{"title":"限制血流训练结合核心稳定运动对非特异性慢性腰痛患者肌肉活动和肌肉厚度的影响。","authors":"Phurichaya Werasirirat, Juntip Namsawang, Nutsupa Singhasoot, Nongnuch Luangpon, Audrius Snieckus, Pornpimol Muanjai","doi":"10.1177/10538127251343856","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundBlood flow restriction (BFR) is considered an alternative method for increasing muscle activity and thickness to reduce Nonspecific Chronic Low back pain (NSCLBP).ObjectivesThis study aimed to evaluate the effects of BFR with core stabilization exercise (CSE) on muscle activity, muscle thickness, and disability in individuals with NSCLBP.MethodsA total of 38 individuals with NSCLBP aged 18-45 years were included in this study. The participants were randomly divided into the BFR + CSE and CSE groups (n = 19 each). All participants underwent supervised rehabilitation sessions three times per week over a period of four consecutive weeks. Muscle activity, muscle thickness, and disability were assessed before and after the four-week intervention.ResultsThe BFR + CSE group showed significant within-group improvement in muscle activity of the transversus abdominis (TrA), multifidus (MF), and gluteus maximus (Gmax), muscle thickness at rest and during contraction, and disability (<i>p</i> < 0.05). The CSE group showed a significant increase in electromyography activity of the MF muscle (<i>p</i> < 0.05), a significant increase in muscle thickness at rest for the TrA, MF, and Gmax muscles (<i>p</i> < 0.05), and only a significant increase in muscle thickness during contraction for the TrA muscle (<i>p</i> < 0.05). Additionally, the BFR + CSE group exhibited superior benefits compared to the CSE group across all variables.ConclusionBFR combined with CSE over four weeks is more effective in improving TrA, MF, and Gmax muscle strength, muscle thickness, and disability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251343856"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of blood flow restriction training with core stabilization exercise on muscle activity and muscle thickness in subjects with nonspecific chronic low back pain.\",\"authors\":\"Phurichaya Werasirirat, Juntip Namsawang, Nutsupa Singhasoot, Nongnuch Luangpon, Audrius Snieckus, Pornpimol Muanjai\",\"doi\":\"10.1177/10538127251343856\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>BackgroundBlood flow restriction (BFR) is considered an alternative method for increasing muscle activity and thickness to reduce Nonspecific Chronic Low back pain (NSCLBP).ObjectivesThis study aimed to evaluate the effects of BFR with core stabilization exercise (CSE) on muscle activity, muscle thickness, and disability in individuals with NSCLBP.MethodsA total of 38 individuals with NSCLBP aged 18-45 years were included in this study. The participants were randomly divided into the BFR + CSE and CSE groups (n = 19 each). All participants underwent supervised rehabilitation sessions three times per week over a period of four consecutive weeks. Muscle activity, muscle thickness, and disability were assessed before and after the four-week intervention.ResultsThe BFR + CSE group showed significant within-group improvement in muscle activity of the transversus abdominis (TrA), multifidus (MF), and gluteus maximus (Gmax), muscle thickness at rest and during contraction, and disability (<i>p</i> < 0.05). The CSE group showed a significant increase in electromyography activity of the MF muscle (<i>p</i> < 0.05), a significant increase in muscle thickness at rest for the TrA, MF, and Gmax muscles (<i>p</i> < 0.05), and only a significant increase in muscle thickness during contraction for the TrA muscle (<i>p</i> < 0.05). Additionally, the BFR + CSE group exhibited superior benefits compared to the CSE group across all variables.ConclusionBFR combined with CSE over four weeks is more effective in improving TrA, MF, and Gmax muscle strength, muscle thickness, and disability.</p>\",\"PeriodicalId\":15129,\"journal\":{\"name\":\"Journal of Back and Musculoskeletal Rehabilitation\",\"volume\":\" \",\"pages\":\"10538127251343856\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Back and Musculoskeletal Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10538127251343856\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251343856","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
血流量限制(BFR)被认为是增加肌肉活动和厚度以减轻非特异性慢性腰痛(NSCLBP)的一种替代方法。本研究旨在评估BFR联合核心稳定运动(CSE)对NSCLBP患者肌肉活动、肌肉厚度和残疾的影响。方法选取38例18 ~ 45岁的NSCLBP患者作为研究对象。随机分为BFR + CSE组和CSE组(n = 19)。所有参与者在连续四周的时间里,每周接受三次有监督的康复治疗。在为期四周的干预前后评估肌肉活动、肌肉厚度和残疾。结果BFR + CSE组在腹横肌(TrA)、多裂肌(MF)和臀大肌(Gmax)的肌肉活动、静息和收缩时的肌肉厚度、残疾(p p p p)等方面均有组内显著改善
Effect of blood flow restriction training with core stabilization exercise on muscle activity and muscle thickness in subjects with nonspecific chronic low back pain.
BackgroundBlood flow restriction (BFR) is considered an alternative method for increasing muscle activity and thickness to reduce Nonspecific Chronic Low back pain (NSCLBP).ObjectivesThis study aimed to evaluate the effects of BFR with core stabilization exercise (CSE) on muscle activity, muscle thickness, and disability in individuals with NSCLBP.MethodsA total of 38 individuals with NSCLBP aged 18-45 years were included in this study. The participants were randomly divided into the BFR + CSE and CSE groups (n = 19 each). All participants underwent supervised rehabilitation sessions three times per week over a period of four consecutive weeks. Muscle activity, muscle thickness, and disability were assessed before and after the four-week intervention.ResultsThe BFR + CSE group showed significant within-group improvement in muscle activity of the transversus abdominis (TrA), multifidus (MF), and gluteus maximus (Gmax), muscle thickness at rest and during contraction, and disability (p < 0.05). The CSE group showed a significant increase in electromyography activity of the MF muscle (p < 0.05), a significant increase in muscle thickness at rest for the TrA, MF, and Gmax muscles (p < 0.05), and only a significant increase in muscle thickness during contraction for the TrA muscle (p < 0.05). Additionally, the BFR + CSE group exhibited superior benefits compared to the CSE group across all variables.ConclusionBFR combined with CSE over four weeks is more effective in improving TrA, MF, and Gmax muscle strength, muscle thickness, and disability.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.