بررسی مقایسه زمان بندی فعالیت الکترومیوگرافی عضلات ثبات دهنده ستون فقرات در طی رخدادهای مختلف روزانه در افراد مبتلا به کمر درد و سالم

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجو کارشناسی ارشد، گروه آسیب‌شناسی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه علامه طباطبایی، تهران، ایران.

2 استادیار آسیب‌شناسی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه علامه طباطبائی، تهران، ایران.

چکیده

زمینه و هدف: امروزه کمردرد یکی از شایع‌ترین مشکلات اسکلتی- عضلانی در جوامع مختلف است. هدف از مطالعه حاضر بررسی مقایسه زمان‌بندی فعالیت الکترومیوگرافی عضلات ثبات دهنده ستون فقرات در طی رخدادهای مختلف روزانه در افراد مبتلا به کمر درد و سالم بود.
روش ­بررسی: در این مطالعه، 24 مرد دارای کمردرد مزمن غیراختصاصی و سالم (30 تا 55 سال) انتخاب شدند. زمان شروع فعالیت عضلات ارﮐﺘﻮر اﺳﭙﺎﯾﻦ کمری، ارﮐﺘﻮر اﺳﭙﺎﯾﻦ سینه‌ایی، سرینی بزرگ، عرضی شکم و مولتی ﻓﯿﺪوس ﮐﻤﺮی توسط دستگاه الکترومیوگرافی سطحی در دو حرکت برخاستن و بلند کردن شئ از روی زمین ثبت شد.
یافته­ ها: یافته‌ها نشان داد که زمان شروع فعالیت عضلات مولتی فیدوس کمری (راست و چپ) (0/000p=)، سرینی بزرگ (راست و چپ) (000/0=p) و عرضی شکم (راست و چپ) (000/0=p) در حرکت بلند کردن شئ از روی زمین معنادار است. همچنین زمان شروع فعالیت عضله ارﮐﺘﻮر اﺳﭙﺎﯾﻦ سینه‌ایی (راست) (390/0=p)، مولتی ﻓﯿﺪوس ﮐﻤﺮی (چپ) (000/0=p)، ﮔﻠﻮﺗﺌﻮس ﻣﺎﮐﺰﯾﻤﻮس(چپ) (000/0=p) و عرضی شکم (راست و چپ) (000/0=p) در حرکت بلند شدن از روی سطح نیز معناداری است.
نتیجه­ گیری: نتایج تحقیق نشان داد زمان شروع فعالیت در عضلات عرضی شکم و مولتی ﻓﯿﺪوس ﮐﻤﺮی در افراد مبتلا به کمردرد مزمن غیراختصاصی نسبت به افراد سالم با تأخیر بوده است. همچنین اختلال در هماهنگی و تأخیر در وارد عمل شدن عضلات عرضی شکم و مولتی فیدوس کمری در هر چهار صورت حرکت منشاء اصلی اختلال و تأخیر در فعالیت عضلات سگمان‌های بالای و پایینی به‌صورت جبرانی بوده است. 

