等速测试表面肌电图在推拿治疗腰椎间盘突出症临床研究中的应用

Application of Constant Speed Test and Surface Electromyography in Treatment on the Lumbar Disc Herniation with Massage Therapy

目的通过等速表面肌电图测试,研究推拿手法治疗对腰椎间盘突出症患者肌肉功能的影响。方法 60例腰椎间盘突出症患者,按年龄分为两组,每组30例。比较两组推拿手法治疗前后的等速测试峰力矩(PT)、表面肌电图中位频率(MF)和临床疗效。结果推拿治疗二组均有效,治愈率存在统计学差异(P(0.05);等速测试腰部伸肌峰力矩(PT)在治疗前后有显著差异(P<0.01);表面肌电图中青年组患者患侧多裂肌中位频率(MF)在治疗前后有显著统计差异(P<0.05),其余各项数据比较均无显著统计学差异。结论推拿手法治疗能显著改善不同年龄段的腰椎间盘突出症患者的腰部伸肌肌力,而肌肉功能的改善存在年龄差异。

Objective To study the clinical effects of massage therapy on LDH muscle function by constant test speed and surface electromyography.Methods Sixty patients of LDH were divided into two groups according to the age,30 cases each group.The Peak torque of constant speed test,median frequency of surface electromyography and clinical effects were compared.Results Good effects were obtained in both groups by treatment,the cure rate had obvious statistical difference(P﹤0.05).After treatment,the PT of lumbar extension muscles in the two group patients had difference obviously(P﹤0.01).The MF of sick multifidi in group A(the group of young and middle age) had obvious statistical difference as compared to that before treatment(P﹤0.05).Conclusion Massage therapy can improve the myodynamia of lumbar extension muscles of LDH patients obviously,but the change of muscle function has difference in age.