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PubMed2001

Assessment of lower-back muscle fatigue using electromyography, mechanomyography, and near-infrared spectroscopy.

We have investigated the etiology of lower-back muscle fatigue using simultaneous recordings of electromyography (EMG), mechanomyography (MMG), and near-infrared spectroscopy (NIRS) in an attempt to shed some light on the electrophysiological, mechanical, and metabolic characteristics, respectively. Eight male subjects performed isometric back extensions at an angle of 15 degrees with reference to the horizontal plane, for a period of 60 s. Surface EMG, MMG and NIRS signals were recorded simultaneously from the center of the erector spinae at the level of L3. NIRS was measured to determine the level of muscle blood volume (BV) and oxygenation (Oxy-Hb). The root mean square amplitude value (RMS) of the EMG signal was significantly increased at the initial phase of contraction and then fell significantly, while mean power frequency (MPF) of the EMG signal decreased significantly and progressively as a function of time. There were also significant initial increases in RMS-MMG that were followed by progressive decreases at the end of fatiguing contractions. MPF-MMG remained unchanged. Muscle BV and Oxy-Hb decreased dramatically at the onset of the contraction and then remained almost constant throughout the rest of the contraction. These results, obtained by simultaneous recordings of EMG, MMG, and NIRS, demonstrate that the restriction of blood flow due to high intramuscular mechanical pressure is one of the most important factors in muscle fatigue in the lower-back muscles. In addition, the simultaneous recording system described here can be used to obtain more reliable information regarding the mechanism(s) of lower-back muscle fatigue.

Adult↗
PubMed1982

Lumbar back muscle activity in relation to trunk movements during locomotion in man.

The function of lumbar back muscles was studied by relating their activity patterns to trunk movements in 7 healthy adult males during normal walking (1.0-2.5 m/s) and running (2.0-7.0 m/s) on a treadmill. The movements of the trunk in the sagittal and frontal planes were recorded with a Selspot optoelectronic system using infrared light emitting diodes as markers. The electromyographic (EMG) activity from the two main portions of the lumbar erector spinae muscles (Multifidus and Longissimus) was recorded bilaterally with intramuscular wire electrodes. The angular displacements of the trunk showed regular oscillations, but their shape, magnitude and relation to the step cycle were different in the two planes (sagittal and frontal) and varied with speed and mode of progression. The EMG pattern in both muscles showed a bilateral cocontraction with two main bursts of activity per step cycle starting just before each foot was placed on the ground. Relating the EMG to the movements of the trunk indicated that the main function of the lumbar erector spinae muscles is to restrict excessive trunk movements. During walking this restricting action is most evident for movements in the frontal plane, whereas in running the lumbar back muscles mainly control the movements in the sagittal plane.

Adaptation, Physiological↗
PubMed2005

Long-term electromyographic activity in upper trapezius and low back muscles of women with moderate physical activity.

The habitual activity patterns of trapezius and postural back muscles (multifidus, iliocostalis, longissimus) of 23 female subjects with moderate physical activity were studied. Bilateral surface electromyographic (sEMG) recordings from start of work until bedtime were analyzed. The activity level was calibrated as percentage of root mean square-detected muscle activity at maximal voluntary contraction (EMG(max)). Sixty-six previous trapezius recordings of women with moderate physical activity were included in some analyses to pursue the full range of variation in trapezius activity. Twenty-six of these were recorded twice, separated by 16-28 mo. Median activity level and duration of periods with sEMG activity of <0.5% EMG(max) ("rest time"; only trapezius) and exceeding 2 ("burst time"), 10, 30, and 50% EMG(max) was determined. The trapezius median activity level ranged from 0.6 to 8.8% EMG(max), burst time from 9 to 84%, and rest time from 2 to 84%. The activity patterns of the back muscles showed similar large interindividual variation. Repeated trapezius recordings of the same subject showed high consistency; intraclass correlation coefficients ranged from 0.62 to 0.79 for different sEMG variables. Periods with high sEMG amplitude were of short duration; 7% of the trapezius recordings did not present time intervals (0.2-s duration) above 50% EMG(max). The activity patterns of the postural muscles, despite large interindividual variability, were distinctly different from activity patterns of upper and lower limb muscles reported by others (e.g., mean burst time 40-50 vs. 10-20%). We conclude that postural trunk muscles show idiosyncratic activity patterns with large interindividual variation. High-threshold motor units are activated to a very minor extent.

Activities of Daily Living↗
PubMed1998

Spectral electromyographic fatigue analysis of back muscles in healthy adult women compared with men.

