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全身振动训练对非特异性下腰痛患者核心肌群预备性延迟的影响。

The Effects of Whole-Body Vibration Exercise on Anticipatory Delay of Core Muscles in Patients with Nonspecific Low Back Pain.

机构信息

Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.

Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China.

出版信息

Pain Res Manag. 2021 Aug 3;2021:9274964. doi: 10.1155/2021/9274964. eCollection 2021.

Abstract

OBJECTIVE

The objective of this study is to determine the effect of whole-body vibration (WBV) exercise on the anticipatory delay of core muscles in nonspecific low back pain (NSLBP) patients.

METHODS

Forty participants with NSLBP were randomly divided into the WBV group and the control group. The sEMG signals of deltoid, erector spines (ES), multifidus (MF), rectus abdominis (RA), and transversus abdominus/internal oblique muscles (TrA/IO) were recorded before and after the intervention in the weight-shifting task. The relative activation time of each muscle was calculated.

RESULTS

In the WBV group, the relative activation time of bilateral MF and bilateral TrA/IO was significantly reduced on shoulder flexion (right MF: =0.014; left MF: =0.011; right TrA/IO: =0.008; left TrA/IO: =0.026). As for shoulder abduction, except for the left TrA/IO and the left RA, the relative activation time of other muscles was significantly reduced (right ES: =0.001; left ES: < 0.001; right MF: =0.001; left MF: =0.009; right TrA/IO: < 0.001; right RA: =0.001). In the control group, there was no significant difference in the relative activation time of each muscle before and after the intervention ( > 0.05).

CONCLUSIONS

WBV exercise can effectively alleviate the anticipatory delay of core muscles in NSLBP patients, but the long-term effects still need further study. This trial is registered with ChiCTR-TRC-13003708.

摘要

目的

本研究旨在探讨全身振动(WBV)锻炼对非特异性下腰痛(NSLBP)患者核心肌肉预备延迟的影响。

方法

将 40 名 NSLBP 患者随机分为 WBV 组和对照组。在进行负重转移任务时,记录三角肌、竖脊肌(ES)、多裂肌(MF)、腹直肌(RA)和腹横肌/内斜肌(TrA/IO)的 sEMG 信号。计算各肌肉的相对激活时间。

结果

在 WBV 组中,双侧 MF 和双侧 TrA/IO 的相对激活时间在肩前屈时明显降低(右侧 MF:=0.014;左侧 MF:=0.011;右侧 TrA/IO:=0.008;左侧 TrA/IO:=0.026)。在肩外展时,除左侧 TrA/IO 和左侧 RA 外,其他肌肉的相对激活时间均明显降低(右侧 ES:=0.001;左侧 ES:<0.001;右侧 MF:=0.001;左侧 MF:=0.009;右侧 TrA/IO:<0.001;右侧 RA:=0.001)。在对照组中,干预前后各肌肉的相对激活时间无明显差异(>0.05)。

结论

WBV 锻炼能有效缓解 NSLBP 患者核心肌肉的预备延迟,但长期效果仍需进一步研究。本试验已在 ChiCTR-TRC-13003708 注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed8e/8357519/f661b1626e64/PRM2021-9274964.001.jpg

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