Analysis of the timing of electromyographic activity of the spine stabilizer muscles during different daily activities of patients with low-back pain as compared with that of healthy participants

Document Type : Research Paper

Authors

1 MSc, Department of corrective exercise & Sport injury, Faculty of physical education and sport sciences, Allameh Tabataba'i University, Tehran, Iran.

2 Assistant Professor of ingury and Corrective exercises, Faculty of Physical Education, Allameh Tabatai University of Tehran, Tehran, Iran

Abstract

Background: Low-back pain is among the most prevalent musculoskeletal disorders in many societies. The purpose of this study was to examine and compare the timing of electromyographic activity of the spine stabilizer muscles during daily activities in patients with low-back pain and healthy participants.
Methods: 24 male participants ranging from 30 to 55 years of age were selected and fallen into two categories with chronic low-back pain and healthy. Levels of electromyographic activity of the lumbar erector spine, thoracic erector spine, Gluteus Maximus, Transversus abdominis and Multifidus muscles were measured for the actions like standing up and lifting objects.
Results: Significant results were obtained from the electromyography activity levels of spine Multifidus (right and left) (p=0/000), Gluteus Maximus (right and left) (p=0/000) and Transversus abdominis (right and left) (p=0/000) for the action of picking up. Likewise, regarding the action of standing up significant results were obtained for thoracic erector spine (right) (p=0/039), spine Multifidus (left) (p=0/000), Gluteus Maximus (left) (p=0/000) and Transversus abdominis (right and left) (p=0/000).
Conclusion: The results showed that the onset of activity in the Transversus abdominis and spine Multifidus had lower levels in patients with chronic non-specific low back pain compared to healthy individuals. Also, the disorder in coordination and delay in the operation of the Transversus abdominis and spine Multifidus in all four tasks of movements have been the main source of disorder and delay in the activity of the muscles of the upper and lower segments as compensation.