OBJECTIVE AND DESIGN: To investigate the difference in back muscle endurance between normal adult women and men using surface electromyographic (EMG) power spectral analyses. METHODS: Forty-five healthy subjects (22 men and 23 women) were studied during an unsupported trunk holding test for 120 seconds. Recording surface electrodes were placed over each erector spinae muscle at L1 level. OUTCOME MEASURES: Median frequency (MF), mean power frequency (MPF), and zero crossing rate (ZCR) were evaluated using the ME3000P Fast Fourier Transform spectrum analysis program. The rate of change was determined for each parameter during the test, and correlation was examined by Pearson's correlation. RESULTS: The negative slopes of all indices of back muscle fatigue were significantly steeper in men than in women. CONCLUSION: Our results indicated that the trunk holding test combined with EMG power spectral analysis of lumbosacral muscles is useful for the evaluation of fatigue performance of these muscles. Our results also showed a higher muscle endurance in healthy adult women than in men.

Adult↗
PubMed1993

Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low-back pain. A randomized, observer-blind trial.

In a randomized, observer-blind trial, 150 men and women, aged 21-64 years, with chronic/subchronic low-back pain, followed one of these three treatment regimens: 1) intensive, dynamic back-muscle exercises; 2) conventional physiotherapy, including isometric exercises for the trunk and leg muscles; and 3) placebo-control treatment involving semihot packs and light traction. Eight treatment sessions were given during the course of 4 weeks, each session lasting 1 hour. The short-term effect was evaluated at the end of the treatment period and 1 month later, and the long-term effect at 6 and 12 months. The evaluations included recording of changes in pain level and assessment of overall treatment effect, which were indicated on visual interval scales. Subgroups of patients could be identified according to their treatment responses: physiotherapy was the superior treatment for the male participants, whereas the intensive back exercises appeared to be most efficient for the female participants. Patients with moderate or hard physical occupations tended toward a better response with physiotherapy, whereas intensive back exercises seemed most effective for those with sedentary/light job functions.

Adult↗
PubMed2003

[Spectral analysis of electromyography of low back muscle fatigue induced by simulated driving].

OBJECTIVE: To evaluate the effects of different vibration frequency on the back muscle fatigue during simulated driving. METHODS: Thirty-six subjects performed three simulated driving experiments under three vertical vibration frequencies which were 1.8, 4.0, 6.0 Hz respectively and the driving time was 90 minutes. At the same time the electromyography of low back was recorded. RESULTS: The median frequencies calculated from the power spectrum were decreased exponentially under three vertical vibration frequencies, especially under 4.0 Hz vibration frequency. CONCLUSION: The 4.0 Hz vibration frequency has the most important effect on the back muscle fatigue under simulated driving condition.

Adult↗
PubMed2004

Hindlimb suspension inhibits air-righting due to altered recruitment of neck and back muscles in rats.

Effects of 9-week hindlimb suspension and 8-week recovery on air-righting reaction in response to drop from a supine position were studied in adult rats. The righting time in rats at the end of suspension (approximately 220 ms) was longer than the age-matched controls (approximately 120 ms, p <0.05). The unloading-related change in righting time was accompanied by lowered activities of electromyogram (EMG) and altered recruitment of both neck and back muscles at a specific stage of drop. After 8 weeks of reambulation, righting time recovered toward the control level (approximately 153 ms, p <0.05), but the EMG activity of back muscle was still less than controls. In contrast, the EMG of neck muscle during fall was even increased. The differences in the characteristics of the muscle fibers between two groups were minor. It is suggested that inhibition of recruitment, rather than the changes in the fiber characteristics, of neck and back muscles is one of the major causes of the slow air-righting.

Adaptation, Physiological↗
PubMed1980

Crosses and uncrossed synaptic actions on motoneurones of back muscles in the cat.

Intracellular recording from motoneurones of back muscles was used to analyze their synaptic input. The sample included motoneurones located in Th13--L2 spinal segments, identified by their antidromic invasion following stimulation of medial, intermediate and lateral branches of the dorsal rami. The motoneurones were monosynaptically excited from lowest threshold ipsilateral afferents and from ipsilateral descending spinal tracts. Polysynaptic EPSPs and/or IPSPs were evoked in them from higher threshold ipsilateral and contralateral afferents and from descending spinal tracts, and recurrent inhibition was evoked from ipsilateral motor axon collaterals. There was no evidence of crossed disynaptic inhibition from group I afferents, or crossed recurrent inhibition of these neurones. Supplementary records from another group of neurones in Th13--L2 segments, unidentified but likely to innervate other back or abdominal muscles, showed monosynaptic and polysynaptic PSPs of the same origin, and in addition disynaptic IPSPs and disynaptic EPSPs from contralateral ventral roots. The crossed IPSPs had features of the crossed recurrent IPSPs, while the crossed EPSPs appeared to be more likely evoked by some afferents passing via the ventral roots. Generally, the input to the investigated neurones showed greatest similarities to the input to motoneurones of neck muscles and differed from that reported for tail motoneurones.

