| 李婷婷,王楚怀,张桂芳,王艳君,孙一津.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[J].中国康复医学杂志,2016,(5):531~535 |
| 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 点此下载全文 |
| 李婷婷 王楚怀 张桂芳 王艳君 孙一津 |
| 中山大学附属第一医院东院康复医学科，广州，510700 |
| 基金项目：广东省科技计划项目(2008B080703036) |
| DOI： |
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| 摘要： |
| 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（P>0.05），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（P>0.05）。而两组治疗后在22mmHg时SET组RMS值为3.78±3.12，对照组为3.73±2.63；24mmHg时SET组RMS值为6.77±6.02，对照组为12.31±7.74；26mmHg时SET组RMS值为8.90±7.19，对照组为22.26±10.57；28mmHg时SET组RMS值为13.67±10.18，对照组为24.59±10.39；30mmHg时SET组RMS值为15.58±8.75，对照组为33.14±11.18，除22mmHg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。 |
| 关键词：慢性颈痛 表面肌电 悬吊运动疗法 胸锁乳突肌 |
| The effect of sling exercise therapy on sEMG activitie of sternocleidomastoid muscle in chronic neck pain patients Download Fulltext |
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| The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong， 510080 |
| Fund Project: |
| Abstract: |
| Abstract
Objective：To investigate the effects of sling exercise therapy (SET) on the surface electromyographic (sEMG) activity of sternocleidomastoid muscle (SCM) of patients with chronic neck pain.
Method：14 patients with chronic neck pain were recruited from Jan 2013 to Jun 2013, 8 in SET group and 6 in traditional posture training control group. Before and after 4 week treatment, bilateral SCM sEMG were collected during the craniocervical flexion test (CCFT) , RMS of sEMG, neck disability index (NDI), visual analogue scale (VAS) were analyzed。
Result：Two sets of data on age, height, weight, duration, VAS, NDI have no statistical significant differences (P>0.05) before treatment. RMS of sternocleidomastoid between the SET group and control group at each stage of CCDT had no significant different (P>0.05) also before treatment. After treatment, the RMS were 3.78±3.12 and 3.73±2.63 in SET group and control group at 22mmHg of CCFT; 6.77±6.02 and 12.31±7.74 at 24mmHg; 8.90±7.19 and 22.26±10.57 at 26mmHg; 13.67±10.18 and 24.59±10.39 at 28mmHg; 15.58±8.75 and 33.14±11.18 at 30mmHg separately after treatment. Except at 22mmHg，the results at 24, 26, 28 and 30mmHg of CCFT were significantly different between the two groups (P<0.05).
Conclusion：Effect of SET for patients with chronic neck pain was significantly better than posture training. SET reduces the abnormal excitability of SCM in CCFT trials, which reflects that the deep cervical flexor is activated. |
| Keywords:chronic neck pain surface electromyography sling exercise therapy sternocleidomastoid muscle |
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