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[1]董文陽,孫武權,朱清廣,等.不同時長法對腰肌勞損患者腰背部肌電信號的影響[J].中醫(yī)正骨,2023,35(06):49-52,58.
　DONG Wenyang,SUN Wuquan,ZHU Qingguang,et al.Effects of rolling manipulation with different durations on lumbodorsal electromyographic signals in patients with lumbar muscle strain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(06):49-52,58.
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不同時長法對腰肌勞損患者腰背部肌電信號的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年06期
頁碼:
49-52,58
欄目:
臨床研究
出版日期:
2023-06-20

文章信息/Info

Title:
Effects of rolling manipulation with different durations on lumbodorsal electromyographic signals in patients with lumbar muscle strain
作者:
董文陽1; 孫武權2; 朱清廣2; 張帥攀3; 單一鳴2; 劉元紅4; 陳金田2
(1.上海中醫(yī)藥大學附屬龍華醫(yī)院,上海 200032; 2.上海中醫(yī)藥大學附屬岳陽中西醫(yī)結合醫(yī)院,上海 200437; 3.上海中醫(yī)藥大學針灸推拿學院,上海 201203; 4.上海同仁醫(yī)院,上海 200336)
Author(s):
DONG Wenyang1; SUN Wuquan2; ZHU Qingguang2; ZHANG Shuaipan3; SHAN Yiming2; LIU Yuanhong4; CHEN Jintian2
1.Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China 2.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China 3.School of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China 4.Shanghai Tongren Hospital,Shanghai 200336,China
關鍵詞:
腰肌;  扭傷和勞損;  滾法推拿療法;  肌電描記術;  臨床試驗
Keywords:
psoas muscles;  sprains and strains;  rolling manipulation;  electromyography;  clinical trial
摘要:
目的:觀察不同時長法對腰肌勞損患者腰背部肌電信號的影響。方法:將75例符合要求的腰肌勞損患者隨機分為3組,每組25例。3組患者均于腰背部足太陽膀胱經(jīng)循行處(兩側豎脊肌和腰方肌)行法治療,法時長分別為5 min(短時間組)、10 min(中等時間組)、15 min(長時間組)。法的前擺垂向力為50～70 N、回擺垂向力為20～40 N,法頻率為138次·min-1。每周治療3次,連續(xù)治療2周。分別于治療前及末次治療后采用表面肌電儀采集兩側豎脊肌和腰方肌的表面肌電信號,比較3組患者的兩側豎脊肌和腰方肌表面肌電信號頻率。結果:3組患者均有4例退出,其中短時間組4例均為不愿繼續(xù)參加試驗,中等時間組1例為不按要求治療、3例為不愿繼續(xù)參加試驗,長時間組2例為不按要求治療、2例為不愿繼續(xù)參加試驗。治療前和末次治療后,3組患者左側豎脊肌、右側豎脊肌、左側腰方肌、右側腰方肌的表面肌電信號頻率比較,組間差異均無統(tǒng)計學意義[治療前:H=2.611,P=0.271; H=3.417,P=0.181; H=1.934,P=0.380; H=2.440,P=0.295; 末次治療后:H=5.805,P=0.055; H=3.159,P=0.206; H=3.530,P=0.171; H=2.511,P=0.285]; 3組患者左側豎脊肌、右側豎脊肌表面肌電信號頻率治療前后的差異均無統(tǒng)計學意義(左側豎脊肌:Z=0.243,P=0.808; Z=-1.234,P=0.217; Z=-0.295,P=0.768; 右側豎脊肌:Z=0.678,P=0.498; Z=1.443,P=0.149; Z=-0.280,P=0.779); 短時間組和長時間組患者左側腰方肌、右側腰方肌表面肌電信號頻率治療前后的差異無統(tǒng)計學意義(左側腰方肌:Z=0.000,P=1.000; Z=-0.653,P=0.513; 右側腰方肌:Z=0.608,P=0.543; Z=-0.591,P=0.555),中等時間組患者末次治療后左側腰方肌、右側腰方肌的表面肌電信號頻率較治療前增高[左側腰方肌:(77.2,23.6)Hz,(86.7,31.1)Hz,Z=-2.240,P=0.025; 右側腰方肌:(81.3,29.9)Hz,(81.3,32.5)Hz,Z=-2.833,P=0.005]。結論:在前擺垂向力為50～70 N、回擺垂向力為20～40 N、頻率為138次·min-1的條件下,法改善腰肌勞損患者局部肌肉疲勞的最佳時長為10 min。
Abstract:
Objective:To observe the effects of rolling manipulation with different durations on lumbodorsal electromyographic(EMG)signals in patients with lumbar muscle strain(LMS).Methods:Seventy-five patients with LMS were enrolled in the study and were randomly divided into 3 groups,25 cases in each group.The patients were treated with rolling manipulation 138 times in a minute along the lumbodorsal bladder meridian of Foot-Taiyang,that was to say bilateral erector spinae muscle(ESM)and quadratus lumborum muscle(QLM)),for 5 minutes(short time group),10 minutes(medium time group)and 15 minutes(long time group)respectively.The front-swing vertical force and back-swing vertical force of the manipulation were 50-70 N and 20-40 N respectively.All patients in the 3 groups were treated three times a week for consecutive 2 weeks.The surface EMG signals of bilateral ESM and QLM were collected by using surface electromyography before the treatment and after the last treatment respectively,and the surface EMG signal frequencies were compared among the 3 groups.Results:Four patients in short time group,3 cases in medium time group and 2 cases in long time group dropped out of the trial for unwilling to continue the trial,while 1 patient in medium time group and 2 cases in long time group dropped out for failing to be treated as required.There was no statistical difference in surface EMG signal frequencies of left ESM,right ESM,left QLM and right QLM among the 3 groups before the treatment and after the last treatment respectively(pretreatment:H=2.611,P=0.271; H=3.417,P=0.181; H=1.934,P=0.380; H=2.440,P=0.295; after the last treatment:H=5.805,P=0.055; H=3.159,P=0.206; H=3.530,P=0.171; H=2.511,P=0.285).Furthermore,the differences in surface EMG signal frequencies of left ESM and right ESM between pre-treatment and post-treatment were not statistically significant in the 3 groups(left ESM:Z=0.243,P=0.808; Z=-1.234,P=0.217; Z=-0.295,P=0.768; right ESM:Z=0.678,P=0.498; Z=1.443,P=0.149; Z=-0.280,P=0.779),and the differences in surface EMG signal frequencies of left QLM and right QLM between pre-treatment and post-treatment were not statistically significant in short time group and long time group(left QLM:Z=0.000,P=1.000; Z=-0.653,P=0.513; right QLM:Z=0.608,P=0.543; Z=-0.591,P=0.555),while the surface EMG signal frequencies of left QLM and right QLM increased after the last treatment compared to pre-treatment in medium time group(left QLM:(77.2,23.6)vs(86.7,31.1)Hz,Z=-2.240,P=0.025; right QLM:(81.3,29.9)vs(81.3,32.5)Hz,Z=-2.833,P=0.005).Conclusion:The optimal duration of rolling manipulation is 10 minutes for improving local muscle fatigue of LMS patients,with front-swing vertical force,back-swing vertical force and frequency as 50-70 N,20-40 N and 138 times/minute respectively.

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備注/Memo

備注/Memo:
基金項目:國家自然科學基金項目(81874512) 通訊作者:孫武權 E-mail:[email protected]
更新日期/Last Update: 1900-01-01