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Influence of Sex and Body Mass Index on the Thoracic Kyphosis and Lumbar Lordosis 性别和体重指数对胸后凸和腰椎前凸的影响
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-09-01 DOI: 10.1016/j.jmpt.2022.12.001
Ana P.O.C. Miranda MS , Patrícia J. Penha PhD , Luciana G. Pereira , Wallace C. Pessoa PT , Sílvia M.A. João PhD

Objectives

The purpose of this study was to assess the influence of sex and body mass index (BMI) on the thoracic kyphosis and lumbar lordosis of adolescents and to assess the reliability and agreement of the flexicurve method for these measurements.

Methods

The study included 217 adolescents of both sexes, aged between 11 and 15 years, who were students from municipal schools in the city of São José dos Campos in São Paulo. The measurement of thoracic kyphosis and lumbar lordosis angles was performed using the flexicurve method. Descriptive analysis of the data, analysis of covariance for comparison between groups (by BMI and sex), assessment of reliability, and intrarater agreement were analyzed.

Results

There was a significant difference between the groups by BMI and sex only for lumbar lordosis. The obese group had greater lumbar angles for both sexes (female sex: 32.6° ± 7.8° [eutrophic]; 37.7° ± 7.3° [obese]; male sex: 25.3° ± 7.3° [eutrophic]; 32.2° ± 7.3° [obese]). In the comparison between the sexes, the greatest lumbar angles were found in the female sex (female sex: 32.6° ± 7.8°; male sex: 25.3° ± 7.3°) among the eutrophic. Excellent intrarater reliability was found for thoracic kyphosis (intraclass correlation coefficient, 0.86) and moderate for lumbar lordosis (intraclass correlation coefficient, 0.72).

Conclusion

Sex and BMI were associated with lumbar lordosis in adolescents and were greater in individuals with obesity and female individuals. The flexicurve method was reliable and accurate for the assessment of thoracic kyphosis and lumbar lordosis in adolescents.

目的本研究的目的是评估性别和体重指数(BMI)对青少年胸后凸和腰椎前凸的影响,并评估弯曲曲线法测量这些数据的可靠性和一致性。方法该研究包括217名年龄在11至15岁之间的男女青少年,他们都是来自圣保罗 o jossore dos Campos市市立学校的学生。采用弯曲曲线法测量胸后凸角和腰椎前凸角。对数据进行描述性分析、组间比较的协方差分析(按BMI和性别)、可靠性评估和内部一致性进行分析。结果仅在腰椎前凸方面,两组间存在BMI和性别差异。肥胖组男女腰椎角度均较大(女性:32.6°±7.8°[富营养化];37.7°±7.3°[肥胖];男性:25.3°±7.3°[富营养化];32.2°±7.3°[肥胖])。在两性比较中,女性腰椎角度最大(女性:32.6°±7.8°;男性:25.3°±7.3°)为富营养化。胸椎后凸(类内相关系数为0.86)和腰椎前凸(类内相关系数为0.72)具有良好的椎内信度。结论性别和体重指数与青少年腰椎前凸相关,且在肥胖个体和女性个体中更为显著。弯曲曲线法评价青少年胸后凸和腰椎前凸可靠、准确。
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引用次数: 0
Neck Strength Evaluated With Fixed and Portable Dynamometers in Asymptomatic Individuals: Correlation, Concurrent Validity, and Agreement 无症状个体用固定和便携式测功机评估颈部力量:相关性、并发有效性和一致性
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-09-01 DOI: 10.1016/j.jmpt.2022.10.001
Tais S. Martins PT , Carina F. Pinheiro-Araujo PT, PhD , Camila Gorla PT, MSc , Lidiane L. Florencio PT, PhD , Jaqueline Martins PT, MSc , César Fernández-de-las-Peñas PT, PhD , Anamaria S. Oliveira PT, PhD , Débora Bevilaqua-Grossi PT, PhD

Objective

The purpose of this study was to assess the correlation, concurrent validity, and agreement between the isometric cervical force measurements obtained with fixed and portable dynamometers in asymptomatic individuals.

