Lumbar flexion relaxation phenomenon in the patients with acute and subacute mechanical low back pain and normal subjects

Hetal Sanjay Desai; Rahul Singh Bisen

doi:10.18203/2320-6012.ijrms20170653

Authors

Hetal Sanjay Desai Department of Neurophysiotherapy, Smt. Kashibai Navale College of Physiotherapy, Pune, Maharashtra, India
Rahul Singh Bisen Department of Neurophysiotherapy, Smt. Kashibai Navale College of Physiotherapy, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20170653

Keywords:

FRP, MLBP

Abstract

Background: The purpose is to examine the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain (MLBP) and normal subjects.

Methods: A total of 30 patients 15 with MLBP and 15 normal subjects of both genders participated in the study with convenient sampling; all were aged between 20-50 years. The participants were asked to perform movement which was paced by computer running a program and the myoelectrical activity of erector spinae muscle in patients with acute and sub-acute mechanical low back pain and normal subjects were examined.

Results: This study stated that patients with MLBP has increased or over activity of erector spinae muscle during complete lumbar flexion when the muscle should be electrically silent. This was observed with help of EMG graph where increase in activity was observed with increase in amplitude, duration and time in graph.

Conclusions: There is increase in the amplitude, duration and time in flexion relaxation phenomenon (FRP) in mechanical low back pain patients when compared to normal subjects.

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References

Andersson GB. Epidemiology of low back pain. Acta Orthop Scand Supplement. 1998;281:28-31.

Dionne CE, Dunn KM, Croft PR. Does back pain prevalence really decrease with increasing age: a systematic review. Age and Ageing. 2006;35:229-34.

Rapoport J, Jacobs P, Bell NR, Klarenbach S. Refining the measurement of the economic burden of chronic diseases in Canada. Chronic Diseases in Canada 2004;25:13-21.

Deyo RA, Cherkin D, Conrad D. Cost, controversy, crisis: low back pain and the health of the public. Ann Rev Public Health. 1991;12:141-56.

Volinn E. The epidemiology of low back pain in the rest of the world. A review of surveys in low- and middle-income countries. Spine 1997;22:1747-54.

Chaiamnuay P1, Darmawan J, Muirden KD, Assawatanabodee P. Epidemiology of rheumatic disease in rural Thailand: A WHO-ILAR COPCORD study. J Rheumatol. 1998;25:1382-7.

Hoy D, Toole MJ, Morgan D. Low back pain in rural Tibet. Lancet. 2003;361:225-6.

Jin K, Sorock GS, Courtney TK. Prevalence of low back pain in three occupational groups in Shanghai, People’s Republic of China. J Saf Res. 2004;35:23-8.

Ory FG, Rahman FU, Katagade V. Respiratory disorders, skin complaints, and low-back trouble among tannery workers in Kanpur, India. Am Industrial Hyg Assoc J. 1997;58:740-6.

Lidgren L. The bone and joint decade 2000-2010. Bull World Health Organ. 2003;81:629.

Steenstra IA, Verbeek JH, Heymans MW, Bongers PM. Prognostic factors for duration of sick leave in patients sick listed with acute low back pain: a systematic review of the literature. Occup EnvironMed. 2005;62:851-60.

Kent PM, Keating JL. The epidemiology of low back pain in primary care. Chiropractic and Osteopathy. 2005;13:13.

Thelin A, Holmberg S, Thelin N. Functioning in neck and low back pain from a 12-year perspective: a prospective populationbased study. J Rehabil Med. 2008;40:555-61.

Tomita S, Arphorn S, Muto T. Prevalence and risk factors of low back pain among Thai and Myanmar migrant seafood processing factory workers in Samut Sakorn Province, Thailand. Ind Health. 2010;48:283-91.

Van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A et al. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15:169-91.

Sterud T, Tynes T. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway. Occup Environ Med. 2013;70:296-302.

Taimela S, Kujala U, Salminen J. The prevalence of low back pain among children and adolescents-a nation-wide, cohort based questionnaire survey in Finland. Spine.1997;22:1132-6.

McMeeken J, Tully E, Stillman B, Nattrass CL, Bygott IL, StoryI. The experience of back pain in young Australians. Manual Ther. 2001;6:213-20.

Leboeuf-Yde C, Kyvik K. At what age does low back pain become a common problem? Spine. 1998;23:228-34.

Papageorgiou AC, Croft PR, Ferry S, Jayson MI, Silman AJ. Estimating the prevalence of low back pain in the general population - evidence from the South Mancester back pain survey. Spine. 1995;20:1889-94.

Moffett J.K. Randomized controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences. BMJ.1999;319:279

Ruth L. Solomon John. Preventing dance injuries. 2005:93.

Sizer PS Jr, Phelps V, Matthijs O. Pain generators of the lumbar spine. Pain Pract. 2001;1:255-73.

Hoogendoorn WE, Bongers PM, de Vet HC. Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine. 2000;25:3087-92.

Van den Heuvel SG, Ariens GA, Boshuizen HC, Bongers PM. Prognostic factors related to recurrent low-back pain and sickness absence. Scand J Work Environ Health. 2004;30:459-67.

Harkness EF, Macfarlane GJ, Nahit ES, Silman AJ, McBeth J. Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology. 2003;42:959-68.

Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a two-year prospective study of a general working population. Arthritis Rheum. 2007;56:1355-64.

Sorensen IG, Jacobsen P, Gyntelberg F, Suadicani P. Occupational and other predictors of herniated lumbar disc disease-a 33-year follow-up in the Copenhagen male study. Spine (Phila Pa 1976) 2011;36:1541-6.

Macfarlane GJ, Thomas E, Papageorgiou AC. Employment and physical work activities as predictors of future low back pain. Spine. 1997;22:1143-9.

Smedley J, Egger P, Cooper C. Prospective cohort study of predictors of incident low back pain in nurses. BMJ. 1997;314:1225-8.

Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occup Environ Med. 2004;61:398-404.

Bakker EW, Verhagen AP, van Trijffel E. Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies. Spine. 2009;34:E281-93.).

M. Descarreaux, D. Lafond, R. Jeffrey-Gauthier H. Centomo,and V. Cantin, Changes in the flexion relaxation response induced by lumbar muscle fatigue. BMC Musculoskeletal Disorders. 2008;9:10.

Floyd WF, Silver PHS. Function of the erector spinae in flexion of the trunk. Lancet. 1951;1:133-4.

Solomonow M, Baratta RV, Banks A, Freudenberger C, Zhou BH. Flexion-relaxation response to static lumbar flexion in males and females. Clin Biomech. 2003;18:273-9.

Schultz AB, Haderspeck-Grib K, Sinkora G, Warwick DN. Quantitative studies of the flexion-relaxation phenomenon in the back muscles. J Orthop Res. 1985;3:189-97.

Neblett R, Mayer TG, Gatchel RJ, Keeley J, Proctor T, Anagnostis C. Quantifying the lumbar flexion-relaxation phenomenon: theory, normative data, and clinical applications. Spine. 2003;28:1435- 46.

Susan B O’sullivan. Physical Rehabilitation. 5th ed. 2007;274-8.

Watson PJ, Booker CK, Main CJ, Chen ACN. Surface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio. Clinic Biomech. 1997;12:165-71.

Danneels LA. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Euro Spine J. 2000;9:266-72.

Hides JA. Multifidusmuscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21:2763-69.

Sihvonen T. Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Archiv Physic Med Rehabilit. 1998;79(10):1210-2.