Muscle Timing and Activation Patterns during Two Movement Screening Tests in Subjects With and Without Low Back Pain.

Study Design: Controlled laboratory study. Purpose: The aim of this study was to determine if there are any differences in hip and trunk muscle activation and firing patterns during 2 movement screening tests in individuals with low back pain (LBP) and control participants. Methods: Muscle activatio...

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Publicado en:Journal of the National Society of Allied Health pp. 38 - 49
Autores principales: Rabel, Michael, Chase, Ryan, Lominac, Mike, Chin Yoon
Formato: pictorial research tables/charts Journal Article
Publicado: National Society of Allied Health Spring/Summer2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring/Summer2013
      pid: 39498
      pub: National Society of Allied Health
      place: Mitchellville, Maryland
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        atl: Muscle Timing and Activation Patterns during Two Movement Screening Tests in Subjects With and Without Low Back Pain.
      aug:
        au:
          Rabel, Michael
          Chase, Ryan
          Lominac, Mike
          Chin Yoon
        affil: Department of Physical Therapy, University of Maryland Eastern Shore
      sug:
        subj:
          Low Back Pain
          Hip Joint Physiology
          Torso Physiology
          Muscle Contraction
          Movement
          Functional Assessment
          Human
          Electromyography
          Adult
          Young Adult
          Middle Age
          Abduction
          One-Way Analysis of Variance
          Statistical Significance
          Gluteal Muscles Physiology
          Male
          Female
          Descriptive Statistics
          Maryland
          Questionnaires
          Visual Analog Scaling
          Pain Measurement
          Data Analysis Software
          Intraclass Correlation Coefficient
          Test-Retest Reliability
          Extension
          P-Value
          Erector Spinae Muscles Physiology
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Study Design: Controlled laboratory study. Purpose: The aim of this study was to determine if there are any differences in hip and trunk muscle activation and firing patterns during 2 movement screening tests in individuals with low back pain (LBP) and control participants. Methods: Muscle activation for specific trunk and lower extremity muscles was examined by surface Electromyography (EMG). Twenty-two healthy active controls (mean age ± SD, 27.2 ± 4.6 years) and twelve subjects with LBP (mean age ± SD, 44.4 ± 14.6 years) participated in the study. The movement tests under investigation were the prone straight leg raise (PSLR) and sidelying hip abduction (SHA). Mean onset muscle timing and activation patterns were identified for each movement test. Separate one-way analyses of variance (ANOVAs) were used to determine differences in muscle onset times between groups. The influence of age was considered as a covariate in the analysis. Results: Significant between group differences were identified in muscle onset times. During the PSLR, subjects with LBP recruited muscles of the lower extremity before the trunk. This pattern was reversed for the controls. The onset time of the gluteus maximus was significantly greater for subjects with LBP (P=0.001). During SHA, the firing sequence was similar for both groups. Compared to healthy controls, subjects with LBP displayed a significant delay in onset times for all back muscles (Pd"0.002). Conclusions: Subjects with LBP were unable to effectively recruit/control their trunk musculature during these movement screening tests. A better understanding of this movement impairment and the restoration of trunk control may lead to a faster recovery.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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