Methods

Fifty asymptomatic individuals performed 3 maximal isometric contractions for flexion, extension, and lateral flexion of the cervical spine using fixed and portable dynamometers. The correlation and concurrent validity for the measurements of the portable and fixed dynamometers were analyzed using Spearman's correlation coefficient and the intraclass correlation coefficient (ICC), respectively. The agreement between the force values of the portable and fixed dynamometers was measured using the Bland-Altman method.

Results

Isometric cervical force measurements obtained with the fixed dynamometer and portable dynamometer showed a moderately to highly significant correlation for flexion (rs = 0.74), extension (rs = 0.82), right lateral flexion (rs = 0.74), and left lateral flexion (rs = 0.68). The concurrent validity was moderate to good for all measurements (ICC2,3 = 0.67-0.80). The fixed and portable dynamometers did not agree, with a significant mean difference between the methods of 2.8 kgf (95% confidence interval [CI], 2.1-3.4 kgf) for cervical flexion, 5.3 kgf (95% CI, 4.2-6.4 kgf) for extension, and 9.1 kgf (95% CI, 0.4-2.1 kgf) for left lateral flexion. The limits of agreement were broad for all movements, with errors that varied between 61% and 77% of the mean force obtained with the fixed dynamometer.

Conclusion

The neck strength measurements obtained with the fixed and portable dynamometers demonstrated high to moderate correlation and had moderate to good comparability for asymptomatic participants. However, they did not agree in that the 2 methods did not provide equivalent measurements, and, therefore, based on these findings, the same equipment should always be used when reassessing an individual.

目的本研究的目的是评估在无症状个体中使用固定式和便携式测力仪获得的等距颈椎力测量之间的相关性、同时有效性和一致性。方法50例无症状患者使用固定式和便携式测力仪对颈椎屈曲、伸曲和侧屈进行3次最大等距收缩。分别用Spearman相关系数和类内相关系数(intraclass correlation coefficient, ICC)分析了便携式和固定式测力仪测量值的相关性和并发效度。用Bland-Altman法测定了便携式和固定式测力仪测力值的一致性。结果采用固定式测力仪和便携式测力仪获得的等距颈椎力测量结果显示,屈曲(rs = 0.74)、伸展(rs = 0.82)、右侧屈曲(rs = 0.74)和左侧屈曲(rs = 0.68)的相关性中等至高度显著。所有测量的并发效度均为中等至良好(ICC2,3 = 0.67-0.80)。固定和便携式测力仪的结果并不一致,颈椎屈曲2.8 kgf(95%可信区间[CI], 2.1-3.4 kgf)、伸展5.3 kgf (95% CI, 4.2-6.4 kgf)和左侧屈曲9.1 kgf (95% CI, 0.4-2.1 kgf)的方法之间的平均差异显著。所有运动的一致性范围很广,误差在固定测功机获得的平均力的61%至77%之间变化。结论固定式和便携式测力仪测出的颈部强度值具有高到中等的相关性,对无症状的受试者具有中等到良好的可比性。然而,他们不同意这两种方法不能提供相同的测量结果,因此,基于这些发现,在重新评估个体时应始终使用相同的设备。
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引用次数: 0
Effects on Neuromuscular Function After Ischemic Compression in Latent Trigger Points in the Gastrocnemius Muscles: A Randomized Within-Participant Clinical Trial 腓肠肌潜在触发点缺血压迫对神经肌肉功能的影响:一项随机参与临床试验
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-09-01 DOI: 10.1016/j.jmpt.2020.07.015
Albert Pérez-Bellmunt PhD, PT , Mathias Simon PT , Carlos López-de-Celis PhD, PT , Sara Ortiz-Miguel MSc, PT , Vanessa González-Rueda PhD, PT , César Fernandez-de-las-Peñas PhD, PT

Objective

The purpose of this study was to evaluate changes in neuromuscular function, pain perception, and basic physical properties in latent myofascial trigger points (TrPs) after a single treatment session of ischemic compression in the gastrocnemius muscle.

Methods

A randomized within-participant clinical trial with a blinded assessor was conducted. Twenty-nine asymptomatic volunteers with latent gastrocnemius-muscle TrPs were bilaterally explored. Each extremity was randomly assigned to the control group (no treatment) or the experimental group (90 seconds of ischemic compression over each TrP). Neuromuscular function of the gastrocnemius muscle was assessed using a MyotonPro. Muscle flexibility was analyzed using the lunge test and the passive ankle range of motion. The strength was determined with a handheld dynamometer (MicroFET2). Pain perception was analyzed with a 0-to-10 numerical pain rating scale and determination of pressure pain thresholds over each latent TrP.

