慢性非特异性腰痛患者核心肌力量和表面肌电图综述

Q. Guan, Xiaoping Liu, Haowei Liu
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摘要

近年来,随着人们生活方式的改变,中国非特异性腰痛的患病率呈上升趋势。其中以中老年妇女、产后妇女、运动员和长期坐着的工人居多。如果患者得不到有效的治疗,不仅会严重危害个人健康,给工作和生活带来不必要的麻烦,而且会增加医疗负担,造成严重的社会和经济问题。目前许多学者认为,腰椎稳定性的下降和人体生物力学结构的改变是慢性非特异性腰痛发生发展的重要机制之一。由于特殊的解剖结构,腰椎成为脊柱最脆弱的部位。当患者长期处于不良体态状态时,腰椎骨上附着的核和肌肉,特别是腹横肌和多裂肌,都会不同程度地出现。”“疲劳”,当“疲劳”达到一定程度时,出现“废用”甚至萎缩,肌肉力量会进一步下降,腰椎的稳定性下降,造成腰肌与神经信号传递之间的异常,最终引起疼痛。因此,研究非特异性腰痛、腰腹肌力量、肌电图与疼痛的关系具有重要意义。本研究研究了非特异性腰痛患者腰腹肌力量、肌电性能与疼痛的关系。结论来源于研究结果,在理论层面上为非特异性腰痛的临床治疗提供理论依据。在实用层面,有助于提醒人们保持腰椎稳定,预防慢性腰痛。
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Summary of core muscle strength and surface electromyography in patients with chronic nonspecific low back pain
In recent years, with the changes in people's lifestyles, the prevalence of non-specific low back pain is on the rise in China. Among them, middle-aged and elderly women, postpartum women, athletes and long-term sitting workers are the majority. If the patient does not receive effective treatment, it will not only seriously endanger personal health and cause unnecessary troubles to work and life, but also increase the medical burden and cause serious social and economic problems. At present, many scholars believe that the decline of lumbar spine stability and the changes in the biomechanical structure of the human body are one of the important mechanisms for the occurrence and development of chronic non-specific low back pain. Due to the special anatomical structure, the lumbar spine becomes the most vulnerable part of the spine. When the patient is in a state of poor posture for a long time, the nucleus and muscles attached to the lumbar spine, especially the transverse abdominis and multifidus muscles, will appear to varying degrees." "Fatigue", when "fatigue" reaches a certain level, "disuse" or even atrophy occurs, muscle strength will further decrease, and the stability of the lumbar spine will decrease, causing abnormalities between the lumbar muscles and nerve signal transmission, and eventually causing pain. Therefore, it is of great significance to study the relationship between non-specific low back pain, waist and abdominal muscle strength, electromyography and pain. This study studied the relationship between the waist and abdominal muscle strength, myoelectric performance and pain in patients with non-specific low back pain. The conclusions were drawn from the research results, and at the theoretical level, it provides a theoretical basis for the clinical treatment of non-specific low back pain. On the practical level, it is helpful to remind people to maintain lumbar spine stability and prevent chronic low back pain.
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