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[1]卜寒梅,王平,劉愛(ài)峰,等.基于表面肌電圖評(píng)價(jià)頸型頸椎病單側(cè)頸痛患者頸椎活動(dòng)時(shí)兩側(cè)胸鎖乳突肌功能[J].中醫(yī)正骨,2021,33(07):28-32.
　BU Hanmei,WANG Ping,LIU Aifeng,et al.Evaluation of bilateral sternocleidomastoid muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain based on surface electromyography[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(07):28-32.
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基于表面肌電圖評(píng)價(jià)頸型頸椎病單側(cè)頸痛患者頸椎活動(dòng)時(shí)兩側(cè)胸鎖乳突肌功能()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年07期
頁(yè)碼:
28-32
欄目:
臨床研究
出版日期:
2021-07-20

文章信息/Info

Title:
Evaluation of bilateral sternocleidomastoid muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain based on surface electromyography
作者:
卜寒梅1; 王平1; 劉愛(ài)峰1; 李遠(yuǎn)棟1; 吳思1; 張超1; 馮敏山2
(1.天津中醫(yī)藥大學(xué)第一附屬醫(yī)院,天津 300381; 2.中國(guó)中醫(yī)科學(xué)院望京醫(yī)院,北京 100102)
Author(s):
BU Hanmei1; WANG Ping1; LIU Aifeng1; LI Yuandong1; WU Si1; ZHANG Chao1; FENG Minshan2
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China2.Wangjing Hospital of CACMS,Beijing 100102,China
關(guān)鍵詞:
頸椎病;  頸痛;  胸鎖乳突肌;  肌電描記術(shù);  臨床試驗(yàn)
Keywords:
cervical spondylosis;  neck pain;  sternocleidomastoid;  surface electromyography;  clinical trial
摘要:
目的:評(píng)價(jià)頸型頸椎病單側(cè)頸痛患者頸椎活動(dòng)時(shí)兩側(cè)胸鎖乳突肌功能。方法:選取40例頸型頸椎病單側(cè)頸痛患者,采用表面肌電圖儀采集其頸椎前屈、后伸、右側(cè)屈、左側(cè)屈、右旋、左旋時(shí)兩側(cè)胸鎖乳突肌的表面肌電信號(hào),利用表面肌電圖儀自帶軟件處理表面肌電信號(hào),并生成表面肌電標(biāo)準(zhǔn)分析報(bào)告和表面肌電頻率/疲勞度分析報(bào)告,提取報(bào)告中的平均肌電(averaged electromyography,AEMG)值、積分肌電(integrated electromyography,IEMG)值、平均功率頻率(mean power frequency,MPF)值及中值頻率(median frequency,MF)值進(jìn)行統(tǒng)計(jì)分析。結(jié)果:頸型頸椎病單側(cè)頸痛患者頸椎前屈、后伸、右側(cè)屈、左側(cè)屈、右旋、左旋活動(dòng)時(shí),疼痛側(cè)胸鎖乳突肌的AEMG值和IEMG值均小于非疼痛側(cè)[前屈:(12.915±7.302)μV,(18.750±14.520)μV,Z=-5.497,P=0.000;(582.315±295.895)μV·s,(883.635±549.678)μV·s,Z=-5.511,P=0.000; 后伸:(15.510±18.862)μV,(19.215±17.137)μV,Z=-2.971,P=0.003;(684.635±777.440)μV·s,(898.240±923.353)μV·s,Z=-3.038,P=0.002; 右側(cè)屈:(16.710±14.353)μV,(22.955±14.697)μV,Z=-2.473,P=0.013;(703.115±601.570)μV·s,(994.365±599.673)μV·s,Z=-2.433,P=0.015; 左側(cè)屈:(12.255±5.255)μV,(17.005±13.523)μV,Z=-2.393,P=0.017;(527.070±266.853)μV·s,(731.240±519.03)μV·s,Z=-2.406,P=0.016; 右旋:(17.195±27.397)μV,(39.715±50.327)μV,Z=-2.063,P=0.039;(739.535±1 181.48)μV·s,(1 813.390±2 146.325)μV·s,Z=-2.057,P=0.040; 左旋:(15.515±29.353)μV,(40.250±53.145)μV,Z=-2.016,P=0.044;(725.245±1 262.037)μV·s,(1 729.850±2 385.365)μV·s,Z=-2.070,P=0.038],疼痛側(cè)胸鎖乳突肌的MPF值和MF值與非疼痛側(cè)相比,差異均無(wú)統(tǒng)計(jì)學(xué)意義[前屈:(63.480±26.205)Hz,(62.115±34.965)Hz,Z=-1.237,P=0.216;(39.840±30.515)Hz,(38.110±39.990)Hz,Z=-0.363,P=0.717; 后伸:(65.160±25.250)Hz,(67.820±26.727)Hz,Z=-0.148,P=0.882;(42.030±33.111)Hz,(45.930±20.975)Hz,Z=-1.593,P=0.111; 右側(cè)屈:(64.085±24.470)Hz,(65.525±25.500)Hz,Z=-0.417,P=0.677;(38.355±29.713)Hz,(42.375±23.113)Hz,Z=-0.484,P=0.628; 左側(cè)屈:(57.905±18.997)Hz,(58.530±19.820)Hz,Z=-0.390,P=0.697;(34.800±19.598)Hz,(36.255±19.687)Hz,Z=-0.444,P=0.657; 右旋:(67.460±27.015)Hz,(69.410±18.528)Hz,Z=-0.255,P=0.798;(47.130±20.742)Hz,(48.920±27.063)Hz,Z=-0.914,P=0.361; 左旋:(62.035±25.763)Hz,(66.200±22.447)Hz,Z=-0.349,P=0.727;(45.330±28.12)Hz,(47.025±21.93)Hz,Z=-0.444,P=0.657]。結(jié)論:頸型頸椎病單側(cè)頸痛患者在頸椎活動(dòng)時(shí),疼痛側(cè)胸鎖乳突肌較非疼痛側(cè)肌肉收縮能力減弱,但兩側(cè)胸鎖乳突肌肌肉疲勞度無(wú)差異。
