悬吊训练对慢性颈肩痛女性患者疼痛水平和肌电活动的影响

发布时间：2019-01-05 04:39

【摘要】：目的:探讨悬吊训练治疗女性颈肩痛的疗效及其对颈肩部肌电活动的影响。方法:将慢性颈肩痛女性患者随机分为常规训练组(CG)和悬吊训练组(TG),均进行6周的治疗性训练。TG组采用自主研发悬吊设备进行前屈、后伸、侧屈、旋转、肩部提拉和前推动作训练,CG组进行日常颈肩部保护健康教育和常规颈肩部屈伸、侧屈、旋转训练。采用视觉模拟评分(VAS)和颈痛量表(NPQ)评估患者颈肩疼痛和不适;采用表面肌电图(s EMG)评估患者在完成30 min持续打字任务时肌肉的激活和疲劳状况。结果:两组训练后的VAS和NPQ评分均下降,但仅TG组有显著性差异(P0.05)。训练后,TG组上斜方肌和头夹肌肌电振幅较CG组显著降低(P0.05),G组中位频率无显著性变化,而TG组中位频率呈上升趋势,并随着打字时间的延长,差异越显著(P0.05);两组胸锁乳突肌的肌电振幅和中位频率无显著性差异。结论:悬吊训练和常规训练均能减缓女性颈肩疼痛,但悬吊训练疗效更佳。
[Abstract]:Objective: to investigate the effect of suspension training on neck and shoulder pain and its effect on myoelectric activity of neck and shoulder. Methods: female patients with chronic neck and shoulder pain were randomly divided into routine training group (CG) and suspension training group (TG),) for 6 weeks. TG group was treated with self-developed suspension equipment for anterior flexion, extension, lateral flexion and rotation. CG group received daily health education on neck and shoulder protection and routine training of neck and shoulder flexion, extension, lateral flexion and rotation. Visual analogue scale (VAS) and neck pain scale (NPQ) were used to evaluate neck and shoulder pain and discomfort, and surface electromyography (s EMG) was used to evaluate the muscle activation and fatigue after 30 min continuous typing. Results: the VAS and NPQ scores of the two groups decreased after training, but only in the TG group there was significant difference (P0.05). After training, the electromyography amplitude of superior trapezius and scalp in TG group was significantly lower than that in CG group (P0.05), but the median frequency of TG group showed an upward trend, and with the prolongation of typing time, there was no significant change in median frequency in), G group. The difference was significant (P0.05). There was no significant difference in myoelectric amplitude and median frequency of sternocleidomastoid muscle between the two groups. Conclusion: both suspension training and routine training can relieve neck and shoulder pain, but the effect of suspension training is better.
【作者单位】：上海体育学院运动科学学院;
【基金】：上海市地方高校大文科研究生学术新人培育计划项目(xsxr2013046) 上海市人类运动能力开发与保障重点实验室资助项目(11DZ2261100)
【分类号】：R681.5

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