請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/49401
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 王淑芬(Shwu-Fen Wang) | |
dc.contributor.author | Wei-Ju Lin | en |
dc.contributor.author | 林韋如 | zh_TW |
dc.date.accessioned | 2021-06-15T11:27:00Z | - |
dc.date.available | 2017-08-26 | |
dc.date.copyright | 2016-08-26 | |
dc.date.issued | 2016 | |
dc.date.submitted | 2016-08-18 | |
dc.identifier.citation | Al-Eisa E, Egan, D., Deluzio, K., & Wassersug, R. Effects of pelvic skeletal asymmetry on trunk movement: three-dimensional analysis in healthy individuals versus patients with mechanical low back pain. Spine (Phila Pa 1976). 2006;31:71-79.
Arbanas J, Pavlovic I, Marijancic V, et al. MRI features of the psoas major muscle in patients with low back pain. Eur Spine J. 2013;22:1965-1971. Badii M, Shin S, Torreggiani W, Jankovic B, Gustafson P, Munk P, Esdaile J. Pelvic bone asymmetry in 323 study participants receiving abdominal CT scans. Spine (Phila Pa 1976). 2003;28:1335-1339. Barker PJ, Briggs CA. Attachments of the posterior layer of lumbar fascia. Spine (Phila Pa 1976). 1999;24:1757-1764. Barker PJ, Briggs CA, Bogeski G. Tensile transmission across the lumbar fasciae in unembalmed cadavers: effects of tension to various muscular attachments. Spine (Phila Pa 1976). 2004;29:129-138. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine (Phila Pa 1976). 2004;29:515-519. Barker PJ, Guggenheimer KT, Grkovic I, et al. Effects of tensioning the lumbar fasciae on segmental stiffness during flexion and extension: Young Investigator Award winner. Spine (Phila Pa 1976). 2006;31:397-405. Barker PJ, Urquhart DM, Story IH, Fahrer M, Briggs CA. The middle layer of lumbar fascia and attachments to lumbar transverse processes: implications for segmental control and fracture. Eur Spine J. 2007;16:2232-2237. Barker PJ, Freeman AD, Urquhart DM, Anderson CR, Briggs CA. The middle layer of lumbar fascia can transmit tensile forces capable of fracturing the lumbar transverse processes: an experimental study. Clin Biomech (Bristol, Avon). 2010;25:505-509. Benjamin M. The fascia of the limbs and back--a review. J Anat. 2009;214:1-18. Berrueta L, Muskaj I, Olenich S, Butler T, Badger GJ, Colas RA, et al. Stretching Impacts Inflammation Resolution in Connective Tissue. J Cell Physiol. 2016;231:1621-1627. Bishop JH, Fox JR, Maple R, Loretan C, Badger GJ, Henry SM, et al. Ultrasound Evaluation of the Combined Effects of Thoracolumbar Fascia Injury and Movement Restriction in a Porcine Model. PloS one. 2016;11:e0147393. Bouillard K, Nordez A, Hug F. Estimation of individual muscle force using elastography. PloS one. 2011;6:e29261. Chang JM, Moon WK, Cho N, Kim SJ. Breast mass evaluation: factors influencing the quality of US elastography. Radiology. 2011;259:59-64. Chen Q, Wang HJ, Gay RE, Thompson JM, Manduca A, An KN, et al. Quantification of Myofascial Taut Bands. Arch Phys Med Rehabil. 2016;97:67-73. Chen YH, Chai HM, Shau YW, Wang CL, Wang SF. Increased sliding of transverse abdominis during contraction after myofascial release in patients with chronic low back pain. Man Ther. 2016;23:69-75. Corey SM, Vizzard MA, Badger GJ, Langevin HM. Sensory innervation of the nonspecialized connective tissues in the low back of the rat. Cells Tissues Organs. 2011;194:521-530. Cooper RG, St Clair Forbes W, Jayson MI. Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain. Br J Rheumatol. 1992;31:389-394. Cruz-Montecinos C, Gonzalez Blanche A, Lopez Sanchez D, Cerda M. In vivo relationship between pelvis motion and deep fascia displacement of the medial gastrocnemius: anatomical and functional implications. J Anat. 2015;227:665-672. Dangaria TR, Naesh O. Changes in cross-sectional area of psoas major muscle in unilateral sciatica caused by disc herniation. Spine (Phila Pa 1976). 