxation Phenomenon in Individuals with Low Back Pain.

机构信息

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.

出版信息

Sci Rep. 2019 Nov 4;9(1):15938. doi: 10.1038/s41598-019-52434-9.


DOI:10.1038/s41598-019-52434-9
PMID:31685948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6828973/
Abstract

Recent research using high-density electromyography (HDEMG) has provided a more precise understanding of the behaviour of the paraspinal muscles in people with low back pain (LBP); but so far, HDEMG has not been used to investigate the flexion relaxation phenomenon (FRP). To evaluate this, HDEMG signals were detected with grids of electrodes (13 × 5) placed bilaterally over the lumbar paraspinal muscles in individuals with and without LBP as they performed repetitions of full trunk flexion. The root mean square of the HDEMG signals was computed to generate the average normalized amplitude; and the spatial FRP onset was determined and expressed as percentage of trunk flexion. Smoothing spline analysis of variance models and the contrast cycle difference approach using the Bayesian interpretation were used to determine statistical inference. All pain-free controls and 64.3% of the individuals with LBP exhibited the FRP. Individuals with LBP and the FRP exhibited a delay of its onset compared to pain-free controls (significant mean difference of 13.3% of trunk flexion).  They also showed reduced normalized amplitude compared to those without the FRP, but still greater than pain-free controls (significant mean difference of 27.4% and 11.6% respectively). This study provides novel insights into changes in lumbar muscle behavior in individuals with LBP.

摘要

最近的研究使用高密度肌电图(HDEMG)提供了对腰痛(LBP)患者脊柱旁肌肉行为的更精确理解;但到目前为止,HDEMG 尚未用于研究屈肌松弛现象(FRP)。为了评估这一点,在进行全脊柱屈曲重复时,使用放置在双侧腰椎脊柱旁肌肉上的电极网格(13×5)检测 HDEMG 信号。计算 HDEMG 信号的均方根以生成平均归一化幅度;并确定空间 FRP 起始并表示为脊柱屈曲的百分比。使用贝叶斯解释的平滑样条方差模型和对比循环差异方法来确定统计推断。所有无疼痛的对照组和 64.3%的腰痛患者均表现出 FRP。与无疼痛对照组相比,腰痛患者和 FRP 的 FRP 起始延迟(脊柱屈曲的 13.3%的显著平均差异)。与无 FRP 的患者相比,他们的归一化幅度也降低了,但仍高于无疼痛对照组(分别为 27.4%和 11.6%的显著平均差异)。这项研究为腰痛患者腰椎肌肉行为的变化提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/0cc75aaf4e52/41598_2019_52434_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/10d184479794/41598_2019_52434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/c7eac3dd2043/41598_2019_52434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/70c420bde40d/41598_2019_52434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/4f77b0c9a193/41598_2019_52434_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/0cc75aaf4e52/41598_2019_52434_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/10d184479794/41598_2019_52434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/c7eac3dd2043/41598_2019_52434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/70c420bde40d/41598_2019_52434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/4f77b0c9a193/41598_2019_52434_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ea3/6828973/0cc75aaf4e52/41598_2019_52434_Fig5_HTML.jpg

相似文献

[1]
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[2]
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[5]
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引用本文的文献

[1]
Regional flexion relaxation phenomenon in lumbar extensor muscles under delayed-onset muscle soreness: high-density surface electromyography insights.

Eur J Appl Physiol. 2025-5

[2]
Differential Back Muscle Flexion-Relaxation Phenomenon in Constrained versus Unconstrained Leg Postures.

Bioengineering (Basel). 2024-7-20

[3]
Setup for the Quantitative Assessment of Motion and Muscle Activity During a Virtual Modified Box and Block Test.

J Vis Exp. 2024-1-12

[4]
Non-Specific Low Back Pain: An Inductive Exploratory Analysis through Factor Analysis and Deep Learning for Better Clustering.

Brain Sci. 2023-6-13

[5]
The flexion relaxation phenomenon in nonspecific chronic low back pain: prevalence, reproducibility and flexion-extension ratios. A systematic review and meta-analysis.

Eur Spine J. 2022-1

[6]
Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study.

Diagnostics (Basel). 2021-2-20

[7]
People With Low Back Pain Display a Different Distribution of Erector Spinae Activity During a Singular Mono-Planar Lifting Task.

Front Sports Act Living. 2019-12-20

[8]
Influence of low back pain and its remission on motor abundance in a low-load lifting task.

Sci Rep. 2020-10-20

本文引用的文献

[1]
Rowers with a recent history of low back pain engage different regions of the lumbar erector spinae during rowing.

J Sci Med Sport. 2019-7-19

[2]
Influence of experimental pain on the spatio-temporal activity of upper trapezius during dynamic lifting - An investigation using Bayesian spatio-temporal ANOVA.

J Electromyogr Kinesiol. 2019-5-31

[3]
Variation in the spatial distribution of erector spinae activity during a lumbar endurance task in people with low back pain.

J Anat. 2019-1-21

[4]
The effect of glenohumeral plane of elevation on supraspinatus subacromial proximity.

J Biomech. 2018-10-5

[5]
Subgroups of lumbo-pelvic flexion kinematics are present in people with and without persistent low back pain.

BMC Musculoskelet Disord. 2018-8-28

[6]
Surface electromyographic amplitude does not identify differences in neural drive to synergistic muscles.

J Appl Physiol (1985). 2018-2-8

[7]
Differences in neuromuscular activity of ankle stabilizing muscles during postural disturbances: A gender-specific analysis.

Gait Posture. 2018-3

[8]
Low-Back Pain Patients Learn to Adapt Motor Behavior With Adverse Secondary Consequences.

Exerc Sport Sci Rev. 2017-10

[9]
High-density EMG Reveals Novel Evidence of Altered Masseter Muscle Activity During Symmetrical and Asymmetrical Bilateral Jaw Clenching Tasks in People With Chronic Nonspecific Neck Pain.

Clin J Pain. 2017-2

[10]
Smoothing spline analysis of variance models: A new tool for the analysis of cyclic biomechanical data.

J Biomech. 2016-10-3

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