Results

The results revealed a reduction of 15.8% in pain perception and an increment of pressure tolerance of 9.9% without pain in the treatment group. Changes in muscle flexibility (active and passive) and most parameters for neuromuscular response (rigidity, elasticity, and relaxation) were also observed, but they were not significantly different between groups. The clinical effect sizes were moderate for pain perception (d = 0.69), pressure pain threshold (d = 0.78), muscle tone (d = 0.51), and elasticity (d = 0.54) in favor of the treated extremity. Small clinical effect sizes were observed for muscle physical outcomes.

Conclusion

The present study shows that the use of a single session of ischemic compression for latent gastrocnemius-muscle TrPs improved some sensory outcomes. The effects on ankle range of motion and neuromuscular responses were inconclusive.

目的本研究的目的是评估腓肠肌缺血压迫单次治疗后,潜在肌筋膜触发点(TrPs)的神经肌肉功能、痛觉和基本物理特性的变化。方法采用盲法评估的随机参与临床试验。29名无症状且伴有潜伏性腓肠肌trp的志愿者进行了双侧探查。每条肢体随机分为对照组(未治疗)和实验组(每次TrP缺血压迫90秒)。使用MyotonPro评估腓肠肌的神经肌肉功能。采用弓步试验和踝关节被动活动范围分析肌肉柔韧性。用手持式测力仪(MicroFET2)测定强度。通过0- 10的数值疼痛评定量表分析疼痛感知,并确定每个潜在TrP的压力疼痛阈值。结果治疗组大鼠疼痛感知能力下降15.8%,无痛耐压能力提高9.9%。肌肉柔韧性(主动和被动)和大多数神经肌肉反应参数(刚性、弹性和松弛)的变化也被观察到,但它们在组间没有显著差异。在疼痛感知(d = 0.69)、压痛阈(d = 0.78)、肌肉张力(d = 0.51)和弹性(d = 0.54)方面的临床效果均为中等,有利于治疗肢体。观察到肌肉物理结果的临床效应较小。结论本研究表明,对潜伏腓肠肌trp进行单次缺血压迫可改善部分感觉结果。对踝关节活动范围和神经肌肉反应的影响尚无定论。
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引用次数: 7
Differences in Coracohumeral Distance Between the Symptomatic and the Asymptomatic Shoulder in Patients With Unilateral Shoulder Pain and in Healthy Participants: A Cross-Sectional Study 单侧肩关节疼痛患者和健康人群中有症状和无症状肩关节距离的差异:一项横断面研究
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-09-01 DOI: 10.1016/j.jmpt.2022.10.004
Santiago Navarro-Ledesma PhD , Manuel Fernandez-Sanchez PhD , Filip Struyf PhD , Alejandro Luque-Suarez PhD

Objectives

The aim of this study was to analyze whether differences in the coracohumeral distance (CHD) exist between the symptomatic and the asymptomatic shoulder in patients with subacromial pain syndrome and compare with the shoulder of control participants.

Methods

This was a cross-sectional, observational study. A sample comprising 62 participants with subacromial pain syndrome was recruited from 3 different primary care centers. The CHD was determined from standardized ultrasonography measures performed on both shoulders at 0° and 60° of shoulder abduction, whereas the dominant arm was measured for the control participants.

Results

Statistically significant differences in CHD at 0° and 60° were found between the symptomatic and control shoulders (P = .011/P = .002) and between the contralateral asymptomatic shoulder and controls (P = .026/P = .007).

Conclusion

We found differences in CHD at 0° and 60° of shoulder elevation between both the affected and the nonaffected shoulders when compared with healthy shoulders. These results suggest that CHD may be a contributing factor in chronic shoulder pain.

