The relationship between lumbar spine load and muscle activity during extensor exercises

被引:122
作者
Callaghan, JP [1 ]
Gunning, JL [1 ]
McGill, SM [1 ]
机构
[1] Univ Waterloo, Fac Appl Hlth Sci, Dept Kinesiol, Occupat Biomech & Safety Labs, Waterloo, ON N2L 3G1, Canada
来源
PHYSICAL THERAPY | 1998年 / 78卷 / 01期
关键词
electromyography; extensor exercise; injury; lumbar spine; rehabilitation;
D O I
10.1093/ptj/78.1.8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background and Purpose. There have been no previous studies that quantitatively assessed the load on the spine during extensor exercises. The purpose of our study was to investigate the loading of the lumbar spine and trunk muscle activity levels while subjects performed typical trunk extensor exercises. Subjects. Thirteen male volunteers (mean age= 21.0 years, SD=1.0, range=l9-23; mean height= 176.0 cm, SD=6.2, range=165-188; mean mass=77.0 kg, SD=7.0, range=63-89) participated. Methods. The subjects performed four different back exercises. Electromyographic (EMG) activity was recorded from 14 trunk muscles The postures that corresponded external moment were identified and quantified using rigid body modeling combined with an EMG-driven model to determine joint loading at the L4-5 joint. The exercises were then evaluated based on the lumbar spine loading-and peak muscle activity levels. A reference task of lifting 10 kg from midthigh was included for comparison. Results. The exercises involving active trunk extension produced the cs and muscle activity levels. Exercises involving leg extension with the spine held isometrically demonstrated asymmetricaI activity of the trunk muscles, thereby reducing-loads on the spine. Conclusion and Discussion, The back extensor exercises examined provided a wide range of joint loading and muscle activity levels. Single-leg extension tasks appear to constitute a low-risk exercise for initial extensor strengthening, given the low spine load and mild extensor muscle challenge. When combined with contralateral arm extensions, the challenge and demand of the exercise were increased. The compressive loading and extensor muscle activity levels were highest for the trunk extension exercises.
引用
收藏
页码:8 / 18
页数:11
相关论文
共 26 条
  • [1] PROLAPSED INTERVERTEBRAL-DISK - A HYPERFLEXION INJURY
    ADAMS, MA
    HUTTON, WC
    [J]. SPINE, 1982, 7 (03) : 184 - 191
  • [2] BATTIE MC, 1990, SPINE, V15, P768, DOI 10.1097/00007632-199008010-00006
  • [3] PHYSICAL MEASUREMENTS AS RISK INDICATORS FOR LOW-BACK TROUBLE OVER A ONE-YEAR PERIOD
    BIERINGSORENSEN, F
    [J]. SPINE, 1984, 9 (02) : 106 - 119
  • [4] VARIATION IN LUMBAR SAGITTAL MOBILITY WITH LOW-BACK TROUBLE
    BURTON, AK
    TILLOTSON, KM
    TROUP, JDG
    [J]. SPINE, 1989, 14 (06) : 584 - 590
  • [5] Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain
    Cholewicki, J
    McGill, SM
    [J]. CLINICAL BIOMECHANICS, 1996, 11 (01) : 1 - 15
  • [6] Flint M M, 1965, Am J Phys Med, V44, P224
  • [7] MECHANISM OF DISK RUPTURE - A PRELIMINARY-REPORT
    GORDON, SJ
    YANG, KH
    MAYER, PJ
    MACE, AH
    KISH, VL
    RADIN, EL
    [J]. SPINE, 1991, 16 (04) : 450 - 456
  • [8] HALPERN AA, 1979, CLIN ORTHOP RELAT R, P172
  • [9] JETTE M, 1984, CAN J PHYS ED RE SEP, P4
  • [10] PHYSIOTHERAPY EXERCISES AND BACK PAIN - A BLINDED REVIEW
    KOES, BW
    BOUTER, LM
    BECKERMAN, H
    VANDERHEIJDEN, GJMG
    KNIPSCHILD, PG
    [J]. BRITISH MEDICAL JOURNAL, 1991, 302 (6792) : 1572 - 1576