scholarly journals The Influence of Hamstring Length on the Flexion-relaxation Phenomenon in Relation to the Erector Spinae Muscle During Trunk Flexion

2020 ◽  
Vol 27 (3) ◽  
pp. 171-177
Author(s):  
Na-hee Kim ◽  
Bo-ram Choi
2021 ◽  
Author(s):  
Marzyeh Ramezani ◽  
Amin Kordi Yoosefinejad ◽  
Alireza Motealleh ◽  
Mohsen Ghofrani-Jahromi

Abstract Background: Trunk flexion is a common exercise during daily activities. Flexion relaxation phenomenon (FRP) occurs during forward bending in which there is a sudden silence of erector spinae (ES) muscles. The pattern of forward bending differs in yoga practitioners. This learned pattern probably predisposes yogis to injuries.The hypothesis of this study was that FRP differs in yogis in comparison to non-yogis individuals.Methods: This observational cross-sectional study was performed on 60 women assigned into yogis and non-athlete groups. Each participant was asked to bend forward and then return to the initial position. ES activity was recorded at L3 level, 4 cm from mid line during the trial. Trunk inclination and lumbar flexion angles were calculated at FRP onset and cessation moments. Results: The FRP phenomenon occurred in 80% of yoga practitioners in comparison to 96.7% in the control group. Trunk inclination angle was significantly greater at FRP initiation in yogis compared to control group. Lumbar flexion angle was not different between the groups. Conclusions: It is concluded that the altered pattern of forward bending observed in yogis may change patterns of ES muscles activity if it becomes part of a person's daily lifestyle which might predispose these muscles to fatigue and subsequent injuries.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259619
Author(s):  
Yi-Lang Chen ◽  
Wei-Cheng Lin ◽  
Ying-Hua Liao ◽  
Yi Chen ◽  
Pei-Yu Kang

Although several studies have investigated the back-muscle flexion–relaxation phenomenon (FRP), the effect of individual flexibility on the FRP has been discussed infrequently, with very limited data on the influence of flexibility training on the FRP. This study thus examined the effect of flexibility training on the change of back-muscle FRP pattern in relatively inflexible young men. We collected and analyzed the valid data from 20 male participants (10 each with high and low flexibility included in the control and trained groups, respectively) when flexing their trunks at seven trunk flexion positions (0°–90°, in increments of 15°); their erector spinae and hamstring activation, pelvic tilt, and lumbosacral angle were then recorded. After 7 weeks of flexibility training for the low-flexibility group, no difference in flexibility was discovered between this group and the control (originally high-flexibility) group. The trunk flexion experiment was then repeated. The results showed that before the training stage, the low-flexibility group had lower erector spinae and higher hamstring activation, a larger pelvic tilt, and a smaller lumbosacral angle. By contrast, after training, the erector spinae and hamstring activation, pelvic tilt, and lumbosacral angle were significantly changed, and no intergroup differences were observed in FRP patterns. The study results suggest that flexibility training changes lumbopelvic movement and thereby reduces the degree of the back-muscle FRP when trunk flexion is performed.


Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 810
Author(s):  
I. Concepción Aranda-Valera ◽  
Juan Luis Garrido-Castro ◽  
Alfonso Martínez-Galisteo ◽  
José Peña-Amaro ◽  
Cristina González-Navas ◽  
...  

Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterized by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromyography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyze the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI ≥ 4) and non-active (BASDAI < 4) patients. The reliability (using intraclass correlation coefficients (ICC)), criterion validity and discriminant validity using the area Under the curve (AUC) for the inverse flexion/relaxation ratio (1/FRR) were evaluated. Significant differences (p < 0.05) were observed between axSpA patients and the control group in lumbar electric activity, especially during flexion, relaxation, and extension and in FRR and 1/FRR (0.66 ± 0.39 vs. 0.25 ± 0.19, respectively). In addition, significant differences were found between active and non-active but also between non-active and healthy subjects. The sEMG showed good reliability (ICC > 0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC = 0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status.


Author(s):  
I. Concepción Aranda-Valera ◽  
Juan Luis Garrido-Castro ◽  
Alfonso Martinez-Galisteo ◽  
Jose Peña-Amaro ◽  
Cristina Gonzalez-Navas ◽  
...  

Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterised by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromiography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyse the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI&ge;4) and non-active (BASDAI&lt;4) patients. The reliability (using intraclass correlation coefficients (ICC)), criterion validity and discriminant validity using the area Under the curve (AUC) for the inverse flexion/relaxation ratio (1/FRR) were evaluated. Significant differences (p&lt;0.05) were observed between axSpA patients and the control group in lumbar electric activity, especially during flexion, relaxation and extension and in FRR and 1/FRR (0.66&plusmn;0.39 vs. 0.25&plusmn;0.19, respectively). In addition, significant differences were found between active and non-active but also between non-active and healthy subjects. The sEMG showed good reliability (ICC&gt;0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC=0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status.


Author(s):  
Hetal Sanjay Desai ◽  
Rahul Singh Bisen

Background: The purpose is to examine the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain (MLBP) and normal subjects.Methods: A total of 30 patients 15 with MLBP and 15 normal subjects of both genders participated in the study with convenient sampling; all were aged between 20-50 years. The participants were asked to perform movement which was paced by computer running a program and the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain and normal subjects were examined.Results: This study stated that patients with MLBP has increased or over activity of erector spinae muscle during complete lumbar flexion when the muscle should be electrically silent. This was observed with help of EMG graph where increase in activity was observed with increase in amplitude, duration and time in graph.Conclusions: There is increase in the amplitude, duration and time in flexion relaxation phenomenon (FRP) in mechanical low back pain patients when compared to normal subjects.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Carlos Murillo ◽  
Eduardo Martinez-Valdes ◽  
Nicola R. Heneghan ◽  
Bernard Liew ◽  
Alison Rushton ◽  
...  

Abstract Recent research using high-density electromyography (HDEMG) has provided a more precise understanding of the behaviour of the paraspinal muscles in people with low back pain (LBP); but so far, HDEMG has not been used to investigate the flexion relaxation phenomenon (FRP). To evaluate this, HDEMG signals were detected with grids of electrodes (13 × 5) placed bilaterally over the lumbar paraspinal muscles in individuals with and without LBP as they performed repetitions of full trunk flexion. The root mean square of the HDEMG signals was computed to generate the average normalized amplitude; and the spatial FRP onset was determined and expressed as percentage of trunk flexion. Smoothing spline analysis of variance models and the contrast cycle difference approach using the Bayesian interpretation were used to determine statistical inference. All pain-free controls and 64.3% of the individuals with LBP exhibited the FRP. Individuals with LBP and the FRP exhibited a delay of its onset compared to pain-free controls (significant mean difference of 13.3% of trunk flexion).  They also showed reduced normalized amplitude compared to those without the FRP, but still greater than pain-free controls (significant mean difference of 27.4% and 11.6% respectively). This study provides novel insights into changes in lumbar muscle behavior in individuals with LBP.


Author(s):  
Faisal M Alessa ◽  
Xiaopeng Ning

The purpose of the current study was to assess the changes in lumbar tissue load sharing mechanism and lumbar range of motion at different trunk flexion postures. Eight participants performed the tasks of changing lumbar posture from extended to flexed posture while maintaining fixed trunk postures (30°, 60°, or 90°). Results of the present study showed that FRP onset was observed in almost all the trials at two conditions of trunk posture (i.e. 60° and 90°). The results also showed that lumbar range of motion changed significantly between the different levels of trunk posture. Findings of the current study could help for better understanding of the dynamics of lumbar active and passive tissue loading during static trunk flexion.


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