在患有或没有慢性下背痛的个体中,前进运动时勃起脊柱肌肉的激活:系统性审查和元分析
Euan W Taylor1,2, U Chris Ugbolue1,2, Yang Gao3
1Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang Province, China.
Archives of rehabilitation research and clinical translation
|September 25, 2023
概括
与健康个体相比,慢性下背痛 (CLBP) 患者的勃起脊柱肌肉激活率更高. 这次元分析发现了一个小但显著的差异,突出了康复策略的潜在目标.
科学领域:
- 生物医学工程 生物医学工程
- 肌肉骨研究 研究
- 临床生物力学 临床生物力学
背景情况:
- 慢性下背部疼痛 (CLBP) 影响了相当一部分人口,影响了日常功能.
- 了解CLBP患者和健康个体之间肌肉激活的生物力学差异对于有效治疗至关重要.
- 起立脊柱肌在脊柱的稳定性和姿势中起着关键作用,使其成为CLBP研究的焦点.
研究的目的:
- 系统地审查和分析比较健康个体与患有CLBP的人体勃起脊柱肌激活的研究.
- 通过使用标准化平均差异来量化这两组之间勃起器脊柱肌激活的差异.
主要方法:
- 在PubMed,ScienceDirect,SPORTDiscus和谷歌学者中进行了系统的文献搜索,截至2023年3月31日.
- 包括七个病例控制试验报告的平均值,标准偏差和样本大小,或标准平均差异效应大小.
- 进行了元分析,以计算勃起肌脊柱肌肉激活的总标准化平均差异.
主要成果:
- 在健康个体和CLBP患者之间发现了勃起脊柱肌肉激活的小但统计学上显著的差异 (SMD = 0.48,95% CI = 0.21-0.74,P < .001).
- 研究之间的异质性是最小的 (I2 = 0%,P = .890),表明一致的发现.
- 电肌图 (EMG) 数据证实,在前进推进过程中,CLBP队列中的勃起器脊柱激活水平显著更高.
结论:
- 与健康个体相比,患有CLBP的个体在前进推进过程中表现出更高的勃起脊柱肌肉激活.
- 这些发现为CLBP的特定肌肉激活模式提供了宝贵的见解,有助于改进诊断和治疗方法.
- 未来的研究应该考虑步行距离,表面变化和梯度等因素,以进一步阐明CLBP中的肌肉激活动态.
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