Abstract:
To evaluate the bilateral sternocleidomastoid(SCM)muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain(NP).Methods:Forty neck-type cervical spondylopathy patients with unilateral NP were selected out.The action surface electromyographic(ASEMG)signals of bilateral SCM muscles were collected in states of cervical anteflexion,backward extension,right lateroflexion,left lateroflexion,right rotation and left rotation by using surface electromyography(sEMG).The ASEMG signals were processed by using the software of sEMG for obtaining the sEMG standard analysis report and sEMG frequency/fatigue analysis report.The parameters,including averaged electromyography(AEMG),integrated electromyography(IEMG),mean power frequency(MPF)and median frequency(MF),were extracted from the reports and were statistically analyzed.Results:The AEMG and IEMG of SCM muscle were lower on the painful side compared to non-painful side in neck-type cervical spondylopathy patients with unilateral NP in states of cervical anteflexion,backward extension,right lateroflexion,left lateroflexion,right rotation and left rotation(anteflexion:12.915±7.302 vs 18.750±14.520 μV,Z=-5.497,P=0.000; 582.315±295.895 vs 883.635±549.678 μV·s,Z=-5.511,P=0.000; backward extension:15.510±18.862 vs 19.215±17.137 μV,Z=-2.971,P=0.003; 684.635±777.440 vs 898.240±923.353 μV·s,Z=-3.038,P=0.002; right lateroflexion:16.710±14.353 vs 22.955±14.697 μV,Z=-2.473,P=0.013; 703.115±601.570 vs 994.365±599.673 μV·s,Z=-2.433,P=0.015; left lateroflexion:12.255±5.255 vs 17.005±13.523 μV,Z=-2.393,P=0.017; 527.070±266.853 vs 731.240±519.03 μV·s,Z=-2.406,P=0.016; right rotation:17.195±27.397 vs 39.715±50.327 μV,Z=-2.063,P=0.039; 739.535±1 181.48 vs 1 813.390±2 146.325 μV·s,Z=-2.057,P=0.040; left rotation:15.515±29.353 vs 40.250±53.145 μV,Z=-2.016,P=0.044; 725.245±1 262.037 vs 1 729.850±2 385.365 μV·s,Z=-2.070,P=0.038).There was no statistical difference in MPF and MF of SCM muscle between the painful side and non-painful side(anteflexion:63.480±26.205 vs 62.115±34.965 Hz,Z=-1.237,P=0.216; 39.840±30.515 vs 38.110±39.990 Hz,Z=-0.363,P=0.717; backward extension:65.160±25.250 vs 67.820±26.727 Hz,Z=-0.148,P=0.882; 42.030±33.111 vs 45.930±20.975 Hz,Z=-1.593,P=0.111; right lateroflexion:64.085±24.470 vs 65.525±25.500 Hz,Z=-0.417,P=0.677; 38.355±29.713 vs 42.375±23.113 Hz,Z=-0.484,P=0.628; left lateroflexion:57.905±18.997 vs 58.530±19.820 Hz,Z=-0.390,P=0.697; 34.800±19.598 vs 36.255±19.687 Hz,Z=-0.444,P=0.657; right rotation:67.460±27.015 vs 69.410±18.528 Hz,Z=-0.255,P=0.798; 47.130±20.742 vs 48.920±27.063 Hz,Z=-0.914,P=0.361; left rotation:62.035±25.763 vs 66.200±22.447 Hz,Z=-0.349,P=0.727; 45.330±28.12 vs 47.025±21.93 Hz,Z=-0.444,P=0.657).Conclusion:In cervical spondylopathy patients with unilateral NP,the contraction ability of SCM muscle declines on the painful side compared to the non-painful side in states of C-spine motion,whereas there is no difference between bilateral SCM in fatigue severity.

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備注/Memo

備注/Memo:
基金項(xiàng)目:國(guó)家中醫(yī)藥管理局中醫(yī)藥循證能力建設(shè)項(xiàng)目(2019XZZX-GK006)
通訊作者:王平 E-mail:[email protected]
更新日期/Last Update: 1900-01-01