1998;23:928-931. Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9:266-272. Engell S, Triano JJ, Fox JR, Langevin HM, Konofagou EE. Differential displacement of soft tissue layers from manual therapy loading. Clin Biomech (Bristol, Avon). 2016;33:66-72. Fortin M, Yuan Y, Battie MC. Factors associated with paraspinal muscle asymmetry in size and composition in a general population sample of men. Phys Ther. 2013;93:1540-1550. Fortin M, Macedo LG. Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding. Phys Ther. 2013;93:873-888. Fortin M, Videman T, Gibbons LE, Battie MC. Paraspinal muscle morphology and composition: a 15-yr longitudinal magnetic resonance imaging study. Med Sci Sports Exerc. 2014;46:893-901. Fortin M, Gibbons LE, Videman T, Battié MC. Do variations in paraspinal muscle morphology and composition predict low back pain in men? Scand J Med Sci Sports. 2105; 25:880-887. Gill NW, Mason BE, Gerber JP. Lateral abdominal muscle symmetry in collegiate single-sided rowers. Int J Sports Phys Ther. 2012;7:13-19. Gildea JE, Hides JA, Hodges PW. Size and symmetry of trunk muscles in ballet dancers with and without low back pain. J Orthop Sports Phys Ther. 2013;43:525-533. Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van Dillen LR. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain. Clin Biomech (Bristol, Avon). 2006;21:263-271. Hides J, Stanton W, Freke M, Wilson S, McMahon S, Richardson C. MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. Br J Sports Med. 2008;42:809-813. Hides J, Fan T, Stanton W, Stanton P, McMahon K, Wilson S. Psoas and quadratus lumborum muscle asymmetry among elite Australian Football League players. Br J Sports Med. 2010;44:563-567. Hill JC, Fritz JM. Psychosocial influences on low back pain, disability, and response to treatment. Phys Ther. 2011;91:712-721. Hodges P, Kaigle Holm A, Holm S, et al. Intervertebral stiffness of the spine is increased by evoked contraction of transversus abdominis and the diaphragm: in vivo porcine studies. Spine (Phila Pa 1976). 2003;28:2594-2601. Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Sex differences in lumbopelvic movement patterns during hip medial rotation in people with chronic low back pain. Arch Phys Med Rehabil. 2011;92:1053-1059. Hoffman SL, Johnson MB, Zou D, Harris-Hayes M, Van Dillen LR. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16:344-350. Hoffman SL, Johnson MB, Zou D, Van Dillen LR. Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain. Rehabil Res Pract. 2012;2012:635312. Hoheisel U, Rosner J, Mense S. Innervation changes induced by inflammation of the rat thoracolumbar fascia. Neuroscience. 2015;300:351-359. Hsiao MY, Chen YC, Lin CY, Chen WS, Wang TG. Reduced Patellar Tendon Elasticity with Aging: In Vivo Assessment by Shear Wave Elastography. Ultrasound Med Biol. 2015;41:2899-2905. Hukins DW, Aspden RM, Hickey DS. Thorecolumlbar fascia can increase the efficiency of the erector spinae muscles. Clin Biomech (Bristol, Avon). 1990;5:30-34. Huijing PA, Baan GC. Myofascial force transmission causes interaction between adjacent muscles and connective tissue: effects of blunt dissection and compartmental fasciotomy on length force characteristics of rat extensor digitorum longus muscle. Arch Physiol Biochem. 