کلیدواژه‌ها


Abboud, J; Nougarou, F; Pagé, I; Cantin, V; Massicotte, D; Descarreaux, M (2014). “Trunk motor variability in patients with non-specific chronic low back pain”. European journal of applied physiology, 114(12), 2645-2654.
Ahmadnezhad, L; & Yalfani, A. (2019). “The relationship between pain and functional disability with local and global selected trunk muscles activity and comparison the activity of these muscles between men and women with non-specific chronic low back pain”. Journal of Anesthesiology and Pain, 10(2), 1-11. (In Persian)
Ahmadnezhad, L; Yalfani, A; Borujeni, B. G (2020). “Inspiratory Muscle Training in Rehabilitation of Low Back Pain: A Randomized Controlled Trial”. Journal of sport rehabilitation, 29(8), 1151-1158.
Arjmand, N; Shirazi-Adl, A; Bazrgari, B (2006). “Wrapping of trunk thoracic extensor muscles influences muscle forces and spinal loads in lifting tasks”. Clinical biomechanics, 21(7), 668-675.
Barbero, M., Merletti, R., & Rainoldi, A (2012). Atlas of muscle innervation zones: understanding surface electromyography and its applications, Springer Science & Business Media.
Borujeni, B. G; Yalfani, A. (2020). “Effect of respiratory muscle training session on ankle muscle activity in athletes with chronic low back pain performing overhead squats: a randomized controlled trial”. International journal of evidence-based healthcare, 18(2), 256-264.
Daneshmandi, H; Choobineh, A. R; Ghaem, H; Alhamd, M; Fakherpour, A (2017). “The effect of musculoskeletal problems on fatigue and productivity of office personnel: a cross-sectional study”. Journal of preventive medicine and hygiene, 58(3), E252. (In Persian)
Ekstrom, R. A; Osborn, R. W; Hauer, P. L (2008). “Surface electromyographic analysis of the low back muscles during rehabilitation exercises”. Journal of orthopaedic & sports physical therapy, 38(12), 736-745.
Falla, D; Gizzi, L; Tschapek, M; Erlenwein, J; Petzke, F (2014). “Reduced task-induced variations in the distribution of activity across back muscle regions in individuals with low back pain”. Pain, 155(5), 944-953.
Falla, D; Rainoldi, A; Merletti, R; Jull, G (2004). “Spatio-temporal evaluation of neck muscle activation during postural perturbations in healthy subjects”. Journal of Electromyography and Kinesiology, 14(4), 463-474.
Ferguson, S. A; Marras, W. S; Burr, D. L; Davis, K. G; Gupta, P (2004). “Differences in motor recruitment and resulting kinematics between low back pain patients and asymptomatic participants during lifting exertions”. Clinical Biomechanics, 19(10), 992-999.
Gholami, B. B; & Yalfani, A. (2019). “Correlation of pain and lumbar arch with electromyography of ankle muscle in athletes with low back pain”. Journal of Anesthesiology and Pain, 10(3), 105-118. (In Persian)
Gombatto, S. P; Brock, T; DeLork, A; Jones, G; Madden, E; Rinere, C (2015). “Lumbar spine kinematics during walking in people with and people without low back pain”. Gait & posture, 42(4), 539-544.
Groah, S. L; Schladen, M; Pineda, C. G; Hsieh, C. H. J (2015). “Prevention of pressure ulcers among people with spinal cord injury: a systematic review”. Overview of Physical Medicine and Rehabilitation, 7(6), 613-636.
Hebert, J. J; Koppenhaver, S. L; Magel, J. S; Fritz, J. M (2010). “The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study”. Archives of physical medicine and rehabilitation, 91(1), 78-85.
Hossain, M; Nokes, L. D. M (2005). “A model of dynamic sacro–iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain”. Medical Hypotheses, 65(2), 278-281.
Iatridis, J. C; Kang, J; Kandel, R; Risbud, M. V (2016). “New horizons in spine research: disc biology, spine biomechanics and path mechanisms of back pain”. Journal of orthopedic research: official publication of the Orthopaedic Research Society, 34(8), 1287.
Junginger, B; Baessler, K; Sapsford, R; Hodges, P. W (2010). “Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck”. International urogynecology journal, 21(1), 69-77.
Keyserling, W. M (2000). “Workplace risk factors and occupational musculoskeletal disorders, Part 2: A review of biomechanical and psychophysical research on risk factors associated with upper extremity disorders”. AIHAJ-American Industrial Hygiene Association, 61(2), 231-243.
Lee, J; Yoon, C; Kim, K; Cho, M; Kim, H. C; Chung, S. G (2019). “Lumbar Stability in Healthy Individuals and Low Back Pain Patients Quantified by Wall Plank‐and‐Roll Test”. Overview of Physical Medicine and Rehabilitation, 11(5), 483-494.
Macadam, P; Feser, E. H (2019). “Examination of gluteus maximus electromyographic excitation associated with dynamic hip extension during body weight exercise: a systematic review”. International journal of sports physical therapy, 14(1), 14.
Mousavi, S. J; Akbari, M. E; Mehdian, H; Mobini, B; Montazeri, A; Akbarnia, B; Parnianpour, M (2011). “Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries”. Spine, 36(10), E638-E646.
Nadler, S. F; Malanga, G. A; DePrince, M; Stitik, T. P; Feinberg, J. H (2000). “The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes”. Clinical Journal of Sport Medicine, 10(2), 89-97.
Neumann, P; Gill, V (2002). “Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure”. International Urogynecology Journal, 13(2), 125-132.
O’Sullivan, P. B; Beales, D. J; Beetham, J. A; Cripps, J; Graf, F; Lin, I. B; Avery, A. (2002). “Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test”. Spine, 27(1), E1-E8.
Papi, E; Bull, A. M; McGregor, A. H (2018). “Is there evidence to use kinematic/kinetic measures clinically in low back pain patients: A systematic review”. Clinical Biomechanics, 55, 53-64.
Porterfield, J. A; DeRosa, C (1998). Mechanical low back pain: perspectives in functional anatomy, Saunders.
Ruhe, A; Fejer, R; Walker, B (2011). “Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature”. European Spine Journal, 20(3), 358-368.
Slipman, C. W; Jackson, H. B; Lipetz, J. S; Chan, K. T; Lenrow, D; Vresilovic, E. J (2000). “Sacroiliac joint pain referral zones”. Archives of physical medicine and rehabilitation, 81(3), 334-338.
Stokes, I. A; Gardner-Morse, M. G; Henry, S. M (2011). “Abdominal muscle activation increases lumbar spinal stability: analysis of contributions of different muscle groups”. Clinical biomechanics, 26(8), 797-803. 
Thomas, J. R; Nelson, J. K; Silverman, S. J (2015). Research methods in physical activity. Human kinetics.
Tsao, H; Hodges, P. W (2008). “Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain”. Journal of electromyography and kinesiology, 18(4), 559-567.
Van Wingerden, J. P; Vleeming, A; Buyruk, H. M; Raissadat, K (2004). “Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis”. European Spine Journal, 13(3), 199-205.
Vera-Garcia, F. J; Moreside, J. M; McGill, S. M (2010). “MVC techniques to normalize trunk muscle EMG in healthy women”. Journal of electromyography and kinesiology, 20(1), 10-16.
Voerman, G. E; Fleuren, J. F. M; Kallenberg, L. A. C; Rietman, J. S; Snoek, G. J; Hermens, H. J (2009). “Patient ratings of spasticity during daily activities are only marginally associated with long-term surface electromyography”. Journal of Neurology, Neurosurgery & Psychiatry, 80(2), 175-181.
Wrigley, A. T; Albert, W. J; Deluzio, K. J; Stevenson, J. M (2005). “Differentiating lifting technique between those who develop low back pain and those who do not”. Clinical Biomechanics, 20(3), 254-263.
Youdas, J. W; Boor, M. M; Darfler, A. L; Koenig, M. K; Mills, K. M; Hollman, J. H (2014). “Surface electromyographic analysis of core trunk and hip muscles during selected rehabilitation exercises in the side-bridge to neutral spine position”. Sports health, 6(5), 416-421.
Zawadka, M; Skublewska-Paszkowska, M; Gawda, P; Lukasik, E; Smolka, J; Jablonski, M (2018). “What factors can affect lumbopelvic flexion-extension motion in the sagittal plane: A literature review”. Human movement science, 58, 205-218.