[在腰椎切除术后,不同运动方式对电生理学和软组织功能的影响]
Chengyu Huang1, Kai Chen2, Zibo Gao1
1The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China.
Zhongguo gu shang = China journal of orthopaedics and traumatology
|February 9, 2026
概括
在手术后,Supine Straight-Leg Kicks有效地减少了疼痛,改善了腰部功能. 这种运动激活核心肌肉,增强下肢协同作用,改善肌肉特性,提供新的康复选择.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 运动医学 运动医学
背景情况:
- 变形膜内镜腰椎切除术 (TELD) 是一种常见的手术程序.
- 术后康复对于恢复功能和平衡至关重要.
- 了解特定运动对肌肉调节的影响很重要.
研究的目的:
- 在TELD后调查卧式直腿推运动对肌肉调节和肌肉骨平衡的机制.
- 在TELD患者中,比较卧式直腿与Feiyan练习的有效性.
主要方法:
- 38名TELD患者被分为卧式直腿组和Feiyan运动组.
- 两组人都接受了为期4周的监督康复练习.
- 评估关键肌肉的疼痛 (VAS),残疾 (ODI) 和肌电图 (EMG) 参数 (MVC,RMS,INT,MPF,%MVC).
- 评估的肌肉振荡特征 (F,S,D值).
主要成果:
- 斜腿直腿显著降低了运动后的VAS和ODI得分,与VAS的Feiyan练习不同.
- 与Feiyan组相比,卧式直腿组在干预后显示出较低的VAS和ODI得分.
- 电磁共振图分析显示,群体之间起器脊柱和直腹部激活的不同模式.
- 费扬练习增加了起器脊柱的振荡频率和性,而仰卧直腿则改善了直肠腹部,广腹部和广侧面肌肉的减轻.
结论:
- 支持直腿可以有效地缓解术后疼痛,促进腰部功能恢复.
- 这种运动激活核心肌肉,增强下肢肌肉协同作用,改善肌肉张力,性和弹性.
- 靠背直腿为腰椎内镜手术后的患者提供了一种新的康复策略.
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