Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
skip to main content
10.1145/1328491.1328545acmconferencesArticle/Chapter ViewAbstractPublication Pagesi-createConference Proceedingsconference-collections
research-article

Surface EMG topography: a new assessment tool in low back pain rehabilitation

Published: 23 April 2007 Publication History

Abstract

Among different pathologic conditions that give rise to Low Back Pain (LBP), abnormal back muscle contraction strategy was suspected to be a major contributory factor. However, studies in this area are few. The purposes of this study were to establish a reliable and objective assessment method which provide information on back muscles coordination during dynamic motion, and to testify the possible application of this method in LBP rehabilitation assessment. Back muscle surface electromyography (SEMG) was measured by an array of SEMG electrodes (7x3) during forward bending. The root mean square (RMS) of the SEMG signal was calculated as a function of both position and time to produce the SEMG topography. The SEMG topography of 30 healthy subjects served as the normal database and produced a reproducible activation pattern. SEMG topography of the 5 LBP patients presented varied activation pattern and were different from that of normal pattern. Corrective changes of contraction strategies revealed in SEMG topography patterns were found in some of the LBP patients after rehabilitation. In this study, the effectiveness of LBP rehabilitation was uncovered by SEMG topography, with a visible monitoring of rehabilitation progress. With this method, a practical and objective assessment for LBP rehabilitation is achievable.

References

[1]
Humphrey AR, Nargol AV, Jones AP, Ratcliffe AA, and Greenough CG. The value of electromyography of the lumbar paraspinal muscles in discriminating between chronic-low-back-pain sufferers and normal subjects. Eur. Spine J. 2005;14:175--84.
[2]
Rucker KS, Cole AJ, Weinstein SM. Low back pain: a symptom-based approach to diagnosis and treatment. Boston: Butterworth-Heinemann, 2001.
[3]
Rzanny R, Grassme R, Reichenbach JR et al. Simultaneous surface electromyograhpy (SEMG) and 31P-MR spectroscopy measurements of the lumbar back muscle during isometric exercise. J. Neurosci. Methods 2004;133:143--52
[4]
Kramer M, Ebert V, Kinzl L, Dehner C, Elbel M, and Hartwig E. Surface electromyography of the paravertebral muscles in patients with chronic low back pain. Arch. Phys. Med. Rehabil. 2005;86:31--6.
[5]
Perez MA and Nussbaum MA. Lower torso muscle activation patterns for high-magnitude static exertions: gender differences and the effects of twisting. Spine 2002;27:1326--35.
[6]
Santos-Eggimann B, Wietlisbach V, Rickenbach M, Paccaud F, and Gutzwiller F. One-year prevalence of low back pain in two Swiss regions: estimates from the population participating in the 1992--1993 MONICA project. Spine 2000;25:2473--9.
[7]
Waxman R, Tennant A, and Helliwell P. A prospective follow-up study of low back pain in the community. Spine 2000;25:2085--90.
[8]
Arokoski JP, Valta T, Kankaanpaa M, and Airaksinen O. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch. Phys. Med. Rehabil. 2004;85:823--32.
[9]
Slade SC, Ther MM, and Keating JL. Trunk-strengthening exercises for chronic low back pain: a systematic review. J. Manipulative Physiol Ther. 2006;29:163--73.
[10]
Potvin JR and O'Brien PR. Trunk muscle co-contraction increases during fatiguing, isometric, lateral bend exertions. Possible implications for spine stability. Spine 1998;23:774--80.
[11]
De Luca CJ. "Use of surface EMG signal for performance evaluation of back muscle". Muscle Nerve 1993; 16:210--6
[12]
Roy SH, De Luca CJ, Emley M, Buijs RJC. "Spectral electromyographic assessment of back muscles in patients with low back pain undergoing rehabilitation". Spine 1995; 20(1):38--48
[13]
G. Waddell, "The Back Pain Revolution", Churchill Livingstone, Edinburgh, 1998.
[14]
Lu WW, Luk KD, Cheung KM, Wong YW, Leong JC. "Back muscle contraction patterns of patients with low back pain before and after rehabilitation treatment: an electromyographic evaluation". J Spinal Disord. 2001 Aug;14(4):277--82.
[15]
Newcomer KL, Jacobson TD, Gabriel DA, Larson DR, Brey RH, An KN. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002 Jun;83(6):816--21.
[16]
Hogrel JY. Clinical applications of surface electromyography in neuromuscular disorders. Neurophysiol. Clin. 2005;35:59--71.
[17]
Arokoski JP, Valta T, Kankaanpaa M, and Airaksinen O. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch. Phys. Med. Rehabil. 2004;85:823--32.
[18]
Newcomer KL, Jacobson TD, Gabriel DA, Larson DR, Brey RH, An KN. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002 Jun;83(6):816--21.
[19]
Nouwen A, Bush C. The relationship between paraspinal EMG and chronic low back pain. Pain. 1984 Oct;20(2):109--23.
[20]
Watson PJ, Booker CK, Main CJ, Chen AC. Surface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio. Clin Biomech (Bristol, Avon). 1997 Apr;12(3):165--171.
[21]
Janda V: Muscles, central nervous motor regulation and back problems. The Neurobiologic Mechanisms in Manipulative Therapy. Edited by JM Korr. New York, Plenum Press, 1977, pp 21--41
[22]
Wolf SL, Basmajian JV: Assessment of paraspinal electromyographic activity in normal subjects and in chronic back pain patients using a muscle biofeedback device. International Series in Biomechanics Vib. Edited by E Asmussen, K Jorgensen, Baltimore University Park Press. 1977, pp 319--324
[23]
Wolf SL, Nacht M, Kelly JL: EMG biofeedback training during dynamic movement for low back pain patients. BehavTher 13:395--406, 1982

Index Terms

  1. Surface EMG topography: a new assessment tool in low back pain rehabilitation

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      i-CREATe '07: Proceedings of the 1st international convention on Rehabilitation engineering & assistive technology: in conjunction with 1st Tan Tock Seng Hospital Neurorehabilitation Meeting
      April 2007
      272 pages
      ISBN:9781595938527
      DOI:10.1145/1328491
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 23 April 2007

      Permissions

      Request permissions for this article.

      Check for updates

      Author Tags

      1. low back pain
      2. rehabilitation
      3. root mean square
      4. surface electromyography
      5. topography

      Qualifiers

      • Research-article

      Funding Sources

      • Hong Kong Research Grant of Occupational Safety and Health Council Research Committee
      • SK Yee Medical Foundation Grant

      Conference

      i-CREATe07
      Sponsor:

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • 0
        Total Citations
      • 281
        Total Downloads
      • Downloads (Last 12 months)0
      • Downloads (Last 6 weeks)0
      Reflects downloads up to 13 Jan 2025

      Other Metrics

      Citations

      View Options

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Media

      Figures

      Other

      Tables

      Share

      Share

      Share this Publication link

      Share on social media