Electromyographic evaluation of selected muscles during active hip extension in men treated McKenzie method

• Autorzy: Jabłońska Magdalena , Fryzowicz Anna , Ogurkowska Małgorzata Barbara

Identyfikatory

DOI

10.37190/ABB-01578-2020-03

• Języki publikacji: EN

Abstrakty

EN

Purpose: The aim of this study was to evaluate objective results of short-term treatment with the use of electromyography and to determine changes in muscle recruitment during the prone hip extension test in individuals with chronic low back pain who underwent the McKenzie treatment. Methods: The studied group consisted of 17 male office workers aged 33–55 who underwent two experimental sessions comprising of 3 measurements and the McKenzie method of mechanical diagnosis and therapy. Electromyographic examination of selected muscles was performed during the test in order to assess changes in their activity before and after the McKenzie method and the Visual Analogue Scale was used to assess the level of pain. Results: There was a tendency towards significance at the beginning of activation between the first and second test for the left erector spinae muscle ( p = 0.0684). In 18% of patients, the onset activation time decreased, which is indicative of correct direction of changes. No statistically significant changes were observed in the remaining muscles. Statistical significance ( p = 0.0131) was observed between the first and third test for the left erector spinae muscle. A decrease in the onset activation time was observed in 75% of the subjects. Effectiveness increased by as much as 57%. The level of pain decreased in the third test compared to the first one ( p = 0.0240). However, the change in pain sensations between the first and second test was not statistically significant. Conclusions: The study showed objective changes in the activation sequence of selected muscles and subjective changes in pain following short term McKenzie therapy.

Słowa kluczowe

EN

low back pain; sEMG; movement pattern; prone hip extension

PL

ból dolnej części pleców; sEMG; wzór ruchu; skłonny do wyprostu bioder

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2020
• Tom: Vol. 22, no. 3
• Strony: 23--31
• Opis fizyczny: Bibliogr. 26 poz., tab., wykr.

Twórcy

autor

Jabłońska Magdalena

• Department of Biomechanics, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznań, Poland

autor

Fryzowicz Anna

• Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland

autor

Ogurkowska Małgorzata Barbara

• Department of Biomechanics, Poznan University of Physical Education, Poznań, Poland