2001;109:97-109. Hudson JM, Milot L, Parry C, Williams R, Burns PN. Inter- and intra-operator reliability and repeatability of shear wave elastography in the liver: a study in healthy volunteers. Ultrasound Med Biol. 2013;39:950-955. Hug F, Tucker K, Gennisson JL, Tanter M, Nordez A. Elastography for Muscle Biomechanics: Toward the Estimation of Individual Muscle Force. Exerc Sport Sci Rev. 2015;43:125-133. Jeong YM, Shin MJ, Lee SH, et al. Sagging posterior layer thoracolumbar fascia: can it be the cause or result of adjacent segment diseases? J Spinal Disorder Tech 2013;26:124-129. Kang CH, Shin MJ, Kim SM, et al. MRI of paraspinal muscles in lumbar degenerative kyphosis patients and control patients with chronic low back pain. Clin Radiol. 2007;62:479-486. Kim HI, Kim SY, Kim TY. Comparison of changes in abdominal muscle thickness using ultrasound imaging during the abdominal drawing-in maneuver performed by patients with low back pain and healthy subjects. J Phys Ther Sci. 2012; 24:383-385. Kountouris A, Portus M, Cook J. Cricket fast bowlers without low back pain have larger quadratus lumborum asymmetry than injured bowlers. Clin J Sport Med. 2013;23:300-304. Lacourpaille L, Hug F, Bouillard K, Hogrel JY, Nordez A. Supersonic shear imaging provides a reliable measurement of resting muscle shear elastic modulus. Physiol Meas. 2012;33:19-28. Langevin HM, Stevens-Tuttle D, Fox JR, et al. Ultrasound evidence of altered lumbar connective tissue structure in human subjects with chronic low back pain. BMC Musculoskelet Disord. 2009;10:151. Langevin HM, Fox JR, Koptiuch C, et al. Reduced thoracolumbar fascia shear strain in human chronic low back pain. BMC Musculoskelet Disord. 2011;12:203. Levangie PK. The association between static pelvic asymmetry and low back pain. Spine (Phila Pa 1976). 1999;24:1234-1242. Le Cara EC, Marcus RL, Dempsey AR, Hoffman MD, Hebert JJ. Morphology versus function: the relationship between lumbar multifidus intramuscular adipose tissue and muscle function among patients with low back pain. Arch Phys Med Rehabil. 2014;95:1846-1852. Li Y, Snedeker JG. Elastography: modalityspecific approaches, clinical applications, and research horizons. Skeletal Radiol. 2011;40:389-397. Linek P, Saulicz E, Wolny T, Mysliwiec A, Gogola A. Ultrasound evaluation of the symmetry of abdominal muscles in mild adolescent idiopathic scoliosis. J Phys Ther Sci. 2015;27:465-468. Macintosh JE, Bogduk, N., & Gracovetsky, S. The biomechanics of the thoracolumbar fascia. Clin Biomech (Bristol, Avon). 1987;2:78-83. Marras WS, Jorgensen MJ, Granata KP, Wiand B. Female and male trunk geometry: size and prediction of the spine loading trunk muscles derived from MRI. Clin Biomech (Bristol, Avon). 2001;16:38-46. Mannion AF, Pulkovski N, Toma V, Sprott H. Abdominal muscle size and symmetry at rest and during abdominal hollowing exercises in healthy control subjects. J Anat. 2008;213:173-182. Main CJ, George SZ. Psychologically informed practice for management of low back pain: future directions in practice and research. Phys Ther. 2011;91:820-824. MacDonald D, Wan A, McPhee M, Tucker K, Hug F. Reliability of Abdominal Muscle Stiffness Measured Using Elastography during Trunk Rehabilitation Exercises. Ultrasound Med Biol. 2016;42:1018-1025. Moriarty O, McGuire BE, Finn DP. The effect of pain on cognitive function: a review of clinical and preclinical research. Prog Neurobiol. 2011;93:385-404. Myers TW. Anatomy trains: myofascial meridians for manual and movement therapists (chapter 1). Elsevier Health Sciences. 2014:43-61. Nash LG, Phillips MN, Nicholson H, Barnett R, Zhang M. Skin ligaments: regional distribution and variation in morphology. Clin Anat. 2004;17:287-293. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation (chapter 3). Elsevier Health Sciences. 