Are lumbar multifidus fatigue and transversus abdominis activation similar in patients with lumbar disc herniation and healthy controls? A case control study.

Autor: Ramos, Luiz, França, Fábio, Callegari, Bianca, Burke, Thomaz, Magalhães, Maurício, Marques, Amélia, Ramos, Luiz Armando Vidal, França, Fábio Jorge Renovato, Burke, Thomaz Nogueira, Magalhães, Maurício Oliveira, Marques, Amélia Pasqual
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Zdroj: European Spine Journal; May2016, Vol. 25 Issue 5, p1435-1442, 8p, 2 Black and White Photographs, 2 Charts
Abstrakt: Purpose: The aims of this study were to assess lumbar multifidus fatigue (LM) and transversus abdominis activation (TrA) in individuals with lumbar disc herniation associated with low back pain.Methods: Sixty individuals were divided into the lumbar herniation (LHG, n = 30) and control groups (CG, n = 30). Fatigue of the LM was assessed using surface electromyography during the Sorensen effort test, and activation of the TrA with a pressure biofeedback unit. Pain intensity was determined using a visual analog scale and the McGill pain questionnaire. The Oswestry disability questionnaire and the Borg scale for self-evaluating exertion were used to assess functional disability.Results: Fatigue was significantly more intense and the TrA activation was insufficient (p < 0.01) in individuals with disc herniation relative to the control group. The LHG had mild functional disability and moderate pain. There were differences in the initial exertion self-evaluation between groups, which were not observed in the final exertion evaluation.Conclusion: Individuals with lumbar disc herniation associated with low back pain have increased fatigue of the LM and decreased activation of the TrA, when compared to the control group. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index