Afferent Pathways↗
PubMed1998

The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability.

STUDY DESIGN: This was a cross-sectional study carried out on a group of 31 healthy, consenting volunteers with no history of low back pain (17 men, 14 women). OBJECTIVES: To evaluate the relationship between electromyographic measures of erector spinae fatigability and the muscle's fiber type characteristics. SUMMARY OF BACKGROUND DATA: Using electromyographic techniques, a pronounced fatigability of the muscles of patients with low back pain has been identified. It has been postulated that this is the result of an unfavorable back muscle fiber type distribution, although an association between electromyographic measures of fatigue and the muscle's fiber type characteristics has never been established. METHODS: Two tests of back extensor fatigability were performed (on separate days), each to the limit of endurance: 1) maintenance of 60% total maximum voluntary contraction of the back extensors, and 2) performance of the Biering-Sørensen test. Pairs of surface electrodes were attached to the skin overlying the belly of the erector spinae, bilaterally, at T10 and L3. The median frequency was computed from the electromyographic power spectrum, and fatigability was given by the slope of the linear regression of median frequency on time (MFgrad; %.s-1). One week later, two percutaneous erector spinae muscle biopsy samples were obtained from the same sites described for electromyography (left side only). Samples were prepared for histochemistry for the identification of muscle fiber types. Fiber sizes (cross-sectional areas) were quantified using computerized image analysis. RESULTS: The mean fiber size at each erector spinae region showed a significant correlation with maximum back extensor strength. In the thoracic region, the relative area of the muscle occupied by Type I fibers (which accounts for the relative size and distribution of the fiber types) showed a significant relationship with MFgrad recorded during each fatigue test. A similar relationship was observed for the lumbar region, but for the Biering-Sørensen test only. CONCLUSIONS: The electromyographic changes recorded in back muscles during fatigue appear to be related to the underlying muscle fiber type area distribution. This confirms the usefulness of electromyography in reflecting such muscle characteristics in a noninvasive manner, when monitoring changes in function consequent to the development of, or rehabilitation from, low back pain.

Adult↗
PubMed2005

Motor neurone excitability in back muscles assessed using mechanically evoked reflexes in spinal cord injured patients.

OBJECTIVE: The clinical and functional assessment of back muscles in human spinal cord injury (SCI) has received little attention. The aim of this study was to develop a method to assess the level of a thoracic spinal cord lesion based on the reflex activation of back muscles. METHODS: In 11 control subjects and in 12 subjects with clinically complete thoracic SCI (T2-T12), either a spinous process or an erector spinae muscle was prodded to elicit short latency reflexes recorded electromyographically at the spinal level of stimulation. An electromagnetic servo, attached to a blunt probe, applied stimuli at a frequency of 1 Hz and amplitude of 3 mm. Two trials of 50 mechanical prods were conducted at each site. RESULTS: Reflexes were evoked in control subjects in 82% of trials when the spinous process was prodded, and in 80% of trials when the muscle was prodded. In contrast, reflexes in SCI subjects could be elicited in 90-100% of trials two segments either above or below the lesion. Reflex responses in control subjects had a mean (SEM) latency of 5.72 (0.53) ms when the spinous process was prodded, and 5.42 (0.42) ms when the muscle was prodded. In the SCI subjects, responses had slightly (but insignificantly) longer latencies both above and below the lesion to either stimulus. The amplitude of reflex responses, expressed as a percentage of the background EMG, was on average 2-3 times larger at the three vertebral levels spanning the lesion in SCI subjects than at sites above or below the lesion or at any level in control subjects. CONCLUSION: We propose that the size of these mechanically evoked reflexes may be useful in determining the level of thoracic SCI. Furthermore, the reflexes might provide a valuable tool with which to monitor recovery after an intervention to repair or improve function of a damaged spinal cord.

Adult↗
PubMed1997

Wavelet analysis of electromyography for back muscle fatigue detection during dynamic constant-torque exertions.

The fatigue of the back muscles appears to be strongly implicated as a risk factor for acquisition of low back pain, which is one of the leading ills of our industrial society. Previously, researchers have successfully measured the level of muscular fatigue by using the Fourier transform to analyze the frequency content of the electromyogram (EMG). However, due to the requirement that the EMG signal be stationary, the Fourier transform is suitable only for the analysis of static muscle exertions in which the muscle is held at constant length and tension. Because the majority of industrial work tasks are not static in nature, new methods for quantifying fatigue during dynamic work are needed. The wavelet transform is a novel, although mathematically well developed, technique for analyzing non-stationary signals that has only recently been applied to the study of EMG. Consequently, the main objective of this project is to develop techniques, using the wavelet transform, for the quantification of back muscle fatigue during dynamic repetitive working conditions.

Back Pain↗
PubMed1998

Comparison between adjustable and non-adjustable hang-back muscle recession for concomitant exotropia.

We compared the results of strabismus surgery using adjustable and non-adjustable hang-back muscle recessions in 38 patients having concomitant exotropia. The two groups were matched for age of the patient, type of concomitant exotropia, amount of deviation, and type and amount of muscle surgery. At 6 months follow-up, 18 of the 19 patients (95%) in the adjustable hang-back recession group and 17 of the 19 patients (90%) in the non-adjustable hang-back recession group had ocular alignment within 10 prism diopters (PD) of orthophoria. At the most recent follow-up (mean 3.4 years), 12 of the 13 patients (92%) in adjustable hang-back recession group and 12 of the 14 patients (86%) in non-adjustable hang-back recession group had ocular alignment within 10 PD of orthophoria. There was no statistically significant difference in success rates between the two groups at 6 months postoperatively and at the most recent follow-up. This preliminary study suggests that non-adjustable hang-back muscle recession can be considered for routine concomitant exotropia.

Adolescent↗
PubMed1987

Electrical stimulation of the midbrain central gray facilitates lateral vestibulospinal activation of back muscle EMG in the rat.

Electrical stimulation in the midbrain central gray in urethane-anesthetized female rats increased responses of the deep back muscles lateral longissimus and medial longissimus to stimulation of the lateral vestibular nucleus (LVN). During central gray stimulation, LVN stimuli led to larger muscle responses, recruitment of new motor units, and decreased latency of muscle response. Effective central gray sites are hypothesized to act through axons descending to medullary reticular formation. Results are consistent with participation of these neuronal groups in the activation of lordosis behavior, a vertebral dorsiflexion that requires deep back muscle contraction, but these electromyographic results could also be relevant for other behaviors that require vertebral postural adjustments.

Action Potentials↗
PubMedDate not supplied

Isometric muscle strength and quantitative electromyography of back muscles in wrestlers and tennis players.

The isometric motor performance of the trunk muscles was studied in 10 male wrestlers and 9 male tennis players, all of whom were elite athletes. Isometric flexion, extension, and lateral bending were performed. The motor output, including fatigue, was studied by means of a load cell and using electromyography. The wrestlers were found to have symmetrical strength and were stronger in all measured directions, especially in side bending (flexion, 852 N; extension, 951 N; right and left side bending, 759 N and 744 N, respectively), than the tennis players and normal subjects of any published study. The development of fatigue in the erector spinae muscles, as evaluated by spectral analysis of the myoelectric signal, was not symmetrical and was significant bilaterally at the lumbar level and on the right side at the thoracic level. As expected, the tennis players had asymmetrical isometric strength. They were stronger in left side bending than right side bending (643 N compared with 557 N, P less than 0.01), and stronger in extension than flexion (835 N compared with 638 N, P less than 0.01). The development of fatigue in the erector spinae muscles was significant bilaterally at the lumbar level and on the left side at the thoracic level. The development of fatigue in the tennis players was less than that of the wrestlers except for the left thoracic measurement site. Our conclusions are that tennis players appear to be relatively weak in trunk flexion. The wrestlers displayed a development of fatigue that was asymmetrical and was of nearly the same degree as the tennis players, but on the opposite side.

Adult↗
PubMed1999

Surface EMG of shoulder and back muscles and posture analysis in secretaries typing at visual display units.

