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不同伸展性的腰围对非特异性下腰痛患者从坐到站动作的运动学、动力学及肌肉活动的影响

The Effect of Lumbar Belts with Different Extensibilities on Kinematic, Kinetic, and Muscle Activity of Sit-to-Stand Motions in Patients with Nonspecific Low Back Pain.

作者信息

Im Sang-Cheol, Seo Seong-Wook, Kang Na-Yeon, Jo Hoon, Kim Kyoung

机构信息

Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan 38453, Korea.

出版信息

J Pers Med. 2022 Oct 9;12(10):1678. doi: 10.3390/jpm12101678.

Abstract

Although lumbar belts can be used for the treatment and prevention of low back pain, the role of the lumbar belt remains unclear without clear guidelines. This study aimed to investigate the effect of lumbar belts with different extensibilities on the kinematics, kinetics, and muscle activity of sit-to-stand motions in terms of motor control in patients with nonspecific low back pain. A total of 30 subjects participated in the study: 15 patients with nonspecific low back pain and 15 healthy adults. Participants performed the sit-to-stand motion in random order of three conditions: no lumbar belt, wearing an extensible lumbar belt, and wearing a non-extensible lumbar belt. The sit-to-stand motion's kinematic, kinetic, and muscle activity variables in each condition were measured using a three-dimensional motion analysis device, force plate, and surface electromyography. An interaction effect was found for the time taken, anterior pelvic tilt angle, and muscle activity of the vastus lateralis and biceps femoris. The two lumbar belts with different extensibilities had a positive effect on motor control in patients with nonspecific low back pain. Therefore, both types of extensible lumbar belts can be useful in the sit-to-stand motion, which is an important functional activity for patients with nonspecific low back pain.

摘要

尽管腰围可用于治疗和预防腰痛,但在缺乏明确指南的情况下,腰围的作用仍不明确。本研究旨在从运动控制方面,探讨不同伸展性的腰围对非特异性腰痛患者从坐到站动作的运动学、动力学和肌肉活动的影响。共有30名受试者参与了该研究:15名非特异性腰痛患者和15名健康成年人。参与者按照三种情况的随机顺序进行从坐到站动作:不佩戴腰围、佩戴可伸展腰围和佩戴不可伸展腰围。使用三维运动分析设备、测力板和表面肌电图测量每种情况下从坐到站动作的运动学、动力学和肌肉活动变量。发现了在时间、骨盆前倾角度以及股外侧肌和股二头肌的肌肉活动方面存在交互作用。两种不同伸展性的腰围对非特异性腰痛患者的运动控制有积极影响。因此,两种类型的可伸展腰围在从坐到站动作中可能都有用,而从坐到站动作对非特异性腰痛患者来说是一项重要的功能活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c258/9605222/0837e5955c16/jpm-12-01678-g001.jpg

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