1Department of Biomechanics, Poznań University of Physical Education, Poznań, Poland.
Acta Bioeng Biomech. 2024 Apr 30;26(1):89-97. doi: 10.37190/abb-02384-2024-02. Print 2024 Jun 1.
: Manual therapy is used as a conservative treatment for people with low back pain (LBP). The scale of the problem encourages the search for the most effective methods to assess of manual treatment. Therefore, the aim of the study was to investigate magnitude of changes in muscle endurance using the Biering-Sorensen test (BST) and to analyse balance in patients with LBP treated with ERS and FRS muscle energy techniques (MET). : The study included fifteen men with LBP (mean age: 42 years) working as automotive assemblers. Endurance of the biceps femoris (BF), gluteus maximus (GM) and erector spinae (ES) muscles were analysed using sEMG during the BST. The level of experienced pain, degree of disability and postural stability were also examined. Results before and after a three-week treatment cycle using MET were compared. : The MET therapy resulted in a reduction in pain ( = 0.001), an improvement in the degree of disability ( < 0.001) and an increase in the duration of the BST ( < 0.001). After therapy, the values of the NMFs parameter indicating the degree of fatigue increased, i.e., ES muscle endurance increased, both right ( = 0.004) and left ( < 0.001). There was also a statistically significant decrease in the centre of pressure (COP) movement velocity in balance tests. : The use of MET in patients with LBP increases muscle endurance, improves postural balance, and reduces pain levels on the VAS and disability levels according to the ODI. MET appears to be a good tool for preventing LBP.
手法治疗被用作腰痛(LBP)患者的保守治疗方法。问题的严重程度鼓励寻找最有效的方法来评估手法治疗。因此,本研究的目的是调查 Biering-Sorensen 测试(BST)中肌肉耐力的变化幅度,并分析接受 ERS 和 FRS 肌肉能量技术(MET)治疗的 LBP 患者的平衡。
该研究纳入了 15 名男性腰痛患者(平均年龄:42 岁),他们是汽车装配工。在 BST 中,使用 sEMG 分析了股二头肌(BF)、臀大肌(GM)和竖脊肌(ES)的耐力。还检查了经历的疼痛程度、残疾程度和姿势稳定性。比较了使用 MET 治疗三周前后的结果。
MET 治疗导致疼痛减轻( = 0.001)、残疾程度改善( < 0.001)和 BST 持续时间增加( < 0.001)。治疗后,NMFs 参数值(表示疲劳程度)增加,即 ES 肌肉耐力增加,右侧( = 0.004)和左侧( < 0.001)。在平衡测试中,压力中心(COP)运动速度也有统计学意义的下降。
在 LBP 患者中使用 MET 可增加肌肉耐力,改善姿势平衡,并降低 VAS 疼痛水平和 ODI 残疾水平。MET 似乎是预防 LBP 的有效工具。