Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross-sectional Study

PM & R : the Journal of Injury, Function, and Rehabilitation
Peemongkon WattananonWattana Jalayondeja

Abstract

Prone hip extension is used to clinically assess movement control in patients with nonspecific low back pain (LBP). Excessive lumbopelvic movements and altered muscle activation patterns are common in patients with nonspecific LBP. However, no evidence exists regarding lumbar multifidus and lumbar erector spinae muscle synergy patterns in patients with nonspecific LBP during this clinical test. To determine the difference in lumbopelvic motion and change in muscle synergy between patients with nonspecific LBP and healthy individuals. A cross-sectional study design. University physical therapy clinic and laboratory. Seven patients with nonspecific LBP (age [mean ± SD] 29 ± 5 years, 43% female, body mass index [BMI] of 25 ± 2 kg/m2 , Numeric Pain Rating Scale 6 ± 2; Oswestry Disability Index 20% ± 8%) and seven age-, sex-, and BMI-matched healthy individuals (mean age 28 ± 5 years, 43% female, BMI of 22 ± 2 kg/m2 ) were recruited. Each participant performed six repetitions of prone hip extension on each side; kinematic and electromyographic data were collected simultaneously. Kinematic data were used to represent lumbopelvic motion, whereas electromyography (EMG) data were used to represent muscle activity. A paired t-test was us...Continue Reading

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Citations

Nov 25, 2019·BMC Musculoskeletal Disorders·Wai Leung Ambrose LoLe Li
Aug 3, 2021·Journal of Back and Musculoskeletal Rehabilitation·Peemongkon WattananonHsing-Kuo Wang

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