Electromyographic Activity of Trunk Muscles During Flexion-Distraction Treatment of Low Back Patients

1999 ◽  
Author(s):  
Maruti R. Gudavalli ◽  
Jerrilyn A. Backman ◽  
Steven J. Kirstukas ◽  
Anant V. Kadiyala ◽  
Avinash G. Patwardhan ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Low Back ◽  
Mean Values ◽  
Flexion Extension ◽  
Left And Right ◽  
The Mean

Abstract The objective of this study was to determine the electromyographic (EMG) activity of the superficial muscles during the treatment of low back patients during a conservative procedure known as the Cox flexion-distraction procedure. A total of 33 low back pain patients were recruited for this study from chiropractic and allopathic orthopedic clinics. EMG signals were collected while the patient was in a prone relaxed position, during the treatment using the flexion-distraction procedure, and during maximum voluntary exertions in the three planes (flexion, extension, left and right lateral bending, and left and right twisting). The mean values of the Root Mean Square (RMS) values of EMG ratios during treatment versus resting indicate that the muscles are active during the treatment. This activity is more than the activity at rest. However the mean values of the RMS EMG ratios (during treatment versus maximum voluntary contraction) are small indicating that the muscle activity during treatment may not influence the treatment loads. The left and right muscles in all muscle groups were similarly active. During the treatment, erector spinae muscles were the most active, followed by the external oblique, and the rectus abdominus muscles. The results from this study provide quantitative data for the muscle activity during the flexion-distraction treatment. This information can be incorporated into computer models to estimate the loads generated during the flexion-distraction treatment due to the muscle activity compared to the loads generated by the chiropractic physician.

scholarly journals Alteration in HDEMG Spatial Parameters of Trunk Muscle Due to Handle Design during Pushing

Sensors ◽  
2021 ◽  
Vol 21 (19) ◽  
pp. 6646
Author(s):  
Jacqueline Toner ◽  
Jeremy Rickards ◽  
Kenneth Seaman ◽  
Usha Kuruganti
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Trunk Muscle ◽  
Erector Spinae ◽  
Low Back ◽  
Horizontal Orientation ◽  
Low Back Injuries ◽  
Spatial Parameters ◽  
Left And Right ◽  
Pushing And Pulling

Previous research identifies that pushing and pulling is responsible for approximately 9–18% of all low back injuries. Additionally, the handle design of a cart being pushed can dramatically alter a worker’s capacity to push (≅9.5%). Surprisingly little research has examined muscle activation of the low back and its role in muscle function. Therefore, the purpose of this study was to examine the effects of handle design combination of pushing a platform truck cart on trunk muscle activity. Twenty participants (10 males and 10 females, mean age = 24.3 ± 4.3 years) pushed 475 lbs using six different handle combinations involving handle orientation (vertical/horizontal/semi-pronated) and handle height (hip/shoulder). Multichannel high-density EMG (HDsEMG) was recorded for left and right rectus abdominis, erector spinae, and external obliques. Pushing at hip height with a horizontal handle orientation design (HH) resulted in significantly less (p < 0.05) muscle activity compared to the majority of other handle designs, as well as a significantly higher entropy than the shoulder handle height involving either the semi-pronated (p = 0.023) or vertical handle orientation (p = 0.028). The current research suggests that the combination of a hip height and horizontal orientation handle design may require increased muscle demand of the trunk and alter the overall muscle heterogeneity and pattern of the muscle activity.

Influence of upper airway pressure oscillations on soft palate muscle electromyographic activity

1996 ◽  
Vol 81 (3) ◽  
pp. 1190-1196 ◽  
Author(s):  
A. Brancatisano ◽  
T. Van der Touw ◽  
N. O'Neill ◽  
T. C. Amis
Keyword(s):  
Soft Palate ◽  
High Frequency ◽  
Upper Airway ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Pressure Oscillations ◽  
Question Mark ◽  
Mean Values ◽  
Fine Wire ◽  
The Mean

