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慢性非特异性下腰痛青年静态姿势控制受损与躯干肌肉收缩能力相关:一项横断面研究。

Impaired static postural control correlates to the contraction ability of trunk muscle in young adults with chronic non-specific low back pain: A cross-sectional study.

机构信息

Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.

Department of Electromechanical Engineering, Faculty of Science and Technology, University of Macau, Macau, China.

出版信息

Gait Posture. 2022 Feb;92:44-50. doi: 10.1016/j.gaitpost.2021.11.021. Epub 2021 Nov 19.

Abstract

INTRODUCTION

Patients with chronic non-specific low back pain (CNSLBP) were found with impaired postural control in previous studies. Since the trunk muscle take important efforts on core stability, the study aimed to examine the relationships of postural control during stance tasks and the contractility of trunk muscle in young adults with CNSLBP and without.

METHODS

Healthy individuals (n = 25) and individuals with CNSLBP (n = 30) were included. The thickness of the bilateral transversus abdominis (TrA) and lumbar multifidus (MF) was measured during rest and maximal voluntary contraction, and the change percentages (TrA%, MF%) were calculated. Regarding postural control, COP path length and sway area during the stance tasks were measured thrice in each group.

RESULTS

The bilateral TrA% of the CNSLBP group was less than that of the HC group (p < 0.05). The bilateral TrA% of the CNSLBP group was less than that of the HC group (p < 0.05). The bilateral MF% showed no significantly different(p > 0.05) between the two groups. Compared with healthy controls, CNSLBP patients resulted larger path length and sway area of COP during most of static stance tasks. During the EO task in the CNSLBP group, TrA% was found correlate to COP path length (p < 0.05); the right MF% was correlated with COP sway area (p < 0.05). No significant correlations appeared in the healthy controls (p > 0.05).

CONCLUSIONS

Compared with healthy individuals, impaired postural control during static stance with eyes open in patients with CNSLBP was likely to be related to the poor contraction ability of bilateral transversus abdominis and correlated to the normal contraction ability of right lumbar multifidus.

摘要

简介

先前的研究发现,慢性非特异性下腰痛(CNSLBP)患者存在姿势控制受损的情况。由于躯干肌肉对核心稳定性起着重要作用,因此本研究旨在检查姿势控制与年轻的 CNSLBP 患者和无 CNSLBP 患者的躯干肌肉收缩力之间的关系。

方法

本研究纳入了健康个体(n=25)和 CNSLBP 患者(n=30)。在休息和最大自主收缩时测量双侧腹横肌(TrA)和多裂肌(MF)的厚度,并计算变化百分比(TrA%,MF%)。关于姿势控制,在每组中三次测量站立任务期间的 COP 路径长度和摆动面积。

结果

CNSLBP 组的双侧 TrA%小于 HC 组(p<0.05)。CNSLBP 组的双侧 TrA%小于 HC 组(p<0.05)。两组间双侧 MF%无显著差异(p>0.05)。与健康对照组相比,CNSLBP 患者在大多数静态站立任务中 COP 的路径长度和摆动面积更大。在 CNSLBP 组的 EO 任务中,TrA%与 COP 路径长度相关(p<0.05);右侧 MF%与 COP 摆动面积相关(p<0.05)。在健康对照组中没有出现显著相关性(p>0.05)。

结论

与健康个体相比,CNSLBP 患者在睁眼静态站立时的姿势控制受损可能与双侧腹横肌收缩能力差有关,并与右侧多裂肌正常收缩能力相关。

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