胫骨前肌酸痛做完矶心电图讲解需要针灸吗

小腿胫骨前肌运动后酸痛 时间: 10:39:36 健康咨询描述: 平常一直有保持运动,但是开始每次运动就会胫骨前肌非常酸痛以至于不能正常运动,腿上会起小疙瘩,应该是血液不循环造成的吧?但休息个5分钟之后再运动就会好很多。: 需要医生帮助提供远程诊断: 请医生诊断一下,是否需要去医院就诊? 感谢医生为我快速解答——该 十大相似问答推荐 医生答案显示区 帮助网友:118698称赞:980 病情分析:你好,你说的有肌肉痛的症状。指导意见:考虑是有劳累、缺钙导致的,建议适当按摩,避免劳累,补钙治疗.祝你健康。 劳累是有,缺钙应该不会,如何才能根除呢 帮助网友:77530称赞:493 病情分析:你好,通常腿痛有很多原因,可能是有神经受压,也可能是关节炎,也可能是有血供不足。 指导意见: 建议进一步检查,平时要注意休息,避免劳累,可以适当理疗 帮助网友:86142称赞:707 病情分析:腿痛跟个人体质有关系,天气也是一方面,腿上寒气大, 指导意见:建议用麦麸加烈度高的白酒,大葱白干炒,达到灼热感时,用布包把以上麦麸包起来,裹住疼痛的地方,每天坚持,坚持两个月应该就除根了 帮助网友:11780称赞:160 病情分析:你好,你说的这种情况可以自己注意调理。指导意见:请不要担心,建议你做运动前,先做热身运动,避免剧烈运动,每天热水泡脚,或是平时多按摩腿部缓解·。 做慢跑就会疼应该不是热身的问题 08:59医生回答: 你好,考虑是肌肉痛造成的,可以做局部按摩或是拔火罐缓解症状。 百度智能推荐 关节炎泛指发生在人体关节及其周围组织的炎性疾病,可分为数十种。我国的关节炎患者有1亿以上,且人数在不断增加。临床表现为关节的红、肿、热、痛、功能障碍及关节畸形,严重者导致关节残疾、影响患者生活质量。...... 挂号科室骨科 常见症状、变形、活动受限 检查项目风湿五项、X线、CT、、 并发疾病、、、、 常用药物、、 其他信息治疗费用、是否传染、好发人群 本品适用于骨关节炎﹑类风湿性关节炎和强直性脊椎炎等引起的... 参考价格:1500 1.各种急﹑慢性炎性关节炎:类风湿关节炎﹑强直性脊柱炎﹑... 参考价格:0 本品用于类风湿性关节炎,青少年慢性关节炎,盘状和系统性红... 参考价格:6500 祛风燥湿,活血止痛。本品主要用于风湿痹痛,腰腿疼痛,风湿... 参考价格:3500 网友最关注 治病成功案例/我的经验分享 用药指导/吃什么药好 本品适用于骨关节炎﹑类风湿性关节炎和强直性脊椎炎... 参考价格:¥15 1.各种急﹑慢性炎性关节炎:类风湿关节炎﹑强直性... 参考价格:暂无报价 如何收藏问题? 方法一:同时按住Ctrl键和D键收藏问题。 方法二:点击浏览器上的收藏按钮收藏问题。ó???з??顣?? 飺????????????????????????????????askP74MW??лл? ???棬????????????503 Service Temporarily Unavailable 503 Service Temporarily Unavailable nginx/1.4.1J.Acupunct.Tuina.Sci.2011,9(1) :62―66D0I:l0.1007/s11726―0l1―0473―9cli】 曲 蕊Surface EM G O bservation sokinetic Test onPressing-kneading s for Exercise Fatigue cle of
andIM anipulation Tibial M usAnterior按揉 法 治疗 胫 骨 前 肌 运 动疲 劳 的表 面肌 电图观 察 及 等 速测 试Zhang Junfeng(张峻峰) ,Sun Debin(孙德斌)to Shanghai Jiaotong University, Shanghai 2 No. 6 People’ s Hospital 00233,R R.China Af liated[Abstract]Objective:To observe the therapeutic efect f An. .ressing and Rou. .kneading manipulatons foroexercise fatigue of the anterior tibial muscle.Methots:Si xty healthy subiects were radomly divided into twogroups,30 in each group.1sokinetic test training was em ployed induce left a terior tibial muscle fatgue.After tot}lis,sunects in the obseration group received f tuina treatment,while subjects in te control ust5 min groupo ilay down for 5 min.Then the integral myoelectricity,maxim um ampl itude,mea fequency a d slope of theanteror tibial muscle and gastocnemius muscle were measur ed using a surace electomyography(EMG)during te passive movements of te ankle ioints in two groups.Res ults:Befm treatment,te integral myoelectricity,maximum amplit de,m ean fequency a d slope of te anteror cle during exercise in two groups were tibial m usconsistent under isokinetic mode(P>0.05) .Afer 5 min of a or rest,the myoelectric signals during exercise intintwo goups were bot decreased.However,subjects in observation goup obtained a remarkably increasegan ad gan rates of myoelectric signal ta te p fP<0.05) .This indicates tat te myoelectricsignals were not fully recovered,but tuina has rest on improving te m yoelectric signal of tea terior tibia.Conclusion:Rest and e.Tuina can obtan a better efect tuina catecontrolgroutaa better efectboth improve muscle fatguwithinthe sametim efra e.