Snoring is characterized by high-frequency (30-50 Hz) pressure oscillations (HFPO) in the upper airway (UA). The soft palate is a major oscillating structure during snoring, and soft palate muscle (SPM) activity is an important determinant of velopharyngeal patency. Consequently, we examined the effect of artificial HFPO applied to the UA on the integrated electromyographic (EMG) activity of the SPMs in 11 supine mouth-closed anesthetized (pentobarbital sodium/chloralose) dogs breathing spontaneously via a tracheostomy. The EMGs of the palatinus (Pal; n = 11), levator veli palatini (LP; n = 9), and tensor veli palatini (TP; n = 8) were monitored with intramuscular fine-wire electrodes. Peak inspiratory and peak expiratory EMG activity was measured in arbitrary units (au) as the mean of five consecutive breaths. HFPO [+/- 4.5 +/- 0.4 (SE) cmH2O; 30 Hz inverted question mark applied at the laryngeal end of the isolated UA increased peak inspiratory EMG from 3.3 +/- 2.0 to 8.4 +/- 1.7 au (P < 0.05) for Pal and from 2.0 +/- 1.1 to 7.3 +/- 2.7 au (P < 0.05) for LP. For the TP, increases were evident in four dogs, but mean values for the group did not change (5.8 +/- 2.4 to 11.0 +/- 4.1 au, P = 0.5). The peak expiratory EMG did not change for any SPM (all P > 0.3). Thus HFPO applied to the UA augments inspiratory SPM activity. Reflex augmentation of SPM activity by HFPO may serve to dilate the retropalatal airway and/or stiffen the soft palate during inspiration in an attempt to stabilize UA geometry during snoring.

scholarly journals Biofeedback Posture Training for Adolescents with Mild Scoliosis

2020 ◽  
Author(s):  
Mei-chun Cheung ◽  
Joanne Yip ◽  
Janelle S.K. Lai
Keyword(s):  
Muscle Activity ◽  
Curve Progression ◽  
Erector Spinae ◽  
Spinal Curvature ◽  
Paraspinal Muscles ◽  
Mean Values ◽  
Before And After ◽  
Spinal Curve ◽  
Cobb’S Angle ◽  
The Mean

Abstract Asymmetry in paraspinal myoelectric activities is a prominent risk factor for curve progression in adolescent idiopathic scoliosis. This study aimed to evaluate the effectiveness of a surface electromyography (sEMG) biofeedback posture training program for adolescents with mild scoliosis (Cobb’s angle < 30°), with the ultimate goal of controlling the curve progression. Seven female adolescents (age, 12–14 years) with mild scoliosis (Cobb’s angle < 30°) were recruited. The participants received 30 tailor-made sessions of sEMG biofeedback posture training at a rate of one to two sessions per week for approximately 6 months. The activities of the paraspinal muscles (the trapezius, latissimi dorsi, thoracic erector spinae, and lumbar erector spinae), as measured by sEMG during habitual sitting postures, and spinal deformity, as evaluated by ultrasound imaging, were compared before and after training to evaluate its effectiveness. The mean values of the root-mean-square sEMG ratio, an index of symmetry in paraspinal muscle activity between the concave and convex of the spinal curve, revealed significant asymmetry over the trapezius and lumbar erector spinae before the training. After the training, all seven adolescents achieved significantly more symmetrical muscle activity over these two muscle pairs. In two adolescents, the spinal curvature decreased by more than 5°, whereas the remaining adolescents showed a minimal curve progression with changes in the spinal curvature controlled under 5°. sEMG biofeedback posture training is effective in adolescents with mild scoliosis, and can be implemented as an early intervention to improve their posture and mitigate curve progression.

scholarly journals Differences in myoelectric activity of the lumbar muscles between recurrent and chronic low back pain: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Balasch-Bernat Mercè ◽  
Willems Tine ◽  
Danneels Lieven ◽  
Meeus Mira ◽  
Goubert Dorien
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activity ◽  
Healthy Subjects ◽  
Erector Spinae ◽  
Emg Activity ◽  
Myoelectric Activity ◽  
Healthy Controls ◽  
Low Back ◽  
Trunk Extension

