A surface electromyography based objective method to identify patients with nonspecific chronic low back pain,presenting a flexion related movement control impairment |
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| Institution: | 1. Center for Musculoskeletal Medicine & Rehabilitation, Military Hospital Queen Astrid, Brussels, Belgium;2. Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium;3. Department of Mathematics, Royal Military Academy, Brussels, Belgium;1. Department of Rehabilitation, Sagamihara Chuo Hospital, 6-4-20, Fujimi, Chuo-ku, Sagamihara, Kanagawa, Japan;2. Department of Rehabilitation, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, Japan;3. Department of Exercise Physiology and Biomechanics, Faculty of Medicine, School of Medicine, Toho University, 5-21-16, Omori-Nishi, Ota-ku, Tokyo, Japan;4. Department of Physical Therapy, Tokyo University of Technology, 5-23-22, Nishi-Kamata, Ota-ku, Tokyo, Japan;5. Department of Exercise Physiology, School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, 1432-1, Horinouchi, Hachioji, Tokyo, Japan;6. Department of Rehabilitation, School of Allied Health Science, Kitasato University, 1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa, Japan;1. Departments of Neurology, School of Medicine, University of Patras, Patras, Greece;2. Departments of Spinal Cord Lesions Rehabilitation, School of Medicine, University of Patras, Patras, Greece;3. Departments of Medical Physics, School of Medicine, University of Patras, Patras, Greece |
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| Abstract: | Movement control impairments (MCI) are often present in patients with non-specific chronic low back pain (NS-CLBP). Therefore, movement control exercises are widely used to rehabilitate patients. However, the objective assessment remains difficult.The purpose of this study was to develop a statistical model, based on logistic regression analysis, to differentiate patients with NS-CLBP presenting a flexion-related MCI from healthy subjects. This model is based on trunk muscle activation patterns measured by surface electromyography (sEMG), during movement control exercises.Sixty-three healthy male subjects and 36 male patients with a flexion-related MCI participated in this study. Muscle activity of the internal obliques, the external obliques, the lumbar multifidus and the thoracic part of the iliocostalis was registered. Ratios of deep stabilizing to superficial torque producing muscle activity were calculated to examine trunk muscle recruitment patterns during 6 different exercises. Logistic regression analyses were performed (1) to define the ratios and exercises that were most discriminating between patients and non-patients, (2) to make a predictive model. K-Fold cross-validation was used to assess the performance of the predictive model.This study demonstrated that sEMG trunk muscle recruitment patterns during movement control tests, allows differentiating NSCLBP patients with a flexion-related MCI from healthy subjects. |
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| Keywords: | Electromyography Trunk muscle activity Ratios Movement control impairment Flexion |
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