目的分析肩峰下疼痛综合征患者有症状和无症状肩胛距离(CHD)是否存在差异,并与对照组进行比较。方法本研究为横断面观察性研究。从3个不同的初级保健中心招募了62名肩峰下疼痛综合征患者。CHD是通过在肩关节外展0°和60°时对双肩进行标准化超声检查来确定的,而对照参与者的优势臂是通过测量来确定的。结果有症状肩胛骨与对照组肩胛骨0°和60°时冠心病发生率差异有统计学意义(P = 0.011 /P = 0.002),对侧无症状肩胛骨与对照组肩胛骨0°和60°时冠心病发生率差异有统计学意义(P = 0.026 /P = 0.007)。结论与健康肩关节相比,受累与未受累肩关节在肩关节抬高0°和60°处的冠心病发生率存在差异。这些结果表明冠心病可能是导致慢性肩痛的一个因素。
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引用次数: 1
Comparison of Forces Exerted by a Chiropractor on Children and Adults During High-Speed, Low-Amplitude Spinal Manipulations: A Feasibility Study 儿童和成人在高速、低振幅脊椎推拿时所施加的力的比较:一项可行性研究
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/j.jmpt.2022.09.003
Walter Herzog PhD , Peter Kevorkian DC , Brent Russell DC , Joel Alcantara DC

Objective

The aim of this study was to demonstrate that quantification of the forces exerted by a single chiropractor on children and adults during high-velocity, low-amplitude spinal manipulations and the correlation of forces to age was feasible.

Methods

The force-time profiles of high-velocity, low-amplitude spinal manipulations were measured in 48 children (109 manipulations) ranging from 14 weeks to 17 years of age, and 20 adults (49 manipulations) in a clinical setting. The measurements were taken using a thin, flexible pressure pad. Outcome variables (peak forces, preload forces, thrust forces, thrust durations, rates of force application, and thrust impulses) were quantified and compared across age groups using Kruskal-Wallis testing with Dunn post hoc analysis. Outcome variables were fitted with best-fitting linear regressions with age as the dependent variable. The level of significance for all statistical tests was set a priori at α = 0.05.

Results

Most outcome variables increased with the age of the patient. Specifically, peak forces, thrust forces, and the rate of force application were positively correlated with age, while thrust durations remained constant across all ages and preload forces decreased slightly with patient age for cervical spine manipulations.

Conclusion

For this single chiropractor in private practice, the forces he used increased with the age of the patient, and he thus used lower forces in children than adults. This study shows that measuring the forces used by a chiropractor in clinical practice on patients with a range of ages was feasible.

目的本研究的目的是证明在高速,低振幅脊柱操作中单个脊医对儿童和成人施加的力的量化以及力与年龄的相关性是可行的。方法对48例14周至17岁的儿童(109例)和20例成人(49例)在临床环境中进行高速低振幅脊柱推拿的力-时间谱测量。测量是用一个薄而灵活的压力垫进行的。结果变量(峰值力、预载荷力、推力力、推力持续时间、施力率和推力脉冲)通过Kruskal-Wallis测试和Dunn事后分析进行了量化和跨年龄组比较。结果变量以年龄为因变量,采用最佳拟合线性回归进行拟合。所有统计检验的显著性水平均先验设置为α = 0.05。结果随着患者年龄的增长,大部分结局变量均增加。具体来说,颈椎手法的峰值力、推力和施力率与年龄呈正相关,而推力持续时间在所有年龄段都保持不变,预载荷力随着患者年龄的增长略有下降。结论私人执业的单个指压师使用的力度随着患者年龄的增长而增加,因此儿童使用的力度低于成人。本研究表明,在临床实践中测量脊医对不同年龄的患者使用的力量是可行的。
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引用次数: 0
Immediate Effect of Lumbosacral Orthosis and Abdominal Drawing-In Maneuver on Postural Control in Adults With Nonspecific Chronic Low Back Pain 腰骶矫形术和腹部收缩术对成人非特异性慢性腰痛患者体位控制的直接影响
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/j.jmpt.2022.09.005
Fábio Carlos Lucas de Oliveira PT, PhD , Christian Larivière PhD , Mathieu Dallaire PT, MSc , Hakim Mecheri PhD , Suzy Ngomo PT, PhD , Rubens A. da Silva PT, PhD

Objective

The purpose of this study was to examine the immediate effects of lumbosacral orthosis and the abdominal drawing-in maneuver on the trunk postural control of adults with chronic low back pain compared with asymptomatic controls during 1-legged and semi-tandem stances.

