How Back-Muscle Fatigue Influences Lumbar Curvature
Context:Back-muscle fatigue and lumbar curvature are related to low back pain, but the relation between them is unknown.Objective:To clarify whether lumbar curvature changes with back-muscle fatigue.Design:Prospective pseudorandomized.Setting:Laboratory.Participants:13 healthy men without low back pain.Intervention:To induce back-muscle fatigue, subjects performed a repetitive prone back-extension exercise from 45° to 0° until exhaustion and then rested 10 min. They performed this exercise 3 times.Main Outcome Measures:Before the trial and after each exercise, lumbar curvature was measured with a Spinal Mouse.Results:After back-muscle fatigue, lumbar curvature decreased significantly (P < .01). This decrease occurred at L4–S1, which was defined as the lower spine. On the contrary, curvature of the upper lumbar spine, at Th12–L4, did not decrease.Conclusion:Lumbar curvature, especially the lower portion, decreased with back-muscle fatigue induced by prone back-extension exercise.