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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↗
PubMed2006

Anatomy and biomechanics of the back muscles in the lumbar spine with reference to biomechanical modeling.

STUDY DESIGN: This article describes the development of a musculoskeletal model of the human lumbar spine with focus on back muscles. It includes data from literature in a structured form. OBJECTIVE: To review the anatomy and biomechanics of the back muscles related to the lumbar spine with relevance for biomechanical modeling. SUMMARY OF BACKGROUND DATA: To reduce complexity, muscle units have been incorporated in an abridged manner, reducing their actions more or less to a single force equivalent. In early models of the lumbar spine, this may have been a necessary step to reduce complexity and, thereby, calculation time. The muscles of the spine are well described in the literature, but mainly qualitatively. Most of the literature provides a description of the structures without precise data of fiber length, muscle length, cross-sectional areas, moment arms, forces, etc. The predicted output of musculoskeletal models is very much dependent on the input parameters. The information needed to improve models consists of better approximations of the attachments to the vertebrae, and more precise data. METHOD: Review of literature. RESULTS: The predicted output of musculoskeletal models is very much dependent on the input parameters. Moderate changes in the assumed muscle line-of-action (i.e., moment arm) could substantially alter the magnitudes of predicted muscle and spinal forces, while the choice of optimization formulation is less sensitive. CONCLUSIONS: Input parameters, moment arms, as well as physiologic cross-sectional areas have a profound effect on the predicted muscle forces. Therefore, it is important to choose the values for moment arm and physiologic cross-sectional area carefully because they are essential input parameters to biomechanical models.

Back↗
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↗
PubMed2002

Bladder autoaugmentation with rectus muscle backing.

PURPOSE: Bladder autoaugmentation is a procedure which includes detrusoromyotomy or detrusorectomy to release intact urothelium which than prolapses and increases bladder capacity and compliance. The prolapsed urothelium is usually covered with de-epithelialized pedicled colonic or gastric patch. We present our initial experience with bladder autoaugmentation using rectus muscle backing. MATERIALS AND METHODS: Between August 1999 and December 2000 autoaugmentation was performed in 4 girls and 3 boys 4 to 11 years old (median age 8). All patients had neurogenic bladder with small capacity and poor compliance. The technique is performed using an extraperitoneal approach through either an inferior midline longitudinal or transverse incision. The procedure is started with a semi-filled bladder to find the right plane and then continues with an almost empty bladder to avoid severe injury of the prolapsed urothelium. Both rectus muscles are dissected from the anterior and posterior sheaths and sutured to detrusor edges. Urothelium is sutured to the muscle at several places to prevent its retraction and shrinkage. Thus, the bladder is fixed and hangs on rectus muscles, that is the anterior abdominal wall. RESULTS: Followup was 10 to 25 months (median 16). Bladder capacity at 6 months postoperatively increased in all patients, and ranged from 162 to 368 ml. (median 266). All patients had clinical improvement, decreased hydronephrosis, no vesicoureteral reflux and better compliance. CONCLUSIONS: Bladder autoaugmentation with rectus muscle backing is a safe and simple procedure. Rectus muscle is a good alternative to other backing materials.

Child↗
PubMed2004

Simultaneous surface electromyography (SEMG) and 31P-MR spectroscopy measurements of the lumbar back muscle during isometric exercise.

The aim of this study was to demonstrate the feasibility of simultaneous surface electromyography (SEMG) and 31P-MR spectroscopy (31P-MRS) measurements on the back muscle of volunteers during the performance of an isometric exercise. Six volunteers (three male, three female) performed a modified Biering-Sörensen test inside a 1.5 T MR scanner while simultaneously recording SEMG signals. A surface coil was used for 31P-MRS with a CSI sequence. Spectra were collected with a voxel resolution of 40 mm x 40 mm x 100 mm and a temporal resolution of 30 s during periods of rest, sustained muscle contraction and recovery. The duration of muscle contraction was 150 s. SEMG analysis yielded a decrease of the mean SEMG frequency of approximately 20%. The SEMG amplitudes were constant or increased up to approximately 150% during exercise. 31P-MRS showed a maximum decrease of the phosphocreatine (PCr) amplitude down to approximately 32% of its initial value. Simultaneously, a doubling of the inorganic phosphate (Pi) signal was observed. The present study demonstrates that simultaneous SEMG and 31P-MRS measurements of the back muscle are feasible during isometric exercises.

Adult↗
PubMed1993

Use of the surface EMG signal for performance evaluation of back muscles.

For well over a decade my associates and I have been developing an objective, noninvasive technique to evaluate the performance of low-back muscles, with emphasis on being able to distinguish between healthy and dysfunctioned backs. Our approach is based on the well-known fact that the EMG signal undergoes a compression in the frequency domain during a sustained muscle contraction. In particular we track the median frequency of EMG signals detected from six muscles in the lower back during an isometric extension of the trunk. The measurements are taken with the Back Analysis System which consists of a postural restraining device, special electrodes for detecting the EMG signals, a muscle fatigue monitor which calculates the median frequencies, and the appropriate software. We have found that the pattern of fatigue exhibited by the six median frequency curves can be used to distinguish individuals who have low-back pain from those who do not with an accuracy of at least 84%. An even more relevant and timely application of our technique is for quantifying the progression of the performance of low-back muscles during a rehabilitation program. Although more work is required to explore the intricacies of the technique, present results provide a convincing indication that it is reliable and that it is ready to be placed into practice.

Back↗
PubMed1987

Electromyographic evaluation of back muscle fatigue with repeated sustained contractions of different strengths.

The aim of the study was to obtain information on changes in surface electromyograms from the lumbar erector spinae muscles during fatiguing isometric contractions. Four male subjects held different target extension forces to fatique in a prone position under carefully controlled biomechanical conditions. Standard deviations of the distribution of EMG amplitudes (RMS values), autoregressive (AR) time series models of the 15th order and spectral densities were computed. At lower force levels, i.e., at about 50 to 100 Nm or 20-40% of estimated maximum voluntary contraction force (MVC), RMS values significantly decreased over time; at the highest level examined (on average 162 Nm), they increased. Over all force levels, the explained variances of AR models increased and mean power frequencies (MPF) decreased with increasing force. The first and second AR coefficients also exhibited significant changes, depending on both contraction time and strength. The AR time series structure of EMGs during short isometric test contractions at the lowest force level within 30 s after the failure point clearly indicated muscle fatigue and some differences remained in their dependence on the preceding force. The results suggest a concept of 'selective fatigue', and provide a basis for refined electromyographic evaluation of back muscle fatigue. Such an evaluation has to consider the force history preceding the failure point, or serious errors become unavoidable. The increase in RMS values does not constitute a criterion of back muscle fatigue at low force levels. AR time series models are recommended for the description of fatigue-induced electromyographic changes.

Adult↗
PubMed1990

Ascending and descending projections to medullary reticular formation sites which activate deep lumbar back muscles in the rat.

The purpose of this study was to determine ascending and descending afferents to a medullary reticular formation (MRF) site that, when electrically stimulated, evoked EMG activity in lumbar deep back muscles. In anesthetized female rats, the MRF was explored with electrical stimulation, using currents less than 50 microA, while EMG activity was recorded from the ipsilateral lateral longissimus (LL) and medial longissimus (ML). MRF sites that evoked muscle activity were located in the gigantocellular nucleus (Gi). At the effective stimulation site, the retrograde fluorescent tracer, Fluoro-Gold (FG), was deposited via a cannula attached to the stimulating electrode. In matched-pair control experiments, FG was deposited at MRF sites that were ineffective in producing EMG activity in LL and ML, for comparison of afferent projections to effective versus ineffective sites. Labeled cells rostral to FG deposition at effective MRF sites were located in the preoptic area, hypothalamus, limbic forebrain and midbrain, with particularly high numbers in the ipsilateral midbrain central gray, tegmentum, paraventricular nucleus and amygdala. At medullary levels, there was a heavy projection from the contralateral Gi. FG labeled cells were also located in the contralateral parvocellular reticular nucleus, and lateral, medial and spinal vestibular nuclei. Labeled cells with ascending projections were observed in greatest number in the rostral cervical spinal cord, with fewer cells at mid cervical levels and even fewer in the lumbar spinal cord. These labeled cells were located primarily in lamina V, VII, VIII and X. Locations of labeled cells following FG deposition at ineffective MRF sites were similar. However, there was a striking difference in the number of cells retrogradely labeled from the effective MRF sites compared to ineffective MRF sites. Significantly greater numbers of labeled cells were observed in the contralateral MRF, the midbrain, and the cervical spinal cord from the FG deposition at effective stimulation sites. These results suggest that one characteristic of MRF sites that activate epaxial muscles is a larger amount of afferent input, from the midbrain central gray and from contralateral Gi, compared to ineffective MRF sites. Ascending and descending inputs converge at the effective MRF sites, and the larger number of descending projections suggests a more powerful contribution of these afferents to deep lumbar back muscle activation.

Animals↗
PubMed1984

Histochemical fiber composition of lumbar back muscles in the rabbit.

