COMPARISON OF THE ACTIVITIES OF THE DEEP TRUNK MUSCLES MEASURED USING INTRAMUSCULAR AND SURFACE ELECTROMYOGRAPHY

Surface electromyography (EMG) has been used to estimate deep trunk muscle activity. However, it remains unknown whether surface EMG provides an accurate estimation of this activity. The purposes of this study were to compare surface and intramuscular EMG activity measurements and investigate the efficacy of surface EMG measurement for the transversus abdominis (TrA) and the multifidus (MF) muscles. Eight healthy men participated in the study. TrA and MF activities were simultaneously measured by both intramuscular and surface EMG during isometric trunk exercises. Spearman correlation coefficients for the relationship between the two activity measurements for the right TrA, left TrA, right MF, and left MF were 0.55, 0.36, 0.67, and 0.79, respectively. For the TrA, Bland–Altman plots revealed that mean differences between measurements obtained by intramuscular EMG and surface EMG were not close to zero, with a systematic bias toward higher surface EMG values. In conclusion, surface and intramuscular EMG ac...

[1]  Stephen H. M. Brown,et al.  Transmission of Muscularly Generated Force and Stiffness Between Layers of the Rat Abdominal Wall , 2009, Spine.

[2]  G. Vanderstraeten,et al.  Differences in electromyographic activity in the multifidus muscle and the iliocostalis lumborum between healthy subjects and patients with sub-acute and chronic low back pain , 2002, European Spine Journal.

[3]  Douglas G. Altman,et al.  Measurement in Medicine: The Analysis of Method Comparison Studies , 1983 .

[4]  G. Vanderstraeten,et al.  Trunk muscle activity in healthy subjects during bridging stabilization exercises , 2006, BMC musculoskeletal disorders.

[5]  S. McGill,et al.  Appropriately placed surface EMG electrodes reflect deep muscle activity (psoas, quadratus lumborum, abdominal wall) in the lumbar spine. , 1996, Journal of biomechanics.

[6]  Paul W Hodges,et al.  Postural activity of the abdominal muscles varies between regions of these muscles and between body positions. , 2005, Gait & posture.

[7]  A. Mannion,et al.  A comparison of two motion analysis devices used in the measurement of lumbar spinal mobility. , 1999, Clinical biomechanics.

[8]  G. Vanderstraeten,et al.  Electromyographic activity of trunk and hip muscles during stabilization exercises in four-point kneeling in healthy volunteers , 2007, European Spine Journal.

[9]  B. Murphy,et al.  The validity and reliability of surface EMG to assess the neuromuscular response of the abdominal muscles to rapid limb movement. , 2003, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[10]  Sharon M Henry,et al.  Surface EMG electrodes do not accurately record from lumbar multifidus muscles. , 2003, Clinical biomechanics.

[11]  M. Solomonow,et al.  Surface and wire EMG crosstalk in neighbouring muscles. , 1994, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[12]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[13]  R. A. Ekstrom,et al.  Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. , 2007, The Journal of orthopaedic and sports physical therapy.

[14]  B. Murphy,et al.  Core stability exercises on and off a Swiss ball. , 2005, Archives of physical medicine and rehabilitation.

[15]  C. Richardson,et al.  Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions. , 1998, Electromyography and clinical neurophysiology.

[16]  J. Cholewicki,et al.  Relative contribution of trunk muscles to the stability of the lumbar spine during isometric exertions. , 2002, Clinical biomechanics.

[17]  Stuart M McGill,et al.  Determining the Stabilizing Role of Individual Torso Muscles During Rehabilitation Exercises , 2004, Spine.

[18]  J. Mcmeeken,et al.  The relationship between EMG and change in thickness of transversus abdominis. , 2004, Clinical biomechanics.

[19]  M. Panjabi The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. , 1992, Journal of spinal disorders.

[20]  Alf Thorstensson,et al.  Diverging Intramuscular Activity Patterns in Back and Abdominal Muscles During Trunk Rotation , 2002, Spine.

[21]  P. Maurer,et al.  Trunk muscle recruitment patterns in specific chronic low back pain populations. , 2005, Clinical biomechanics.

[22]  T. Stanton,et al.  The Effect of Abdominal Stabilization Contractions on Posteroanterior Spinal Stiffness , 2008, Spine.

[23]  J. Cholewicki,et al.  Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. , 1996, Clinical biomechanics.

[24]  M. Ferreira,et al.  Changes in Recruitment of the Abdominal Muscles in People With Low Back Pain: Ultrasound Measurement of Muscle Activity , 2004, Spine.

[25]  Julie A. Hides,et al.  Therapeutic exercise for lumbopelvic stabilization : a motor control approach for the treatment and prevention of low back pain , 2004 .

[26]  J. Arokoski,et al.  Back and hip extensor muscle function during therapeutic exercises. , 1999, Archives of physical medicine and rehabilitation.

[27]  B. Murphy,et al.  Changes in muscle activity and perceived exertion during exercises performed on a swiss ball. , 2006, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[28]  Stuart M McGill,et al.  Quantifying Tissue Loads and Spine Stability While Performing Commonly Prescribed Low Back Stabilization Exercises , 2004, Spine.