[1]谢榕,王旭,冯天笑,等.基于表面肌电信号探讨腰椎斜扳手法治疗腰椎间盘突出症的临床疗效[J].中国中医骨伤科杂志,2026,34(01):28-34.[doi:10.20085/j.cnki.issn1005-0205.260105]
　XIE Rong,WANG Xu,FENG Tianxiao,et al.The Clinical Efficacy of the Lumbar Oblique Pulling Method in Treating Patients with Lumbar Disc Herniation Based on Surface Electromyography Signals[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(01):28-34.[doi:10.20085/j.cnki.issn1005-0205.260105]
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基于表面肌电信号探讨腰椎斜扳手法治疗腰椎间盘突出症的临床疗效()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年01期
页码:
28-34
栏目:
脊柱脊髓疾病
出版日期:
2026-01-15

文章信息/Info

Title:
The Clinical Efficacy of the Lumbar Oblique Pulling Method in Treating Patients with Lumbar Disc Herniation Based on Surface Electromyography Signals
文章编号:
1005-0205(2026)01-0028-07
作者:
谢榕1; 王旭1; 冯天笑1; 银河1; 2; 刘宁1; 王国军1; 朱立国1; 2; 解化龙1△; 魏戌1; 2△
1中国中医科学院望京医院(北京,100102)
2数智中医防治骨与关节退行性疾病北京重点实验室
Author(s):
XIE Rong1; WANG Xu1; FENG Tianxiao1; YIN He1; 2; LIU Ning1; WANG Guojun1; ZHU Liguo1; 2; XIE Hualong1△; WEI Xu1; 2△
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Beijing Key Laboratory of Digital Intelligence in Traditional Chinese Medicine for the Prevention and Treatment of Degenerative Bone and Joint Diseases,Beijing 100102,China.
关键词:
腰椎斜扳手法;  表面肌电图;  腰椎间盘突出症;  竖脊肌;  多裂肌
Keywords:
lumbar oblique pulling method;  surface electromyography;  lumbar disc herniation;  erector spinalis muscle;  multifidus muscle
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.260105
文献标志码:
A
摘要:
目的:利用表面肌电图(sEMG)技术,评估腰椎斜扳手法对腰椎间盘突出症(LDH)患者椎旁肌激活状态的影响。方法:招募60例腰椎间盘突出症患者作为观察组,20例健康志愿者作为对照组。观察组接受腰椎斜扳手法治疗,每周3次,共2周。对照组不进行手法治疗。采用表面肌电采集系统记录竖脊肌和多裂肌的均方根值(RMS)、积分肌电值(iEMG)、平均肌电值(AEMG)和中位频率(MF)。在治疗前、治疗后即刻、治疗第7天和第14天观察患者表面肌电各参数的变化以及VAS评分、ODI评分、SF-12评分和腰椎活动度相关临床疗效指标。结果:两组受试者治疗前肌电图比较,多裂肌中位频率组间差异无统计学意义(P>0.05); 竖脊肌的中位频率、均方根值、积分肌电值、平均肌电值,多裂肌的均方根值、积分肌电值、平均肌电值差异有统计学意义(P<0.05)。观察组治疗前后表面肌电参数比较,竖脊肌中位频率、多裂肌各参数差异无统计学意义(P>0.05); 而竖脊肌均方根值、积分肌电值、平均肌电值差异有统计学意义(P<0.05)。临床疗效指标差异有统计学意义(P<0.05)。结论:腰椎斜扳手法对椎旁肌的生物电活动产生积极影响,尤其是对竖脊肌,可调整腰椎间盘突出症患者椎旁肌的激活状态。
Abstract:
Objective:This study used surface electromyography(sEMG)technology to evaluate the effect of the lumbar oblique pulling method on paravertebral muscle activation in patients with lumbar disc herniation(LDH).Methods:60 patients with LDH were recruited as the osbervation group and 20 healthy volunteers as the control group.The osbervation group received the lumbar oblique pulling method three times a week for two weeks.The control group did not receive manual therapy.The root mean square(RMS),integrated electromyography(iEMG),average electromyography(AEMG),and median frequency(MF)of the erector spinae muscle and multifidus muscle were recorded using a surface electromyography acquisition system.The changes in sEMG parameters,VAS scores,ODI scores,SF-12 scores,and clinical efficacy indexes related to lumbar activity were observed before treatment,immediately after treatment,and on the 7th and 14th day of treatment.Results:The sEMG of the two groups were compared before treatment.The MF of multifidus muscle was not statistically significant(P>0.05); however,there were significant differences in MF,RMS,iEMG,and AEMG of erector spinae muscle,as well as RMS,iEMG,and AEMG of multifidus muscle(P<0.05).The sEMG parameters of LDH patients were compared before and after treatment.The MF values of the erector spinae muscle and multifidus muscle showed no statistical significance(P>0.05); the RMS,iEMG,and AEMG of erector spinae muscle were statistically significant(P<0.05).The clinical efficacy indexes were also statistically significant(P<0.05).Conclusion:The study shows that the lumbar oblique pulling method has a positive effect on the bioelectrical activity of paravertebral muscle,especially the erector spinae muscle,and can help regulate the activation state of paravertebral muscle in patients with LDH.

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(收稿日期:2025-11-04)

备注/Memo

备注/Memo:
基金项目:北京中医药“十四五”重点专科项目(BJZKLC0004)
△通信作者 E-mail:longyuzhektt@126.com(解化龙)
weixu.007@163.com(魏戌)
更新日期/Last Update: 2026-01-15