[1]王伟,周红海,陈龙豪,等.基于腰部多裂肌的生物力学和病理形态学研究探讨腰部疾患的诊治[J].中医正骨,2022,34(06):53-56.
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基于腰部多裂肌的生物力学和病理形态学研究探讨腰部疾患的诊治()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年06期
页码:
53-56
栏目:
学术探讨
出版日期:
2022-06-20

文章信息/Info

作者:
王伟1周红海2陈龙豪3陆延3
(1.广西中医药大学第一附属医院,广西 南宁 530023; 2.广西中医骨伤科生物力学与损伤修复重点实验室,广西 南宁 530001; 3.广西中医药大学骨伤学院,广西 南宁 530001)
关键词:
腰椎 椎旁肌 多裂肌 生物力学现象 病理形态学
摘要:
腰部多裂肌对于维持腰椎稳定至关重要。近年来,关于腰部多裂肌的生物力学研究及病理形态学研究不断深入,取得了一定的研究成果。本文对腰部多裂肌的生物力学和病理形态学研究进展进行了综述,并基于这些研究成果从多裂肌的角度探讨腰部疾患的诊治,为腰部疾患的诊治提供新的思路和方法。

参考文献/References:

[1] 丁浚哲,鲁世保,孔超.重视腰椎疾病患者人群的椎旁肌退行性改变[J].中国骨与关节杂志,2020,9(4):242-245.
[2] WARD S R,KIM C W,ENG C M,et al.Architectural analysis and intraoperative measurements demonstrate the unique design of the multifidus muscle for lumbar spine stability[J].J Bone Joint Surg Am,2009,91(1):176-185.
[3] ROSATELLI A L,RAVICHANDIRAN K,AGUR A M.Three-dimensional study of the musculotendinous architecture of lumbar multifidus and its functional implications[J].Clin Anat,2008,21(6):539-546.
[4] WILKE H J,WOLF S,CLAES L E,et al.Stability increase of the lumbar spine with different muscle groups.A biomechanical in vitro study[J].Spine(Phila Pa 1976),1995,20(2):192-198.
[5] WARD S R,TOMIYA A,REGEV G J,et al.Passive mechanical properties of the lumbar multifidus muscle support its role as a stabilizer[J].J Biomech,2009,42(10):1384-1389.
[6] FREEMA M D,WOODHAM M A,WOODHAM A W,et al.The role of the lumbar multifidus in chronic low back pain:a review[J].PM & R,2010,2(2):142-146.
[7] MACINTOSH J E,VALENCIA F,BOGDUK N,et al.The morphology of the human lumbar multifidus[J].Clin Biomech(Bristol,Avon),1986,1(4):196-204.
[8] MASI A T,NAIR K,EVANS T,et al.Clinical,biomechanical,and physiological translational interpretations of human resting myofascial tone or tension[J].Int J Ther Massage Bodywork,2010,3(4):16-28.
[9] CHAN S T,FUNG P K,NG N Y,et al.Dynamic changes of elasticity,cross-sectional area,and fat infiltration of multifidus at different postures in men with chronic low back pain[J].Spine J,2012,12(5):381-388.
[10] SHAIKH N,ZHANG H,BROWN S H M,et al.The effect of posture on lumbar muscle morphometry from upright MRI[J].Eur Spine J,2020,29(9):2306-2318.
[11] BAILEY J F,MILLER S L,KHIEU K,et al.From the international space station to the clinic:how prolonged unloading may disrupt lumbar spine stability[J].Spine J,2018,18(1):7-14.
[12] SNIJDERS C J,HERMANS P F,NIESING R,et al.Effects of slouching and muscle contraction on the strain of the iliolumbar ligament[J].Man Ther,2008,13(4):325-333.
[13] BRUNO A G,BURKHART K,ALLAIRE B,et al.Spinal loading patterns from biomechanical modeling explain the high incidence of vertebral fractures in the thoracolumbar region[J].J Bone Miner Res,2017,32(6):1282-1290.
[14] WILKE H J,WOLF S,CLAES L E,et al.Influence of varying muscle forces on lumbar intradiscal pressure:an in vitro study[J].J Biomech,1996,29(4):549-555.
[15] DEMOULIN C,CRIELAARD J M,VANDERTHOMMEN M.Spinal muscle evaluation in healthy individuals and low-back-pain patients:a literature review[J].Joint Bone Spine,2007,74(1):9-13.
[16] ZHAO W P,KAWAGUCHI Y,MATSUI H,et al.Histochemistry and morphology of the multifidus muscle in lumbar disc herniation:comparative study between diseased and normal sides[J].Spine(Phila Pa 1976),2000,25(17):2191-2199.
[17] MANNION A F,WEBER B R,DVORAK J,et al.Fibre type characteristics of the lumbar paraspinal muscles in normal healthy subjects and in patients with low back pain[J].J Orthop Res,1997,15(6):881-887.
[18] 姜美驰,肖京,饶毅,等.腰背肌筋膜痛综合征核心肌群的表面肌电信号与肌纤维类型的相关性分析[J].中国骨伤,2019,32(6):544-548.
[19] MIKI T,NAOKI F,TAKASHIMA H,et al.Associations between paraspinal muscle morphology,disc degeneration,and clinical features in patients with lumbar spinal stenosis[J/OL].Prog Rehabil Med,2020,5[2022-01-03].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429555/.
