發(fā)布時(shí)間：2018-05-19 01:16

  本文選題：慢性頸痛 + 表面肌電��； 參考：《中國(guó)康復(fù)醫(yī)學(xué)雜志》2016年05期

【摘要】：目的:利用表面肌電評(píng)估慢性頸痛患者在懸吊運(yùn)動(dòng)療法(sling exercise therapy,SET)與傳統(tǒng)姿勢(shì)性訓(xùn)練治療前后胸鎖乳突肌的肌電變化,間接反映頸深屈肌的功能,來(lái)客觀的評(píng)價(jià)SET的治療效果。方法:本研究選取2013年1月—2013年6月我院門診收治的14例入組慢性頸痛患者作為研究對(duì)象。將其隨機(jī)分為兩組,其中SET組8例,對(duì)照組6例。分別在治療前和治療4周后對(duì)受試者在頭頸屈試驗(yàn)(craniocervical flexion test,CCFT)下進(jìn)行雙側(cè)胸鎖乳突肌表面肌電測(cè)量,取均方根值,標(biāo)準(zhǔn)化后進(jìn)行統(tǒng)計(jì)學(xué)比較。其他的評(píng)估方法包括頸椎功能障礙指數(shù)(neck disability index,NDI)、視覺(jué)模擬評(píng)分法(visual analogue scale,VAS)。評(píng)估過(guò)程采用盲法。結(jié)果:兩組數(shù)據(jù)在年齡、身高、體重、病程、VAS、NDI上差異均無(wú)顯著性意義(P0.05),具有可比性。結(jié)果發(fā)現(xiàn)試驗(yàn)前SET組與對(duì)照組之間CCFT的各階段胸鎖乳突肌標(biāo)準(zhǔn)化均方根值(root mean square,RMS)均無(wú)顯著性差異(P0.05)。而兩組治療后在22mm Hg時(shí)SET組RMS值為3.78±3.12,對(duì)照組為3.73±2.63;24mm Hg時(shí)SET組RMS值為6.77±6.02,對(duì)照組為12.31±7.74;26mm Hg時(shí)SET組RMS值為8.90±7.19,對(duì)照組為22.26±10.57;28mm Hg時(shí)SET組RMS值為13.67±10.18,對(duì)照組為24.59±10.39;30mm Hg時(shí)SET組RMS值為15.58±8.75,對(duì)照組為33.14±11.18,除22mm Hg外,各階段P值均小于0.05,具有顯著性差異。結(jié)論:SET對(duì)于慢性頸痛患者的治療要明顯優(yōu)于姿勢(shì)運(yùn)動(dòng)訓(xùn)練,SET可以使胸鎖乳突肌在CCFT試驗(yàn)中的異常興奮性減低,從而間接說(shuō)明了頸深肌群被激活。
[Abstract]:Objective: to evaluate the myoelectric changes of sternocleidomastoid muscle in patients with chronic cervical pain before and after suspension exercise therapy and traditional posture training, to reflect the function of deep cervical flexor muscle, and to evaluate objectively the therapeutic effect of SET. Methods: from January 2013 to June 2013, 14 patients with chronic neck pain were selected. They were randomly divided into two groups: SET group (n = 8) and control group (n = 6). The surface electromyography of bilateral sternocleidomastoid muscle was measured before treatment and 4 weeks after treatment under cranial cervical flexion test. The root mean square (RMS) of bilateral sternocleidomastoid muscle was measured and compared statistically after standardization. Other evaluation methods included neck disability index and visual analogue score (VAS). The evaluation process was blind. Results: there was no significant difference in age, height, weight and course of disease between the two groups (P 0.05). The results showed that there was no significant difference between SET group and control group (P 0.05) in all stages of CCFT of sternocleidomastoid muscle standardized root-mean-square value (RMSs). The RMS value of SET group was 3.78 鹵3.12 at 22mm Hg, RMS value of SET group was 6.77 鹵6.02 in control group, RMS value of SET group was 8.90 鹵7.19 at 12.31 鹵7.7426mm Hg, RMS value of SET group was 13.67 鹵10.18 when 22mm Hg was 22.26 鹵10.5728mm Hg, RMS of SET group was 15.58 鹵8.75 when control group was 24.59 鹵10.3930mm Hg, control group was 12.31 鹵7.7426mm Hg, RMS value of SET group was 13.67 鹵10.18 when control group was 22.26 鹵10.5728mm Hg, RMS value of SET group was 24.59 鹵10.3930mm Hg, control group was 15.58 鹵8.75. The group was 33.14 鹵11.18, with the exception of 22mm Hg, P value of each stage was less than 0.05, there was significant difference. Conclusion the treatment of the patients with chronic cervicalgia by the weight set is better than that by posture exercise training. The abnormal excitability of sternocleidomastoid muscle in CCFT test is decreased, which indirectly indicates that the deep cervical muscle group is activated.
【作者單位】： 中山大學(xué)附屬第一醫(yī)院東院康復(fù)醫(yī)學(xué)科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2008B080703036)
【分類號(hào)】：R681.5

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