Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (36): 5785-5790.doi: 10.3969/j.issn.2095-4344.0562

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Core stability training targeting multifidus: monitor using ultrasound combined with surface electromyogram versus no monitor

Zheng Yaochao1, Lin Caina1, Ke Songjian1, Luo Haijie2, Liu Cuicui1, Ma Chao1, Wu Shaoling1   

  1.  (1Department of Rehabilitation Medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong Province, China; 2the Fifth People’s Hospital of Dongguan, Dongguan 523903, Guangdong Province, China)
  • Received:2018-07-11 Online:2018-12-28 Published:2018-12-28
  • Contact: Wu Shaoling, MD, Chief physician, Doctoral supervisor, Department of Rehabilitation Medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong Province, China
  • About author:Zheng Yaochao, Master candidate, Physical therapist, Department of Rehabilitation Medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, Guangdong Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81771201 and 81671088; the Natural Science Foundation of Guangdong Province, No. 2016A030311045; the Science and Technology Program of Guangdong Province, No. 201807010050; the Yat-Sen Clinical Research and Cultivation Project

Abstract:

BACKGROUND: Core stability training has been shown to improve local core muscles. But whether the core stability training monitored by ultrasound imaging combined with surface electromyogram can treat low back pain better remains unclear.
OBJECTIVE: To investigate the influence of multifidus thickness contraction ratio and electromyogram signal characteristics before and after core stability training monitored using ultrasound imaging combined with surface electromyogram, compared with the same training without monitor.
METHODS: Fifty healthy volunteers were randomly allocated into monitor group (n=26) and control group (n=24), and then underwent core stability training monitored using ultrasound imaging combined with surface electromyogram and without monitor, respectively. The multifidus thickness contraction ratio value and surface electromyogram signal value before and after 4 and 8 weeks of training were compared.
RESULTS AND CONCLUSION: Before training, there were no significant differences in the thickness contraction ratio value and average amplitude of electromyogram of multifidus between two groups (P > 0.05). After 8 weeks of training, the thickness contraction ratio value and average amplitude of electromyogram value of multifidus in both groups especially the monitor group were significantly higher than those before training (P < 0.05). In summary, the core stability training using ultrasound imaging combined with surface electromyogram can obviously increase multifidus thickness contraction ratio and average surface electromyogram value in healthy human. Meanwhile, the effect of monitoring training is greater than the same training without monitor, which provides evidence for low back pain patients undergoing core stability training.

中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程

Key words:  Tissue Engineering, Electromyography, Rehabilitation

CLC Number: