Intra-day, short- and long-term reliability of surface electromyographic measurements during a standardized measurement protocol for lower back pain patients.

Background: The identification of back muscle dysfunction is a prerequisite for successful rehabilitation. Therefore, surface electromyography can be used for diagnostic and evaluative purposes. However, data quality highly depends on a) variance and inaccuracies in methodological procedures and b)...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 38; no. 3; pp. 506 - 514
Autores principales: Domokos, Bruno, Hümmer, Adrian, Ettinger, Julia, Raschka, Christoph, Spang, Christoph, Düking, Peter
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Intra-day, short- and long-term reliability of surface electromyographic measurements during a standardized measurement protocol for lower back pain patients.
      aug:
        au:
          Domokos, Bruno
          Hümmer, Adrian
          Ettinger, Julia
          Raschka, Christoph
          Spang, Christoph
          Düking, Peter
        affil: Institute for Sports Science, Universität Würzburg, Würzburg, Germany
      sug:
        subj:
          Electromyography
          Test-Retest Reliability Evaluation
          Low Back Pain Diagnosis
          Sensitivity and Specificity
          Protocols
          Multifidus Muscles Physiology
          Task Performance and Analysis
          Human
          Adult
          Electrodes
          Movement
          Intraclass Correlation Coefficient
          Prone Position
          Sitting
          Multifidus Muscles Anatomy and Histology
          Low Back Pain Rehabilitation
          Therapeutic Exercise
          Adult: 19-44 years
      ab: Background: The identification of back muscle dysfunction is a prerequisite for successful rehabilitation. Therefore, surface electromyography can be used for diagnostic and evaluative purposes. However, data quality highly depends on a) variance and inaccuracies in methodological procedures and b) on time-dependent changes, particularly in complex conditions such as chronic low back pain. Objective: To assess intra-day, short-term and long-term reliability of a protocol designed for electromyographic measurements of the paraspinal muscles. Methods: Three everyday tasks were selected for measurement in two healthy populations (mean age (years): 26.25/30.49 (SD: 7.05/11.03), sex-balanced). The procedure follows a detailed protocol (e.g., including ultrasound, electrode placement, movement commands). Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated. Results: Prone extension task demonstrated excellent test-retest agreement in all timespans (ICC = 0.92–0.96, SEM = 6.08–8.11, MDC = 16.85–22.49). Forward bending reliability ranged from moderate in long-term (ICC = 0.68–0.71, SEM = 1.98–2.52, MDC = 5.48–6.99) to good in intra-day (ICC = 0.76–0.89, SEM = 1.73–2.15, MDC = 4.79–5.95) to excellent in short-term assessment (ICC = 0.97, SEM = 1.07–1.21, MDC = 2.96–3.34). Sitting task showed the lowest test-retest agreement ranging between good to moderate in intra-day (ICC = 0.60–0.77, SEM = 1.22–1.26, MDC = 1.61–3.48)) and short-term reliability (ICC = 0.50–0.75, SEM = 1.24–2.06, MDC = 0.62–4.04) and moderate in long-term reliability (ICC = 0.65–0.71, SEM = 1.43–1.85, MDC = 3.95–5.12). Conclusion: Using standardized procedures, surface electromyography can provide reliable data for practitioners in low back pain rehabilitation. Timespan had a limited influence on reliability compared to the type of task performed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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