Monitoring individual erector spinae fatigue responses using electromyography and near infrared spectroscopy.

This study examined the utility of electromyography and near-infrared spectroscopy (NIRS) in assessing m. erector spinae activity during the Biering-Sorensen Back Muscle Endurance (BSME) test. Six men and four women (27.0 +/- 7.1 years of age) performed the BSME test (time = 131.5 +/- 43.5 s). EMG was used to quantify neuromuscular activity of the right and left side at the L3 level, and root mean square was scaled for maximum value at the start of the exercise. NIRS was used to evaluate blood volume (BV) and oxygenation (OX) simultaneous with EMG bilaterally at the L3 level. There was a decrease to 49+/- 8% of initial median frequency (mean= 83 Hz) on both right and left sides when the exercise was 90% complete, and the slope of the median frequency/time relationship was significantly related to BSME time (r = 0.82). Group means for BV increased during back exercise while OX decreased and was significantly different between right and left sides of the lower back. However, large OX response differences among individuals and between right and left sides were noted. OX and median frequency were moderately related (r = 0.27-0.38). It appears that NIRS combined with EMG is a promising tool for assessing localized metabolic and neuromuscular activity during static contractions of the lower back.

[1]  Karlman Wasserman,et al.  Changes in skeletal muscle oxygenation during incremental exercise measured with near infrared spectroscopy , 2004, European Journal of Applied Physiology and Occupational Physiology.

[2]  F. Biering-Sørensen A one-year prospective study of low back trouble in a general population. The prognostic value of low back history and physical measurements. , 1984, Danish medical bulletin.

[3]  Yagesh Bhambhani,et al.  Cardiorespiratory and hemodynamic responses during repetitive incremental lifting and lowering in healthy males and females , 2003, European Journal of Applied Physiology.

[4]  A. Mannion,et al.  Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences , 1997, Journal of anatomy.

[5]  C. D. De Luca,et al.  Effects of muscle fiber type and size on EMG median frequency and conduction velocity. , 1995, Journal of applied physiology.

[6]  D. Buchner,et al.  Physical fitness and chronic low back pain. An analysis of the relationships among fitness, functional limitations, and depression. , 1988, Clinical orthopaedics and related research.

[7]  S. Kuno,et al.  Comparative analysis of NMR and NIRS measurements of intracellular [Formula: see text] in human skeletal muscle. , 1999, American journal of physiology. Regulatory, integrative and comparative physiology.

[8]  C. Piantadosi,et al.  Near-infrared spectroscopy for monitoring muscle oxygenation. , 2000, Acta physiologica Scandinavica.

[9]  D. Farina,et al.  Surface Electromyography for Noninvasive Characterization of Muscle , 2001, Exercise and sport sciences reviews.

[10]  P. Dolan,et al.  Electromyographic Median Frequency Changes During Isometric Contraction of the Back Extensors to Fatigue , 1994, Spine.

[11]  A Sirca,et al.  The fibre type composition of thoracic and lumbar paravertebral muscles in man. , 1985, Journal of anatomy.

[12]  Sharon Ann Plowman,et al.  8: Physical Activity, Physical Fitness, and Low Back Pain , 1992 .

[13]  R M Enoka,et al.  Sex differences in the fatigability of arm muscles depends on absolute force during isometric contractions. , 2001, Journal of applied physiology.

[14]  L Bolinger,et al.  Validation of near-infrared spectroscopy in humans. , 1994, Journal of applied physiology.

[15]  D. Pincivero,et al.  Influence of contraction intensity, muscle, and gender on median frequency of the quadriceps femoris. , 2001, Journal of applied physiology.

[16]  P. Katzmarzyk,et al.  Health-related fitness, physical activity, and history of back pain. , 2000, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[17]  S M McGill,et al.  Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work , 2000, Ergonomics.

[18]  D. Carpenter,et al.  Low back strengthening for the prevention and treatment of low back pain. , 1999, Medicine and science in sports and exercise.

[19]  S. McGill,et al.  Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. , 1999, Archives of physical medicine and rehabilitation.

[20]  K. Jørgensen,et al.  Trunk extensor endurance: determination and relation to low-back trouble. , 1987, Ergonomics.

[21]  Carlo J. De Luca,et al.  The Use of Surface Electromyography in Biomechanics , 1997 .

[22]  B Chance,et al.  Recovery from exercise-induced desaturation in the quadriceps muscles of elite competitive rowers. , 1992, The American journal of physiology.

[23]  K. Jørgensen,et al.  Trunk strength, back muscle endurance and low-back trouble. , 2020, Scandinavian journal of rehabilitation medicine.

[24]  U. Moritz,et al.  Trunk muscle strength and back muscle endurance in construction workers with and without low back disorders. , 1992, Scandinavian journal of rehabilitation medicine.

[25]  J. Stevenson,et al.  Back fitness and back health assessment considerations for the Canadian Physical Activity, Fitness and Lifestyle Appraisal. , 2001, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[26]  David A. Boas,et al.  A Quantitative Comparison of Simultaneous BOLD fMRI and NIRS Recordings during Functional Brain Activation , 2002, NeuroImage.

[27]  Scott M. Lephart,et al.  Strength and Flexibility Characteristics of Athletes with Chronic Low-Back Pain , 1996 .

[28]  K Jørgensen,et al.  Muscle fiber distribution, capillary density, and enzymatic activities in the lumbar paravertebral muscles of young men. Significance for isometric endurance. , 1993, Spine.

[29]  P. Dolan,et al.  The use of surface EMG power spectral analysis in the evaluation of back muscle function. , 1997, Journal of rehabilitation research and development.

[30]  B. Clark,et al.  Gender differences in skeletal muscle fatigability are related to contraction type and EMG spectral compression. , 2003, Journal of applied physiology.

[31]  Y. Bhambhani,et al.  Relationship between erector spinae static endurance and muscle oxygenation-blood volume changes in healthy and low back pain subjects , 2006, European Journal of Applied Physiology.

[32]  I. Vuori,et al.  Health-related fitness test battery for adults: associations with perceived health, mobility, and back function and symptoms. , 1998, Archives of physical medicine and rehabilitation.

[33]  T. Moritani,et al.  Assessment of lower-back muscle fatigue using electromyography, mechanomyography, and near-infrared spectroscopy , 2001, European Journal of Applied Physiology.

[34]  P Cerretelli,et al.  Muscle O(2) consumption by NIRS: a theoretical model. , 1999, Journal of applied physiology.

[35]  C J De Luca,et al.  pH-induced effects on median frequency and conduction velocity of the myoelectric signal. , 1991, Journal of applied physiology.