基于肌张力描记技术测量的慢性非特异性腰痛竖脊肌收缩特性分析

doi:10.3969/j.issn.1006-9771.2021.04.010

Abstract

Abstract: Objective

To analyze the contractile properties of the lumbar erector spinae in patients with chronic nonspecific low back pain (CNLBP), and to explore their correlation with pain and dysfunction.

Methods

From January to June, 2020, 24 patients with CNLBP in the outpatient and the ward of geriatric rehabilitation medicine department and 26 asymptomatic volunteers were included. Their contractile properties of the lumbar erector spinae were measured with tensiomyography, including maximum radial muscle displacement (Dm), contraction time (Tc), delay time (Td), sustain time (Ts), half-time relaxation (Tr) and lateral symmetry (LS). The contraction velocity (V_C) was calculated. Potential associations of tensiomyography parameters to Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were assessed using correlation analysis.

Results

No significant differences were found in Td, Ts, Tc, Tr and LS between two groups (P > 0.05). Dm and Vc were significantly lower in both sides of CNLBP group than in the control group (t > 2.058, P < 0.01). Dm or Vc were not correlated with VAS and ODI (P > 0.05).

Conclusion

Erector spinae are stiff and fatiguable in patients with CNLBP, however, they are not associated with pain and dysfunction. Tensiomyography could be used for accurate diagnosis and treatment of CNLBP.

Key words: chronic nonspecific low back pain, tensiomyography, erector spinae, contractile properties

CLC Number:

R681.5

Xu LI,Zi-zhuo XU,Jun LU,Qin-tong BAO,Xin-rong LIU,Ruo-xin ZHAO,Guang-xu XU. Contractile Properties of Erector Spinae in Patients with Chronic Nonspecific Low Back Pain: Based on Tensiomyography[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(4): 450-455.

Figures/Tables 4

References 41

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项目	对照组 (n = 26)	CNLBP组(n = 24)	t值	P值
年龄(岁)	43.12±15.14	47.67±13.85	-1.106	0.274
性别(男/女)	11/15	11/13	-0.246	0.807
病程(月)	-	8.79±4.34	-	-
身高(cm)	165.15±7.37	167.58±8.79	-1.062	0.294
体质量(kg)	61.58±10.13	66.75±10.54	-1.769	0.083
体质量指数 (kg/m²)	22.50±2.88	23.72±3.10	-1.443	0.156
利手(右/左)	26/0	24/0	-	-
VAS	-	5.50±0.72	-	-
ODI(%)	-	30.49±13.72	-	-

TMG参数	对照组右侧(n = 26)	非疼痛侧(n = 24)	疼痛侧(n = 24)	t/Z值^a	P值^a	t/Z值^b	P值^b	t/Z值^c	P值^c
Dm(mm)	3.50±0.66	2.56±1.47	2.22±1.04	-0.926	0.358	5.263	< 0.001	3.105	0.003
Tc(ms)	33.39(22.83, 41.72)	31.71(23.41, 41.66)	32.01(21.11, 46.13)	-0.351	0.726	-0.117	0.907	-0.350	0.727
Td(ms)	23.85(22.16, 26.81)	24.53(21.59, 28.68)	26.05(23.06, 28.35)	-0.516	0.606	-1.748	0.081	-0.563	0.573
Ts(ms)	442.42±175.21	487.16±161.96	468.30±191.94	-0.368	0.715	-0.498	0.621	-0.935	0.354
Tr(ms)	146.31(105.07, 205.65)	132.08(73.80, 217.41)	148.69(97.57, 286.35)	-0.928	0.353	-0.408	0.683	-0.718	0.472
V_C(mm/s)	94.95±36.47	58.65(32.62, 97.11)	59.70(37.49, 76.90)	-0.268	0.789	2.846	0.006	-2.058	0.040

TMG参数	VAS		ODI
TMG参数	r值	P值	r值	P值
Dm	-0.065	0.763	-0.080	0.710
V_C	0.143	0.506	-0.358	0.086

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Contractile Properties of Erector Spinae in Patients with Chronic Nonspecific Low Back Pain: Based on Tensiomyography

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