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患有慢性下腰痛的人表现出高密度表面肌电图-扭矩振荡的空间改变。

People with chronic low back pain display spatial alterations in high-density surface EMG-torque oscillations.

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. 2022 Sep 7;12(1):15178. doi: 10.1038/s41598-022-19516-7.


DOI:10.1038/s41598-022-19516-7
PMID:36071134
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9452584/
Abstract

We quantified the relationship between spatial oscillations in surface electromyographic (sEMG) activity and trunk-extension torque in individuals with and without chronic low back pain (CLBP), during two submaximal isometric lumbar extension tasks at 20% and 50% of their maximal voluntary torque. High-density sEMG (HDsEMG) signals were recorded from the lumbar erector spinae (ES) with a 64-electrode grid, and torque signals were recorded with an isokinetic dynamometer. Coherence and cross-correlation analyses were applied between the filtered interference HDsEMG and torque signals for each submaximal contraction. Principal component analysis was used to reduce dimensionality of HDsEMG data and improve the HDsEMG-based torque estimation. sEMG-torque coherence was quantified in the δ(0-5 Hz) frequency bandwidth. Regional differences in sEMG-torque coherence were also evaluated by creating topographical coherence maps. sEMG-torque coherence in the δ band and sEMG-torque cross-correlation increased with the increase in torque in the controls but not in the CLBP group (p = 0.018, p = 0.030 respectively). As torque increased, the CLBP group increased sEMG-torque coherence in more cranial ES regions, while the opposite was observed for the controls (p = 0.043). Individuals with CLBP show reductions in sEMG-torque relationships possibly due to the use of compensatory strategies and regional adjustments of ES-sEMG oscillatory activity.

摘要

我们量化了慢性下背痛(CLBP)患者和无 CLBP 患者在进行两次最大主动等长腰椎伸展任务的 20%和 50%时,表面肌电图(sEMG)活动的空间振荡与躯干伸展扭矩之间的关系。使用 64 电极网格记录来自腰椎竖脊肌(ES)的高密度 sEMG(HDsEMG)信号,并使用等速测力计记录扭矩信号。对每个次最大收缩的滤波干扰 HDSG 和扭矩信号进行相干性和互相关分析。主成分分析用于降低 HDSG 数据的维数并提高基于 HDSG 的扭矩估计。在 δ(0-5 Hz)频带中量化 sEMG-扭矩相干性。还通过创建地形相干图来评估 sEMG-扭矩相干性的区域差异。在控制组中,随着扭矩的增加,δ 带中的 sEMG-扭矩相干性和 sEMG-扭矩互相关增加,但在 CLBP 组中则没有(p=0.018,p=0.030)。随着扭矩的增加,CLBP 组在更颅侧的 ES 区域增加了 sEMG-扭矩相干性,而对照组则相反(p=0.043)。CLBP 患者的 sEMG-扭矩关系减少可能是由于使用了补偿策略和 ES-sEMG 振荡活动的区域调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/51cc937d020b/41598_2022_19516_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/3b9199c24392/41598_2022_19516_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/785911628e61/41598_2022_19516_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/284a964ba90e/41598_2022_19516_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/6243a1e90f62/41598_2022_19516_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/51cc937d020b/41598_2022_19516_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/3b9199c24392/41598_2022_19516_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/785911628e61/41598_2022_19516_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/284a964ba90e/41598_2022_19516_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/6243a1e90f62/41598_2022_19516_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f33/9452584/51cc937d020b/41598_2022_19516_Fig5_HTML.jpg

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本文引用的文献

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Impairments in grip and pinch force accuracy and steadiness in people with osteoarthritis of the hand: A case-control comparison.

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Spatial distribution of lumbar erector spinae muscle activity in individuals with and without chronic low back pain during a dynamic isokinetic fatiguing task.

Clin Biomech (Bristol). 2021-1

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