在有或没有部疼痛的个体中,在部任务期间,宫延伸肌肉活动:系统性审查
David Colman1, Stéphanie Grosdent2, Christophe Demoulin2
1Department of Physical Activity and Rehabilitation Sciences, University of Liège, Allée des Sports, 2, 4000 Liège, Belgium.
Annals of physical and rehabilitation medicine
|January 12, 2025
概括
部疼痛会改变部延伸肌的活动,特别是在深部肌肉中,但研究结果不一致. 本系统性审查澄清了这些调整,以改善部疼痛的临床评估和治疗策略.
科学领域:
- 生物力学和运动控制
- 临床解剖学的临床解剖学
- 肌肉骨康复 肌肉骨康复
背景情况:
- 部疼痛导致部肌肉活动的适应性变化,但部伸展肌肉的模式不如 flexors.
- 关于部延伸肌肉适应的现有研究因异质的结果措施而复杂,特别是表面肌肉和深部肌肉之间的区别.
- 本系统性审查旨在澄清部延伸肌活动模式,以告知部疼痛患者的临床实践.
研究的目的:
- 系统地审查和比较部伸展肌肉活动在部任务之间的个体和没有部疼痛.
- 综合研究的发现,利用补充检查工具来评估肌肉活动.
- 为了识别宫延伸肌群内运动控制适应的一致模式或不一致.
主要方法:
- 进行了2024年1月之前发表的实验研究的系统审查.
- 研究包括与健康对照组相比,患有异常/创伤性部疼痛或宫性头痛的成年人,评估任务期间的宫伸展肌肉活动.
- 数据提取和批判性评估由两名盲目审查员使用JBI分析横截面研究检查清单进行.
主要成果:
- 23项研究 (932名参与者) 报告了8个肌肉群和4个结果 (招募,时间,疲劳,定向激活) 的170项比较.
- 在51%的招聘比较,35%的时间比较和33%的疲劳比较中发现了运动活动的显著差异.
- 在47%的表面肌肉比较和65%的深伸缩肌肉比较中,在部疼痛患者中观察到活动受损.
结论:
- 在部任务期间,部伸展肌肉的运动活动适应性在部疼痛患者中是不可预测的.
- 与表面肌肉相比,有明显的倾向于改变宫深部伸展肌肉的活动.
- 建议进行进一步的高质量研究来证实这些发现,使用标准化参数和全面的肌肉分析.
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