Methods

An experimental and comparative study (cross-sectional design) was conducted in a laboratory setting. Twenty adults with chronic low back pain and 20 asymptomatic controls randomly performed 2 postural balance tasks over a force platform, considering 3 experimental conditions: (1) natural posture (baseline-control), (2) lumbosacral orthosis, and (3) abdominal drawing-in maneuver. Linear variables (mean amplitude, ellipse area, and sway velocity) derived from the center of pressure were computed, and 2-way analysis of variance (group × condition) for repeated measures were conducted.

Results

No group × condition interactions (.139 ≤ P ≤.938) were detected in any center of pressure parameters. No condition effect was detected, but a group effect (P = .042) was observed for 1 center of pressure parameter. The chronic low back pain group presented with a lower mean anteroposterior center of pressure amplitude than asymptomatic controls (∆ = 0.31 ± 0.66 cm [95% confidence interval, 0.05-0.56], P = .019) during the semi-tandem stance balance task.

Conclusion

Neither lumbosacral orthosis nor the abdominal drawing-in maneuver showed immediate improvement in trunk postural control in any group. Thus, clinicians should not expect immediate benefits or improvements yielded by lumbosacral orthosis or the abdominal drawing-in maneuver when patients with chronic low back pain undergo these interventions.

目的研究腰骶矫形术和腹部收缩术对成人慢性腰背痛患者躯干姿势控制的直接影响,并与无症状的单腿和半串联姿势进行比较。方法采用横断面设计,在实验室环境下进行实验对比研究。20名患有慢性下腰痛的成年人和20名无症状对照者在一个力平台上随机执行2项姿势平衡任务,考虑3种实验条件:(1)自然姿势(基线对照),(2)腰骶矫形术,(3)腹部收缩动作。计算由压力中心导出的线性变量(平均振幅、椭圆面积和摇摆速度),并对重复测量进行双向方差分析(组×条件)。结果无组×条件交互作用。139≤P≤.938)。无条件效应,但1个压力参数中心存在组效应(P = 0.042)。慢性腰痛组在半串联站位平衡任务中平均压力中心振幅低于无症状对照组(∆= 0.31±0.66 cm[95%可信区间,0.05-0.56],P = 0.019)。结论腰骶矫形术和腹部收缩术均不能立即改善患者的躯干姿势控制。因此,当慢性腰背痛患者接受腰骶矫形术或腹部收缩术时,临床医生不应期望这些干预措施能立即带来益处或改善。
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引用次数: 0
Immediate Effects of Single-Session Proprioceptive Neuromuscular Facilitation Exercises on the Sit-to-Stand Strategy in Patients With Chronic Lumbar Spinal Disc Disease: A Preliminary Study 单次本体感觉神经肌肉促进练习对慢性腰椎间盘病患者坐立策略的直接影响:初步研究
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/j.jmpt.2022.09.004
Tomasz Sipko PT, Edmund Glibowski PhD

Objective

The purpose of this study was to measure the immediate effects of single-session proprioceptive neuromuscular facilitation exercises on the sit-to-stand (STS) task and level of pain in patients with chronic low back pain.

Methods

Fifty-three patients were assigned to the control and intervention groups. The total time was 30 minutes (each exercise 5 minutes). The minimum vertical ground reaction force (VGRFmin) and maximum vertical ground reaction force (VGRFmax) and time phases (Tmin – time to counterforce, Tmax – time to peak force, Ttot – time to post-peak rebound force) were measured with a Kistler force plate in eyes-open and eyes-closed conditions during the STS task. Pain level was determined on a numeric rating scale.

Results

Main effects were observed only in the intervention group: decreasing pain value (F = 25.398, P < .0001), increasing Tmin (F = 5.72, P = .0044), decreasing Tmax (F = 3.43, P = .04), and decreasing Ttot (F = 3.935, P = .02258). There was a main effect of the eyes factor on VGRFmin (F = 12.53, P < .0001) and VGRFmax (F = 7.16, P < .01).

Conclusion

Immediate effects of single-session proprioceptive neuromuscular facilitation exercises were observed in decreasing the level of pain. Adaptation effects were noted in the retention test. The STS task could be optimized in time phases and dynamic movements in patients with chronic low back pain.