The present study of the back muscles of the rabbit, using enzyme histochemical techniques and stereological methods, was undertaken with the view to gaining a better understanding of the fiber-type make-up of the lumbar musculature of this animal. The muscles considered were the multifidus, sacrospinalis and the intertransversarii between levels L5 and L6. Gross examination reveals that the multifidus and the sacrospinalis form the bulk of the lumbar musculature and that these muscles appear white. Between and deep to these two muscles are the red intertransversarii. Histochemically the multifidus and the sacrospinalis are also similar in their fiber-type composition, mostly types IIA and IIB and the percentage of connective tissue that they contain. The intertransversarii, in contrast, are for all practical purposes composed of only type-I fibers. The intertransversarii contain significantly more connective tissue than the other two muscles. It may be concluded that the bulk of the lumbar musculature of the rabbit is phasic while the intertransversarii, containing only type-I fibers and a high percentage of connective tissue, are postural muscles.

Adenosine Triphosphatases↗
PubMed1996

Reliability of electromyographic power spectral analysis of back muscle endurance in healthy subjects.

OBJECTIVE AND DESIGN: To investigate the reliability (within-day and between-days) of measurements of electromyographic (EMG) power spectral values in measurement of the fatigue rate of the back muscles. METHODS: Twelve healthy male subjects were tested in the unsupported trunk holding position for 60 seconds. Two trials were performed on each of two separate sessions 3 days apart. Surface recording electrodes were placed over the iliocostalis lumborum and multifidus and a branched electrode technique was used to decrease cross-talk. OUTCOME MEASURES: Median frequency (MF) was extracted from the EMG signals by fast Fourier transform. Initial MF and the MF slope over time were computed from linear regression analysis. The reliability of the initial MF and the MF slope of the iliocostalis lumborum and multifidus was examined by Pearson's product moment correlation coefficients (Pearson's r), paired t tests, and a one-way analysis of variance (ANOVA) from which intrasubject coefficients of variation (CVintra) and intraclass correlation coefficients (ICC) were derived. RESULTS: For the initial MF, within-day and between-days reliability of the iliocostalis lumborum and multifidus were good (Pearson's r = .79-.94 nonsignificant paired t test, CVintra = 6.5% to 8.5%, ICC = .79-.93). The MF slope showed moderate variability for the iliocostalis lumborum (Pearson's r = .39-.55, nonsignificant paired t test, CVintra = 33.0% to 48.7%, ICC = .37-.56) while better reliability was found for the multifidus (Pearson's r = .77-.87, nonsignificant paired t test, CVintra = 25.8% to 27.5%, ICC = .78-.82). CONCLUSION: The present study indicated that the trunk holding test with the use of EMG power spectral analysis can be a reliable method to measure the fatigue rate of the back muscles if adequate measures are employed to minimize cross-talk. The better reliability of monitoring the fatigue rate of the multifidus may lead to its future use as a clinical measure.

Adult↗
PubMed2002

Increase in spinal stability obtained at levels of intra-abdominal pressure and back muscle activity realistic to work situations.

In this study, sudden load was applied to the trunk and situations with alternating low levels of intra-abdominal pressure (IAP) realistic to work situations were compared. The aim was to see if IAP and the small increases in co-contraction of back muscles that follow are capable of increasing the stiffness of the lumbar spine. Nine subjects participated in ten sudden load situations during which they were asked to hold a box and conduct a percentage of maximal IAP. The hip was fixed and the load was applied horizontally on the trunk. EMG, IAP, and movement of the trunk were measured. It was found that IAP of a size likely to appear in work situations, and the concomitant increase in muscle co-activation increased the spine stiffness. This increase in stiffness decreased the movement caused by the sudden load. These results show that both abdominal- and back muscles may have an important role in stabilising the spine, and in decreasing movements caused by sudden loads likely to appear in numerous work

Abdomen↗
PubMed1997

Classification of back muscle impairment based on the surface electromyographic signal.

A surface electromyographic (EMG) procedure for classifying muscle impairments in persons with low back pain (LBP) is described. The procedure was studied using a device, the Back Analysis System (BAS), to acquire and process EMG signals from six bilateral muscle sites during sustained isometric contractions designed to progressively fatigue the lower back. Back muscle impairment was determined on the basis of the different ways in which the EMG median frequency parameters change as a function of contraction duration and muscle site. The article describes a series of studies that have been useful in developing an automated procedure for identifying back muscle impairment by comparing individual test results to a normative database. To date, the research results have produced multivariate discriminant functions that have identified two muscle impairment categories associated with deconditioning and imbalances secondary to LBP. We have found that the functions can distinguish individuals with and without LBP with an accuracy of approximately 90%. Other studies are described in which the technique is applied to monitoring changes in muscle performance capability that occur following rehabilitation for LBP. Many of our findings here are also compared to the results of independent studies by others using similar procedures. The need for further research and development of the technique to improve its clinical applicability is also described.

Diagnosis, Computer-Assisted↗
PubMed1999

[Back muscle activity during flexions/extensions in a second group of normal subjects].

Natural trunk movements and back muscle electromyographic (EMG) activity are seldom studied but are pertinent to daily life activities, which can lead to low-back pain. In this study, ten normal subjects performed trunk flexion/extensions (F/E) without any restraining apparatus. Duration of the F/E was either free, or at 3, 2.25 and 1.5 s. A fatiguing task consisted of continuous F/E movements accomplished at 1.5 s intervals during 90 s. Photodiodes were placed on the skin to obtain kinematics of the trunk. EMG signals of the back were recorded with 10 pairs of surface electrodes located at 3 levels of the erector spinae. It was found that the F/E movement duration chosen by the subjects varied between 4.07 and 2.07 s and the flexion amplitude varied between 55 degrees and 118 degrees. Similar variations in the amplitude of flexions were found for the tasks realized at fixed periods. The level of fatigue induced in the fatigue task was evaluated by comparing the energy of its EMG signals with those of the 1.5 s task. With this index, fatigue was detected in a few subjects only. Due to the length of the fatigue task (90 s long), it would seem that most of the subjects became adapted to the movements and could produced them more effectively (i.e. with less EMG) than during the 1.5 s task which was repeated only for few seconds.

Activities of Daily Living↗
PubMed1996

The function of the long back muscles during postural development in the rat.

The development of the EMG of the multifidus (MM) and longissimus lateralis (LL) muscles was studied in 16 rats between the 6th day (P6) and P45 and related to behavioural development. The EMG changes gradually from irregular and spiky towards a regular interference pattern and simultaneously, the general activity level increases. From P11, tonic background activity occurs with phasic activity superimposed. During locomotion, a relation between increasing activity in the long back muscles and the swing phase of both hind paws develops, but only from P15 the activity modulates consistently with the step cycle. From the end of the second week of life, the activity in the long back muscles precedes hind paw movements. The development of the EMG of the LL and MM is closely followed by the development of adult and fluent motor patterns. This suggests that the stabilisation of the trunk is essential for the development of these patterns.

Animals↗
PubMed1997

The use of surface EMG power spectral analysis in the evaluation of back muscle function.

The rate of decline in the median frequency (MF) of the surface EMG power spectrum (MFgrad) has been evaluated for its use in monitoring the fatigability of the erector spinae muscles during the performance of submaximal isometric contractions. MFgrad consistently displayed a highly significant relationship with endurance time for the task (p < 0.05), giving a slightly better correlation for contractions performed in lordotic postures, with the back muscles in a shortened position, than in flexed postures. No significant difference existed between mean MFgrad values recorded from the right and left erector spinae muscles, at either thoracic or lumbar levels. The back extensor muscles of men were more fatigable than those of women, and this has been discussed in relation to corresponding differences in muscle fiber type relative size. Greater erector spinae muscle fatigability was associated with both the existence of, and the risk of developing, serious low back pain. Possible mechanisms for the association, from retrospective and prospective points of view, have been advanced.

Analysis of Variance↗
PubMed1978

Morphology and contraction properties of cat lumbar back muscles.

The gross morphology, innervation pattern and contraction properties of lumbar back muscles in the cat were investigated. The medially located multifidi and interspinales are formed by short bundles interconnecting adjacent vertebrae. Laterally located bundles composing longissimus and iliocostalis are attached to the spinous processes by a fascial layer and to the pelvic bone by a well developed intermuscular septum. Different spinal segments innervate the various sections along the muscles in such a way that the myotomes composing a muscle belly seem to be arranged after one another, in a row. The contraction time of a maximal isometric twitch is 34 ms for multifidi and interspinales and 29 ms for longissimus and iliocostalis. No large segmental variations of contraction times were found. The time course of twitch responses and a study of reflex contractions in middle and lower sections of lateral muscles indicate the presence also of a slowly contracting portion located to the longissimus. The initial muscle length is more decisive for the twitch amplitude of medial than of lateral muscles. In medial muscles summation of individual twitches starts at a stimulus frequency of 10--15 Hz and apparent fusion occurs at about 50 Hz. For lateral muscles corresponding values are 15--20 Hz and about 70 Hz. The contractile tension declines markedly in all muscles during a 10 min period of stimulation at 5 Hz.

Animals↗