Abstract
BackgroundWhole body vibration (WBV) training as an intervention method can cure chronic low back pain (CLBP). Different WBV parameters exert different effects on lumbar-abdominal muscle performance. Currently, there is a lack of study researched the influence of WBV training on patients with CLBP by lumbar–abdominal muscle activity. Therefore, this study aimed to investigate how WBV and exercise and their interactions influence lumbar-abdominal muscle activity in patients with CLBP.Methodsa group of ambulatory patients with chronic low back pain. Muscle activities of the multifidus, erector spinae, abdominal oblique externus muscle and the rectus abdominis muscle were measured by surface electromyography, whereas participants performed 4 different exercises during three whole body vibration conditions and a no-vibration condition in a single experimental session.ResultsCompared with the same exercises without whole body vibration, muscle activity increased when whole body vibration was added to the exercises. The frequency and exercise presented significant effects on the root mean square of multifidus, whereas exercise and frequency also resulted in significant interaction effects.ConclusionAdding whole body vibration to exercise could increase muscle activation of lumbar–abdominal muscle in patients with CLBP. The optimum frequency for lumbar–abdominal muscles is 15 Hz. The best exercises include plank for multifidus and erector spinae, V crunch for rectus abdominis and single bridge for abdominal oblique externus.Trial registration:ChiCTR-TRC-13003708. Registered 19 October 2013, http://www.chictr.org.cn/showproj.aspx?proj=5852
Effects of Manual Therapy on Pain and Function of Patients with Chronic Low Back Pain
