Are lumbar multifidus fatigue and transversus abdominis activation similar in patients with lumbar disc herniation and healthy controls? A case control study

Purpose The aims of this study were to assess lumbar multifidus fatigue (LM) and transversus abdominis activation (TrA) in individuals with lumbar disc herniation associated with low back pain. Methods Sixty individuals were divided into the lumbar herniation (LHG, n  = 30) and control groups (CG, n...

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Bibliographic Details
Published in:European spine journal 2016-05, Vol.25 (5), p.1435-1442
Main Authors: Ramos, Luiz Armando Vidal, França, Fábio Jorge Renovato, Callegari, Bianca, Burke, Thomaz Nogueira, Magalhães, Maurício Oliveira, Marques, Amélia Pasqual
Format: Article
Language:English
Subjects:
Abdominal Muscles - physiology
Adult
Case-Control Studies
Humans
Intervertebral Disc Displacement - epidemiology
Intervertebral Disc Displacement - physiopathology
Low Back Pain - epidemiology
Low Back Pain - physiopathology
Lumbosacral Region - physiopathology
Medicine
Medicine & Public Health
Middle Aged
Muscle Fatigue
Neurosurgery
Original Article
Paraspinal Muscles - physiopathology
Surgical Orthopedics
Young Adult
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Summary:Purpose The aims of this study were to assess lumbar multifidus fatigue (LM) and transversus abdominis activation (TrA) in individuals with lumbar disc herniation associated with low back pain. Methods Sixty individuals were divided into the lumbar herniation (LHG, n  = 30) and control groups (CG, n  = 30). Fatigue of the LM was assessed using surface electromyography during the Sorensen effort test, and activation of the TrA with a pressure biofeedback unit. Pain intensity was determined using a visual analog scale and the McGill pain questionnaire. The Oswestry disability questionnaire and the Borg scale for self-evaluating exertion were used to assess functional disability. Results Fatigue was significantly more intense and the TrA activation was insufficient ( p  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-015-4375-2