Patients With Low Back Pain Demonstrate Increased Activity of the Posterior Oblique Sling Muscle During Prone Hip Extension

Kim, Ji-Won; Kang, Min-Hyeok; Oh, Jae-Seop

doi:10.1016/j.pmrj.2013.12.006

Cited by 30 publications

(39 citation statements)

References 31 publications

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“…2 Myofascial slings are interconnected muscle chains that lead to trunk stability during movement and force transmission from the lower to upper limbs. 3 Most muscle injuries occur in the same sling that leads to pain and imbalances and can provoke trigger points. A myofascial sling that plays a critical role in trunk extension is the posterior oblique sling, which is composed of erector spina, hamstring, gluteal maximus (GM), and latissimus dorsi muscles.…”

Section: Introductionmentioning

confidence: 99%

“…A myofascial sling that plays a critical role in trunk extension is the posterior oblique sling, which is composed of erector spina, hamstring, gluteal maximus (GM), and latissimus dorsi muscles. [3][4][5] The latissimus dorsi has a synergetic role with gluteus maximus through the thoracolumbar fascia in trunk extension. 6 Kim et al 3 reported a greater muscular activation pattern of latissimus dorsi in CLBP patients during prone hip extension test.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] The latissimus dorsi has a synergetic role with gluteus maximus through the thoracolumbar fascia in trunk extension. 6 Kim et al 3 reported a greater muscular activation pattern of latissimus dorsi in CLBP patients during prone hip extension test. When the function of gluteus maximus is reduced to control the lumbopelvic region, the contralateral latissimus dorsi may be activated to compensate GM insufficiency and spinal instability.…”

Section: Introductionmentioning

confidence: 99%

“…When the function of gluteus maximus is reduced to control the lumbopelvic region, the contralateral latissimus dorsi may be activated to compensate GM insufficiency and spinal instability. 3,6 Laudner et al 7 reported that there was a link between increased latissimus dorsi stiffness and scapular dyskinesia using kinematic analysis among asymptomatic collegiate swimmers. They stated that latissimus dorsi stiffness increased scapular upward rotation and posterior tilt; however, scapular internal rotation decreased during humeral elevation.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the greater muscular activation pattern of latissimus dorsi in CLBP patients 3 and its attachment to the inferior border of the scapula, it seems that latissimus dorsi dysfunction could alter scapular position. To the best of our knowledge, no study has investigated scapular position in CLBP patients.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Evaluation of Scapular Positioning in Patients With Nonspecific Chronic Low Back Pain: A Case-Control Study

Taghizadeh

Pirouzi

Hemmati

et al. 2017

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the position of scapula in patients with nonspecific chronic low back pain. Methods: A total of 17 participants with a history of nonspecific chronic low back pain and 17 healthy participants in the same age, sex, and weight range were enrolled in this case-control study. Lateral scapular slide test and Lennie test were used for clinical evaluation of scapular position in the frontal plane using a tape measure. The data were analyzed using an independent t test. Results: The results of lateral scapular slide test indicated that there were significant differences between patients with nonspecific chronic low back pain and healthy individuals in both left and right sides in 2 positions: shoulder in neutral position and shoulder at 40°-45°abduction. Also, in the Lennie test, there was only a significant difference between groups when we measured the distances from thoracic spinous process to the inferior angle of the scapula in both left and right sides. Conclusion: This study indicated that upward rotation of the scapula can be seen in patients with nonspecific chronic low back pain. (J Chiropr Med 2017;16:195-198)

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Evaluation of Scapular Positioning in Patients With Nonspecific Chronic Low Back Pain: A Case-Control Study

Taghizadeh

Pirouzi

Hemmati

et al. 2017

Journal of Chiropractic Medicine

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Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross‐sectional Study

Wattananon

Silfies

Tretriluxana

et al. 2019

PM&R

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Background Prone hip extension is used to clinically assess movement control in patients with nonspecific low back pain (LBP). Excessive lumbopelvic movements and altered muscle activation patterns are common in patients with nonspecific LBP. However, no evidence exists regarding lumbar multifidus and lumbar erector spinae muscle synergy patterns in patients with nonspecific LBP during this clinical test. Objective To determine the difference in lumbopelvic motion and change in muscle synergy between patients with nonspecific LBP and healthy individuals. Design A cross‐sectional study design. Setting University physical therapy clinic and laboratory. Participants Seven patients with nonspecific LBP (age [mean ± SD] 29 ± 5 years, 43% female, body mass index [BMI] of 25 ± 2 kg/m2, Numeric Pain Rating Scale 6 ± 2; Oswestry Disability Index 20% ± 8%) and seven age‐, sex‐, and BMI‐matched healthy individuals (mean age 28 ± 5 years, 43% female, BMI of 22 ± 2 kg/m2) were recruited. Methods Each participant performed six repetitions of prone hip extension on each side; kinematic and electromyographic data were collected simultaneously. Main Outcome Measurements Kinematic data were used to represent lumbopelvic motion, whereas electromyography (EMG) data were used to represent muscle activity. A paired t‐test was used to determine the difference in lumbopelvic motion. Principal component analysis and two‐way repeated‐measures analysis of variance were used to extract muscle synergies and identify differences in muscle synergy patterns between and within groups. Results Results demonstrated no significant group difference (P > .05) in amount of lumbopelvic motion. However, healthy individuals synergistically activate lumbar multifidus and lumbar erector spinae with 81.0% variance accounted for (VAF). Patients with nonspecific LBP had an altered synergy with independent activation of lumbar multifidus on the painful side with 32.0% VAF and the lumbar multifidus on the nonpainful side, and both lumbar erector spinae with 52.2% VAF synergistically activated. Conclusions These findings suggest that clinicians should focus on muscle activation patterns rather than the amount of lumbopelvic motion during clinical observation of prone hip extension. Level of Evidence Level III.

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Strukturelle Grundlagen der Neurodynamik

Bartrow

2023

Nervenmobilisation

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Patients With Low Back Pain Demonstrate Increased Activity of the Posterior Oblique Sling Muscle During Prone Hip Extension

Abstract: Women with CLBP had greater activity in the posterior oblique sling muscles than did women without CLBP during PHE. These findings suggest that an alteration can be made in posterior oblique sling muscle activities during PHE in women with CLBP.

Cited by 30 publications

References 31 publications

Clinical Evaluation of Scapular Positioning in Patients With Nonspecific Chronic Low Back Pain: A Case-Control Study

Clinical Evaluation of Scapular Positioning in Patients With Nonspecific Chronic Low Back Pain: A Case-Control Study

Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross‐sectional Study

Strukturelle Grundlagen der Neurodynamik

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