Keywords

References

Abboud, J; Nougarou, F; Pagé, I; Cantin, V; Massicotte, D; Descarreaux, M (2014). “Trunk motor variability in patients with non-specific chronic low back pain”. European journal of applied physiology, 114(12), 2645-2654.
Ahmadnezhad, L; & Yalfani, A. (2019). “The relationship between pain and functional disability with local and global selected trunk muscles activity and comparison the activity of these muscles between men and women with non-specific chronic low back pain”. Journal of Anesthesiology and Pain, 10(2), 1-11. (In Persian)
Ahmadnezhad, L; Yalfani, A; Borujeni, B. G (2020). “Inspiratory Muscle Training in Rehabilitation of Low Back Pain: A Randomized Controlled Trial”. Journal of sport rehabilitation, 29(8), 1151-1158.
Arjmand, N; Shirazi-Adl, A; Bazrgari, B (2006). “Wrapping of trunk thoracic extensor muscles influences muscle forces and spinal loads in lifting tasks”. Clinical biomechanics, 21(7), 668-675.
Barbero, M., Merletti, R., & Rainoldi, A (2012). Atlas of muscle innervation zones: understanding surface electromyography and its applications, Springer Science & Business Media.
Borujeni, B. G; Yalfani, A. (2020). “Effect of respiratory muscle training session on ankle muscle activity in athletes with chronic low back pain performing overhead squats: a randomized controlled trial”. International journal of evidence-based healthcare, 18(2), 256-264.
Daneshmandi, H; Choobineh, A. R; Ghaem, H; Alhamd, M; Fakherpour, A (2017). “The effect of musculoskeletal problems on fatigue and productivity of office personnel: a cross-sectional study”. Journal of preventive medicine and hygiene, 58(3), E252. (In Persian)
Ekstrom, R. A; Osborn, R. W; Hauer, P. L (2008). “Surface electromyographic analysis of the low back muscles during rehabilitation exercises”. Journal of orthopaedic & sports physical therapy, 38(12), 736-745.
Falla, D; Gizzi, L; Tschapek, M; Erlenwein, J; Petzke, F (2014). “Reduced task-induced variations in the distribution of activity across back muscle regions in individuals with low back pain”. Pain, 155(5), 944-953.
Falla, D; Rainoldi, A; Merletti, R; Jull, G (2004). “Spatio-temporal evaluation of neck muscle activation during postural perturbations in healthy subjects”. Journal of Electromyography and Kinesiology, 14(4), 463-474.
Ferguson, S. A; Marras, W. S; Burr, D. L; Davis, K. G; Gupta, P (2004). “Differences in motor recruitment and resulting kinematics between low back pain patients and asymptomatic participants during lifting exertions”. Clinical Biomechanics, 19(10), 992-999.
Gholami, B. B; & Yalfani, A. (2019). “Correlation of pain and lumbar arch with electromyography of ankle muscle in athletes with low back pain”. Journal of Anesthesiology and Pain, 10(3), 105-118. (In Persian)
Gombatto, S. P; Brock, T; DeLork, A; Jones, G; Madden, E; Rinere, C (2015). “Lumbar spine kinematics during walking in people with and people without low back pain”. Gait & posture, 42(4), 539-544.
Groah, S. L; Schladen, M; Pineda, C. G; Hsieh, C. H. J (2015). “Prevention of pressure ulcers among people with spinal cord injury: a systematic review”. Overview of Physical Medicine and Rehabilitation, 7(6), 613-636.
Hebert, J. J; Koppenhaver, S. L; Magel, J. S; Fritz, J. M (2010). “The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study”. Archives of physical medicine and rehabilitation, 91(1), 78-85.
Hossain, M; Nokes, L. D. M (2005). “A model of dynamic sacro–iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain”. Medical Hypotheses, 65(2), 278-281.
Iatridis, J. C; Kang, J; Kandel, R; Risbud, M. V (2016). “New horizons in spine research: disc biology, spine biomechanics and path mechanisms of back pain”. Journal of orthopedic research: official publication of the Orthopaedic Research Society, 34(8), 1287.
Junginger, B; Baessler, K; Sapsford, R; Hodges, P. W (2010). “Effect of abdominal and pelvic floor tasks on muscle activity, abdominal pressure and bladder neck”. International urogynecology journal, 21(1), 69-77.
Keyserling, W. M (2000). “Workplace risk factors and occupational musculoskeletal disorders, Part 2: A review of biomechanical and psychophysical research on risk factors associated with upper extremity disorders”. AIHAJ-American Industrial Hygiene Association, 61(2), 231-243.
Lee, J; Yoon, C; Kim, K; Cho, M; Kim, H. C; Chung, S. G (2019). “Lumbar Stability in Healthy Individuals and Low Back Pain Patients Quantified by Wall Plank‐and‐Roll Test”. Overview of Physical Medicine and Rehabilitation, 11(5), 483-494.
Macadam, P; Feser, E. H (2019). “Examination of gluteus maximus electromyographic excitation associated with dynamic hip extension during body weight exercise: a systematic review”. International journal of sports physical therapy, 14(1), 14.
Mousavi, S. J; Akbari, M. E; Mehdian, H; Mobini, B; Montazeri, A; Akbarnia, B; Parnianpour, M (2011). “Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries”. Spine, 36(10), E638-E646.
Nadler, S. F; Malanga, G. A; DePrince, M; Stitik, T. P; Feinberg, J. H (2000). “The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes”. Clinical Journal of Sport Medicine, 10(2), 89-97.
Neumann, P; Gill, V (2002). “Pelvic floor and abdominal muscle interaction: EMG activity and intra-abdominal pressure”. International Urogynecology Journal, 13(2), 125-132.
O’Sullivan, P. B; Beales, D. J; Beetham, J. A; Cripps, J; Graf, F; Lin, I. B; Avery, A. (2002). “Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test”. Spine, 27(1), E1-E8.
Papi, E; Bull, A. M; McGregor, A. H (2018). “Is there evidence to use kinematic/kinetic measures clinically in low back pain patients: A systematic review”. Clinical Biomechanics, 55, 53-64.
Porterfield, J. A; DeRosa, C (1998). Mechanical low back pain: perspectives in functional anatomy, Saunders.
Ruhe, A; Fejer, R; Walker, B (2011). “Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature”. European Spine Journal, 20(3), 358-368.
Slipman, C. W; Jackson, H. B; Lipetz, J. S; Chan, K. T; Lenrow, D; Vresilovic, E. J (2000). “Sacroiliac joint pain referral zones”. Archives of physical medicine and rehabilitation, 81(3), 334-338.
Stokes, I. A; Gardner-Morse, M. G; Henry, S. M (2011). “Abdominal muscle activation increases lumbar spinal stability: analysis of contributions of different muscle groups”. Clinical biomechanics, 26(8), 797-803. 
Thomas, J. R; Nelson, J. K; Silverman, S. J (2015). Research methods in physical activity. Human kinetics.
Tsao, H; Hodges, P. W (2008). “Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain”. Journal of electromyography and kinesiology, 18(4), 559-567.
Van Wingerden, J. P; Vleeming, A; Buyruk, H. M; Raissadat, K (2004). “Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis”. European Spine Journal, 13(3), 199-205.
Vera-Garcia, F. J; Moreside, J. M; McGill, S. M (2010). “MVC techniques to normalize trunk muscle EMG in healthy women”. Journal of electromyography and kinesiology, 20(1), 10-16.
Voerman, G. E; Fleuren, J. F. M; Kallenberg, L. A. C; Rietman, J. S; Snoek, G. J; Hermens, H. J (2009). “Patient ratings of spasticity during daily activities are only marginally associated with long-term surface electromyography”. Journal of Neurology, Neurosurgery & Psychiatry, 80(2), 175-181.
Wrigley, A. T; Albert, W. J; Deluzio, K. J; Stevenson, J. M (2005). “Differentiating lifting technique between those who develop low back pain and those who do not”. Clinical Biomechanics, 20(3), 254-263.
Youdas, J. W; Boor, M. M; Darfler, A. L; Koenig, M. K; Mills, K. M; Hollman, J. H (2014). “Surface electromyographic analysis of core trunk and hip muscles during selected rehabilitation exercises in the side-bridge to neutral spine position”. Sports health, 6(5), 416-421.
Zawadka, M; Skublewska-Paszkowska, M; Gawda, P; Lukasik, E; Smolka, J; Jablonski, M (2018). “What factors can affect lumbopelvic flexion-extension motion in the sagittal plane: A literature review”. Human movement science, 58, 205-218.
  

Files

Share

How to cite

Statistics