OBJECTIVE: A study was carried out to investigate temporal changes of activation of shoulder and back muscles in workers at visual display units by means of surface EMG. Moreover, postural parameters were recorded to distinguish fatigue-related from posture-related changes of the myoelectrical activity. METHODS: Nine healthy female office workers typed texts spoken from tape during three 1-h-long sessions. After the first and again after the second hour there was a break of 15 min. Sixteen-channel surface EMG was bipolarly recorded from the erector spinae, trapezius, deltoid and sternocleidomastoid muscles. Root mean square (RMS) and power spectrum median frequency of the EMG were calculated. Sitting posture was assessed using an eight-channel movement analysis system with ultrasound markers. The position of the seventh cervical spinous process and the left and the right acromion were analysed synchronously with the EMG characteristics using regression analysis. RESULTS: The normalised RMS of the left and right trapezius muscle increased, while the median frequency did not change. The increase of the normalised RMS was significantly lower when the linear influence of posture was excluded. On average, the distance between C7 and the left and right acromion decreased within each working an hour. C7 became lower on average by 5.5 mm within an hour, whereas the acromions became lower by only 1.7 mm (left) and 3.3 mm (right). CONCLUSION: The increase in trapezius muscle activity was partly related to a lifting of the shoulders to compensate a slight slumping of the back. Another part of the EMG activity increase has to be attributed to fatigue, to attention-related activity or to the combination of both. Therefore, training of the back muscles and a varied organisation of work might have a preventive effect with respect to musculoskeletal complaints in VDU workers.

Adult↗
PubMed2002

Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women.

The long-term protective effect of stronger back muscles on the spine was determined in 50 healthy white postmenopausal women, aged 58-75 years, 8 years after they had completed a 2 year randomized, controlled trial. Twenty-seven subjects had performed progressive, resistive back-strengthening exercises for 2 years and 23 had served as controls. Bone mineral density, spine radiographs, back extensor strength, biochemical marker values, and level of physical activity were obtained for all subjects at baseline, 2 years, and 10 years. Mean back extensor strength (BES) in the back-exercise (BE) group was 39.4 kg at baseline, 66.8 kg at 2 years (after 2 years of prescribed exercises), and 32.9 kg at 10 years (8 years after cessation of the prescribed exercises). Mean BES in the control (C) group was 36.9 kg at baseline, 49.0 kg at 2 years, and 26.9 kg at 10 years. The difference between the two groups was still statistically significant at 10 year follow-up (p = 0.001). The difference in bone mineral density, which was not significant between the two groups at baseline and 2 year follow-up, was significant at 10 year follow-up (p = 0.0004). The incidence of vertebral compression fracture was 14 fractures in 322 vertebral bodies examined (4.3%) in the C group and 6 fractures in 378 vertebral bodies examined (1.6%) in the BE group (chi-square test, p = 0.0290). The relative risk for compression fracture was 2.7 times greater in the C group than in the BE group. To our knowledge, this is the first study reported in the literature demonstrating the long-term effect of strong back muscles on the reduction of vertebral fractures in estrogen-deficient women.

Aged↗
PubMed2001

Effect of step and ramp static contractions on the median frequency of electromyograms of back muscles in humans.

The purpose of this study was to compare the electromyogram median frequency (MF) values from two contraction modes (ramp vs step) at different force levels of eight back muscles. A group of 20 healthy male subjects stood in a dynamometer with the trunk in a vertical position and performed trunk extension contractions using the displayed L5/S1 extension moment as visual feedback. The electromyogram (EMG) signals from four pairs of back muscles were collected at 4,096 Hz using active surface electrodes during two 7 s static ramp contractions ranging from 0% to 100% of the maximal voluntary contraction (MVC) and two 5 s static step contractions performed at five forces (10%, 20%, 40%, 60% and 80% MVC). The root mean square (RMS) and MF of the EMG signals corresponding to 250 ms windows were computed at each force level for both contraction modes. The RMS from the ramp contractions were significantly higher than from the step contractions in six muscles. The corresponding MF showed a significant (alpha = 0.05) contraction mode x force interaction in four muscles. A significant contraction mode main effect was obtained in four muscles having higher MF during step than during ramp contractions. These differences were more obvious (10-15 Hz) and more frequent at the lower (10%, 20% and 40% MVC) forces. It was suggested that mechanisms not related to motor unit recruitment might influence MF in contraction modes. These unknown mechanisms contaminate any possible relationship between the MF measurements and muscle composition.

Adult↗
PubMed2000

Low back muscle activity in an automobile seat with a lumbar massage system.

This investigation was conducted to determine the effects of a massaging lumbar support system on low back muscle activity. The apparatus included a luxury-level automobile seat, six 10-mm diameter bipolar surface electrodes, an amplifier, an analog-to-digital conversion board, data acquisition software, and a personal computer. Six experimental conditions, each involving a variation of massage time, were considered. The dependent variable was the change in the root mean square variation of the EMG signal. One minute of lumbar massage every 5 min was found to have a beneficial effect on low back muscle activity (as compared to no massage). This may prove to be an extremely important result in the quest to combat low back pain attributable to automobile seating.

Analysis of Variance↗