中国康复理论与实践2023，Vol.29Issue(12)：1420-1428,9.DOI:10.3969/j.issn.1006-9771.2023.12.006
慢性颈痛患者颈肩部肌肉性能差异及其与疼痛、体质量指数的相关性
Difference of cervical and shoulder muscle performance and its correlation with pain and body mass index in pa-tients with chronic neck pain
摘要
Abstract
Objective To test the inter-tester reliability and test-retest reliability of MyotonPRO for evaluating neck and shoulder muscle performance parameters in patients with unilateral chronic neck pain,observe the difference of muscle performance between the healthy and affected sides of patients with chronic neck pain,and analyze the factors that cause the imbalance of muscle performance in patients with chronic neck pain. Methods From January to June,2023,32 patients with unilateral chronic neck pain in Guangdong Second Traditional Chinese Medicine Hospital were selected.Two testers used the same MyotonPRO equipment to measure the mus-cle tone,muscle hardness and muscle elasticity on both sides of the sternocleidomastoid muscle and the upper tra-pezius muscle in the relaxed position.Tester 1 repeated the measurement after an interval of 30 minutes,and Tes-ter 2 was measured within the time interval between the two measurements of Tester 1.The intraclass correlation coefficient(ICC),standard error of mean(SEM)and minimum detectable change(MDC)were calculated simul-taneously.The measurement results were plotted into Bland-Altman diagram and systematic bias analysis was performed.The difference in muscle characteristics between the affected side and the healthy side was compared.At the same time,the Visual Analogue Scale(VAS)score and body mass index(BMI)of the subjects were col-lected for correlation analysis. Results Except the sternocleidomastoid muscle elasticity of the affected side(ICC = 0.697),the inter-tester reliability of all other parameters was high to very high(ICC = 0.719 to 0.952,SEM = 0.04 to 6.53,MDC = 0.12 to 18.11).The test-retest reliability of all parameters was high(ICC = 0.883 to 0.981,SEM = 0.03 to 5.72,MDC = 0.09 to 15.84).Bland-Altman plot analysis showed that the scatter distribution was consistent.The muscle tone,muscle hardness and muscle elasticity of sternocleidomastoid muscle and upper trapezius muscle were higher on the af-fected side than on the healthy side(t>2.846,P<0.05).The asymmetry index of tension,hardness and elasticity of upper trapezius muscle and sternocleidomastoid muscle was significantly positively correlated with VAS score and BMI(r>0.385,P<0.05). Conclusion MyotonPRO has good inter-tester reliability and retest reliability in evaluating the muscle performance of both sides of patients with chronic neck pain.The muscle tone,muscle hardness and muscle elasticity of sterno-cleidomastoid muscle and upper trapezius muscle on the affected side were higher than on the healthy side,and the difference of muscle performance was positively correlated with pain and BMI.关键词
上斜方肌/胸锁乳突肌/MyotonPRO/肌张力/肌肉硬度/肌肉弹性/信度Key words
upper trapezius muscle/sternocleidomastoid muscle/MyotonPRO/muscle tone/muscle hardness/muscle elasticity/reliability分类
医药卫生引用本文复制引用
沈星星,刘文刚,许学猛,熊玉玲,陈伟健,李聪聪,李俊毅,王帅,章家皓,向瑞安,陈佳浩..慢性颈痛患者颈肩部肌肉性能差异及其与疼痛、体质量指数的相关性[J].中国康复理论与实践,2023,29(12):1420-1428,9.基金项目
1.广东省自然科学基金项目(No.2021A1515011545) （No.2021A1515011545）
2.广东省科技计划项目(No.2021B1111610007 （）
No.2018B020207009) （）
3.广州市科技计划项目(No.202206010048) Supported by Guangdong Natural Science Foundation(No.2021A1515011545),Guangdong R&D Plan(No.2021B1111610007 （No.202206010048）
No.2018B020207009)and Guangzhou R&D Plan(No.202206010048) （No.202206010048）
