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

  • SUN Yue ,
  • PAN Wei-chao ,
  • SUN Wu-dong ,
  • XU Liang ,
  • TANG Cong-zhi ,
  • ZHAO Xiang-hu ,
  • CAI Qian ,
  • MA Ming
Expand
  • 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 date: 2018-06-12

  Revised date: 2018-08-28

  Online published: 2018-09-27

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.

Cite this article

SUN Yue , PAN Wei-chao , SUN Wu-dong , XU Liang , TANG Cong-zhi , ZHAO Xiang-hu , CAI Qian , MA Ming . Effects of Multi-point Multi-axis Suspension Training on Nonspecific Low Back Pain: A Surface Electromyography Study[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018 , 24(9) : 1058 -1061 . DOI: 10.3969/j.issn.1006-9771.2018.09.014

References

[1] 周秉文. 腰背痛[M]. 北京:人民卫生出版社, 2005: 63-342.
[2] Hides JA, Jull CA, Richerdson CA.Long-term effects of specific stabilizing for first episode low back pain[J]. Spine, 2001, 26(1): 243-248.
[3] 库华义,李奇,于婧,等. 腰痛患者进行核心肌群稳定性训练的疗效研究[J]. 中国康复医学杂志, 2012, 27(5): 472-474.
[4] 李丽,王传英,李庆波,等. 悬吊运动技术联合蜡疗治疗慢性下背痛的疗效观察[J]. 中华物理医学与康复杂志, 2010, 32(10): 775-776.
[5] 李建华,王健. 表面肌电图诊断技术临床应用[M]. 杭州:浙江大学出版社, 2015: 178-184.
[6] 陈少清,林建平,陈乐春,等. 腰椎导引术对慢性腰痛患者腰椎功能的影响[J]. 中华中医药杂志, 2014, 29(3): 956-958.
[7] 葛瑞东,王思远,白硕,等. 不同体位下指压不同穴位对脑卒中患者胫前肌和腓骨长、短肌的表面肌电影响[J]. 中国康复医学杂志, 2015, 30(6): 562-566.
[8] 戴承颖,葛瑞东,于天源,等. 练功十八法之颈部六法对缓解伏案后颈肌疲劳的表面肌电研究[J]. 中国康复医学杂志, 2016, 31(3): 306-311.
[9] 刘邦忠,李泽兵,何萍. 多裂肌在脊柱突然失衡时的肌电表现[J]. 中国临床康复, 2003, 7(4): 544-545.
[10] 王奎,刘建红,宋刚. sEMG技术在评价运动性疲劳方面的方法及应用[J]. 安徽体育科技, 2004, 25(3): 49-51.
[11] Gerdle B, Larsson B, Slopearlsson S, et al.Criterion validation of surface EMG variables as fatigue indicators using peaslope torque: a study of repetitive maximum ososlopeinetic slopenee extensions[J]. J Electromyogr Kinesiol, 2000, 10(4): 225-232.
[12] Nagamachi A, Islopeat T, Slopeatoh S, et al.Spectral analysis of erector spinae muscle surface electromyography as an index of exercise performance in maximal treadmill running[J]. Med Invest, 2000, 47(1/2): 29-35.
[13] Laasonen EM.Atrophy of sacrospinal muscle groups in patients with chronic, diffusely radiating lumbar back pain[J]. Neuroradiology, 1984, 26(1): 9-13.
[14] Serge H.Spectral electromyographic assessment of back muscles in patients with low back pain undergoing rehabilitation[J]. Spine, 1995, 20(1): 38-48.
[15] 穆景颂,倪朝民,夏清,等. 表面肌电在腰椎间盘突出症患者功能评定中的应用[J]. 中国康复理论与实践, 2010, 16(3): 266-269.
[16] 刘邦忠,李泽兵,何萍. 多裂肌在脊柱突然失平衡时的肌电表现[J]. 中国临床康复, 2003, 7(4): 544-545.
[17] Hides JA, Richardson CA, Jull GA.Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain[J]. Spine, 1996, 21(23): 2763-2769.
[18] Suseki K, Takabashi Y, Takabashi K, et al.Sensory nerve fibres from lumbar intervertebral discs pass through rami communicantes: a passible pathway for discogenic low back pain[J]. J Bone Joint Surg Br, 1998, 80(4): 737-742.
[19] Peng B, Wu W, Hou S, et al.The pathogenesis of discogenic low back pain[J]. J Bone Joint Surg Br, 2005, 87(1): 62-67.
[20] Ohtori S, Inoue G, Ito T, et al.Tumor necrosis factor immune reactive cells and PGP 9.5 immunoreactive nerve fibers in vertebral endplates of patients with discogenic low back pain and Modic Type 1 or Type 2 changes on MRI[J]. Spine, 2006, 31(9): 1026-1031.
[21] Richardson B.Catching[M]// Nolte V. Rowing Faster. Champagne, Illinois: Human Kinetics, 2005.
[22] Sahrmann SA.Diagnosis and Treatment of Movement Impairment Syndromes[M]. Missouri: Mosby, Inc., 2002.
[23] Akuthota V, Ferreiro A, Moore T, et al.Core stability exercise principles[J]. Curr Sports Med Rep, 2008, 7(1): 39-44.
[24] Mok NW, Yeung EW, Cho JC, et al.Core muscle activity during suspension exercises[J]. J Sci Med Sport, 2015, 18(2): 189-194.
[25] 顾昭华,龚晨,伊文超,等. 多点多轴悬吊训练系统对脑卒中偏瘫患者平衡和步行能力的影响[J]. 中国康复医学杂志, 2013, 28(5): 452-454.
Outlines

/

〈 〉