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PubMedDate not supplied

Dynamic electromyographic analysis of trunk musculature in professional golfers.

Using dynamic surface electrode electromyography, we evaluated muscle activity in 13 male professional golfers during the golf swing. Surface electrodes were used to record the level of muscle activity in the right abdominal oblique, left abdominal oblique, right gluteus maximus, left gluteus maximus, right erector spinae, left erector spinae, upper rectus abdominis, and lower rectus abdominis muscles during the golfer's swing. These signals were synchronized electronically with photographic images of the various phases of the golf swing; the images were recorded in slow motion through motion picture photography. The golf swing was divided into five phases: take away, forward swing, acceleration, early follow-through, and late follow-through. Despite individual differences among the subjects' swings, we observed reproducible patterns of trunk muscle activity throughout all phases of the golf swing. Our findings demonstrate the importance of the trunk muscles in stabilizing and controlling the loading response for maximal power and accuracy in the golfer's swing. This study provides a basis for developing a rehabilitation program for golfers that stresses strengthening of the trunk muscles and coordination exercises.

Back↗
PubMed1985

Intra-abdominal pressure and trunk muscle activity during lifting. IV. The causal factors of the intra-abdominal pressure rise.

The intra-abdominal pressure (IAP) has been regarded as important for stabilization and relief of the lumbar spine when exposed to heavy loads, such as when lifting. Previous trials, however, have failed to increase the IAP by abdominal muscle training. Twenty healthy subjects, 20 low-back patients and 10 weight-lifters, were tested with various breathing techniques in order to elucidate the causal factors of the IAP rise during lifting and the effects respiration. Those with high IAP and low IAP as well as those with great variations in IAP underwent an extended program. The intra-abdominal and intrathoracic pressures and the EMG of the oblique abdominal, the erector spinae and--in some cases--the puborectalis muscles, were recorded. The transdiaphragmatic pressure was calculated both during lifting and during the Mueller manoeuvre. The IAP rise during lifting seems to be correlated to a good coordination between the muscles surrounding the abdominal cavity. Of these, the diaphragm seems to be the most important for the IAP level. Closure of the glottis seems to help the diaphragm to maintain the IAP rise, otherwise the respiration type seems to be less important for the IAP during lifting.

Abdomen↗
PubMed1978

Early and subtle signs in low-back sprain.

The authors have previously reported myalgic hyperalgesia as a useful localizing sign in "low-back sprain" patients with no physical findings. This paper describes some other subtle signs related to the phenomenon of denervation supersensitivity which is well known to physiologists and clinicians involved in peripheral nerve disease, yet its related signs have not been applied to low-back pain. Following denervation of some neurons, muscle and peripheral receptors become supersensitive to transmitter substances and to different forms of stimuli. Since the peripheral nerve is a mixed nerve, findings are multiphasic and include autonomic dysfunction, trophic changes, cutaneous and myalgic hyperalgesia, and increased muscle tone. One or more of these signs occurred in 30 patients with secondary low-back pain but less often in 30 patients with primary or mechanical low-back pain; their presence, though slight, in asymptomatic controls may identify those individuals with a vulnerable back.

Adolescent↗
PubMed1996

A biomechanical model of the lumbar spine during upright isometric flexion, extension, and lateral bending.

STUDY DESIGN: Task-specific and subject-specific lumbar trunk muscle function, muscle geometry, and vertebral density data were collected from 16 men. A biomechanical model was used to determine muscle strength and the compressive forces acting on the lumbar spine. OBJECTIVES: To develop an anatomic biomechanical model of the low back that could be used to derive task-specific muscle function parameters and to predict compressive forces acting on the low back. Several model-specific constraints were examined, including the notion of bilateral trunk muscle anatomic symmetry, the influence of muscle lines of action, and the use of density-derived vertebral strength for model validation. SUMMARY OF BACKGROUND DATA: Clinical and basic science investigators are currently using a battery of diverse biomechanical techniques to evaluate trunk muscle strength. Noteworthy is the large variability in muscle function parameters reported for different subjects and for different tasks. This information is used to calculate forces and moments acting on the low back, but limited data exist concerning the assessment of subject-specific, multiaxis, isometric trunk muscle functions. METHODS: A trunk dynamometer was used to measure maximum upright, isometric trunk moments in the sagittal (extension, flexion) and coronal (lateral flexion) planes. Task- and subject-specific trunk muscle strength or "gain" was determined from the measured trunk moments and magnetic resonance image-based muscle cross-sectional geometry. Model-predicted compressive forces obtained using muscle force and body force equilibrium equations were compared with density-derived estimates of compressive strength. RESULTS: Individual task-specific muscle gain values differed significantly between subjects and between each of the tasks they performed (extension > flexion > lateral flexion). Significant differences were found between left side and right side muscle areas, and the lines of action of the muscles deviated significantly from the vertical plane. Model-predicted lumbar compressive forces were 38% (lateral flexion) to 73% (extension) lower that the L3 vertebral compressive strength estimated from vertebral density. CONCLUSION: The present study suggests that biomechanical models of the low back should be based on task-specific and subject-specific muscle function and precise geometry. Vertebral strength estimates based upon vertebral density appear to be useful for validation of model force predictions.