Bibliografia

• [1] AIRAKSINEN O., BROX J.I., CEDRASCHI C., HILDEBRANDT J., KLABER-MOFFETT J., KOVACS F., Chapter 4 European guidelines for the management of chronic nonspecific low back pain, Eur. Spine J., 2006, 15 (2), 192–300.
• [2] BRUNO P.A., BAGUST J., An investigation into motor pattern differences used during prone hip extension between subjects with and without low back pain, Clin. Chiropr., 2007, June, 10 (2), 68–80.
• [3] BRUNO P.A., BAGUST J., COOK J., OSBORNE N., An investigation into the activation patterns of back and hip muscles during prone hip extension in non-low back pain subjects: Normal vs. abnormal lumbar spine motion patterns. Clin. Chiropr., 2008, Mar., 11 (1), 4–14.
• [4] BULLOCK-SAXTON J.E., JANDA V., BULLOCK M.I., The Influence of Ankle Sprain Injury on Muscle Activation During Hip Extension, Int. J. Sports Med., 1994, 15 (6), 330–334.
• [5] CHANCE-LARSEN K., LITTLEWOOD C., GARTH A., Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris, Man. Ther., 2010, Feb., 15 (1), 61–65.
• [6] CLARE H.A., ADAMS R., MAHER C.G., A systematic review of efficacy of McKenzie therapy for spinal pain, Aust. J. Physiother., 2004, 50 (4), 209–216.
• [7] COHEN J., Statistical power analysis for a behavioral sciences, Hillsdale, Lawrence Erlbaum Associates, NJ, 1988.
• [8] CRAM J., KASMAN G., HOLTZ J., Introduction to surface EMG, 1998, Aspen Publishing, Gathersburg, Maryland, PA, 336–370, 1.
• [9] DANNEELS L.A., COOREVITS P.L., COOLS A.M., VANDERSTRAETEN G.G., CAMBIER D.C., WITVROUW E.E. et al., Differences in electromyographic activity in the multifidus muscle and the iliocostalis lumborum between healthy subjects and patients with sub-acute and chronic low back pain, Eur. Spine J., 2002, Feb., 11 (1), 13–19.
• [10] FERRARI S., MANNI T., BONETTI F., VILLAFAÑE J.H., VANTI C., A literature review of clinical tests for lumbar instability in low back pain: validity and applicability in clinical practice, Chiropr. Man. Therap., 2015, 23, 14.
• [11] FRIEDLI W.G., HALLETT M., SIMON S.R., Postural adjustments associated with rapid voluntary arm movements 1. Electromyographic data, J. Neurol. Neurosurg. Psychiatry, 1984, 47 (61), 1–622.
• [12] HUNGERFORD B., GILLEARD W., HODGES P., Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain, Spine (Phila Pa 1976), 2003, Jul., 28 (14), 1593–1600.
• [13] IBRAHIMAJ A., DELIU S., MIFTARI S., Effectiveness of The McKenzie Method in The Treatment of Low Back Pain in Subacute and Chronic Stage, Research in Physical Education, Sport and Health, 2015, 4 (1), 79–86.
• [14] JANDA V., On the Concept of Postural Muscles and Posture in Man, Aust. J. Physiother., 1983, Jun., 29 (3), 83–84.
• [15] KIM J.W., KANG M.H., OH J.S., Patients with Low Back Pain Demonstrate Increased Activity of the Posterior Oblique Sling Muscle During Prone Hip Extension, PM R., 2014, May, 6 (5), 400–405.
• [16] LAM O.T., STRENGER D.M., CHAN-FEE M., PHAM P.T., PREUSS R.A., ROBBINS S.M., Effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review With Meta-analysis, J. Orthop. Sports Phys. Ther., 2018, Jun., 48 (6), 476–490.
• [17] LEINONEN V., KANKAANPÄÄ M., AIRAKSINEN O., HÄNNINEN O., Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation, Arch. Phys. Med. Rehabil., 2000, Jan., 81 (1), 32–37.
• [18] LEWIS C.L., SAHRMANN S.A., Muscle Activation and Movement Patterns During Prone Hip Extension Exercise in Women, J. Athl. Train., 2009, May/Jun., 44 (3), 238–248.
• [19] LONG A., DONELSON R., FUNG T., Does it matter which exercise? A randomizes controlled trial of exercise for low back pain, Spine, 2004, Dec. 29 (23), 2593–2602.
• [20] MCCORMACK H.M., HORNE D.J., SHEATHER S., Clinical applications of visual analogue scales: a critical review, Psychol. Med., 1988, (18), 1007–1019.
• [21] OGURKOWSKA M.B., KAWAŁEK K., Pathological changes in the lumbar intervertebral discs among professional field hockey players, J. Sports Med. Phys. Fitness, 2016, 56 (1–2), 85–91.
• [22] O’SULLIVAN P.B., MITCHELL T., BULICH P., WALLER R., HOLTE J., The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain, Man. Ther., 2006, Nov., 11 (4), 264–271.
• [23] PAGE P., FRANK C., LARDNER R., Assessment and Treatment of Muscle Imbalance: The Janda Approach, Chapter 6. Evaluation of movement patterns, 2010, 77–91.
• [24] SUEHIRO T., MIZUTANI M., ISHIDA H., KOBARA K., OSAKA H., WATANABE S., Individuals with chronic low back pain demonstrate delayed onset of the back muscle activity during prone hip extension, J. Electromyogr. Kinesiol., 2015, Aug., 25 (4), 675–680.
• [25] TIKKANEN O., HAAKANA P., PESOLA A.J., HÄKKINEN K., RANTALAINEN T. et al., Muscle Activity and Inactivity Periods during Normal Daily Life, PLoS One, 2013, Jan., https://doi.org/ 10.1371/journal.pone.0052228
• [28] VOGT L., PFEIFER K., BANZER W., Neuromuscular control of walking with chronic low-back pain, Man. Ther., 2003, Feb., 8 (1), 21–28.

Uwagi

W bibliografii w ostatniej pozycji jest błędna numeracja [28], powinno być [26].