[20] SUN X Y,KONG C,ZHANG T T,et al.Correlation between multifidus muscle atrophy,spinopelvic parameters,and severity of deformity in patients with adult degenerative scoliosis:the parallelogram effect of LMA on the diagonal through the apical vertebra[J].J Orthop Surg Res,2019,14(1):276.
[21] WANG G,KARKI S B,XU S,et al.Quantitative MRI and X-ray analysis of disc degeneration and paraspinal muscle changes in degenerative spondylolisthesis[J].J Back Musculoskelet Rehabil,2015,28(2):277-285.
[22] OGON I,IBA K,TAKASHIMA H,et al.Magnetic resonance spectroscopic analysis of multifidus muscle lipid contents and association with nociceptive pain in chronic low back pain[J].Asian Spine J,2021,15(4):441-446.
[23] CHUA M,HOCHBERG U,REGEV G,et al.Gender differences in multifidus fatty infiltration,sarcopenia and association with preoperative pain and functional disability in patients with lumbar spinal stenosis[J].Spine J,2022,22(1):58-63.
[24] ÖZCAN-EKI E E,EKI M,TURGUT V U,et al.Reciprocal relationship between multifidus and psoas at L4-L5 level in women with low back pain[J].Br J Neurosurg,2021,35(2):220-228.
[25] JAFARI M,BAHRPEYMA F,MOKHTARI-DIZAJI M,et al.Novel method to measure active myofascial trigger point stiffness using ultrasound imaging[J].J Bodyw Mov Ther,2018,22(2):374-378.
[26] CUI J,ZHOU R,TIAN N,et al.Correlation between lower lumbar multifidus muscles fatty atrophy and corresponding level degenerative diseases in patients with low back pain using MRI[J].Chin J Acad Radiol,2021,4(1):63-70.
[27] SUN D,LIU P,CHENG J,et al.Correlation between intervertebral disc degeneration,paraspinal muscle atrophy,and lumbar facet joints degeneration in patients with lumbar disc herniation[J].BMC Musculoskelet Disord,2017,18(1):167.
[28] HODGES P,HOLM A K,HANSSON T,et al.Rapid atrophy of the lumbar multifidus follows experimental disc or nerve root injury[J].Spine(Phila Pa 1976),2006,31(25):2926-2933.
[29] XU W B,CHEN S,FAN S W,et al.Facet orientation and tropism:associations with asymmetric lumbar paraspinal and psoas muscle parameters in patients with chronic low back pain[J].J Back Musculoskelet Rehabil,2016,29(3):581-586.
[30] 罗昕,李玉花,尚群,等.MRI检查腰部多裂肌退变与关节突关节骨性关节炎的临床分析[J].医学影像学杂志,2019,29(9):1616-1619.
[31] 张军.腰部多裂肌磁共振数据与关节突关节退变的相关性[J].颈腰痛杂志,2021,42(1):103-106.
[32] ANOUK A,JONAS V,SJOERD S,et al.High intensity training increases muscle area occupied by type Ⅱ muscle fibers of the multifidus muscle in persons with non-specific chronic low back pain:a pilot trial[J].Appl Sci,2021,11(8):3306.
[33] JAMES G,MILLECAMPS M,STONE L S,et al.Multifidus muscle fiber type distribution is changed in mouse models of chronic intervertebral disc degeneration,but is not attenu-ated by whole body physical activity[J].Spine(Phila Pa 1976),2021,46(23):1612-1620.
[34] 吕莹,戴德纯,姜慧娜,等.电针对不同多裂肌脂肪浸润率腰椎间盘突出症疗效的影响[J].中国针灸,2021,41(6):593-597.
[35] WANG-PRICE S,ZAFEREO J,COUCH Z,et al.Short-term effects of two deep dry needling techniques on pressure pain thresholds and electromyographic amplitude of the lumbosacral multifidus in patients with low back pain-a randomized clinical trial[J].J Man Manip Ther,2020,28(5):254-265.
[36] MANSOUR A M,TAREK A,AMR A.Paraspinal muscle damage in intermuscular and conventional lumbar spinal fixation:a comparative study[J].Interdiscip Neurosurg,2021,26(4):101284.
[37] PROTASIEWICZ-FALDOWSKA H,WISNIEWSKA T,ZABOROWSKA-SAPETA K,et al.The influence of specialist kinesitherapy on the spinal function after fenestration surgeries[J].Polish Annals of Medicine,2010,17(1):36-43.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81660800); 广西壮族自治区研究生教育创新计划项目(YCBZ2021078) 通讯作者:周红海 E-mail:1310803699@qq.com
更新日期/Last Update: 1900-01-01