Adult↗
PubMed2002

Neuromuscular function in athletes following recovery from a recent acute low back injury.

STUDY DESIGN: Observational case control design. OBJECTIVES: To examine muscle response to sudden trunk loading in athletes with and without a recent history of acute low back injury (LBI). BACKGROUND: Impaired neuromuscular function is associated with chronic low back pain. This study examined whether such impairment persists after recovery from an acute LBI. METHODS AND MEASURES: Seventeen athletes who had a recent history of acute LBI and 17 matched healthy controls were tested. At the time of testing (mean = 56 days postinjury, range = 7-120 days postinjury), all athletes were symptom free and had returned to regular competition. Subjects performed isometric exertions in trunk flexion, extension, and left and right lateral bending against a trunk restraining cable. Upon reaching the target isometric force, the cable was released to impose sudden loading on the lumbar spine. Surface EMG signals from 12 major trunk muscles were recorded. The shut-off and switch-on latencies and number of muscles responding to sudden loading were compared between the 2 groups. RESULTS: In all 4 testing directions, the athletes with a recent history of acute LBI shut off significantly fewer muscles and did so with delayed latency. On average, the injured subjects shut off 4.0 out of 6.0 (SD = 1.3) muscles compared to 4.6 out of 6.0 (SD = 1.3) muscles in the control group. The average muscle shut-off latency was 71 (SD = 31) milliseconds for the injured and 50 (SD = 21) milliseconds for the control subjects. No differences were found in number or latency of muscles switching on. CONCLUSIONS: These objective measures of neuromuscular function indicated an altered muscle response pattern to sudden trunk loading in athletes following their clinical recovery from a recent acute LBI.

Acute Disease↗
PubMed1989

Back strengthening exercises: quantitative evaluation of their efficacy for women aged 40 to 65 years.

In this prospective study, the efficacy of exercise on the strength of the back extensors was evaluated. Fifty healthy women volunteers, aged 40 to 65 years (mean = 56 years), participated in a back exercise program. Subjects were screened to exclude those with diseases or treatment programs that could affect muscle strength. Seventeen subjects participated in a conventional back strengthening program, consisting mainly of antigravity upper back extension exercises in the prone position. Thirty-three control subjects continued to perform their usual athletic and daily physical activities. The control group were postmenopausal women who had volunteered to participate in a study of the effect of back strengthening exercises on bone mineral density. Subjects were blindly assigned to the control group without any selection procedures. We used this group as the control for this study because two studies were performed concurrently, and it seemed unnecessary to have two control groups. All subjects were instructed in proper posture principles. Physical activity and back extensor strength were evaluated every four to six weeks for three months. Milestones were completed by 16 subjects in the exercise group and 31 control subjects. The strength of the back extensors was significantly increased (p less than 0.001) in the exercise group. This study indicates that the back extensors can be strengthened with conventional back extension exercise.

Adult↗
PubMed1990

Clinical use of the magnetic stimulator in the investigation of peripheral conduction time.