目的观察单次本体感觉神经肌肉促进训练对慢性腰痛患者坐立任务和疼痛水平的直接影响。方法将53例患者分为对照组和干预组。总时间为30分钟(每次练习5分钟)。采用Kistler测力板测量STS任务中睁眼和闭眼条件下最小垂直地面反力(VGRFmin)、最大垂直地面反力(VGRFmax)和时间相位(Tmin -反力时间、Tmax -力峰值时间、ttt -反弹力峰后时间)。疼痛程度由数字评定量表确定。结果干预组的主要效果为:减轻疼痛值(F = 25.398, P <。),增加Tmin (F = 5.72, P = .0044),降低最高温度(F = 3.43, P = .04点),和减少Ttot (F = 3.935, P = .02258)。眼部因素对VGRFmin有主要影响(F = 12.53, P <.0001)和VGRFmax (F = 7.16, P <. 01)。结论单次本体感觉神经肌肉促进训练对减轻大鼠疼痛有立竿见影的效果。在保留测试中注意到适应效应。慢性腰痛患者的STS任务可以在时间阶段和动态动作上进行优化。
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引用次数: 0
Electromyographic Activity of Sternocleidomastoid Muscle in Individuals With Neck Pain and Healthy Volunteers: A Reliability and Between-Group Differences Examination 颈痛患者和健康志愿者胸锁乳突肌肌电图活动:可靠性和组间差异检验
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/j.jmpt.2022.09.001
Fotios Iliopoulos MSc (PT) , Zacharias Dimitriadis PhD , George A. Koumantakis PhD

Objectives

The purpose of this study was to evaluate the electromyographic activity of the sternocleidomastoid muscle during the performance of the craniocervical flexion test (CCFT) in individuals with neck pain and healthy volunteers, assess the reliability of this method, and examine possible between-population differences.

Methods

Electromyographic activity of the sternocleidomastoid muscles of 22 individuals with neck pain and 22 healthy participants was recorded during the 55 stages of the CCFT. Pain (visual analog scale) and disability (Neck Disability Index) levels and pain duration were recorded for the participants with neck pain. Reliability of electromyography was evaluated with the intraclass correlation coefficient, standard error of measurement, and minimum detectable change.

Results

Within-day reliability indices of electromyographic activity were very good to excellent (intraclass correlation coefficients, 0.86-0.98; standard error of measurement, 1.8%-7.6%; minimum detectable change, 5.0%-21.1%). For the head-lift normalization method, 2-way analysis of variance revealed significant between-group differences (P < .02); however, these were not clinically significant when reliability test-retest error was considered. Differences between contraction levels were significant (P < .001); however, the group by contraction level interaction factor was nonsignificant. Therefore, the between-groups electromyographic increases noted with increasing contraction levels were similar. No correlation was identified between participants’ electromyography data and pain or disability.

Conclusion

In participants with moderate pain, disability, and pain duration, no clear alterations in electromyographic activity of the sternocleidomastoid could be detected with the CCFT. Reliability of the test used was very good.

目的本研究的目的是评估颈痛个体和健康志愿者在进行颅颈屈曲试验(CCFT)时胸锁乳突肌的肌电图活动,评估该方法的可靠性,并检查可能的人群差异。方法记录22例颈痛患者和22例正常人在55个阶段的胸锁乳突肌肌电图活动。记录颈部疼痛参与者的疼痛(视觉模拟量表)和残疾(颈部残疾指数)水平和疼痛持续时间。用类内相关系数、测量标准误差和最小可检测变化来评估肌电图的可靠性。结果肌电活动的日内信度指标为极好至极优(类内相关系数为0.86 ~ 0.98;测量标准误差为1.8% ~ 7.6%;最小可检测变化,5.0%-21.1%)。对于头举归一化方法,2-way方差分析显示组间差异显著(P <02);然而,当考虑信度重测误差时,这些结果在临床上并不显著。收缩程度之间的差异是显著的(P <措施);然而,组间受收缩水平的相互作用因子不显著。因此,组间肌电图的增加与收缩程度的增加是相似的。没有发现参与者的肌电图数据与疼痛或残疾之间的相关性。结论在中度疼痛、残疾和疼痛持续时间的参与者中,CCFT未检测到胸锁乳突肌肌电图活动的明显改变。所使用的测试的信度非常好。
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引用次数: 0
Effect of Massage Therapy in Regulating Wnt/β-Catenin Pathway on Retarding Denervated Muscle Atrophy in Rabbits 按摩疗法调节Wnt/β-Catenin通路延缓家兔失神经肌肉萎缩的作用
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/j.jmpt.2022.09.002
Wei-feng Hu BM , Ru-bao Guo MD

Objective

The purpose of this study was to investigate the effect of massage therapy on retarding denervated muscle atrophy in rabbits.