2013:57&93. Nielens H, Van Zundert, J., Mairiaux, P., Gailly, J., Van Den Hecke, N., Mazina, D. et al. Chronic low back pain. Brussels, Belgium: Belgian Health Care Knowledge Centre (KCE). 2006. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord. 1992;5:390-396. Parker KJ, Fu D, Graceswki SM, Yeung F, Levinson SF. Vibration sonoelastography and the detectability of lesions. Ultrasound Med Biol. 1998;24:1437-1447. Peck D, Nicholls PJ, Beard C, Allen JR. Are there compartment syndromes in some patients with idiopathic back pain? Spine. 1986;11:468-475. Portney LG, Watkins, M.P. Fundations of Clinical Research-Application to practice. 3 ed. Pearson education, Inc. 2009. Rankin G, Stokes M, Newham DJ. Abdominal muscle size and symmetry in normal subjects. Muscle Nerve. 2006;34:320-326. Ranson C, Burnett A, O'Sullivan P, Batt M, Kerslake R. The lumbar paraspinal muscle morphometry of fast bowlers in cricket. Clin J Sport Med. 2008;18:31-37. Ranger TA, Teichtahl AJ, Cicuttini FM, Wang Y, Wluka AE, O'Sullivan R, et al. Shorter Lumbar Paraspinal Fascia Is Associated With High Intensity Low Back Pain and Disability. Spine (Phila Pa 1976). 2016;41:489-493. Sadeghisani M, Manshadi FD, Kalantari KK, Rahimi A, Namnik N, Karimi MT, et al. Correlation between Hip Rotation Range-of-Motion Impairment and Low Back Pain. A Literature Review. Ortop Traumatol Rehabil. 2015;17:455-462. Sarvazyan, A.P. Elastic Properties of Soft Tissue. Handbook of Elastic Properties of Solids, Liquids, and Gases. 2001;3:107-127. Schilder A, Hoheisel U, Magerl W, Benrath J, Klein T, Treede RD. Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain. Pain. 2014;155:222-231. Schleip R, Duerselen L, Vleeming A, Naylor IL, Lehmann-Horn F, Zorn A, et al. Strain hardening of fascia: static stretching of dense fibrous connective tissues can induce a temporary stiffness increase accompanied by enhanced matrix hydration. J Bodyw Mov Ther. 2012;16:94-100. Scholtes SA, Van Dillen LR. Gender-related differences in prevalence of lumbopelvic region movement impairments in people with low back pain. J Orthop Sports Phys Ther. 2007;37:744-753. Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29:1155-1167. Shinohara M, Sabra K, Gennisson JL, Fink M, Tanter M. Real-time visualization of muscle stiffness distribution with ultrasound shear wave imaging during muscle contraction. Muscle Nerve. 2010;42:438-441. Simon CB, Lentz TA, Bishop MD, Riley JL, 3rd, Fillingim RB, George SZ. Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity. Phys Ther. 2016;96:1049-1056. Smith BE, Littlewood C, May S. An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC Musculoskelet Disord. 2014;15:416. Stecco C, Corradin M, Macchi V, et al. Plantar fascia anatomy and its relationship with Achilles tendon and paratenon. J Anat. 2013;223:665-676. Stecco C, Cappellari A, Macchi V, et al. The paratendineous tissues: an anatomical study of their role in the pathogenesis of tendinopathy. Surg Radiol Anat. 2014;36:561-572. Suri P, Fry AL, Gellhorn AC. Do Muscle Characteristics on Lumbar Spine Magnetic Resonance Imaging or Computed Tomography Predict Future Low Back Pain, Physical Function, or Performance? A Systematic Review. PM R. 2015;7:1269-1281. Teyhen DS, Bluemle LN, Dolbeer JA, et al. Changes in lateral abdominal muscle thickness during the abdominal drawing-in maneuver in those with lumbopelvic pain. J Orthop Sports Phys Ther. 2009;39:791-798. Urquhart DM, Barker PJ, Hodges PW, Story IH, Briggs CA. Regional morphology of the transversus abdominis and obliquus internus and externus abdominis muscles. Clin Biomech (Bristol, Avon). 