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Effect of sling exercise training on surface electromyography of lumbar and abdominal muscles in patients with nonspecific low back pain#br# |
LIN Huijuan WANG Chengrong WANG Jianbin LAI Hangzhou |
Department of Rehabilitation, Nanping First Hospital of Fujian Province, Fujian Province, Nanping 353000, China |
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Abstract Objective To investigate the effect of sling exercise training (SET) on the surface electromyography of lumbar and abdominal muscles in patients with nonspecific low back pain (NLBP). Methods A total of 150 NLBP patients admitted to Nanping First Hospital of Fujian Province from September 2018 to August 2020 were divided into observation group and control group according to random number table method, with 75 cases in each group. Control group was given bridge exercise, observation group was given sling exercise training. Both groups trained six times a week for three weeks. Visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) low back pain score, Oswestry disability index (ODI index), root mean square (RMS) and median frequency (MF) values of erector spinae, multifidus muscle and rectus abdominis were compared between the two groups before and after training. Results Compared with before training, VAS score, ODI index, erector spinae MF, multifidus muscle MF and rectus abdominis MF decreased after training (P < 0.05), while JOA score, erector spinae RMS, multifidus muscle RMS and rectus abdominis RMS increased after training (P < 0.05). After training, VAS score, ODI index, erector spinae MF, multifidus muscle MF and rectus abdominis MF in the observation group were lower than those in the control group (P < 0.05), while JOA score, erector spinae RMS, multifidus muscle RMS and rectus abdominis RMS in the observation group were higher than those in the control group (P < 0.05). There were no exercise-treatment-related complications in both groups. Conclusion Compared with bridge exercise, sling exercise training can effectively improve lumbar abdominal muscle strength, reduce muscle group fatigue, relieve clinical symptoms, and improve lumbar function in NLBP patients.
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