慢性腰痛患者腰椎稳定肌的激活:一项系统综述

Q4 Medicine Coluna/ Columna Pub Date : 2022-01-01 DOI:10.1590/s1808-185120222103257247
William Jolli DE Araujo, Matheus Siqueira Bastos, Marco Aurélio Serafim Bonvino
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引用次数: 0

摘要

摘要目的:比较慢性腰痛患者与健康人腰椎稳定肌的激活水平。方法:于2021年5月10日系统检索以下数据库:PubMed、物理治疗证据数据库和Cochrane图书馆。纳入和排除标准基于PICO格式。两位作者独立地检查了所有被选为完整阅读的文章。通过作者之间的讨论解决了分歧。结果:检索到525条记录,其中165条为重复记录。在对剩余的360篇研究的题目、摘要和全文进行筛选后,我们排除了352篇文章,将8篇文章纳入本综述。这八项研究评估了慢性腰痛患者的肌肉激活水平。在六项研究中,慢性腰痛患者激活水平较高,其中一项研究组间差异无统计学意义,另一项研究慢性腰痛组激活水平较低。讨论:这篇综述首次回顾了腰椎稳定肌的肌电图研究,涵盖了所有类型的评估暴露程序。我们认为,医疗专业人员建议这些患者收缩稳定肌是完全没有必要的。结论:腰痛患者腰椎稳定肌激活水平高于健康人。证据水平IIA;队列研究的系统回顾。
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ACTIVATION OF LUMBAR SPINE STABILIZER MUSCLES IN PEOPLE WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW
ABSTRACT Objective: To compare the level of activation of the lumbar spine stabilizing muscles between people with chronic low back pain and healthy people. Methods: A systematic search was performed on May 10, 2021, of the following databases: PubMed, Physiotherapy Evidence Database and Cochrane Library. Inclusion and exclusion criteria were based on the PICO format. Two authors independently examined all articles that were selected for full reading. Disagreements were resolved through a discussion between the authors. Results: The bibliographical search identified 525 records, 165 of which were duplicates. After screening the titles, abstracts and the full text of the remaining 360 studies, 352 articles were excluded, and 8 articles were included in this review. The eight studies assessed the level of muscle activation in patients with chronic low back pain. In six studies patients with chronic low back pain had a higher activation level, in one study there was no statistically significant difference between groups,and in one study the activation level was lower in the chronic low back pain group. Discussion: This review was the first to review electromyography studies of the lumbar spine stabilizer muscles, covering all types of exposure procedures for evaluation. We believe that the recommendation of healthcare professionals for these patients to contract the stabilizer muscles are totally unnecessary. Conclusion: Patients with low back pain have a higher level of lumbar spine stabilizer muscle activation than healthy people. Level of evidence IIA; Systematic review of cohort studies.
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
期刊最新文献
ADOLESCENT IDIOPATHIC SCOLIOSIS: PROGRESSION OF UNTREATED CASES FUNCTIONALITY OF INDIVIDUALS WITH LOW BACK PAIN: CROSS-SECTIONAL STUDY WITH ICF CORE SET ANESTHETIC BLOCK OF THE INTERTRANSVERSE SEPTUM, A PROSPECTIVE OBSERVATIONAL STUDY LUMBAR LORDOSIS VARIATION ACCORDING THE TYPE OF POSITIONER USED IN LUMBAR ARTHRODESIS CLINICAL PHOTOGRAPHIC AND RADIOLOGICAL CORRELATION IN PATIENTS WITH SCOLIOSIS
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