中国中医骨伤科杂志2026，Vol.34Issue(1)：28-34,7.DOI:10.20085/j.cnki.issn1005-0205.260105
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
The Clinical Efficacy of the Lumbar Oblique Pulling Method in Treating Patients with Lumbar Disc Herniation Based on Surface Electromyography Signals
摘要
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 pa-tients 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 clini-cal 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 multifi-dus muscle was not statistically significant(P＞0.05);how-ever,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.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Key words
lumbar oblique pulling method/surface electromyography/lumbar disc herniation/erector spinalis muscle/multifidus muscle分类
医药卫生引用本文复制引用
谢榕,王旭,冯天笑,银河,刘宁,王国军,朱立国,解化龙,魏戌..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(1):28-34,7.基金项目
北京中医药"十四五"重点专科项目(BJZKLC0004) （BJZKLC0004）