2005;20:233-241. Valentin S, Licka T, Elliott J. Age and side-related morphometric MRI evaluation of trunk muscles in people without back pain. Man Ther. 2015;20:90-95. Vleeming A, Pool-Goudzwaard AL, Stoeckart R, van Wingerden JP, Snijders CJ. The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs. Spine (Phila Pa 1976). 1995;20:753-758. Vleeming A, Schuenke MD, Danneels L, Willard FH. The functional coupling of the deep abdominal and paraspinal muscles: the effects of simulated paraspinal muscle contraction on force transfer to the middle and posterior layer of the thoracolumbar fascia. J Anat. 2014;225:447-462. Wang KK. Mechanical Deformation of Posterior Thoracolumbar Fascia after Myofascial Release in Healthy Male Participants. Taipei: National Taiwan University. 2011. Wan Q, Lin C, Li X, Zeng W, Ma C. MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain. Br J Radiol. 2015;88:20140546. Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7:e52082. Weyrauch SA, Bohall SC, Sorensen CJ, Van Dillen LR. Association between rotation-related impairments and activity type in people with and without low back pain. Arch Phys Med Rehabil. 2015;96:1506-1517. Willard FH, Vleeming A, Schuenke MD, Danneels L, Schleip R. The thoracolumbar fascia: anatomy, function and clinical considerations. J Anat. 2012;221:507-536. Wilke J, Krause F, Vogt L, Banzer W. What Is Evidence-Based About Myofascial Chains: A Systematic Review. Arch Phys Med Rehabil. 2016;97:454-461. Yahia L, Rhalmi S, Newman N, Isler M. Sensory innervation of human thoracolumbar fascia: An immunohistochemical study. Acta Orthop Scand. 1992;63:195-197. Zhang ZJ, Fu SN. Shear Elastic Modulus on Patellar Tendon Captured from Supersonic Shear Imaging: Correlation with Tangent Traction Modulus Computed from Material Testing System and Test-Retest Reliability. PloS one. 2013;8:e68216. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/49401 | - |
dc.description.abstract | 背景: 肌筋膜提供身體跨關節的肌群連續之整體性,且對所相連之肌肉骨骼有張力調節的作用,肌肉-筋膜變化存在於下背痛病人中。胸腰筋膜中的外側縫為側腹三層肌肉-筋膜與豎脊肌群之集合處,過去的研究中已探討超音波影像量測下背痛患者腹橫肌的收縮表現較正常人差,且發現筋膜型態為厚度增加與腹橫肌肌筋膜滑動減少,然而腹橫肌收縮時的筋膜張力如何傳遞仍沒有研究探討,力的傳遞在肌肉骨骼系統將影響組織受力與受傷程度。近年運用彈性造影超音波量測筋膜剛性,可反映筋膜受力後機械特性改變,然而彈性造影超音波量測筋膜剛性之信度仍未建立。筋膜剛性在無症狀者及單側下背痛病人於腹橫肌收縮時是否增加、是否對稱,及兩組之差異亦未知。
目的: 本實驗目的為: (1) 建立彈性造影超音波在休息與腹橫肌收縮狀態時外側縫剛性之信度; (2) 比較無症狀者於不同狀態之差異與左右兩側外側縫剛性的對稱性; (3) 比較單側下背痛者於不同狀態之差異與痛側/非痛側外側縫剛性的對稱性; (4) 比較兩組於休息與腹橫肌收縮狀態下之外側縫剛性差異。 方法:信度實驗收取14位無症狀者(22.4±2.8歲)。主要實驗收取42位,包含20位無症狀者(26.5±4.1歲)及22位單側下背痛患者(29.7±6.7歲)。受試者於趴姿下做腹部內收(腹橫肌收縮),測試者以彈性超音波(SuperSonic Imagine, Aix en Provence, France)量取外側縫剛性,測量參數包含身體兩側休息及收縮狀態時的剛性。信度實驗以組內相關係數(ICC(3,3))分析;組內間之狀態差異與兩側對稱性以混和設計變異數分析檢定;以二因子混合共變數分析比較於不同狀態時,兩組外側縫剛性之差異,α值設在0.05。 結果: 以彈性造影超音波量測無症狀者之外側縫剛性呈現良好信度(ICC(3,3) =0.77-0.96);不同分析者之影像間信度為0.85-0.88(ICC(3,1))。信度受試者之兩側與狀態交互作用不顯著,兩側無差異(左:17.18±9.47kPa;右:19.73±8.42kPa, p=0.427),不同狀態下也無差異(休息:18.51±7.70kPa;收縮:18.40±10.18kPa, p=0.939)。背痛組之兩側與狀態交互作用不顯著,兩側無差異(痛側:22.30±10.05 kPa;非痛側:22.69±8.99 kPa, p=0.879),但不同狀態下有差異(休息: 19.48±7.61 kPa;收縮:25.51±10.95kPa, p<0.00008)。主要實驗受試者之組別與狀態交互作用顯著(F=15.762,p=<0.0005),組別因子之事後分析為腹橫肌收縮時,背痛組之外側縫剛性較無症狀者大 (下背痛:26.12±12.87 kPa;無症狀:19.40±8.07 kPa, p=0.001)。 結論: 量測外側縫剛性提供了量化筋膜的方法,且信度良好。無症狀者腹橫肌收縮時外側縫剛性與休息時相比不變且兩側外側縫剛性對稱。單側下背痛者腹橫肌收縮時外側縫剛性比休息時大。疼痛側及非疼痛側間剛性無差異。下背痛組之外側縫剛性於腹橫肌收縮時,較無症狀組大。本實驗探討於動態收縮下之筋膜機械特性改變,支持下背痛病人肌肉筋膜張力動態失衡之現象。 | zh_TW |
