表面肌电图在腰椎间盘突出症治疗中应用价值的研究  

The application of surface electromyography on treating lumbar disc herniation

作　　者：穆景颂[1] 倪朝民[1] 夏清[2] 缪芸[1] 

机构地区：[1]安徽医科大学附属省立医院康复医学科,合肥230001 [2]合肥市第二人民医院康复医学科,合肥230011

出　　处：《颈腰痛杂志》2010年第3期206-209,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨表面肌电图在腰椎间盘突出症治疗中的应用价值;方法腰椎间盘突出症50例,均接受1个月的Mckenzie疗法和本体感觉强化训练,治疗前、后采集双侧竖脊肌在完成等长负荷测试时L4-5或L5-S1水平竖脊肌的表面肌电信号。结果 50例腰椎间盘突出症患者治疗后,显效16例,有效32例,无效2例,改善率为(54.25±15.74)%。治疗前,患侧竖脊肌AEMG较健侧显著降低,MFs绝对值较健侧显著增大(P<0.05);与治疗前相比,治疗后患侧AEMG显著地增加(P<0.05),患侧MFs绝对值显著地降低(P<0.05),治疗后健、患侧AEMG和MFs差异无显著性(P>0.05)。结论表面肌电图可作为治疗腰椎间盘突出症疗效评定的客观依据,具有较好的临床应用价值。Objective To explore the application of surface Electromyography（sEMG） on treating Lumbar Disc Herniation （LDH）.Methods Fifty subjects with LDH underwent proprioception enhancement training and Mckenzie therapy for one month.sEMG was used to record the activities of lumbar paraspinal muscles during isometric contraction pre-treating and after 1 month.Results After treatment,16 cases were marked,32 were effective,and 2 were invalid,the rate of improvement is 54.25%±15.74%.There are significant difference for sEMG between healthy and suffered side before treatment （P0.05）;absolute values of MFs for sacrospinal muscle in the affected side were significantly reduced as compared to before tneatment,AEMG of suffered side were increased （P 0.05）;no statistical differences were observed after training between healthy and suffered side （P0.05）.Conclusion sEMG may be used as an objective tool for evaluation of therapeutic effect of patient with LDH.

关 键 词：MCKENZIE疗法 本体感觉强化训练 腰椎间盘突出症 表面肌电 康复评定 

分 类 号：R741.044[医药卫生—神经病学与精神病学] R681.53[医药卫生—临床医学]