[Key phyW or‘ls】MuscleFatigue;Tuina;Massage;Electromyogra【摘要 】 目的:观察按揉 法治疗胫骨前肌运动疲劳 的疗效 。方法:60名健康志愿者分为 2组 ,每组 30 名。两组均采用等速 测试训 练进行左侧胫骨前肌疲劳造模 ,造模结束后,观察纽进行推拿治疗 5 min,对 照组平躺休 息 5 min。用表 面肌电图分别测定两组踝 关节被动活动过程 中胫骨前肌 、腓肠肌的积分肌电、 最 大振幅 、中位频率和斜率 。结果:两组胫骨前肌积分肌 电、最 大振 幅、中位频率和斜率在等速模式下 治疗前运动时变化一致 (P>0.5 5 min的推拿或休 息,受试者再次运动时 ,观察组和对 照组受试者 的 肌 电信号较造模 时均有 所下降。两组 间肌 电信号的增益及其增益率比较 ,观察组均较对 照组观察者显著 增加 (P<0.5)说 明受试者肌电信号没有完全恢复正常 ,但推拿对胫骨前肌肌 电信 号较休息有明显的改 善。结论 :休 息和推拿均可改善肌 肉疲劳状态,在相 同时间下,推拿效果更好 。 【关键词 1肌 肉疲劳;推拿;按摩;肌 电图 【中图分类号】R 244.1 【文献标志码 】AExercise fatigue in a terior tibial muscle is often lling or pan and possibly tibial subsequent swe seeninthosewhojuststartedphysicalca occurexercise.in a yperiostitis of the lower1eg.This conditionW itout prompt rest a d m anagement,the fatigue owever,it IS most comm only seenage group;hmayinfurtherpeopleresultfomin20stresstO 4Oinjury,knownupastibialand8agedrtakingfbular fatgue periostitis, which may, in tum , lead toO%) .According toteclinical reports,approximatelyincidenceloosened periosteum , subperiostealhem orrhage,teof a terortibia muscle fatigue is on therise year by yea.Using t e surace EM G test,teAuthor:Zhang Junfeng, attending physician, zhjf78094@his article evauated t e terap utc163.omauthorsof tefectofAuthor:Sun Debin,associatepressing―k eadnghysicianmanipulationfrexercisechiefCorrespondingfatigue of te ant Sperior tibia induced by isokinetic ?62 ?l@ Shanghai Research Institute of Acupuncture and Meridian and ringer-Verlag Berlin Heidelberg 201 1 J.Acuounct.Tuina.Sci.20l1,9(1) :62―66m uscle strength.The results are n the subjects’extemal ow summ arzed as condyle of te femur to align with follows. e rotation axis ofpositionoftechartoenableth1General M aterialte unit engt ofhead.T en adjust the frce annthel1.1 Research subjects Sixty healthY sunects age d from 20 t0 55(from theShanghai Hua age Training Xia Healt Schoo1) M assad tie up the anklete upper joint toankle weighpart theiointofhead―endoftheforcearln tobem easured.Test:Set the of motion adragete lef lower lim b.Revise the obtained data by tewere randomly allocated into two groups,30 in eachmeasured weight of the lower limb to exclude the group.Of 30 in the observation gr gravity durng exercise. en click to s T oup,tere were 19 tart a d ask te m ales and ll females.aged from 22 subjects to conduct dorsal tO 53.with anaverage age of(4 1.68_1 6) .Of 30 in the controlm ales,aged fomto the fu11 rage n ad then fex te group,tere were 18 males a d 12 fe 25 t0 50.with a average 6.74_14.76) .T ere of(3 ition.Repeatb6.7extensionofthepoweraHnofiointmotioanklejointto te thisorginalposwere no statistical etween te two groupsdiferences1.2 M odeling m ethodUsing the Biodex System 一3 poly ̄oint isokinetictest instm ment.the a teror tibial m uscle fatigue of the left lower limbs was induce d. T e modeling procedures ae descrbed as follow s:Preparation:To educate subjects to understadthete basic methods and prnciples of isokinetic m uscle test a d conduct 2 te flexion a d times of substaextension ofthea kleioints.Setting up fles for te su biects:Enter the essentia linformation of the subjects including names into theisokinetic muscle strength evalua tion/taining system . Select test protocols:Limit te i sokinetic exercise speed as 60。/s and a 5 min interv al between two tests.Immobilize the subjects: Imm obilize the left ankle ioints to te dynamic axis o f the isokinetic musclestengt test instrument and the to rso and left thigh tote tstest chain Ask te sunec to grasp the bilateralof te char.Adiust and A―P tehadles height 1.3.1 Observation procedure 50 tim es to induce a ter or tibial m uscle fatigue. Simultaneously, collect d record te Afer fnishing onductgroup frst m odeling, ctea 5.minute tuina teatment:Apply 5 min A n.pressing m echanical signals of muscle cont and Rou―kneading to te left anteror raction.Durng te tibial muscle, test.em ploy wireless remote sensi focusing on Yaglingqua (GB 34) , ng surface EM G to measure t e synchronized m yoelectr ic signal of te anteror tibial m uscle.Zusanli(ST36) ,ShangjUXH(ST 37)and (ST 40) (Fig.2) .FenglongEnd:Unloosenthesubjects.In totl,conduct twice m odeling t ests,once beforeteatment(durng modeling) ,and once after treatment (Fig.1、 .Fig.2.Tuina treatment1.3.2Control groupAfer finishing te frst eling,ask te subjectstoFlexion of he ankle joint Dor sal extension of e ankle jointFig. M odeling 1. scle fatigue of the anterior fnal mumodliedownfor5min(Fig.3) .1.3 Th atm ent m ethodsFig.3.Rest@ ShanghaiResearch Institute ofAcupuncture and Meridian and Sp ringer-Verlag Berlin Heidelberg 2011 I? 63 ? J. Acupunct. Tuina. Sci. 2011. (1】 9 : 62.661.4 Determ inationofm arkersM yoelectric signals refer to th e compound muscleConclude te test:Save t e collect on results. 1.5 Data analysisacton potentas recorded trodes,often usingbyelecUse SPSS l3.0 version ae for statstcs, 蜘 ) (insoftwmarkers that are closely associ for dat expr ssion ated with te fatigue nd t-test fordegree,including integ al myoelect quantitative ricit,m axim um wit normal amplitude,m ean fequency and slop e.In additon, dateach goup, acorrespondtatdistribution a d W ilcoxon Rank Tes t for dat tat do norm a distributobserve the differences of surfac not corespond wit e myoelectric signas, ion. P<0.05known as gain or gan rate s,which ca objectivelyrefect te m uscle statusii,川.indicates a sttistica difer nces a d P<0.1 indicats a marked diference.Steps of measurng myoelect ric signas(Fig.4) :Seuing up fles of te subj ects:Enter te essential information of the subiect s including na es into teTelem y 2400 W ireless Remote Sen sing Surace EM G Stick te electodes:Rub te kera toder a of t eFig. .Determination ic signals of he myoelectr1eR a teror tibia muscle (to e placed electo es)using skin emery paper a d clea t 75% alcoholicb2Resultswicotton ba1.Imm obilize te surface electo es to te lead wire.Then.stick te surace el ecto es to te test2.1 Surface EM G of two groups beforetr atm enttestanalysisarea aong te running t e muscle fbres.Place te reference r te tibial tuberosity.course ofBefore teatm ent, te ectricity,integ amyoelelectro esove ndm a imum a plitude, ean fequency a m slope of muscle durng e under ist e a teror tibial xercise in twoTest:Conduct te test following t groups were consistent okinetic mo e e selected protocols. Collect ed m yoelectric the.Afer synchroniz (P>O.5) est。thea plitude,mea two groups5 min maximumtuinaorrinsignas using te surace EM G a d send to te laptop sofware via a wireless emitte r.Peror twice tests,once durng modeling a d once after tuina or rest.Askfre uency a d slopaldecreased(table1.te onsubjects to repeat ad extension of tefexireankle ioints 50 times a d ―collect te synchonizedm yoelectric signas.Table1.SurfaceEMGtestanalysisoftwogroupsbeforeandaftertreatment (元 )2.2 Surface EM G anaysis and gain rates inofgaingr oup t s w a fte or treat m entSubject in te obse s ration gro up obtaine date contol g40.makedly increase ta oup in integralmyoelectric (IM ) gain a d te, ma imumgan ra20.Oa plitde(MA)gan ad gan rate s,mea fequency (MF) gan ad gan rates as wel l as slope gain(SG) ad gan rates indicates ta f <0.05) .TlliS te.0.一-一_20.O一myoelectric signals were not ful ly recovered,but40.0tuina has better on improving teefect t ar stMA gain IM gan M Fgain SGmyoelectric signal of te a teror bia, especiallytiwitin a g.5,6) .shorttimeperod(FiFig.5.Comparison of yoelect ric gains between two group sSpr?64 ?I@ Shanghai Research Institute ofAcupuncture and Meridian and inger-Verlag Berlin Heidelberg 2011 Tuina.Sci.201 l, 9(1) :62―66l5.0 Observation oup grshowed a non―linea decrease, proving a positive correlation between a plitude,intensi ty and slope. M ea fequency aso pon muscle tends to decrease.U a plitde shifed fo10.05.00.O5.Ofatigue,te maximum m high.frequency to low gue reached itsfrequency筋 fati-l0.peak value,te m a imum contaction forc e decreased.15.O rate rate gam rateby 50% ,corresponding vity of centalfequency his ca decreasetotesensiticurvetofatigue. Tohiectively refect te f fatigue.The overalldegeeoabove―m entoned time domain myoelectr ic indexesshow a decreased y of muscleFig.6.Comparison of between two groups yoelectric gain ratesdischageactivitfbres[91 statusl ̄1:time domain myoelectric ers such as mak3Discussioninteg al myoelectricity, aximum amplit m ude, meafequency a d slop ae reliable indexes Exercise fatgue in anterior tibi to evaluate te al muscle is oftenjumping.Constant contract on f uscle groups in tec signal shifed as running, playing bals, or sudden running or towads lef j.which has also been ven by thisseen in those who iust starte atigue severity,te d physical exercise,such frequency spectrum of the myoelectrim usclefatigue.W it allincreasedfprostudy.Test results have suggested tat t e integ al lower leg may excessively pull te myoelectricity,ma im um amplitde,mea attachments of tefrequencytbia or fbula,leading to soreness, ad pain or discom fort.Major in tecounteraction force wit lower leg,resulting xion increased frequencies of te fe adpostextension of te ankle ioints;and te s urface EM Gslope of te anterior cle tend to decreasetibial m usfrom a hard feld,incorrect ures of touching teg ound and subsequent lack of bufe integra rng,may also play a role.W itout prompt rest a d m anagem ent,t emyoelectricity value of fatigue muscletefatigue may further result in stress injury,known astibial and fbula fatigue periostitisIjJ,appaentlyincluding tibia fatigue itis and fbula fatgue periost ̄ riostitis. Over time, this condito n may further cause pulling irritation to te at tached periosteum , leading to loosened d periosteum . or separateperiostea congestion,local conges tion subperiostea hemorrhage,or even localized deca lcifcation or bonefacturet4' .Stdies showed that the frequency characteristics of myoelectric signal scle action cha ges wit mu .ted to te dischage decrease of t e slow muscle fb r a d co ncurentAfer 5 min of rest or t ina ther apy,te consum ed m uscle glycogen of t e bia graduallya terior ti compensation of the fast m uscle fber. T e isokinetic pattern allows slow and fast musclerecovered a d t e lactic acid cont ents in the muscle decreased wit te circulation of b lood.This cafbers majorto aggregate, producing moment of forcerestore te m uscle osmotic pressur to enha ce t e muscle stengt ,increase the activaton e,extensibility as qua tities of m otor units as well as well as m uscle stengt. In additi dischage on, te suracemyoelectric signals (i.e. in fequency.This m ay further result in l , inea increase of tegral myoelectricity, maimum a plitude,mea y and slope)of fequenc myoelectricity,t e time domain indexes of te suraceenhance te a terior tibial m uscle str the muscle have already cha ged.Te engt a d thus st results have improvet emusclefatiguedegree【 。 ,¨ shown tat,after 5 min of rest or tuina therapy,te Based on te teory of Chinese m edici ne,tuina integral myoelectricity,m a imum a plit de and its.gan rate,mean fequency and its ga n rate and slope with its gan rate all tend to dec rease.W hen compaedterapy focuses on n (GB 34) ,ZusaliYanglingqua(ST 36) Shangjuxu , (ST englong(ST 40) .The teatment results37) andFin EM G T is indi group obtaned signifcantly increa cates that sed results in all accelerated circulation of local qi values.This indicates t at t ina ha a d blood ca s makedly better alleviate m uscle fatigue.Despite the efect on improving te myoelectric improvem ent of signal of a terior symptom s a d surace EM G in te contol tibial muscle,which m ight be rela group.the @ Shanghai Research Institute ofAcupuncture and Meridian and S pringer―Verlag Berlin Heidelberg 201 1 f?65 ?wit ctsthe contol group,subje em ent of fatigue in te obseration a d favorable cha gesshowed im prov J.Acupunct.Tuina.Sci.2011.9 (1) :62―66efect was not as good as the obse rvation group,2007,22(3) :130-l32.indicating tuina can obtan a bett 【6]Lu ZN,Zeng Qx,Li electromyography, er efect.CY PracticalBeijing:People’s Medical Publi shing House.2O00:69―172.[7】 Wang J, Fang HG Liu JH. Analysis o f surface EMG signal: 【1】Liu XD,Ran DZ,Tian J.Experimen Kang Fu Yi Xue Za Zhi.2004,19 f8) :627。 tal study on EMG 630. quantitative parameters of rats 【8】 Roy SH, Bonato P’ Knaflitz M . EMG a with delayed muscle iniury ssessment of backfollowing TiYu Xue centrifugal movement.Cheng Du muscle function during g.J Electromyogr cyclical liftinnew approaches in k pain.Zhong GuostudyinglowerbacYuanXueBao.2001, (1) :83―87.【2】Li G Chen XM,Zhang WN.Measurem 【9]M annion A ent of the stengthand tolerance of le and hamstring femoralquadriceps using muscKinesiol,1998,8(4) :233―245.ConnollyB,Wo0dK,DolaninRTheuseofsurface EM G power the evaluation ofspectra1analysisin outstanding athletes c ergometry.Zhongisokinetiback muscle function.J Dev, 1997,34(4) :427―439.RehabilResGuo 143Yun Dong 148.YiXueZaZhi,1988,7(3) :Fan ZH,Li YX,Yang XB,Hu YS.I 【3】Liu 、vJ,Chen BL.Prevention and t 【10】W u sokinetic reatment of fatigue tibial periostitis. Shan e Ji,2000, (2) :24―25. Xi Ti Yu Kergomet ̄ for osteoarthritis e.Zhong Guo Kang of the kneFl1 YiXue Za Zhi,1995,10(41:145―148. 【4】Xiao BJ,Chen Qiao SF.Cause ana lysis of fatigue tibial 【11】Li JR Wang RY.Effect of exerciseand fbular periostitis.Yan e Bao.Yi XHe Ke An Da Xue XH onmusclefbertypeYi Xue Yl Lin ChuanXueBan,2007,5(3) :27―30.transform.Ji Chu g,2008,28(7) :664―669.【5】 Chen Wang ZQ. Kinematic investi gation on etiology oftibial periostitis.Shan Xue Yuan Xue Bao. Xi Shi Da Ti YuTranslator:Han Cho uping(韩丑萍)Received 25,2010 Date:September? RelatedLink ?Clinical Study of M ild ing Sports FatigueM oxibustionplusCuppingin TreatObjective:To explore ild moxibustion plusfatigue.the eliminating efect of m cupping in treating sportsM ethods: Thirsty gymnasts were randomly allocated to the treatme nt and control groups,1 cases each.Afer large intensity training,te treatment group received m ild moxibustion plus cupping a d the contol group had a rest for 30 min.The diferences between on e-tim e and perodic lage intensity training in serum e test,ratings of creatine kinase,blood urea nitogen,routine urn perceived exerion(RPE)and symptom checklist 90(SCL一90)scores mined.Intervening efect of m ldm oxibustion plus cupping was investigated.weredeterResults: (1)Mild moxibustion plus cupping ing efect on te recovery of te risinghadapromotser m creatine kinase level afer one―time or perodic lage intensi ty traning.It had a beRer efect onallaying sports ng improved theplayers according ped players allayfatigue. (2)M ild moxibustion plus interpersonal relatonship ofcuppito te a alysis in each factors of SCL一90.It hel sports psychologicalfatigue. (3)Mild moxibustion plus cupping ve way to prevent ad teat spors fatigueaccording to te a alysis ofRPE.wasanefecti Conclusion: ild moxibustion plus cupping was an efective way to M prevent a d treat sports fatigue.Selected from Sun LiZd,Zhu XM,diangDL。 Zhang Y, Chen HX,SongDL, Zhang AB, Xu M, Hao W S.Clinialstudy of mild moxibustin plus cupping in treating fatigue.Shang HalZhen Jiu Za Zhi,2009,28(5) :278-281.spoRs?66 ?l@ Shanghai Research Institute of ger-Verlag Berlin Heidelberg 20 1 1AcupunctureandMeridianandSprin 按揉法治疗胫骨前肌运动疲劳的表面肌电图观察及等速测试(1)―汇集和整理大量word文档,专业文献,应用文书,考试资料,教学教材,办公文档,教程攻略,文档搜索下载下载,拥有海量中文文档库,关注高价值的实用信息,我们一直在努力,争取提供更多下载资源。}

我要回帖

更多关于 心电图 的文章

更多推荐

版权声明:文章内容来源于网络,版权归原作者所有,如有侵权请点击这里与我们联系,我们将及时删除。

点击添加站长微信