dc.description.abstract | Background: Myo-fascia provides a continuous network of restricting but adjustable tension around muscles and bones. Muscle-fascia tenderness is noted in patients with low back pain (LBP). The lateral raphe (LR), part of thoracolumbar fascia, is the junction connecting lateral abdominal muscles and paraspinal muscles. Participants with LBP demonstrate a morphological deficit during the contraction of the transverse abdominals, which is termed abdominal draw-in maneuver (ADIM), decreased change of muscle thickness and muscle-fascia sliding, as well as increased fascia thickness. However, the investigation is few in tension transmission during contraction, which is an important issue related to tissue loading and lesion in musculoskeletal systems. The technology of shear wave elastography (SWE) could provide the measurement of the stiffness of soft tissue through the calculation of young's module. However, the reliability of fascia stiffness measured by SWE is unknown. Whether the fascia stiffness is symmetry in sides, increased during ADIM in asymptomatic participants and patients with unilateral LBP is unknown, neither the difference between groups.
Purposes: The purposes of this study were (1) to establish the intra-rater reliability of LR stiffness under resting and ADIM conditions by using SWE, (2) to compare the differences of LR stiffness under these conditions and between sides in asymptomatic participants, (3) to compare the LR stiffness under resting and ADIM conditions, and between painful and non-painful sides in participants with unilateral LBP, and (4) to compare the LR stiffness under resting and ADIM conditions between asymptomatic participants and patients with unilateral LBP. Method: 14 asymptomatic participants (22.4±2.8 y/o) were included in the reliability study. Patients with unilateral LBP (n=22, 29.7±6.7 y/o) and asymptomatic participants (n=20, 26.5±4.1 y/o) were recruited in the main study. The SWE (SuperSonic Imagine, Aix en Provence, France) with 5-12MHz linear transducer was used to measure the stiffness of LR. Participants were positioned in prone and asked to perform ADIM. The outcome variables included the LR stiffness of bilateral sides in resting and ADIM condition. The reliability was analyzed using intra-class correlation coefficient (ICC(3,3)). Two-way repeated ANOVA was used to analysis the stiffness of LR between bilateral sides and in resting and ADIM condition. Two-way repeated measures ANCOVA was used to analysis the difference of LR stiffness between asymptomatic participants and patients with unilateral LBP in resting and ADIM condition. Result: The intra-rater reliability of measuring the LR stiffness in resting and ADIM condition was in the range of good to excellent (ICC(3,3)=0.77-0.96); the reliability of measuring the same images by different raters were 0.85-0.88(ICC(3,1)). In participants enrolled in reliability study, no interaction between sides and conditions. The main effect of sides (left: 17.18±9.47 kPa; right: 19.73±8.42 kPa, p=0.427) and conditions (resting: 18.51±7.70 kPa; ADIM: 18.40±10.18 kPa, p=0.939) was not significant. No interaction between sides and conditions in LBP group. The main effect of sides was not significant (painful: 22.30±10.05 kPa; non-painful: 22.69±8.99 kPa, p=0.879), yet, the main effect of conditions was significant (resting: 19.48±7.61 kPa; ADIM: 25.51±10.95 kPa, p<0.00008). There was significant interaction between groups and conditions (F=15.762,p=<0.0005). Post hoc for group demonstrated that LR stiffness was greater in LBP group during ADIM (LBP: 26.12±12.87 kPa; asymptomatic: 19.40±8.07 kPa, p=0.001). Conclusion: Measuring the LR stiffness in resting and ADIM condition using SWE is reliable. The LR stiffness in asymptomatic participants was symmetrical. The LR stiffness between resting and ADIM condition was unchanged in asymptomatic group. Whereas the stiffness of both painful and non-painful sides in patients with unilateral LBP is increased during ADIM. Furthermore, LR stiffness in patients with unilateral LBP in resting was not different from asymptomatic group. The result of the present study investigating the fascia property in dynamic condition supports the concept of dynamic myo-fascial tension imbalance in patients with LBP. