Flexion-Relaxation Ratio Asymmetry and Its Relation With Trunk Lateral ROM in Individuals With and Without Chronic Nonspecific Low Back Pain
Autor: | Stéphane Armand, Kevin Rose-Dulcina, Nicolas Vuillerme, Stéphane Genevay, Dennis Dominguez |
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Rok vydání: | 2020 |
Předmět: |
musculoskeletal diseases
Adult Male Rotation media_common.quotation_subject Paraspinal Muscles Electromyography Flexion relaxation Asymmetry 03 medical and health sciences 0302 clinical medicine Lumbar medicine Humans Orthopedics and Sports Medicine Trunk range of motion Range of Motion Articular Muscle Skeletal media_common ddc:616 Non-specific chronic low back pain 030222 orthopedics ddc:617 medicine.diagnostic_test business.industry Lumbosacral Region Torso Anatomy musculoskeletal system Low back pain Trunk Spine Cross-Sectional Studies Longissimus Flexion-relaxation phenomenon Female Neurology (clinical) medicine.symptom Range of motion business Low Back Pain 030217 neurology & neurosurgery |
Zdroj: | Spine, Vol. 45, No 1 (2020) pp. E1-E9 |
ISSN: | 1528-1159 0362-2436 |
DOI: | 10.1097/brs.0000000000003196 |
Popis: | STUDY DESIGN A cross-sectional comparative study. OBJECTIVE The present study aimed to investigate the relationship between the FR phenomenon asymmetry of lumbar muscles and trunk lateral range of motion (ROM) asymmetry in nonspecific chronic low back pain (NSCLBP) patients. SUMMARY OF BACKGROUND DATA Imbalance in trunk muscle activation between right and left sides can induce pain by loading the spine incorrectly, especially in patients with NSCLBP. A previous study reported a greater asymmetry in the FR phenomenon of the erector spinae in NSCLBP patients than in asymptomatic participants (APs). Imbalance of muscle properties, such as trunk ROM, has been suggested as a possible cause of this observed asymmetry. METHODS Twenty-eight NSCLBP patients and 22 AP performed 3 standing maximal trunk flexions. Surface electromyography was recorded bilaterally for erector spinae longissimus and lumbar multifidus. A FR ratio was calculated for each muscle. The fingertip-to-thigh test was performed to assess trunk lateral ROM. Each parameter's asymmetry was calculated as the absolute difference between right and left sides. RESULTS NSCLBP patients present a significantly lower trunk lateral ROM than AP. FR ratio asymmetry of the erector spinae was significantly greater in NSCLBP patients than in AP (P |
Databáze: | OpenAIRE |
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