Objective:To compare the balance ability between normal people and non-specific low back pain(nsLBP) patients and explore the relationship between balance ability and muscle function in nsLBP patients.Method:Ten nsLBP...Objective:To compare the balance ability between normal people and non-specific low back pain(nsLBP) patients and explore the relationship between balance ability and muscle function in nsLBP patients.Method:Ten nsLBP patients as nsLBP group and 10 age and gender-matched healthy control subjects as control group were investigated.Posturography on balance platform and surface electromyography(sEMG) were performed to assess all the subjects' function of equilibrium and muscle activities of erector spinea(ES),multifidus(MF),abdominal external oblique(EO),hamstring(HS) and maximal gluteus(MG) bilaterally.Result:The nsLBP subjects had greater sway on anterior-posterior direction(Y-speed and Y-extension,P=0.05) on feet-together posture and bigger main axis(P=0.023) on nature standing with eyes closed when compared with controls.The iEMG ratios of right MG in nature standing(eyes closed)/nature standing(eyes open) and feet-together(eyes open)/nature standing(eyes open) in control group were significant higher than that in nsLBP group(P=0.03 and P=0.013).Conclusion:Balance evaluation combined with sEMG measurement on trank and lower limb muscles provided some quantitative information about functional deficits such as postural control and muscle activities in nsLBP patients.This relationship should be emphasized in prevention and rehabilitation of nsLBP.展开更多
非特异性腰痛(nonspecific low back pain,NLBP)在中医归属“痹证”范畴,此疾病严重影响患者的日常生活。现代医学多采用改善患者局部组织血液循环、促进生物体新陈代谢和组织恢复,松解机体筋膜和软组织粘连等方法进行治疗。目前已有治...非特异性腰痛(nonspecific low back pain,NLBP)在中医归属“痹证”范畴,此疾病严重影响患者的日常生活。现代医学多采用改善患者局部组织血液循环、促进生物体新陈代谢和组织恢复,松解机体筋膜和软组织粘连等方法进行治疗。目前已有治疗方法的疗效并不显著。为治疗该疾病,作者基于前期动物实验结果,以“经筋-脾肾”理论展开叙述,认为寒凝筋脉、脾肾虚衰为非特异性腰痛的主要病因。故采用疏解经筋、固护脾肾的治疗方法,针对性地提出“针膏结合”的治疗手段,即皮内针针刺关元穴配以独活寄生汤膏药贴敷进行治疗。该手段为中医药在临床上治疗NLBP提供了新的思路及方法。展开更多
基金Funding by Beijing Technique Committee(D08050700330000)
文摘Objective:To compare the balance ability between normal people and non-specific low back pain(nsLBP) patients and explore the relationship between balance ability and muscle function in nsLBP patients.Method:Ten nsLBP patients as nsLBP group and 10 age and gender-matched healthy control subjects as control group were investigated.Posturography on balance platform and surface electromyography(sEMG) were performed to assess all the subjects' function of equilibrium and muscle activities of erector spinea(ES),multifidus(MF),abdominal external oblique(EO),hamstring(HS) and maximal gluteus(MG) bilaterally.Result:The nsLBP subjects had greater sway on anterior-posterior direction(Y-speed and Y-extension,P=0.05) on feet-together posture and bigger main axis(P=0.023) on nature standing with eyes closed when compared with controls.The iEMG ratios of right MG in nature standing(eyes closed)/nature standing(eyes open) and feet-together(eyes open)/nature standing(eyes open) in control group were significant higher than that in nsLBP group(P=0.03 and P=0.013).Conclusion:Balance evaluation combined with sEMG measurement on trank and lower limb muscles provided some quantitative information about functional deficits such as postural control and muscle activities in nsLBP patients.This relationship should be emphasized in prevention and rehabilitation of nsLBP.
文摘非特异性腰痛(nonspecific low back pain,NLBP)在中医归属“痹证”范畴,此疾病严重影响患者的日常生活。现代医学多采用改善患者局部组织血液循环、促进生物体新陈代谢和组织恢复,松解机体筋膜和软组织粘连等方法进行治疗。目前已有治疗方法的疗效并不显著。为治疗该疾病,作者基于前期动物实验结果,以“经筋-脾肾”理论展开叙述,认为寒凝筋脉、脾肾虚衰为非特异性腰痛的主要病因。故采用疏解经筋、固护脾肾的治疗方法,针对性地提出“针膏结合”的治疗手段,即皮内针针刺关元穴配以独活寄生汤膏药贴敷进行治疗。该手段为中医药在临床上治疗NLBP提供了新的思路及方法。
