Article(id=1320381146802798759, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381108315870143, articleNumber=null, orderNo=null, doi=10.11876/mimt202603003, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1777996800000, receivedDateStr=2026-05-06, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792732996893, onlineDateStr=2026-10-23, pubDate=1781020800000, pubDateStr=2026-06-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792732996893, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792732996893, creator=13701087609, updateTime=1792732996893, updator=13701087609, issue=Issue{id=1320381108315870143, tenantId=1146029695717560320, journalId=1319373289681944729, year='2026', volume='32', issue='3', pageStart='1', pageEnd='132', issueExtLink='null', onlineDate='null', pubDate='1781020800000', pubDateStr='2026-06-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792732987716, creator='13701087609', updateTime=1792746098645, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320436099600728986, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381108315870143, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320436099600728987, tenantId=1146029695717560320, journalId=1319373289681944729, issueId=1320381108315870143, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=18, endPage=24, ext={EN=ArticleExt(id=1320381146966376616, articleId=1320381146802798759, tenantId=1146029695717560320, journalId=1319373289681944729, language=EN, title=The diagnostic and evaluation value of standing musculoskeletal ultrasound elastography for nonspecific lower back pain, columnId=null, journalTitle=Modern Instruments & Medical Treatment, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the diagnostic and evaluation value of musculoskeletal ultrasound elastography in the standing position for nonspecific low back pain (NLBP).
Methods A total of 16 patients with NLBP, who had not received treatment within two weeks prior to enrollment, were recruited as the observation group from Shanghai Ruijin Rehabilitation Hospital between June 2024 and June 2025, and 8 healthy people in the same period were selected as the control group. Before treatment or during physical examination, basic data such as gender, age, and body mass index (BMI) were collected, and musculoskeletal ultrasound related indicators (thickness of transversus abdominis, elastic modulus of transversus abdominis, thickness of lumboiliocostoid muscle, elastic modulus of lumboiliocostoid muscle) were measured in standing position. At the same time, the visual analogue scale (VAS) was used to evaluate the degree of pain in the observation group. R 4.5.2 software was used for statistical analysis and diagnostic modeling, and the receiver operating characteristic (ROC) curve was drawn. The area under curve (AUC), sensitivity, specificity and cut-off value of each diagnostic model were calculated, and the diagnostic efficacy of each model was compared.
Results There was no significant difference in gender, age, and BMI between the observation group and the control group (P>0.05). There was no significant difference in the thickness of transversus abdominis and lumboiliocostalis between the observation group and the control group (P>0.05). The elastic modulus of transverse abdominis in the observation group was significantly lower than that in the control group, and the elastic modulus of lumboiliocostalis in the observation group was significantly higher than that in the control group, and the differences were statistically significant (P<0.05). Pearson correlation analysis showed that among the diagnostic models, the quadratic power model of elastic modulus ratio (the ratio between the elastic modulus of transverse abdominis muscle and the elastic modulus of lumboiliocostoid muscle) had the best diagnostic performance, with an AUC of 1.000, followed by the elastic modulus of lumboiliocostoid muscle and elastic modulus ratio model, with AUC of 0.852 and 0.812, respectively. In addition, the VAS score of the observation group was positively correlated with the elastic modulus of the lumbar iliocostalis muscle in the standing position (P<0.001), and the VAS score of the observation group was negatively correlated with the ratio of elastic modulus in the standing position (P<0.001). In the control group, the ratio of elastic modulus in standing position was between 1.22 and 1.90, while in the observation group, the ratio was between 0.50 and 1.22 or >1.90.
Conclusion The ratio of the elastic modulus of the transverse abdominis muscle to that of the lumboiliocostoid muscle measured by ultrasound in standing position can be used as an objective parameter, which is correlated with the subjective VAS score of NLBP patients, suggesting that the evaluation of muscle and bone elastography in standing position is expected to be one of the objective evaluation methods for NLBP patients, and provide quantitative basis for early diagnosis, efficacy evaluation and rehabilitation plan development.
