通过超声显像测量腰多裂肌厚度变化率评估腰多裂肌训练动作的效果  

Evaluating the effect of lumbar multifidus muscle training with ultrasonography

作　　者：史进军[1] 高启[1] 王颖彦[1] 李卫民[1] 卞荣[2] 王新北[3] 

机构地区：[1]东南大学附属中大医院超声科,南京210009 [2]江苏省人民医院康复科 [3]江苏省老年医院超声科

出　　处：《中华物理医学与康复杂志》2015年第2期131-135,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的通过比较腰多裂肌在康复训练中的厚度变化率，评估多种腰多裂肌训练动作的效果。方法利用超声显像观察11种不同训练动作下志愿者的腰多裂肌形态学改变，由2位超声医生分别测量志愿者在静息态及多种训练动作下的双侧腰多裂肌的厚度，然后计算出腰多裂肌的厚度变化率和腰多裂肌收缩率，进而对各种训练动作下腰多裂肌收缩率进行统计学分析。结果两位超声医生检查结果所计算的腰多裂肌收缩率组问比较，差异无统计学意义（P〉0．05）。性别对腰多裂肌收缩率的影响差异无统计学意义（P〉0．05）。各种训练动作下腰多裂肌收缩率的统计分析比较发现，对侧腿上抬、同侧腿上抬、对侧手上抬、同侧手上抬、对侧下肢上抬五个动作两两比较，差异无统计学意义（P〉0．05）；小燕飞式上抬、同侧下肢上抬、同侧上肢对侧下肢上抬三个动作两两比较，差异无统计学意义（P〉0．05）；对侧上肢上抬、同侧上肢上抬两两比较差异无统计学意义（P〉0．05）；同侧上肢对侧下肢上抬、对侧上肢同侧下肢上抬两两比较差异无统计学意义（P〉0．05）；其余训练动作的腰多裂肌收缩率两两比较差异均有统计学意义（P〈0．05）。结论不同的腰多裂肌训练动作取得的效果各不相同，超声显像测量腰多裂肌厚度变化可以为康复训练计划的制订提供一定的依据。Objective To evaluate the effect of lumbar multifidus muscle training on muscle thickness. Methods The morphological changes in volunteers＇ lumbar multifidus muscles were observed in response to 11 kinds of training. Muscle thickness was measured at rest and during contraction using ultrasonography and two examiners. The rate of change in muscle thickness and the contraction rate were calculated. Results There was no significant difference in the contraction rates determined by the two examiners using ultrasound imaging. There was no significant difference in average contraction rate between the males and females. Pairwisc, there was no significant difference a- mong contralateral leg-raising, ipsilateral leg-raising, contralateral hand-raising, ipsilateral hand-raising and contra- lateral leg-lifting. Pairwise, there was no significant difference among ipsilateral leg-lifting and ipsilateral arm-lifting compared with contralateral leg-lifting, contralateral arm-lifting or contralaleral lower limb-lifting. There was no sig- nificant difference between contralateral arm-lifting and ipsilateral arm-lifting. There was no significant difference be- tween ipsilateral arm-lifting with contralateral leg-lifting and contralateral arm-lifting with ipsilateral leg-lifting. Pair- wise, there was a significant difference in lumbar multifidus muscle contraction rates among these actions. Conclu- sion Lumbar muhifidus muscle training has various effects. Muscle thickness as measured using uhrasonography can provide a basis for formulating a rehabilitation training plan.

关 键 词：超声显像 腰多裂肌 训练 厚度变化率 效果 

分 类 号：R681.5[医药卫生—骨科学]