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題 名 | 新開發肌電回饋頸椎牽引機初步臨床試用評估:牽引過程頸椎肌電位反應比較=Clinical Investigation of a New Cervical Traction Device with EMG Biofeedback-A Preliminary Study |
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作 者 | 李明義; 黃美涓; 張恆雄; 陳友倫; 郭榮昆; 鄭智仁; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 24:2 1996.12[民85.12] |
頁 次 | 頁132-137 |
分類號 | 418.92 |
關鍵詞 | 間歇性頸椎牽引; 頸痛; 肌電訊號生理回饋; 椎邊肌肉; 高張力; Intermittent traction; Neck pain; EMG biofeedback; Paraspinal muscle; High tension; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究主要系針對新開發之監控式肌電訊號回饋牽引機進行臨床試用及肌肉放鬆療效評估:臨床測試過程共收集二十四名頸部肌肉酸痛病患,首先依頸部椎邊肌肉痙攣程度分成高張力群及低張力群各二十名,再以隨機方式平分為控制組及實驗組。控制組以傳統牽引機治療;實驗組則以新開發具生物回饋機制之牽引機治療。每人每週三次,每次二十鐘,共治療七週。至於臨床療效之評估,係以病患在接受牽引治療過程其頸部椎邊肌肌電訊號之平均值及七週治療期間肌電訊號平均值下降幅度做為定量評估依據。 實驗結果顯示,高張力群病人在治療前頸椎第五節椎邊肌(paraspinal muscles C5)平均肌電訊號為控憲組8.78±0.13μV及實驗組8.54±0.23μV,低張力群控組組4.58±0.15μV及實驗組4.39±0.16μV。實療七週後冬為高張力群控制組4.58±0.24μV及實驗組1.88±0.10μV(p<0.05);低張力群控制組2.08±0.019μV及實驗繆1.78±0.10μV(p<0.05)。實驗結果證實使用間歇性頸椎牽引治療之七週治療期間其肌電訊號有持續下降之趨勢。而且不論高張力或低張力病患群,實驗組在經過七週治療,其肌電訊號平均值的下附較控制繆更為明顯。另外實驗結果也顯示新開發之電訊號生理回饋頸椎牽引機,由於可依肌肉放鬆程度自動增減牽引拉力,對頸部酸痛且肌肉痙攣之病患,可在安全牽引拉力範圍內較快速調升牽引拉力以達治療效果,有助於縮短療程並節省醫療資源。 |
英文摘要 | The intermittent cervical traction is a popular physical therapeutic device for relieving neck pain or cervical radiculopathy. In this paper, the clinical evaluation of a newly developed traction modiality with electromyography biofeedback was presented. Twenty four patients with neck pain were divided into high tension and low tension group according to the severity of muscle spasm. The subjects were further randomly separated into two subgroups. The control and experimental subgroup were treated with conventional and new biofeedback traction modalities respectively. Each subject was treated in sitting position for twenty minutes very other day for seven weeks. The reduction of the average C5 paraspinal muscle EMG signal during traction in each week were collected for assessment. The results of this study show that before traction the average EMG signal of control and experimental subgroup in high tension group were 8.78±0.13μV and 8.54±0.23μV respectively. In low tension group were 4.58±0.15μV and 4.39±0.16μV respectively. After traction for a period of seven weeks, the average EMG signal of control and experimental subgroup in high tension group were reduced to 4.58±0.24μV and 1.88±0.10μV (p<0.05) respectively. In low tension group were 2.08±0.19μV and 1.78±0.10μV (p<0.05). From this clinical study, the newly designed cervical traction device with real-time traction weight adaptive control based on EMG biofeedback was found to be more effective in treating patient with neck pain. The results of this study indicated that the use of intermittent cervical traction in sitting position could produce cumulative effect on paraspinal muscle relaxation. The effect of paraspinal muscle relaxation over 7-weeks treatment duration using biofeedback traction device was better than that using conventional protocol. However, there is no significant differences in reduction of EMG activities fro patients with neck pain but without muscle spasm between biofeedback and conventional traction treatment. |
本系統中英文摘要資訊取自各篇刊載內容。