, authors=Jiejian Shi
1, Jun Liu
2, Weiming Zhang
2, Jie Zhang
1, Xiaopei Sun
1, Yong Bao
1, *, authorsList=Jiejian Shi, Jun Liu, Weiming Zhang, Jie Zhang, Xiaopei Sun, Yong Bao, authorCompany=null, correspAuthors=Yong Bao, authorNote=null, correspAuthorsNote=null, copyrightStatement=
All copyrights in 2026 belong to the sponsor of the journal.Not content published by the journal may be reproduced or abridged without authorization., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1320381148841230505, articleId=1320381146802798759, tenantId=1146029695717560320, journalId=1319373289681944729, language=CN, title=站立位下肌骨超声弹性成像对非特异性下背痛的诊断和评估价值, columnId=1320381126389117454, journalTitle=现代仪器与医疗, columnName=智能医疗器械专栏, runingTitle=null, highlight=null, articleAbstract=
目的 探讨站立位下肌骨超声弹性成像对非特异性下背痛（nonspecific low back pain，NLBP）的诊断和评估价值。
方法 选取2024年6月至2025年6月于上海市瑞金康复医院确诊为NLBP并且在两周内未接受治疗的患者16例作为观察组，选取同期8名健康体检者作为对照组。于治疗前或体检时采集性别、年龄、身体质量指数（body mass index，BMI）等基础数据并进行站立位下肌骨超声相关指标（腹横肌厚度、腹横肌弹性模量、腰髂肋肌厚度、腰髂肋肌弹性模量）测量，同时观察组采用视觉模拟评分法（visual analogue scale，VAS）评估疼痛程度。采用R 4.5.2软件进行统计分析和诊断建模，绘制受试者工作特征（receiver operating characteristic，ROC）曲线，计算各诊断模型的曲线下面积（area under curve，AUC）、灵敏度、特异度及截断值，比较各模型的诊断效能。
结果 观察组和对照组在性别、年龄、BMI方面比较，差异均无统计学意义（P>0.05），具有可比性。观察组腹横肌厚度、腰髂肋肌厚度与对照组比较，差异均无统计学意义（P>0.05）。观察组腹横肌弹性模量显著低于对照组，腰髂肋肌弹性模量显著高于对照组，差异均有统计学意义（P<0.05）。Pearson相关性分析显示，各诊断模型中，弹性模量比值（腹横肌弹性模量与腰髂肋肌弹性模量之间的比值）的二次幂模型诊断效能最佳，AUC达到1.000，其次为腰髂肋肌弹性模量模型、弹性模量比值模型，AUC分别为0.852和0.812。另外，观察组患者的VAS评分与站立位下腰髂肋肌弹性模量呈正相关（P<0.001），与站立位下弹性模量比值呈负相关（P<0.001）；对照组站立位下弹性模量比值在1.22~1.90之间，而观察组患者该比值在0.50~1.22之间或>1.90。
结论 站立位下肌骨超声测量的腹横肌弹性模量与腰髂肋肌弹性模量比值可作为一项客观参数，与NLBP患者主观VAS评分具有相关性，提示站立位下肌骨超声弹性成像评估有望成为NLBP患者的客观评价方法之一，为其早期诊断、疗效评估及康复方案制定提供量化依据。
, authors=施捷健
1, 柳俊
2, 张伟明
2, 张洁
1, 孙晓培
1, 鲍勇
1, *, authorsList=施捷健, 柳俊, 张伟明, 张洁, 孙晓培, 鲍勇, authorCompany=null, correspAuthors=鲍勇, authorNote=
施捷健，男，本科，副主任技师，研究方向：肌骨疼痛的康复治疗
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鲍勇，男，硕士研究生，主任医师，研究方向：运动及神经系统疾病康复
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2026年版权归本刊主办单位所有未经本刊书面许可, 不得转载、摘编本刊所有文章内容。, copyrightOwner=中国科学器材公司, extLink=null, articleAbsUrl=null, sourceXml=yHgcp0cL3T8eBykpFK1FZw==, magXml=gRj4nUJz7fgBZRmdRkGmkg==, pdfUrl=null, pdf=n7hVeFgPKy9OvyCcU7ycwg==, pdfFileSize=2018334, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=3vrNr3mORn4u28b3ZkU9Uw==, mapNumber=null, fund=null)}, authors=[Author(id=1320381149185163441, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381146802798759, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1320381149256466611, tenantId=1146029695717560320, journalId=1319373289681944729, articleId=1320381146802798759, authorId=1320381149185163441, language=EN, stringName=Jiejian Shi, firstName=Jiejian, middleName=null, lastName=Shi, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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