Trunk and hip muscles activation patterns in subjects with and without chronic low back pain: a systematic review

Abstract

The purpose of this study was to determine normal and abnormal patterns of activation of gluteus maximus (GM), hamstring (HAM), contralateral erector spinae (CES), and ipsilateral erector spinae (iES) muscles during a prone hip extension test in healthy or asymptomatic subjects and those with non-specific chronic low back pain through a systematic review. Studies were recognized by searching electronic databases (Embase, MEdLiNE/PubMed, Cochrane Library, PEdro [Physiotherapy Evidence database], and CiNAHL) and scanning articles reference lists from the beginning until July 2018. Limits involved studies in the English language and performed among humans. of 2112 citations and reference lists scanned, 15 articles were determined to be relevant to this review. From these studies, 4 investigated 157 subjects (88 asymptomatic and 69 with low back pain), and 11 investigated 257 healthy subjects. The results of the moderate and weak quality studies indicate that the HAM and ES muscles are activated early and almost simultaneously, but GM is consistently delayed in relation to leg movement and the other 3 muscles in healthy individuals. in low back pain subjects, CES are delayed and GM is significantly delayed in individuals who showed abnormal lumbar motions when compared with healthy ones.

Associated Risk Factors with Low Back Pain in White-Collar Workers—A Cross-Sectional Study

“…It was found that people with LBP did not differ from asymptomatic people with regard to the angle of lumbar lordosis or the angle of the anterior tilt of the pelvis in a standing position although they did show differentiation in terms of the range of motion of the lumbar spine in all directions, the velocity of movement of this section, and worsened proprioception during movement reposition [ 39 ]. These observations emphasise the disturbances in the motor function of the lumbar spine [ 40 ] rather than changes in the shape of the anterior-posterior curves in people with the LBP. The presented study confirms that the lumbosacral angle did not differentiate between the study groups.…”

Effects of Core Stability Training on Muscle Physiology among Adults with Low Back Pain

“…During diverse functional tasks, LBP is related to trunk kinematics and muscle activation (Hemming et al, 2019). A study has shown that patients with CLBP had delayed activation of deep abdomen and back muscles and increased activation of superficial trunk muscles (Kamel et al, 2021).…”