Altered muscular activation during prone hip extension in women with and without low back pain

被引:34
作者
Arab A.M. [1 ]
Ghamkhar L. [1 ]
Emami M. [2 ]
Nourbakhsh M.R. [3 ]
机构
[1] Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Evin, Tehran
[2] Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Evin, Tehran
[3] Department of Physical Therapy, North Georgia College and State University, Dahlonega, GA
关键词
Electromyography; Low back pain; Movement pattern; Prone hip extension;
D O I
10.1186/2045-709X-19-18
中图分类号
学科分类号
摘要
Background: Altered movement pattern has been associated with the development of low back pain (LBP). The purpose of this study was to investigate the activity pattern of the ipsilateral erector spinae (IES) and contralateral erectorspinae (CES), gluteus maximus (GM) and hamstring (HAM) muscles during prone hip extension (PHE) test in women with and without LBP. A cross-sectional non-experimental design was used. Methods: Convenience sample of 20 female participated in the study. Subjects were categorized into two groups: With LBP (n = 10) and without LBP (n = 10). The electromyography (EMG) signal amplitude of the tested muscles during PHE (normalized to maximum voluntary electrical activity (MVE)) was measured in the dominant lower extremity in all subjects. Results: Statistical analysis revealed greater normalized EMG signal amplitude in women with LBP compared to non-LBP women. There was significant difference in EMG activity of the IES (P = 0.03) and CES (P = 0.03) between two groups. However, no significant difference was found in EMG signals of the GM (P = 0.11) and HAM (P = 0.14) among two groups. Conclusion: The findings of this study demonstrated altered activation pattern of the lumbo-pelvic muscles during PHE in the women with chronic LBP. This information is important for investigators using PHE as either an evaluation tool or a rehabilitation exercise. © 2011 Arab et al.
引用
收藏
相关论文
共 44 条
  • [1] Ekman M., Jonhagen S., Hunsche E., Jonsson L., Burden of illness of chronic low back pain in Sweden: a cross-sectional, retrospective study in primary care setting, Spine, 30, pp. 1777-1785, (2005)
  • [2] Van Tulder M., Koes B., Low back pain and sciatica. chronic, Clin Evid, pp. 1032-1048, (2002)
  • [3] Sahrmann S., Diagnosis and treatment of movement impairment syndromes, 1, pp. 121-192, (2002)
  • [4] Janda V., On the concept of postural muscles and posture in man, Aust J Physiother, 29, pp. 83-84, (1983)
  • [5] Sahrmann S., Posture and muscle imbalance: faulty lumbar-pelvic alignment and associated musculoskeletal pain syndromes, Orthop Div Rev, pp. 13-20, (1992)
  • [6] Janda V., Pain in the locomotor system-A broad approach, Aspects of Manipulative Therapy Melbourne: Churchill Livingstone, pp. 148-151, (1985)
  • [7] O'Sullivan P., Phyty D., Twomey L., Allison G., Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis, Spine, 22, pp. 2959-2967, (1997)
  • [8] Hodges P., Moseley G., Pain and motor control of the lumbopelvic region: effect and possible mechanisms, J Electromyogr Kinesiol, 13, pp. 361-370, (2003)
  • [9] Hungerford B., Gilleard W., Hodges P., Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain, Spine, 28, pp. 1593-1600, (2003)
  • [10] Leinonen V., Kankaanpaa M., Airaksinen O., Hanninen O., Back and hip extensor activities during trunk flexion/extension: Effects of low back pain and rehabilitation, Arch Phys Med Rehabil, 81, pp. 32-37, (2000)