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