[1]卜寒梅,王平,刘爱峰,等.基于表面肌电图评价颈型颈椎病单侧颈痛患者颈椎活动时两侧胸锁乳突肌功能[J].中医正骨,2021,33(07):28-32.
　BU Hanmei,WANG Ping,LIU Aifeng,et al.Evaluation of bilateral sternocleidomastoid muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain based on surface electromyography[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(07):28-32.
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基于表面肌电图评价颈型颈椎病单侧颈痛患者颈椎活动时两侧胸锁乳突肌功能()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年07期
页码:
28-32
栏目:
临床研究
出版日期:
2021-07-20

文章信息/Info

Title:
Evaluation of bilateral sternocleidomastoid muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain based on surface electromyography
作者:
卜寒梅1; 王平1; 刘爱峰1; 李远栋1; 吴思1; 张超1; 冯敏山2
(1.天津中医药大学第一附属医院,天津 300381; 2.中国中医科学院望京医院,北京 100102)
Author(s):
BU Hanmei1; WANG Ping1; LIU Aifeng1; LI Yuandong1; WU Si1; ZHANG Chao1; FENG Minshan2
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China2.Wangjing Hospital of CACMS,Beijing 100102,China
关键词:
颈椎病;  颈痛;  胸锁乳突肌;  肌电描记术;  临床试验
Keywords:
cervical spondylosis;  neck pain;  sternocleidomastoid;  surface electromyography;  clinical trial
摘要:
目的:评价颈型颈椎病单侧颈痛患者颈椎活动时两侧胸锁乳突肌功能。方法:选取40例颈型颈椎病单侧颈痛患者,采用表面肌电图仪采集其颈椎前屈、后伸、右侧屈、左侧屈、右旋、左旋时两侧胸锁乳突肌的表面肌电信号,利用表面肌电图仪自带软件处理表面肌电信号,并生成表面肌电标准分析报告和表面肌电频率/疲劳度分析报告,提取报告中的平均肌电(averaged electromyography,AEMG)值、积分肌电(integrated electromyography,IEMG)值、平均功率频率(mean power frequency,MPF)值及中值频率(median frequency,MF)值进行统计分析。结果:颈型颈椎病单侧颈痛患者颈椎前屈、后伸、右侧屈、左侧屈、右旋、左旋活动时,疼痛侧胸锁乳突肌的AEMG值和IEMG值均小于非疼痛侧[前屈:(12.915±7.302)μV,(18.750±14.520)μV,Z=-5.497,P=0.000;(582.315±295.895)μV·s,(883.635±549.678)μV·s,Z=-5.511,P=0.000; 后伸:(15.510±18.862)μV,(19.215±17.137)μV,Z=-2.971,P=0.003;(684.635±777.440)μV·s,(898.240±923.353)μV·s,Z=-3.038,P=0.002; 右侧屈:(16.710±14.353)μV,(22.955±14.697)μV,Z=-2.473,P=0.013;(703.115±601.570)μV·s,(994.365±599.673)μV·s,Z=-2.433,P=0.015; 左侧屈:(12.255±5.255)μV,(17.005±13.523)μV,Z=-2.393,P=0.017;(527.070±266.853)μV·s,(731.240±519.03)μV·s,Z=-2.406,P=0.016; 右旋:(17.195±27.397)μV,(39.715±50.327)μV,Z=-2.063,P=0.039;(739.535±1 181.48)μV·s,(1 813.390±2 146.325)μV·s,Z=-2.057,P=0.040; 左旋:(15.515±29.353)μV,(40.250±53.145)μV,Z=-2.016,P=0.044;(725.245±1 262.037)μV·s,(1 729.850±2 385.365)μV·s,Z=-2.070,P=0.038],疼痛侧胸锁乳突肌的MPF值和MF值与非疼痛侧相比,差异均无统计学意义[前屈:(63.480±26.205)Hz,(62.115±34.965)Hz,Z=-1.237,P=0.216;(39.840±30.515)Hz,(38.110±39.990)Hz,Z=-0.363,P=0.717; 后伸:(65.160±25.250)Hz,(67.820±26.727)Hz,Z=-0.148,P=0.882;(42.030±33.111)Hz,(45.930±20.975)Hz,Z=-1.593,P=0.111; 右侧屈:(64.085±24.470)Hz,(65.525±25.500)Hz,Z=-0.417,P=0.677;(38.355±29.713)Hz,(42.375±23.113)Hz,Z=-0.484,P=0.628; 左侧屈:(57.905±18.997)Hz,(58.530±19.820)Hz,Z=-0.390,P=0.697;(34.800±19.598)Hz,(36.255±19.687)Hz,Z=-0.444,P=0.657; 右旋:(67.460±27.015)Hz,(69.410±18.528)Hz,Z=-0.255,P=0.798;(47.130±20.742)Hz,(48.920±27.063)Hz,Z=-0.914,P=0.361; 左旋:(62.035±25.763)Hz,(66.200±22.447)Hz,Z=-0.349,P=0.727;(45.330±28.12)Hz,(47.025±21.93)Hz,Z=-0.444,P=0.657]。结论:颈型颈椎病单侧颈痛患者在颈椎活动时,疼痛侧胸锁乳突肌较非疼痛侧肌肉收缩能力减弱,但两侧胸锁乳突肌肌肉疲劳度无差异。
Abstract:
To evaluate the bilateral sternocleidomastoid(SCM)muscle function in states of C-spine motion in neck-type cervical spondylopathy patients with unilateral neck pain(NP).Methods:Forty neck-type cervical spondylopathy patients with unilateral NP were selected out.The action surface electromyographic(ASEMG)signals of bilateral SCM muscles were collected in states of cervical anteflexion,backward extension,right lateroflexion,left lateroflexion,right rotation and left rotation by using surface electromyography(sEMG).The ASEMG signals were processed by using the software of sEMG for obtaining the sEMG standard analysis report and sEMG frequency/fatigue analysis report.The parameters,including averaged electromyography(AEMG),integrated electromyography(IEMG),mean power frequency(MPF)and median frequency(MF),were extracted from the reports and were statistically analyzed.Results:The AEMG and IEMG of SCM muscle were lower on the painful side compared to non-painful side in neck-type cervical spondylopathy patients with unilateral NP in states of cervical anteflexion,backward extension,right lateroflexion,left lateroflexion,right rotation and left rotation(anteflexion:12.915±7.302 vs 18.750±14.520 μV,Z=-5.497,P=0.000; 582.315±295.895 vs 883.635±549.678 μV·s,Z=-5.511,P=0.000; backward extension:15.510±18.862 vs 19.215±17.137 μV,Z=-2.971,P=0.003; 684.635±777.440 vs 898.240±923.353 μV·s,Z=-3.038,P=0.002; right lateroflexion:16.710±14.353 vs 22.955±14.697 μV,Z=-2.473,P=0.013; 703.115±601.570 vs 994.365±599.673 μV·s,Z=-2.433,P=0.015; left lateroflexion:12.255±5.255 vs 17.005±13.523 μV,Z=-2.393,P=0.017; 527.070±266.853 vs 731.240±519.03 μV·s,Z=-2.406,P=0.016; right rotation:17.195±27.397 vs 39.715±50.327 μV,Z=-2.063,P=0.039; 739.535±1 181.48 vs 1 813.390±2 146.325 μV·s,Z=-2.057,P=0.040; left rotation:15.515±29.353 vs 40.250±53.145 μV,Z=-2.016,P=0.044; 725.245±1 262.037 vs 1 729.850±2 385.365 μV·s,Z=-2.070,P=0.038).There was no statistical difference in MPF and MF of SCM muscle between the painful side and non-painful side(anteflexion:63.480±26.205 vs 62.115±34.965 Hz,Z=-1.237,P=0.216; 39.840±30.515 vs 38.110±39.990 Hz,Z=-0.363,P=0.717; backward extension:65.160±25.250 vs 67.820±26.727 Hz,Z=-0.148,P=0.882; 42.030±33.111 vs 45.930±20.975 Hz,Z=-1.593,P=0.111; right lateroflexion:64.085±24.470 vs 65.525±25.500 Hz,Z=-0.417,P=0.677; 38.355±29.713 vs 42.375±23.113 Hz,Z=-0.484,P=0.628; left lateroflexion:57.905±18.997 vs 58.530±19.820 Hz,Z=-0.390,P=0.697; 34.800±19.598 vs 36.255±19.687 Hz,Z=-0.444,P=0.657; right rotation:67.460±27.015 vs 69.410±18.528 Hz,Z=-0.255,P=0.798; 47.130±20.742 vs 48.920±27.063 Hz,Z=-0.914,P=0.361; left rotation:62.035±25.763 vs 66.200±22.447 Hz,Z=-0.349,P=0.727; 45.330±28.12 vs 47.025±21.93 Hz,Z=-0.444,P=0.657).Conclusion:In cervical spondylopathy patients with unilateral NP,the contraction ability of SCM muscle declines on the painful side compared to the non-painful side in states of C-spine motion,whereas there is no difference between bilateral SCM in fatigue severity.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局中医药循证能力建设项目(2019XZZX-GK006)
通讯作者:王平 E-mail:1535174256@qq.com
更新日期/Last Update: 1900-01-01