Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180059
Brazilian Journal of Pain
Original Article

Influence of pain in strength, resistance and recruitment of trunk muscles

Influência da dor na força, resistência e recrutamento dos músculos do tronco

Guilherme Thomaz de Aquino Nava; Beatriz Mendes Tozim; Mary Hellen Morcelli; Marcelo Tavella Navega

http://dx.doi.org/10.5935/2595-0118.20180059 BrJP, vol.1, n4, p.310-315, 2018
PDF English
PDF Português
SciELO
Downloads: 0
Views: 554

Abstract

BACKGROUND AND OBJECTIVES: Changes in motor control may contribute to muscle recruitment deficits. The objective of this study was to evaluate strength, endurance, and recruitment of the torso muscles.

METHODS: We evaluated 35 women, divided into two groups: chronic low back pain (LBPG, n=20) and control (CG, n=15). The clinical conditions, incapacity, level of pain, strength, endurance and the muscles recruitment: internal oblique (IO) and external oblique (EO), rectus abdominis (RA), lumbar iliocostal (LI) and lumbar multifidus (LM) were evaluated. MANOVA, MANCOVA and Kruskal-Wallis were used.

RESULTS: There was no significant difference between groups in the muscle strength test (p<0.172). The control group showed the greater capacity for muscle endurance in the muscle endurance test (p<0.001). In muscle recruitment, the chronic low back pain group presented greater muscle activation, which was evident in the global stabilizing muscles EO and RA (p<0.05).

CONCLUSION: Women with back pain had reduced muscular endurance and greater recruitment of the global muscles when compared to women with no back pain.

Keywords

Electromyography, Lumbar pain, Muscle strength, Physical resistance

Resumo

JUSTIFICATIVA E OBJETIVOS: Alterações no controle motor podem contribuir para déficits no recrutamento muscular. Sendo assim o objetivo deste estudo foi avaliar a força, resistência e o recrutamento dos músculos do tronco.

MÉTODOS: Foram avaliadas 35 mulheres, divididas em dois grupos: dor lombar crônica (GDL, n=20) e controle (GC, n=15). Avaliou-se as condições clínicas, incapacidade, nível da dor, força, resistência e recrutamento dos músculos: oblíquo externo (OE) e interno (OI), reto abdominal (RA), iliocostal lombar (ICL) e multífido lombar (MUL). Utilizou-se MANOVA, MANCOVA e Kruskal-Wallis.

RESULTADOS: No teste de força muscular não houve diferença significativa entre os grupos (p=0,172). O grupo controle demonstrou maior capacidade de resistência no teste de resistência muscular (p<0,001). No recrutamento muscular, o grupo dor lombar crônica apresentou ativação muscular maior, que ficou evidente nos músculos estabilizadores globais, OE e RA (p<0,05).

CONCLUSÃO: Mulheres com dor lombar apresentaram resistência muscular diminuída e maior recrutamento nos músculos globais, quando comparadas às mulheres sem dor lombar.

Palavras-chave

Dor lombar, Eletromiografia, Força muscular, Resistência física

References

Cho KH, Beom JW, Lee TS, Lim JH, Lee TH, Yuk JH. Trunk muscles strength as a risk factor for nonspecific low back pain: A pilot study. Ann Rehabil Med. 2014;38(2):234-40.

Conway R, Behennah J, Fisher J, Osborne N, Steele J. Associations between trunk extension endurance and isolated lumbar extension strength in both asymptomatic participants and those with chronic low back pain. Healthcare. 2016;4(3).

Ono R, Higashi T, Takahashi O, Tokuda Y, Shimbo T, Endo H. Sex differences in the change in health-related quality of life associated with low back pain. Qual Life Res. 2012;21(10):1705-11.

Nelson-Wong E, Alex B, Csepe D, Lancaster D, Callaghan JP. Altered muscle recruitment during extension from trunk flexion in low back pain developers. Clin Biomech. 2012;27(10):994-8.

Butler HL, Hubley-Kozey CL, Kozey JW. Changes in electromyographic activity of trunk muscles within the sub-acute phase for individuals deemed recovered from a low back injury. J Electromyogr Kinesiol. 2013;23(2):369-77.

Schmit EF, Brito JD, Nóbrega SR, Araújo-Neto SA, Andrade PR, Ferreira JJ. Efeitos da fisioterapia na força, atividade mioelétrica e dor, em lombálgicos crônicos. ConScientiae Saúde. 2016;15(2):183-90.