The application of rapidly changing magnetic fields (magnetic stimulation) over the neck or lower back elicits EMG responses in the muscles of the arm or leg respectively. Such responses have stable onset latencies but their amplitudes vary depending on the position of the coil over the neck or lower back. Supramaximal responses could not be obtained. Comparison of onset latencies with estimates of peripheral conduction time using a conventional F-wave technique suggest that the site of excitation of the motor axons is about 1.3 msec conduction time distal to the cervical motoneurons and 3 msec distal to the lumbosacral motoneurons. Response configuration after paravertebral magnetic stimulation was similar to that of the standard electrically evoked M-wave in the small hand muscles but not in lower limb muscles. Responses in lower limb muscles after paravertebral magnetic stimulation may consist of additional F-wave and H-reflex components. The possible clinical role of paravertebral magnetic stimulation in the investigation of peripheral and central motor pathways is discussed in the light of these findings.

Adult↗
PubMed2001

Effects of flotation-REST on muscle tension pain.

The purpose of the present study was to investigate whether the floating form of the restricted environmental stimulation technique (REST) may be applied within the field of pain relief. Flotation-REST consists of a procedure whereby an individual is immersed in a tank filled with water of an extremely high salt concentration. Thirty-seven patients (14 men and 23 women) suffering from chronic pain consisting of aching muscles in the neck and back area participated in the study. They were randomly assigned to either a control group (17 participants) or an experimental group (20 participants). The experimental group received nine opportunities to use the flotation-REST technique in the water tank over a three-week period. The results indicated that the most severe perceived pain intensity was significantly reduced, whereas low perceived pain intensity was not influenced by the floating technique. Further, the results indicated that circulating levels of the noradrenaline metabolite 3-methoxy-4-hydroxyphenylethyleneglycol were reduced significantly in the experimental group but not in the control group following treatment, whereas endorphin levels were not affected by flotation. Flotation-REST treatment also elevated the participants' optimism and reduced the degree of anxiety or depression; at nighttime, patients who underwent flotation fell asleep more easily. The present findings describe possible changes, for the better, in patients presenting with chronic pain complaints.

Adult↗
PubMed2000

Phase relationships between cortical and muscle oscillations in cortical myoclonus: electrocorticographic assessment in a single case.

AIM: To compare voluntary- and sensory-induced myoclonic jerks using spectral analysis in a subject with cortical myoclonus. METHODS: The coherence, phase and cumulant density estimates were calculated between right electrocorticographic (ECoG) signals and distal left leg muscles in a patient with subdural electrodes inserted over the right sensorimotor cortex. RESULTS: Significant coherence between sensorimotor cortex and muscle was found up to 60 Hz during voluntary induced myoclonic jerks. Additional higher frequency coherence ( approximately 140 and 190 Hz) was found during sensory-induced myoclonic jerks. The cortical signals phase led muscle signals at frequencies >15 Hz by delays consistent with transmission along corticospinal pathways. Below 15 Hz the cortex phase lagged the muscle signals. Polarity reversal of the cumulant density estimate and the ECoG site demonstrating the highest coherence helped to localize the site of the abnormal oscillatory activity to the leg area of the motor cortex. CONCLUSIONS: Oscillations of different frequencies can co-exist at a given location and can both phase lead and lag contralateral muscle. This has implications for cortex-muscle latency measures calculated by back-averaging techniques.

Aged↗
PubMed1981

Influence of osmotic compression on calcium activation and tension in skinned muscle fibers of the rabbit.

Single skinned muscle fibers were osmotically compressed back to and below their in situ size by addition of a large, random-coil polymer (Deytran T500; MN = 180,000; MW = 461,000) to the bathing medium. Maximal Ca2+-activated tension in fibers swollen (zero Dextran, fiber width 21% above in situ) or near in situ size (5% Dextran, in g/100 ml final solution) was similar, but compression to 86% of in situ width with 10% Dextran decreased maximal force by 15% relative to polymer-free control. While the relative tension-pCa relation in 0 and 10% Dextran was similar, with a pCa of 6.37 required for 50% activation, that in 5% Dextran was more sensitive to Ca2+, with a pCa50 of 6.66. We feel these effects are most likely due to changes in interfilament spacing with compression and that alterations in Ca2+-sensitivity might be explained by changes in cross-bridge angle or in the concomitant attachment-detachment rate constants which would be expected to influence the troponin-Ca2+ binding equilibrium, as has been proposed by others.

Animals↗
PubMed1997

Human trunk extensor muscles physiology and ergonomics.

