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Titre : | Temporal Patterns of the Trunk Muscles Remain Altered in a Low BackInjured Population Despite Subjective Reports of Recovery (2014) |
Auteurs : | Janice M. Moreside ; Adam D. Quirk ; Cheryl L. Hubley-Kozey |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/4, 2014) |
Article en page(s) : | p. 686-698 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dorsalgie ; Electromyographie ; Rééducation et réadaptation |
Mots-clés: | Abdominal muscles ; Muscles abdominaux ; Back pain ; Electromyography ; Exercise movement techniques ; Techniques d'exercices physiques ; Principal component analysis ; Analyse en composantes principales |
Résumé : |
Objective To compare temporal activation patterns from 24 abdominal and lumbar muscles between healthy subjects and those who reported recovery from recent low back injury (LBI). Design Cross-sectional comparative study. Setting University neuromuscular function laboratory. Participants Healthy adult volunteers (N=81; 30 LBI, 51 asymptomatic subjects). Interventions Trunk muscle electromyographic activity was collected during 2 difficulty levels of a supine trunk stability test aimed at challenging lumbopelvic control. Main Outcome Measures Principal component (PC) analysis was applied to determine differences in temporal and/or amplitude electromyographic patterns between groups. Mixed-model analyses of variance were performed on PC scores that explained more than 89% of the variance (α=.05). Results Four PCs explained 89% and 96% of the variance for the abdominal and back muscles, respectively, with both muscle groups having similar shapes in the first 3 PCs. Significant interactions or group main effects were found for all PC scores except PC4 for the back extensors. Overall activation amplitudes for both the abdominal and back muscles (PC1 scores) were significantly (P<.05 higher for the lbi group with both abdominal and back muscles of demonstrating an increased response to leg-loading phase scores compared asymptomatic group. differences were also found between groups in their preparatory activity having a early relative amplitude extensor activity.> Conclusions Despite perceived readiness to return to work and low pain scores, muscle activation patterns remained altered in this LBI group, including reduced synergistic coactivation and increased overall amplitudes as well as greater relative amplitude differences during specific phases of the movement. Electromyographic measures provide objective information to help guide therapy and may assist with determining the level of healing and return-to-work readiness after an LBI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999313010174 |