悬吊运动训练对慢性颈痛患者胸锁乳突肌表面肌电的影响

发布时间：2018-05-19 01:16

本文选题：慢性颈痛 + 表面肌电　；参考：《中国康复医学杂志》2016年05期

【摘要】：目的:利用表面肌电评估慢性颈痛患者在悬吊运动疗法(sling exercise therapy,SET)与传统姿势性训练治疗前后胸锁乳突肌的肌电变化,间接反映颈深屈肌的功能,来客观的评价SET的治疗效果。方法:本研究选取2013年1月—2013年6月我院门诊收治的14例入组慢性颈痛患者作为研究对象。将其随机分为两组,其中SET组8例,对照组6例。分别在治疗前和治疗4周后对受试者在头颈屈试验(craniocervical flexion test,CCFT)下进行双侧胸锁乳突肌表面肌电测量,取均方根值,标准化后进行统计学比较。其他的评估方法包括颈椎功能障碍指数(neck disability index,NDI)、视觉模拟评分法(visual analogue scale,VAS)。评估过程采用盲法。结果:两组数据在年龄、身高、体重、病程、VAS、NDI上差异均无显著性意义(P0.05),具有可比性。结果发现试验前SET组与对照组之间CCFT的各阶段胸锁乳突肌标准化均方根值(root mean square,RMS)均无显著性差异(P0.05)。而两组治疗后在22mm Hg时SET组RMS值为3.78±3.12,对照组为3.73±2.63;24mm Hg时SET组RMS值为6.77±6.02,对照组为12.31±7.74;26mm Hg时SET组RMS值为8.90±7.19,对照组为22.26±10.57;28mm Hg时SET组RMS值为13.67±10.18,对照组为24.59±10.39;30mm Hg时SET组RMS值为15.58±8.75,对照组为33.14±11.18,除22mm Hg外,各阶段P值均小于0.05,具有显著性差异。结论:SET对于慢性颈痛患者的治疗要明显优于姿势运动训练,SET可以使胸锁乳突肌在CCFT试验中的异常兴奋性减低,从而间接说明了颈深肌群被激活。
[Abstract]:Objective: to evaluate the myoelectric changes of sternocleidomastoid muscle in patients with chronic cervical pain before and after suspension exercise therapy and traditional posture training, to reflect the function of deep cervical flexor muscle, and to evaluate objectively the therapeutic effect of SET. Methods: from January 2013 to June 2013, 14 patients with chronic neck pain were selected. They were randomly divided into two groups: SET group (n = 8) and control group (n = 6). The surface electromyography of bilateral sternocleidomastoid muscle was measured before treatment and 4 weeks after treatment under cranial cervical flexion test. The root mean square (RMS) of bilateral sternocleidomastoid muscle was measured and compared statistically after standardization. Other evaluation methods included neck disability index and visual analogue score (VAS). The evaluation process was blind. Results: there was no significant difference in age, height, weight and course of disease between the two groups (P 0.05). The results showed that there was no significant difference between SET group and control group (P 0.05) in all stages of CCFT of sternocleidomastoid muscle standardized root-mean-square value (RMSs). The RMS value of SET group was 3.78 卤3.12 at 22mm Hg, RMS value of SET group was 6.77 卤6.02 in control group, RMS value of SET group was 8.90 卤7.19 at 12.31 卤7.7426mm Hg, RMS value of SET group was 13.67 卤10.18 when 22mm Hg was 22.26 卤10.5728mm Hg, RMS of SET group was 15.58 卤8.75 when control group was 24.59 卤10.3930mm Hg, control group was 12.31 卤7.7426mm Hg, RMS value of SET group was 13.67 卤10.18 when control group was 22.26 卤10.5728mm Hg, RMS value of SET group was 24.59 卤10.3930mm Hg, control group was 15.58 卤8.75. The group was 33.14 卤11.18, with the exception of 22mm Hg, P value of each stage was less than 0.05, there was significant difference. Conclusion the treatment of the patients with chronic cervicalgia by the weight set is better than that by posture exercise training. The abnormal excitability of sternocleidomastoid muscle in CCFT test is decreased, which indirectly indicates that the deep cervical muscle group is activated.
【作者单位】：中山大学附属第一医院东院康复医学科;
【基金】：广东省科技计划项目(2008B080703036)
【分类号】：R681.5

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