The paravertebral muscles (PM) act together with the hamstrings and calf muscles as important postural muscles. Both the histochemistry, biochemistry, strength and endurance of the PM were studied. Moreover attention was drawn to the exposure of PM, in particular the internal exposure level but to a certain degree repetitiveness and duration, in various job elements, and their various physiological acute responses. The thesis also deal with possible relations between the function of the PM and the magnitude of low-back trouble (LBP), and if PM muscle fatigue may play a role as a mediating factor for the occurrence of work related LBP. The lumbar PM is dominated by relatively small ST fibers with a well-developed network of capillaries, especially distinct in the central sections of PM (lumbar longissimus muscle) in females. It is remarkable that ST fibers are of the same size or larger compared to the FT fibers even in well-trained subjects. Further on PM is characterized by high activity levels of enzymes, oxidative as well as non-oxidative, important for the resynthesis of ATP and CrP. Also the level of muscles glycogen concentration is high. Altogether the PM have seemingly a potential for different metabolic pathways which may be selectively activated for a given activity. The average trunk extensor MVC varies in the different studies from 194-342 Nm and 252-450 Nm in females and males respectively. This is in accordance with predictions based specific strength, muscle cross sections and lever arms from the literature. The large range in strength due to dimension, age and training have to be considered when such data are used for e.g. ergonomic standardization and biomechanical modelling. The sex difference is smaller (female:male trunk extensor strength ratio = 0.7-0.8) than reported earlier. The small age reduction (25-60 year) of the trunk extensor strength, 0.5% per year, is probably caused by the fact that the ST dominated musculature is less sensitive to atrophy. The results indicate that a secular reduction of the trunk extensor strength has occurred during the last 2-3 decades possibly caused by a more sedentary lifestyle, both in working life due to mechanization introduced gradually during that period, and in leisure time activity. An important finding is that the static endurance time is significantly larger in the trunk extensors compared to other muscles, and larger in females than males. Possible explanations for the findings include 1) the reported histo- and biochemical results, 2) favorable blood flow conditions and 3) specific activation strategies of the muscles constituting the PM. In the vocational studies manifest signs of fatigue in the lumbar paravertebral muscles, are seen, including changes in both the energy spectra of the surface EMG towards lower frequencies and increases in the RMS amplitude, reduction of the static endurance time, and increase in the rate of perceived exertion during a working day in bricklayers performing highly repetitive work with their trunk extensors (1000:1200 bricks per day). Similar events do also occur during standing letter sorting with a very low close to static exposure of PM. Ergonomic arrangements may have a marked reducing effect on the internal exposure of PM especially if the job include manual handling operations (e.g. forest work, aircraft loading), but it is not possible to compensate for repetitiveness, and long task duration by so-called "good" ergonomics (e.g. introducing mats or shoes in upright working operations). The chronic effects (i.e.LBP) are also studied. It is found that trunk extensor static endurance time in 77 postmen was related to the degree of LPB, but this was not the case for strength of the trunk-extensors and flexors. Thus, it is shown that a broad variety of work related exposures may cause muscle fatigue in PM. The possible aetiological role of muscle fatigue is however not explained. (ABSTRACT TRUNCATED)

Adolescent↗
PubMed1991

Muscle-specific transcriptional activation by MyoD.

We focus on the mechanism by which MyoD activates transcription. Previous experiments showed that when the 13-amino-acid basic region of E12 replaced the corresponding basic region of MyoD, the resulting MyoD-E12Basic chimeric protein could bind specifically to muscle-specific enhancers in vitro and form dimers with E12, but could not activate a cotransfected reporter gene or convert 10T1/2 cells to muscle. Here we show that back mutation of this chimeric protein (with the corresponding residues in MyoD) re-establishes activation, and we identify a specific alanine involved in increasing DNA binding and a specific threonine required for activation. Using a reporter gene containing MyoD-binding sites located downstream from the transcription start site, we show that MyoD-E12Basic can bind in vivo and thereby inhibit expression of the reporter. In vivo binding is also supported by the fact that the addition of the "constitutive" VP16 activation domain to MyoD-E12Basic restores full trans-activation potential. The normal MyoD-activation domain maps within the amino-terminal 53 residues and can be functionally replaced by the activation domain of VP16. The activity of the MyoD-activation domain is dramatically elevated when deletions are made almost anywhere in the rest of the MyoD molecule, suggesting that the activation domain in MyoD is usually masked. Surprisingly, MyoD-E12Basic can activate transcription in CV1 and B78 cells (but not in 10T1/2 or 3T3 cells), suggesting that the activation function of the basic domain requires a specific factor present in CV1 and B78 cells. We propose that to function, the masked MyoD-activation domain requires the participation of a second factor that recognizes the basic region. We refer to such a factor as a recognition factor.