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T11:27:00Z (GMT). No. of bitstreams: 1 ntu-105-R02428006-1.pdf: 3281931 bytes, checksum: 95d528477358939dc3494e18206d5ca8 (MD5) Previous issue date: 2016 | en |
dc.description.tableofcontents | 摘要 iii
Abstract v Chapter 1 Introduction - 1 1.1 Background - 1 1.2 Purposes - 6 1.3 Research questions - 7 1.4 Hypotheses - 7 1.5 Research significance - 9 Chapter 2 Literature review - 10 2.1 The TLF attached to the spinal muscles and the lumbar spine to form an integrity system... - 10 2.2 Anatomical connection of lumbo-pelvic-hip complex via myofascial connection forms the mechanical base of force transmission and hydraulic effect of TLF between abdominal muscles and ES. - 14 2.3 Integrated stability of TLF system involved in mechanical properties of hydraulic effect of paraspinal muscle, force transduction of abdominal muscles, as well as neural sensor in fascia mediated proprioception. - 19 2.4 Symmetry trunk movements depend on pelvic symmetry, muscle balance and neural control unit, while patients frequently demonstrated asymmetrical trunk movement and/or muscle size. - 24 2.5 SWE is a valid and reliable instrument to estimate stiffness of the musculoskeletal tissue, which could reflect the force of muscle during contraction. - 27 Chapter 3 Research Methods - 32 3.1 Reliability of Measurement of LR stiffness - 32 3.2 To compare the difference of LR stiffness for bilateral sides of resting and ADIM condition between asymptomatic participants and patients with unilateral LBP - 36 Chapter 4 Results - 40 4.1 Reliability of Measurement of LR stiffness - 40 4.2 Comparison of LR stiffness between resting and ADIM condition and between left and right side in asymptomatic participants - 41 4.3 Comparison of LR stiffness between resting and ADIM condition and between painful and non-painful side in participants with unilateral LBP - 42 4.4 Comparison of LR stiffness of resting and ADIM condition between participants with and without unilateral LBP - 43 Chapter 5 Discussion - 44 5.1 Reliability of measurement of LR stiffness and equal tension in LR in asymptomatic group…. - 44 5.2 Significant increased stiffness during ADIM in unilateral LBP group compared with that in asymptomatic group - 50 Chapter 6 Conclusion - 58 Chapter 7 References - 59 Tables - 70 Figures - 88 Appendices - 95 | |
dc.language.iso | en | |
dc.title | 單側下背痛病人於腹橫肌收縮時外側縫之剛性增加 | zh_TW |
dc.title | Increased Stiffness of Lateral Raphe
during Contraction of Transverse Abdominis in Patients with Unilateral Low Back Pain | en |
dc.type | Thesis | |
dc.date.schoolyear | 104-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王崇禮(Chung-Li Wang),邵耀華(Yio-Wha Shau),朱美滿(Mei-Mang Chu),陳譽仁(Yu-Jen Chen) | |
dc.subject.keyword | 腹橫肌收縮,彈性超音波,外側縫,下背痛, | zh_TW |
dc.subject.keyword | Abdominal Draw-in Maneuver,Elastography,Lateral Raphe,Low Back Pain, | en |
dc.relation.page | 100 | |
dc.identifier.doi | 10.6342/NTU201602662 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2016-08-18 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
顯示於系所單位: | 物理治療學系所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-105-1.pdf 目前未授權公開取用 | 3.21 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。