《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2018, Vol. 24 ›› Issue (9): 1058-1061.doi: 10.3969/j.issn.1006-9771.2018.09.014

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Effects of Multi-point Multi-axis Suspension Training on Nonspecific Low Back Pain: A Surface Electromyography Study

SUN Yue1, PAN Wei-chao2, SUN Wu-dong1, XU Liang1, TANG Cong-zhi1, ZHAO Xiang-hu1, CAI Qian1, MA Ming1   

  1. 1. Department of Rehabilitation Medicine, the Affiliated Zhongda Hospital of Southeast University, Nanjing, Jiangsu 210009, China;
    2. Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China
  • Received:2018-06-12 Revised:2018-08-28 Published:2018-09-20 Online:2018-09-27
  • Contact: MA Ming. E-mail: nj9868@163.com

Abstract: Objective To study the effect of multi-point multi-axis suspension training on nonspecific low back pain (NLBP) through surface electromyography (sEMG). Methods From October, 2016 to November, 2017, 24 patients with unilateral NLBP (NLBP group) were randomly divided into dynamic group (n=12) and static group (n=12); other 12 healthy volunteers were selected as control group. NLBP group was trained on multi-point multi-axis suspension training system, the dynamic group accepted pelvic-up training in the supine position, while the static group accepted lumbar neutral keep training, for ten days. NLBP group was measured with average electromyographic values (AEMG) of affected musculi multifidi before and after treatment, and assessed with Visual Analogue Scale (VAS) of pain; while the control group was measured AEMG of unilateral musculi multifidi. Results The AEMG in static and pelvic-up positions was more in NLBP group than in the control group before treatment (t>3.209, P<0.01), and it was less when keeping neutral position (t=-2.364, P<0.05). The AEMG improved in NLBP groups after treatment (t>2.982, P<0.01). The AEMG in static position and in keeping neutral position was not significantly different among the three groups after treatment (F<2.921, P>0.05), and it was the most in the dynamic group as pelvic-up (P<0.001). The score of VAS decreased in both NLBP groups after treatment (t>10.416, P<0.001), and it was less in the static group than in the dynamic group (t=-4.389, P<0.001).Conclusion sEMG changes take place in patients with NLBP. Multi-point multi-axis suspension training is effective through improving the core muscle group, and it is more effective in static maintenance training.

Key words: nonspecific low back pain, suspension training, core muscle group, surface electromyography

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