Amino Acid Sequence↗
PubMed2005

Tail muscles become slow but fatigable in chronic sacral spinal rats with spasticity.

Paralyzed skeletal muscle sometimes becomes faster and more fatigable after spinal cord injury (SCI) because of reduced activity. However, in some cases, pronounced muscle activity in the form of spasticity (hyperreflexia and hypertonus) occurs after long-term SCI. We hypothesized that this spastic activity may be associated with a reversal back to a slower, less fatigable muscle. In adult rats, a sacral (S2) spinal cord transection was performed, affecting only tail musculature and resulting in chronic tail spasticity beginning 2 wk later and lasting indefinitely. At 8 mo after injury, we examined the contractile properties of the segmental tail muscle in anesthetized spastic rats and in age-matched normal rats. The segmental tail muscle has only a few motor units (<12), which were easily detected with graded nerve stimulation, revealing two clear motor unit twitch durations. The dominant faster unit twitches peaked at 15 ms and ended within 50 ms, whereas the slower unit twitches only peaked at 30-50 ms. With chronic injury, this slow twitch component increased, resulting in a large overall increase (>150%) in the fraction of the peak muscle twitch force remaining at 50 ms. With injury, the peak muscle twitch (evoked with supramaximal stimulation) also increased in its time to peak (+48.9%) and half-rise time (+150.0%), and decreased in its maximum rise (-35.0%) and decay rates (-40.1%). Likewise, after a tetanic stimulation, the tetanus half-fall time increased by 53.8%. Therefore the slow portion of the muscle was enhanced in spastic muscles. Consistent with slowing, posttetanic potentiation was 9.2% lower and the stimulation frequency required to produce half-maximal tetanus decreased 39.0% in chronic spinals. Interestingly, in spastic muscles compared with normal, whole muscle twitch force was 81.1% higher, whereas tetanic force production was 38.1% lower. Hence the twitch-to-tetanus ratio increased 104.0%. Inconsistent with overall slowing, whole spastic muscles were 61.5% more fatigable than normal muscles. Thus contrary to the classical slow-to-fast conversion that is seen after SCI without spasticity, SCI with spasticity is associated with a mixed effect, including a preservation/enhancement of slow properties, but a loss of fatigue resistance.

Animals↗
PubMed1998

Changes in cross-sectional area of psoas major muscle in unilateral sciatica caused by disc herniation.

STUDY DESIGN: A clinical prospective cohort study of 15 healthy volunteers and 25 patients with unilateral sciatica from single-level disc herniation. OBJECTIVES: To detect any changes in the cross-sectional area of the psoas major muscle in patients with single-level (lateral to mediolateral) disc herniation causing unilateral sciatica. SUMMARY OF BACKGROUND DATA: The exact role of the psoas major muscle in the origin of low back pain and sciatica has not been clarified. METHODS: Fifteen healthy volunteers and 25 patients with unilateral sciatica from single-level disc herniation were subjected to magnetic resonance imaging of the lumbar spine. The cross-section area of the psoas major muscle on either side was recorded, and differences were noted. In patients, the cross-section area of either side was compared with and duration of sciatica was related to changes in the cross-section area. RESULTS: Insignificant variation in the cross-section area of the psoas major was observed in volunteers. In the patient group, significant reduction in the cross-section area of the psoas major was observed at the level and the site of the disc herniation. A significant correlation between cross-section area of the psoas major and ipsilateral continuous sciatica was found. There was no relation between the reduction of the cross-section area and the amount of disc herniation. CONCLUSION: The cross-section area of the psoas major is ipsilaterally decreased in unilateral lumbar disc herniation. The reduction in cross-section area is positively correlated with the duration of continuous sciatica.

Cohort Studies↗
PubMed2003

Local innervation patterns of the metathoracic flexor and extensor tibiae motor neurons in the cricket Gryllus bimaculatus.