Abstract Background Altered lower back muscle activity is proposed as a contributing factor to the reoccurrence and chronicity of low back pain (LBP). This study compared lumbar muscle activity during trunk extension in patients with continuous chronic LBP (CLBP), non-continuous CLBP, recurrent LBP (RLBP) and healthy subjects. Methods In 75 subjects (16 continuous CLBP, 15 non-continuous CLBP, 23 RLBP, 21 healthy controls), surface electromyographic (EMG) activity of the lumbar erector spinae (ES), multifidus (MF), latissimus dorsi (LD) and gluteus maximus (GM) was recorded during the concentric, holding and eccentric phase of a modified Biering Sorenson exercise. Results Continuous CLBP patients showed higher EMG activity in the ES and MF muscles compared to healthy controls in the concentric (p = 0.011; p = 0.009 respectively) and the holding phase (p = 0.015; p = 0.013). Higher EMG activity was observed in continuous CLBP compared to RLBP in the ES and MF muscles in the holding phase (p = 0.035; p = 0.037), and in the MF in the concentric phase (p = 0.046), but not in the ES (p = 0.062). No differences in muscle activity were established in either the concentric, holding, and eccentric phase for the LD and GM muscles. No differences were found between non-continuous CLBP and the other groups. Conclusions An enhanced muscle activity of the lumbar muscles during the concentric and holding phase was observed during trunk extension in patients with continuous CLBP compared to patients with RLBP and healthy subjects. No differences between groups are present in the GM and LD muscles during concentric and holding phases and for any muscle in the eccentric phase.

Comparison among low intensity bridge exercises using suspension devices based on muscle activity and subjective difficulty

2021 ◽  
pp. 1-6
Author(s):  
Sang-Yeol Lee ◽  
Se-Yeon Park
Keyword(s):  
Inclination Angle ◽  
Muscle Activity ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Oblique Muscle ◽  
Abdominal Muscles ◽  
Internal Oblique Muscle ◽  
Low Intensity ◽  
Erector Spinae Muscle ◽  
Internal Oblique

BACKGROUND: Recent clinical studies have revealed the advantages of using suspension devices. Although the supine, lateral, and forward leaning bridge exercises are low-intensity exercises with suspension devices, there is a lack of studies directly comparing exercise progression by measuring muscular activity and subjective difficulty. OBJECTIVE: To identify how the variations in the bridge exercise affects trunk muscle activity, the present study investigated changes in neuromuscular activation during low-intensity bridge exercises. We furthermore explored whether the height of the suspension point affects muscle activation and subjective difficulty. METHODS: Nineteen asymptomatic male participants were included. Three bridge exercise positions, supine bridge (SB), lateral bridge (LB), forward leaning (FL), and two exercise angles (15 and 30 degrees) were administered, thereby comparing six bridge exercise conditions with suspension devices. Surface electromyography and subjective difficulty data were collected. RESULTS: The rectus abdominis activity was significantly higher with the LB and FL exercises compared with the SB exercise (p< 0.05). The erector spinae muscle activity was significantly higher with the SB and LB exercises, compared with the FL exercise (p< 0.05). The LB exercise significantly increased the internal oblique muscle activity, compared with other exercise variations (p< 0.05). The inclination angle of the exercise only affected the internal oblique muscle and subjective difficulty, which were significantly higher at 30 degrees compared with 15 degrees (p< 0.05). CONCLUSIONS: Relatively higher inclination angle was not effective in overall activation of the trunk muscles; however, different bridge-type exercises could selectively activate the trunk muscles. The LB and SB exercises could be good options for stimulating the internal oblique abdominis, and the erector spinae muscle, while the FL exercise could minimize the erector spinae activity and activate the abdominal muscles.

Analysis of Muscle Activity Using Surface Electromyography for Muscle Performance in Manual Lifting Task

2014 ◽  
Vol 564 ◽  
pp. 644-649 ◽  
Author(s):  
Halim Isa ◽  
Rawaida ◽  
Seri Rahayu Kamat ◽  
A. Rohana ◽  
Adi Saptari ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Surface Electromyography ◽  
Biceps Brachii ◽  
Twist Angle ◽  
Erector Spinae ◽  
Manual Lifting ◽  
Experienced Fatigue ◽  
Left And Right ◽  
Lifting Task ◽  
Load Mass

