在直腿提升测试期间神经的动力学:对腰椎间盘的个体进行的一项研究
Atsushi Toribe1, Kyoji Okada2, Akira Saito2
1Department of Rehabilitation, Sapporo Koujinkai Memorial Hospital Sapporo city, Hokkaido, Japan.
Journal of manipulative and physiological therapeutics
|December 5, 2025
概括
腰椎间盘 (LDH) 患者在直腿提升 (SLR) 测试中表现出小腿神经运动减少. 这种减少的神经应变与神经症状有关,表明坐骨神经动态发生了变化.
科学领域:
- 神经科学是一个神经科学.
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
背景情况:
- 腰椎间盘 (LDH) 可以引起辐射疼痛和神经症状.
- 直腿升高 (SLR) 测试通常用于评估LDH患者的坐骨神经刺激.
- 在SLR过程中了解神经动态对于诊断和管理LDH至关重要.
研究的目的:
- 在LDH患者的SLR测试期间调查部神经动态.
- 探索神经症状和神经运动在辐射疼痛发生 (RPO) 角度之间的关系.
- 为了比较LDH患者和健康个体之间的神经外流和应变.
主要方法:
- 在SLR测试过程中,超声波成像被用来测量部神经在各种角度 (20°,40°,RPO角度) 的外流和应变.
- 参与者包括20名患有LDH的成年人和健康个体的对照组.
- 在具有和没有神经症状的LDH亚组之间比较了RPO角度的神经动态.
主要成果:
- 与健康组相比,LDH组的小腿神经运动在腿部升高20°和40°时显著减少.
- 在经历神经症状的LDH患者中,RPO角度的神经应变较低.
- 在LDH中减少神经外流表明坐骨神经应变增加.
结论:
- 在SLR测试期间神经不够紧张与LDH患者的神经症状有关.
- 神经动态的改变可能会导致LDH神经缺陷的病理生理学.
- 这些发现强调了在LDH管理中评估神经流动性的重要性.
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