Methods

The denervated skeletal muscle atrophy rabbit model was established with the clamping rabbit tibial nerve method. On the third and first day after clamping the rabbit tibial nerve, the model rabbits were treated with massage or nerve growth factor (15 μg/mL) once a day for 8 weeks, respectively. Subsequently, gastrocnemius tissues were collected from rabbits and detected by electromyography. The gastrocnemius tissue sections were stained with hematoxylin and eosin and Sirius red staining to evaluate the histopathologic damage of denervated muscle atrophy in a rabbit model. Furthermore, the proliferation and differentiation-related targets of satellite cells in gastrocnemius tissues were detected by immunohistochemical, immunofluorescence, real-time quantitative reverse transcription polymerase chain reaction, and Western blot assays, respectively. Also, the effects of massage on the Wnt/β-catenin pathway were detected. Finally, gastrocnemius myocytes were isolated from rabbits to detect the expression levels of α-smooth muscle actin (α-SMA).

Results

The nerve conduction deteriorated continuously with time in model rabbits. Massage significantly ameliorated the pathologic damages and motor endplate microstructure of gastrocnemius muscle, effectively prevented fibrosis, and regulated the proliferation and differentiation-related messenger RNA and protein expression of satellite cells with the time increased after denervation. Additionally, the number of differentiating satellite cells was increased after being treated with massage, and massage further kept denervated muscles from atrophy. Importantly, the effect of massage to attenuate muscle atrophy was associated with the activation of the Wnt/β-catenin pathway. Meanwhile, massage reduced the expression of α-SMA in gastrocnemius myocytes.

Conclusion

This model demonstrated that massage delayed the atrophy of skeletal muscle. This was probably accomplished by regulating the proliferation and differentiation of the satellite cells via the Wnt/β-catenin signaling pathway.

目的探讨推拿疗法延缓家兔失神经肌肉萎缩的作用。方法采用夹持兔胫骨神经法建立兔去神经骨骼肌萎缩模型。在兔胫骨神经夹闭后第3天、第1天,分别给予推拿或神经生长因子(15 μg/mL)治疗,每天1次,连续8周。随后,收集家兔腓肠肌组织,用肌电图检测。采用苏木精、伊红染色及天狼星红染色法观察兔腓肠肌去神经萎缩的病理组织学损害。采用免疫组化、免疫荧光、实时定量逆转录聚合酶链反应和Western blot检测腓肠肌组织中卫星细胞的增殖和分化相关靶点。此外,我们还检测了按摩对Wnt/β-catenin通路的影响。最后,分离兔腓肠肌细胞,检测α-平滑肌肌动蛋白(α-SMA)的表达水平。结果模型家兔神经传导随时间的延长而持续恶化。按摩可显著改善腓肠肌病理损伤和运动终板微结构,有效预防纤维化,并随着去神经支配后时间的延长,调节卫星细胞的增殖和分化相关信使RNA及蛋白的表达。此外,按摩后分化卫星细胞数量增加,按摩进一步防止失神经肌肉萎缩。重要的是,按摩减轻肌肉萎缩的效果与Wnt/β-catenin通路的激活有关。同时,按摩可降低腓肠肌细胞α-SMA的表达。结论该模型显示推拿对骨骼肌萎缩有延缓作用。这可能是通过Wnt/β-catenin信号通路调节卫星细胞的增殖和分化来实现的。
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引用次数: 0
TOC 技术选择委员会
IF 1.3 4区 医学 Q1 Health Professions Pub Date : 2022-07-01 DOI: 10.1016/S0161-4754(22)00151-8
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引用次数: 0
期刊
Journal of Manipulative and Physiological Therapeutics
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