In industries, manual lifting is commonly practiced even though mechanized material handling equipment are provided. Manual lifting is used to transport or move products and goods to a desired place.Improper lifting techniquescontribute to muscle fatigue and low back pain that can lead to work efficiency and low productivity.The objective of this study were to analyze muscle activity in the left and right Erector Spinae, and left and right Biceps Brachii of five female subjects while performing manual lifting taskwithdifferent load mass, lifting height and twist angle.The muscle activitywere measured and analyzed using surface electromyography (sEMG).This study found that the right Biceps Brachii, right and left Erector Spinae experienced fatigue while performingasymmetric lifting (twist angle = 90°) at lifting height of 75 cm and 140 cm with load mass of 5 kg and 10 kg. Meanwhile, the left Biceps Brachii experienced fatigue when the lifting task was set at lifting height of 75 cm, load mass of 5 kg and twist angle of 90°.The load mass and lifting height has a significant influence to Mean Power Frequency (MPF) for left Biceps Brachii, left and right Erector Spinae. This study concluded that reducing the load mass can increase the muscles performance which can extend the transition-to-fatigue stage in the left and right Biceps Brachii and Erector Spinae.

scholarly journals Low-Frequency Oscillations (<0.3 Hz) in the Electromyographic (EMG) Activity of the Human Trapezius Muscle During Sleep

2002 ◽  
Vol 88 (3) ◽  
pp. 1177-1184 ◽  
Author(s):  
R. H. Westgaard ◽  
P. Bonato ◽  
K. A. Holte
Keyword(s):  
Heart Rate ◽  
Muscle Activity ◽  
Activity Pattern ◽  
Sudden Change ◽  
Mean Amplitude ◽  
Activity Level ◽  
Emg Activity ◽  
Similar Frequency ◽  
Emg Signal ◽  
The Mean

The surface electromyographic (EMG) signal from right and left trapezius muscles and the heart rate were recorded over 24 h in 27 healthy female subjects. The root-mean-square (RMS) value of the surface EMG signals and the heartbeat interval time series were calculated with a time resolution of 0.2 s. The EMG activity during sleep showed long periods with stable mean amplitude, modulated by rhythmic components in the frequency range 0.05–0.2 Hz. The ratio between the amplitude of the oscillatory components and the mean amplitude of the EMG signal was approximately constant over the range within which the phenomenon was observed, corresponding to a peak-to-peak oscillatory amplitude of ∼10% of the mean amplitude. The duration of the periods with stable mean amplitude ranged from a few minutes to ∼1 h, usually interrupted by a sudden change in the activity level or by cessation of the muscle activity. Right and left trapezius muscles presented the same pattern of FM. In supplementary experiments, rhythmic muscle activity pattern was also demonstrated in the upper extremity muscles of deltoid, biceps, and forearm flexor muscles. There was no apparent association between the rhythmic components in the muscle activity pattern and the heart rate variability. To our knowledge, this is the first time that the above-described pattern of EMG activity during sleep is documented. On reanalysis of earlier recorded trapezius motor unit firing pattern in experiments on awake subjects in a situation with mental stress, low-FM of firing with similar frequency content was detected. Possible sources of rhythmic excitation of trapezius motoneurons include slow-wave cortical oscillations represented in descending cortico-spinal pathways, and/or activation by monoaminergic pathways originating in the brain stem reticular formation. The analysis of muscle activity patterns may provide an important new tool to study neural mechanisms in human sleep.

The Effects of Lifting Posture on Trunk Muscle Activity

1992 ◽  
Vol 36 (10) ◽  
pp. 742-746
Author(s):  
Christopher A. Hamrick ◽  
Sean Gallagher
Keyword(s):  
Muscle Activity ◽  
Latissimus Dorsi ◽  
Trunk Muscle ◽  
Trunk Muscles ◽  
Oblique Muscle ◽  
Left And Right ◽  
External Oblique ◽  
Four Levels ◽  
The Right ◽  
Guidelines And Recommendations

Trunk muscle activity of twelve healthy males with coal mining experience was examined while each subject lifted a box under various conditions. The independent variables were four levels of posture (kneeling, stooped under a 1.2 m roof, stooped under a 1.6 m roof, and standing), height to which the box was lifted (35 cm or 70 cm), and weight of the lifting box (15 kg, 20 kg, or 25 kg). The dependent variables were the peak EMG values recorded during a lift for each of eight trunk muscles (left and right erectores spinae, left and right latissimus dorsi, left and right external oblique, and left and right rectus abdominis). Posture and weight of lift significantly affected peak activity of the left and right erectores spinae, the left and right latissimus dorsi muscles, and the right external oblique muscle. The latissimus dorsi muscle activity was highest in the low stooping posture, and was lowest in the kneeling posture, while erectores spinae activity was highest in the kneeling posture and decreased as the trunk became more flexed. Thus, the muscle activity during lifting tasks is affected by restricting a worker's posture. Consequently, many lifting guidelines and recommendations currently in use may not be directly applicable to work being performed in restricted postures.

