alexa People with recurrent low back pain respond differently to trunk loading despite remission from symptoms.


Journal of Pain & Relief

Author(s): MacDonald D, Moseley GL, Hodges PW

Abstract Share this page

Abstract STUDY DESIGN: Cross-sectional design. OBJECTIVE: To compare lumbar multifidus electromyographic activity (EMG) during predictable and unpredictable trunk loading between people with and without recurrent unilateral low back pain (LBP) during symptom remission. SUMMARY OF BACKGROUND DATA: Unpredictable loading is a common injury mechanism for LBP. Paraspinal muscle responses to trunk loading differ between people with and without a history of LBP, but whether the response differs between specific regions within the paraspinal muscles is unclear. Differences between deep (DM) and superficial fibers (SM) of multifidus have been implicated in other tasks. It is unknown whether DM and SM EMG differ between people in remission from recurrent LBP and healthy people during trunk loading. METHODS: DM and SM EMG was recorded bilaterally at L5 with intramuscular electrodes during predictable and unpredictable trunk loading and compared during 10 milliseconds epochs (250 milliseconds before to 150 milliseconds after loading) between sides, loading conditions, and groups. RESULTS: DM EMG increased above baseline before and after predictable load onset, but returned to baseline at the time of impact. Both DM EMG bursts were less in the remission group and less on the non-painful side. Peak SM EMG amplitude on the previously painful side was earlier in the remission group than healthy participants. DM and SM EMG were less after unpredictable load onset in the remission group than healthy participants. CONCLUSION: Despite symptom remission, DM EMG during predictable loading and DM and SM EMG during unpredictable loading were less in people with recurrent LBP than healthy participants. This article was published in Spine (Phila Pa 1976) and referenced in Journal of Pain & Relief

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version