To elucidate neural mechanisms underlying walking and jumping in insects, motor neurons supplying femoral muscles have been identified mainly in locusts and katydids, but not in crickets. In this study, the motor innervation patterns of the metathoracic flexor and extensor tibiae muscles in the cricket, Gryllus bimaculatus were investigated by differential back-fills and nerve recordings. Whereas the extensor tibiae muscle has an innervation pattern similar to that of other orthopterans, the flexor has an innervation unique to this species. The main body of the flexor muscle is divided into the proximal, middle and distal regions, which receive morphologically unique terminations from almost non-overlapping sets of motor neurons. The proximal region is innervated by about 12 moderate-sized excitatory motor neurons and two inhibitory neurons while the middle and distal regions are innervated by three and four large excitatory motor neurons, respectively. The most-distally located accessory flexor muscle, inserting on a common flexor apodeme with the main muscle, is innervated by at least four small excitatory (slow-type) and two common inhibitory motor neurons. The two excitatory and two inhibitory motor neurons that innervate the accessory flexor muscle also innervate the proximal bundles of the main flexor muscle. This suggests that the most proximal and distal parts of the flexor muscle participate synergistically in fine motor control while the rest participates in powerful drive of tibial flexion movement.

Animals↗
PubMed1994

Migraine as a sequela to chronic low back pain.

The occurrence of headache as a sequela of low back pain was examined in a sample of chronic pain patients. All patients had low back pain without history of head, neck, or upper back injury or headache onset simultaneous with the low back pain. Consistent with prior research, headache was found to be a common concomitant of back pain. In many patients, headache was found to have begun or exacerbated markedly after onset of low back pain. Prevalence of migraine in female patients was significantly higher than the population prevalence for females in the United States; this was not true for male patients. Potential mechanisms for explaining the high prevalence of migraine following low back pain are discussed, including increased muscle tension, psychosocial factors, and analgesic overuse.

Female↗
PubMed2004

Foot positioning instruction, initial vertical load position and lifting technique: effects on low back loading.

This study investigated the effects of initial load height and foot placement instruction in four lifting techniques: free, stoop (bending the back), squat (bending the knees) and a modified squat technique (bending the knees and rotating them outward). A 2D dynamic linked segment model was combined with an EMG assisted trunk muscle model to quantify kinematics and low back loading in 10 subjects performing 19 different lifting movements, using 10.5 kg boxes without handles. When lifting from a 0.05 m height with the feet behind the box, squat lifting resulted in 19.9% (SD 8.7%) higher net moments (p < 0.001) and 17.0% (SD 13.2%) higher compression forces (p < 0.01) than stoop lifting. This effect was reduced to 12.8% (SD 10.7%) for moments and a non-significant 7.4% (SD 16.0%) for compression forces when lifting with the feet beside the box and it disappeared when lifting from 0.5 m height. Differences between squat and stoop lifts, as well as the interaction with lifting height, could to a large extent be explained by changes in the horizontal L5/S1 intervertebral joint position relative to the load, the upper body acceleration, and lumbar flexion. Rotating the knees outward during squat lifts resulted in moments and compression forces that were smaller than in squat lifting but larger than in stoop lifting. Shear forces were small ( < 300 N) at the L4/L5 joint and substantial (1100 - 1400 N) but unaffected by lifting technique at the L5/S1 joint. The present results show that the effects of lifting technique on low back loading depend on the task context.

Adult↗
PubMed2003

Influence of food consistency on the rabbit masseter muscle fibres.

The plasticity of the masseter muscle was studied by comparing two groups of rabbits that were fed soft- and hard-diet for 87 d. Incisors of the soft-diet group were cut back to minimize the bite forces. Muscle fibres were immunohistochemically defined as fast- or slow-contracting fibres and their cross-sectional area was measured. The muscles of animals fed with the hard-diet were composed of fibres with larger cross-sectional areas than the soft-diet group. The relative difference was larger in slow-contracting fibres than in fast-contracting fibres. The results were similar for the different regions of the muscle. No changes in fibre composition were found. In conclusion, the difference in food consistency, as induced in this study, caused changes in the muscle fibre cross-sectional area that can be recognized from the altered necessary occlusal forces, which result from the modified forces developed by the masseter muscle.

Adaptation, Physiological↗