scholarly journals Association between spectral characteristics of paraspinal muscles and functional disability in patients with low back pain: a cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e017091 ◽  
Author(s):  
Shin-Yi Chiou ◽  
Ermis Koutsos ◽  
Pantelis Georgiou ◽  
Paul H Strutton
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Peak Power ◽  
Functional Disability ◽  
Spectral Characteristics ◽  
Peak Torque ◽  
Healthy Adults ◽  
Erector Spinae ◽  
Emg Activity ◽  
Low Back

ObjectivesCharacteristics of muscle activity, represented by surface electromyography (EMG), have revealed differences between patients with low back pain (LBP) and healthy adults; how they relate to functional and clinical parameters remains unclear. The purpose of the current study was to examine the correlation between frequency characteristics of EMG (analysed using continuous wavelet transform (CWT) analysis) and patients’ self-rated score of disability.Design and settingThis is a case-control study with 15 patients with mechanical LBP without radicular symptoms. Patients were recruited from the orthopaedic clinic at Charing Cross Hospital. Ten healthy adults were recruited from the staff working in the hospital and associated university. Patients completed the Roland-Morris Disability Questionnaire (RMDQ) and bilateral EMG activity was obtained from erector spinae at vertebral levels L4 and T12. Subjects performed three brief maximal voluntary isometric contractions (MVICs) of the back extensors and the torque was measured using a dynamometer. CWT was applied to the EMG signals of each muscle in a 200 ms window centred around the peak torque obtained during the MVICs. The ratio (low/high frequencies) of the energy, the peak power and the frequency of the peak power were calculated for each recording site, averaged and correlated with the individual’s RMDQ score.ResultsPatients had lower peak power (T12 and L4) and lower frequency of the peak power (at T12) than the healthy adults. Additionally, RMDQ positively correlated to the average ratio of energy at T12 (r=0.63; p=0.012), that is, greater self-rated disability corresponded to a dominant distribution of energy in the lower frequencies.ConclusionThe current findings reveal alterations in EMG profile and its association with self-related back pain disability, suggesting that spectral characteristics of EMG reflect muscle function.

Hip and Trunk Muscle Activity During the Star Excursion Balance Test in Healthy Adults

2019 ◽  
Vol 28 (7) ◽  
pp. 682-691 ◽  
Author(s):  
Kunal Bhanot ◽  
Navpreet Kaur ◽  
Lori Thein Brody ◽  
Jennifer Bridges ◽  
David C. Berry ◽  
...  
Keyword(s):  
Dynamic Balance ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Healthy Adults ◽  
Rectus Abdominis ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Electromyographic Activity ◽  
Balance Test ◽  
External Oblique

Context:Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.Objective:To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.Design:Descriptive.Setting:University campus.Participants:Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).Intervention:Surface electromyographic data were collected on 22 healthy adults of the erector spinae, external oblique, and rectus abdominis bilaterally, and gluteus medius and gluteus maximus muscle of the stance leg. A 2-way repeated measures analysis of variance was used to determine the interaction between the percentage maximal voluntary isometric contraction (%MVIC) and the reach directions. The %MVIC for each muscle was compared across the 8 reach directions using the Sidak post hoc test withαat .05.Main Outcome Measures:%MVIC.Results:Significant differences were observed for all the 8 muscles. Highest electromyographic activity was found for the tested muscles in the following reach directions—ipsilateral external oblique (44.5% [38.4%]): anterolateral; contralateral external oblique (52.3% [40.8%]): medial; ipsilateral rectus abdominis (8% [6.6%]): anterior; contralateral rectus abdominis (8% [5.3%]): anteromedial; ipsilateral erector spinae (46.4% [20.2%]): posterolateral; contralateral erector spinae (33.5% [11.3%]): posteromedial; gluteus maximus (27.4% [11.7%]): posterior; and gluteus medius (54.6% [26.1%]): medial direction.Conclusions:Trunk and hip muscle activation was direction dependent during the SEBT. This information can be used during rehabilitation of the hip and the trunk muscles.

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