EMG feedback training during dynamic movement for low back pain patients

This paper provodes a brief overview of the use of EMG biofeedback in the physical rehabilitation of patients whith chronic low back pain. Obvious limitations in some current treatment methodologies and empirical foundations for an alternative EMG feedback training technique are discussed. The alternative approach involves individual assessment of muscle function and comparison to normative data followed by EMG feedback training in relevant static and dynamic activities. A case report is provided to illustrates application of the technique. When used with proper attention to basic principles of kinesiology, biomechanics, and anatomy, electromyography may provide a more rational basis for behavioral assessment and treatment of low back and other chronic pain patients.

[1]  R. Melzack.  The McGill Pain Questionnaire: Major properties and scoring methods , 1975, PAIN.

[2]  C. Hirsh,et al.  The anatomical basis for low back pain , 1963 .

[3]  Basmajian Jv.  Electromyographic investigation of spasticity and muscle spasm. , 1976 .

[4]  C HIRSCH,et al.  The anatomical basis for low back pain. Studies on the presence of sensory nerve endings in ligamentous, capsular and intervertebral disc structures in the human lumbar spine. , 1963, Acta orthopaedica Scandinavica.

[5]  D. Simons,et al.  Muscle pain syndromes--Part II. , 1976, American journal of physical medicine.

[6]  R. Melzack.  Behavioral methods for chronic pain and illness W.E. Fordyce, C.V. Mosby Company, St. Louis, Mo., 1976, ix + 236 pp , 1977, Pain.

[7]  L. Derogatis,et al.  EMG biofeedback in patients with chronic pain. , 1977, Diseases of the nervous system.

[8]  D. W. Swanson,et al.  Results of Behavior Modification in the Treatment of Chronic Pain , 1979 .

[9]  P. Williams.  The lumbosacral spine : emphasizing conservative management , 1965 .

[10]  J. Basmajian.  Muscles Alive—their functions revealed by electromyography , 1963 .

[11]  R. Melzack.  Prolonged relief of pain by brief, intense transcutaneous somatic stimulation , 1975, PAIN.

[12]  J. Basmajian,et al.  Normative data on low back mobility and activity levels. Implications for neuromuscular reeducation. , 1979, American journal of physical medicine.

[13]  Basmajian Jv.  Cyclobenzaprine hydrochloride effect on skeletal muscle spasm in the lumbar region and neck: two double-blind controlled clinical and laboratory studies. , 1978 .