不完全性脊髓损伤患者在工效自行车和椭圆训练机上肌肉活动的比较

Q4 Medicine Fisioterapia em Movimento Pub Date : 2023-01-01 DOI:10.1590/fm.2023.36131
Priscila Paula dos Santos, Douglas Haselstrom, Thalita dos Santos Rocha, Franciele Zardo, Jéssica Saccol Borin Aita, Melissa Grigol Goldhardt, Fernanda Cechetti
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引用次数: 0

摘要

脊髓损伤导致肌肉无力,影响直立和步态。椭圆训练器(ET)和人体测量自行车(EB)是这个主题的康复选择。了解这些方法产生的肌肉激活模式对于回答临床实践中出现的问题非常重要。目的探讨不完全性脊髓损伤伴与不伴肌电生物反馈的ET和EB的肌肉激活情况。方法横断面交叉研究,纳入临床试验(NCT05118971)。将有脊髓损伤(不完全性脊髓损伤组- ISCIG)和无脊髓损伤(对照组- RG)的受试者随机分为四组:椭圆器组(EG)、椭圆器+生物反馈组(EBG)、自行车组(BG)和自行车+生物反馈组(BBG)。用功能独立性量表评估受试者的功能,用ASIA量表评估损伤分类,用改良Ashworth量表评估肌肉张力,用肌电图评估肌肉活动。结果与ISCIG的其他方式相比,骑车时胫前肌的激活更大。生物反馈对任何组都没有影响。在RG中,股内侧肌在所有模式下都是最活跃的肌肉,在ET中更有表达性的激活。在同一组中,胫前肌在EB中更活跃。结论:本研究表明,在招募所调查的肌肉时,ET和EB都是安全有效的,鼓励康复专业人员在目标是增强与步态有关的肌肉时使用它。
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Comparison of muscular activity on ergometric bicycle and elliptical trainer in subjects with incomplete spinal cord injury
Abstract Introduction Spinal cord injury generates muscle weakness, impairing orthostatism and gait. The elliptical trainer (ET) and the ergometric bicycle (EB) are rehabilitation options for this subject. Understanding the pattern of muscle activation generated by these methods is important to answer questions arising from clinical practice. Objective To verify muscle activation with ET and EB with and without electromyographic biofeedback in subjects with incomplete spinal cord injury (ISCI). Methods Cross-sectional crossover study, enrolled in Clinical Trials (NCT05118971). Subjects with spinal cord injury (incomplete spinal cord injury group - ISCIG) and without spinal cord injury (reference group - RG) were randomized into four groups: elliptical group (EG), elliptical + biofeedback group (EBG), bicycle group (BG) and bicycle + biofeedback group (BBG). Subjects were assessed for functionality by the Functional Independence Measure, injury classification by the ASIA Scale, muscle tone by the modified Ashworth scale, and muscle activity by electromyography. Results There was greater activation of the tibialis anterior on cycling compared to other modalities in ISCIG. Biofeedback offered no difference in any of the groups. In RG the vastus medialis was the most activated muscle in all modalities, with more expressive activation in the ET. In this same group, the tibialis anterior was more activated on the EB. Conclusion This study showed that both ET and EB are safe and effective in recruiting the muscles investigated, encouraging its use by rehabilitation professionals when the objective is to strength muscles involved in gait.
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来源期刊
Fisioterapia em Movimento
Fisioterapia em Movimento Health Professions-Complementary and Manual Therapy
CiteScore
0.40
自引率
0.00%
发文量
78
审稿时长
13 weeks
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