Hodges PW, Moseley GL, Gabrielsson A, Gandevia SC. Experimental muscle pain changes feedforward postural responses of the trunk muscles. Exp Brain Res. 2003;151(2):262-71.

D'hooge R, Hodges P, Tsao H, Hall L, Macdonald D, Danneels L. Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain. J Electromyogr Kinesiol. 2013;23(1):173-81.

Tsao H, Galea MP, Hodges PW. Driving plasticity in the motor cortex in recurrent low back pain. Eur J Pain. 2010;14(8):832-9.

Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;230:1-54.

Vera-Garcia FJ, Moreside JM, McGill SM. MVC techniques to normalize trunk muscle EMG in healthy women. J Electromyogr Kinesiol. 2010;20(1):10-6.

Rossi DM, Morcelli MH, Marques NR, Hallal CZ, Gonçalves M, Laroche DP. Antagonist coactivation of trunk stabilizer muscles during Pilates exercises. J Bodyw Mov Ther. 2014;18(1):34-41.

Astfalck RG, O'Sullivan PB, Straker LM, Smith AJ, Burnett A, Caneiro JP. Sitting postures and trunk muscle activity in adolescents with and without nonspecific chronic low back pain: an analysis based on subclassification. Spine. 2010;35(14):1387-95.

Morcelli MH, Faganello FR, Navega MT. Avaliação da flexibilidade e dor de idosos fisicamente ativos e sedentários. Ter Man. 2010;8(38):298-304.

Schinkel-Ivy A, Nairn BC, Drake JD. Investigation of trunk muscle co-contraction and its association with low back pain development during prolonged sitting. J Electromyogr Kinesiol. 2013;23(4):778-86.

Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation, adaptation and validation of the Roland-Morris questionnaire--Brazil Roland-Morris. Braz J Med Biol Res. 2001;34(2):203-10.

Cavazzotto TG, Tratis L, Ferreira SA, Fernandes RA, Queiroga MR. Muscular static strength test performance: comparison between normotensive and hypertensive workers. Rev Assoc Med Bras. 2012;58(5):574-9.

Gruther W, Wick F, Paul B, Leitner C, Posch M, Matzner M. Diagnostic accuracy and reliability of muscle strength and endurance measurements in patients with chronic low back pain. J Rehabil Med. 2009;41(8):613-9.

Alaranta H, Luoto S, Heliövaara M, Hurri H. Static back endurance and the risk of low-back pain. Clin Biomech. 1995;10(6):323-4.

Hoffman M, Schrader J, Applegate T, Koceja D. Unilateral postural control of the functionally dominant and nondominant extremities of healthy subjects. J Athl Train. 1998;33(4):319-22.

Marques NR, Hallal CZ, Gonçalves M. Padrão de co-ativação dos músculos do tronco durante exercícios com haste oscilatória. Motriz Rev Educ Fis. 2012;18(2):245-52.

Teichtahl AJ, Urquhart DM, Wang Y, Wluka AE, Wijethilake P, O'Sullivan R. Fat infiltration of paraspinal muscles is associated with low back pain, disability, and structural abnormalities in community-based adults. Spine J. 2015;15(7):1593-601.

Davarian S, Maroufi N, Ebrahimi I, Farahmand F, Parnianpour M. Trunk muscles strength and endurance in chronic low back pain patients with and without clinical instability. J Back Musculoskelet Rehabil. 2012;25(2):123-9.

Mbada CE, Ayanniyi O, Ogunlade SO, Orimolade EA, Oladiran AB, Ogundele AO. Rehabilitation of back extensor muscles' inhibition in patients with long-term mechanical low-back pain. ISRN Rehabil. 2013:1-11.

Mazis N, Papachristou DJ, Zouboulis P, Tyllianakis M, Scopa CD, Megas P. The effect of different physical activity levels on muscle fiber size and type distribution of lumbar multifidus. A biopsy study on low back pain patient groups and healthy control subjects. Eur J Phys Rehabil Med. 2009;45(4):459-67.

De Luca CJ. The use of surface electromyography in biomechanics. J Appl Biomech. 1997;13(2):135-63.

Sánchez-Zuriaga D, López-Pascual J, Garrido-Jaén D, García-Mas MA. A comparison of lumbopelvic motion patterns and erector spinae behavior between asymptomatic subjects and patients with recurrent low back pain during pain-free periods. J Manipulative Physiol Ther. 2015;38(2):130-7.

Submitted date:
03/11/2018

Accepted date:
08/20/2018

5f1f88060e88255a10dc6779 brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections