单侧腰椎间盘突出症患者椎旁肌功能特征

doi:10.3969/j.issn.1006-9771.2023.09.014

Abstract

Abstract:

Objective To explore the imbalance of paravertebral muscle group for patients with unilateral lumbar disc herniation.

Methods From January, 2022 to January, 2023, 30 patients with unilateral lumbar disc herniation (observation group) and 30 healthy people matching in general data (control group) were measured the tension and stiffness of multifidus and erector spinae with MyotonPRO, while the observation group was assessed with Visual Analogue Scale (VAS) for pain and Japanese Orthopaedic Association (JOA) score, and the time of disease was also recorded.

Results The mean of bilateral tension and hardness of multifidus and erector spinae was more in the observation group than in the control group (|t| > 5.407, P < 0.001), and the tension and hardness of multifidus and erector spinae of the affected side were more than those of the unaffected side in the observation group (|t| > 11.219, P < 0.001). The tension and hardness of multifidus and erector spinae of the affected side were positively correlated with VAS score (r > 0.942, P < 0.001), and negatively correlated with JOA score (|r| > 0.886, P < 0.001).

Conclusion The tension and hardness of multifidus and erector spinae of the affected side increase after unilateral lumbar disc herniation, resulting in asymmetry.

Key words: lumbar disc herniation, multifidus, erector spinae, muscle tension, muscle hardness

CLC Number:

R681.5

SHEN Xingxing, CHEN Weijian, LI Congcong, LI Junyi, WANG Shuai, YE Zixuan, XIANG Ruian, XU Xuemeng. Characteristics of paravertebral muscles in patients with unilateral lumbar disc herniation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1098-1103.

Figures/Tables 4

References 36

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	体质量指数/(kg·m^-2)
对照组	30	16/14	38.80±10.87	166.23±0.81	65.35±12.5	23.49±3.20
观察组	30	14/16	38.97±11.11	164.63±0.73	64.38±6.36	23.84±2.62
χ²/t值		0.267	-0.059	0.800	0.377	-0.453
P值		0.606	0.953	0.427	0.707	0.653

组别	n	竖脊肌肌张力/Hz	竖脊肌硬度/(N·m^-1)	多裂肌肌张力/Hz	多裂肌硬度/(N·m^-1)
对照组	30	14.05±1.17	267.05±43.98	13.55±1.32	255.03±52.09
观察组	30	15.68±1.36	326.03±42.39	14.82±1.27	299.83±36.64
t值		-7.058	-7.851	-5.407	-5.449
P值		< 0.001	< 0.001	< 0.001	< 0.001

组别	侧别	n	竖脊肌肌张力/Hz	竖脊肌硬度/(N·m^-1)	多裂肌肌张力/Hz	多裂肌硬度/(N·m^-1)
对照组	左侧	30	13.96±1.10	265.97±43.53	13.48±1.29	253.80±51.26
	右侧	30	14.13±1.24	268.13±45.15	13.61±1.37	256.27±53.76
观察组	健侧	30	15.14±1.21	314.93±41.29	14.34±1.12	289.47±34.84
	患侧	30	16.22±1.30	337.13±41.17	15.31±1.24	310.20±35.98
t₁值			-1.562	-0.934	-1.265	-1.067
P₁值			0.129	0.358	0.216	0.295
t₂值			-12.899	-11.219	-11.372	-12.256
P₂值			< 0.001	< 0.001	< 0.001	< 0.001

临床指标	测量值	统计量	竖脊肌肌张力	多裂肌肌张力	竖脊肌硬度	多裂肌硬度
VAS评分	3.00 (2.00, 5.00)	r值	0.956	0.942	0.954	0.943
VAS评分	3.00 (2.00, 5.00)	P值	< 0.001	< 0.001	< 0.001	< 0.001
JOA评分	17.20±5.17	r值	-0.914	-0.886	-0.886	-0.912
JOA评分	17.20±5.17	P值	< 0.001	< 0.001	< 0.001	< 0.001
病程/月	12.00 (4.00, 120.00)	r值	0.199	0.207	0.238	0.269
病程/月	12.00 (4.00, 120.00)	P值	0.292	0.272	0.206	0.151

Characteristics of paravertebral muscles in patients with unilateral lumbar disc herniation

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