The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Recruitment Patterns of Lumbar Extensor and Hip Extensors in Trunk Flexion and Extension

체간 굴곡과 신전 시에 요부 신근과 고관절 신근의 동원패턴

  • Lee, Hyun-Ok (Department of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Gu, Bong-Oh (Department of Physical Therapy, College of Health Science, Catholic University of Pusan)
  • 이현옥 (부산가톨릭대학 보건과학대학 물리치료학과) ;
  • 구봉오 (부산가톨릭대학 보건과학대학 물리치료학과)
  • Published : 2009.03.25
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Abstract

Purpose: We determined the recruitment pattern of lumbar elector spinalis, gluteus maxims, inner and outer hamstring muscle during trunk flexion and extension. Methods: Thirty healthy subjects(male; 15, female; 15) without low back pain and other problems in lower extremities participated in this study. To measure the recruitment pattern, the onset times of electromyographic activity of the muscles were recorded during trunk flexion and return(extension) to standing position. Results: The medial and lateral hamstring muscle was activated first, next elector spinalis, the last, gluteus maximus in trunk flexion. In trunk extension to standing position, the order of recruitment was similar to trunk flexion although the frequency is different. There were different between male and female in flexion and extension movement. Conclusion: The recruitment order of lumbar extensor and hip extensors in trunk flexion and extension will provide database in evaluation and intervention of lower back pain and lumbo.pelvic rhythm disorder.

Keywords

References

  1. Floyd WF, Silver PHS. The function of erector spinae muscles in certain movements and postures in man. J Physiol. 1955;129(1):184-203.
  2. Calliet R. Low Back Pain Syndrome. Philadelphia, F. A. Davis Co, 1994:17-55.
  3. Esola MA, McClure PW, Fitzgerald GK et al. Analysis of lumbar spine and hip motion during forward bending in subjects with and without a history of low back pain. Spine. 1996;21(1):71-8. https://doi.org/10.1097/00007632-199601010-00017
  4. McClure PW, Esolar M, Schreier R. et al. Kinematic analysis of lumbar and hip motion while rising from a forward, flexed position in patients with and without a history of low back pain. Spine. 1997;22(5):552-8. https://doi.org/10.1097/00007632-199703010-00019
  5. Norton BJ, Van Dillen L, Gauitierrez C. et al. Videographic analysis of subjects with and without low back pain during forward bending. Phys Ther. 1996;76:S29.
  6. Hashemirad F, Talebian S, Hatef B. et al. AH. The relationship between flexibility and EMG activity pattern of the erector spinae muscles during trunk flexion–extension. J Electromyogra Kinesiol. 2008; In Press
  7. Clark BC, Manini TM, Mayer JM et al. Electromyographic activity of the lumbar and hip extensors during dynamic trunk extension exercise. Arch Phys Med Rehabil. 2002;83(11):1547-52. https://doi.org/10.1053/apmr.2002.34828
  8. Scholtes SA, Gombatto SP, Van Dillen LR. Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests. Clin Biomech. 2009;24(1);7-12. https://doi.org/10.1016/j.clinbiomech.2008.09.008
  9. Himmelreich H, Vogt L, Banzer W. Gluteal muscle recruitment during level, incline and stair ambulation in health subjects and chronic low back pain patients. J Back Musculoskeletal Rehabil. 2008;21(3):193-9.
  10. Radebold A, Cholewicki J, Panjabi MM et al. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine. 2000;25(8):947-54. https://doi.org/10.1097/00007632-200004150-00009
  11. Hodge PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80(9):1005-12. https://doi.org/10.1016/S0003-9993(99)90052-7
  12. Leinonen V, Kankaanpää M, Airaksinen O et al. Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation. Arch Phys Med Rehabil. 2000;81(1):32-7.
  13. Kwon OY, Koh EK. The comparison of the onset times of hamstring, and lumbar elector spinae muscle activity during hip extension between subjects with low back pain and health subjects. KAUTPT. 2002;9(2)33-42.
  14. Park CH, Kwon OY, Cho SY. The effect of a lumbosacral corset on the onset of rectus abdominis and hip extensor activity during hip extension in health subjects. KAUTPT. 2002;9(3):23-37.
  15. Cram JR, Kasman GS, Holtz J. Introduction to surface electromyography. Aspen, Maryland, 1998:336-70.
  16. Lee WA, Buchanan TS, Roger MW. Effects of arm acceleration and behavioral conditions on the organization of postural adjustments during arm flexion. Exp Brain Res. 1987;66(2):257-70.
  17. Allum JH, Pfaltz CR. Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits. Exp Brain Res. 1985;58(1):82-94.
  18. Woollacott MH, von Hosten C, Rosblad B. Relation between muscle response onset and body segmental movements during postural perturbations in humans. Exp Brain Res. 1988;72(3):593-604.
  19. Neafsey EJ, Hull CD, Buchwald NA. Preparation for movement in the cat. II: Unit activity in the basal ganglia and thalamus. Electroencephalogr Clin Neurophysiol. 1978;44(6):714-23. https://doi.org/10.1016/0013-4694(78)90206-7
  20. Nashner LM, Shumway-Cook A, Marin O. Stance posture control in select groups of children with cerebral palsy: deficits in sensory organization and muscular coordination. Exp Brain Res. 1983;49(3):393-409.
  21. Di Fabio RP. Reliability of computerized surface electromyography for determining the onset of muscle activity. Phys Ther. 1987;67(1):43-8.
  22. Hodge PW, Bui BH. A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol. 1996;101(6):511-9. https://doi.org/10.1016/S0921-884X(96)95190-5
  23. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. Missouri, Mosby, 2002:58.
  24. Smith LK, Weiss EL, Don Lehmkuhl L. Brunnstrom's clinical kinesiology. 5th ed. Philadephia, FA Davis, 1996:280-1.
  25. Nelson JM, Walmsley RP, Stevenson JM. Relative lumbar and pelvic motion during loaded spinal flexion/extension. Spine. 1995;20(2):199-204. https://doi.org/10.1097/00007632-199501150-00013
  26. Thomas JS, Corcos DM, Hasan Z. The influnence of gender on spine, hip, knee and ankle motions during a reaching task. J Mot Behav. 1998;30:98-108. https://doi.org/10.1080/00222899809601327
  27. Sakamoto AC, Teixeira-Salmela LF, de Paula-Goulart FR. et al. Muscular activation patterns during active prone hip extension exercises. J Electromyogr Kinesiol. 2009;19(1):105-12. https://doi.org/10.1016/j.jelekin.2007.07.004
  28. Stevens VK, Coorevits PL, Bouche KG. et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther. 2007 ;12(3): 271-9. https://doi.org/10.1016/j.math.2006.07.009
  29. Marshall PW, Murphy BA. Muscle activation changes after exercise rehabilitation for chronic low back pain. Arch Phys Med Rehabil. 2008;89(7):1305-13. https://doi.org/10.1016/j.apmr.2007.11.051