The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Comparison of Multifidus Muscle Activity and Pelvic Tilting Angle During Typing in Nonspecific Lower Back Pain Subjects with and without Visual Biofeedback

  • Jeon, In-Cheol (Department of Physical Therapy, College of Life and Health Science, Hoseo University, Research Institute for Basic Sciences, Hoseo University)
  • Received : 2021.01.14
  • Accepted : 2021.02.01
  • Published : 2021.02.28
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Abstract

Purpose: Biofeedback using various ways has helped correct the sitting posture. This study compared the multifidus muscle activity, pelvic and 2nd sacrum tilting angle during typing in nonspecific lower back pain (NCLBP) subjects with and without visual biofeedback. Methods: Thirty subjects with NCLBP were enrolled in this study. An electromyography device was used to measure the multifidus muscle activity. An electromagnetic tracking motion device was used to measure the pelvic and 2nd sacrum tilting angle. The multifidus muscle activity, pelvic, and 2nd sacrum tilting angle were measured before and after typing for 30 minutes in the sitting position. An independent t-test was used to compare the changing values for 30 minutes between the group with and without visual biofeedback. Results: The changing values of the multifidus muscle activity, pelvic, and 2nd sacrum tilting angle were significantly smaller in the group with visual biofeedback than the group without visual biofeedback (p<0.05). Conclusions: In subjects with NCLBP, the visual biofeedback can be recommended to maintain the multifidus muscle activity, pelvic, and 2nd sacrum tilting angle during typing for 30 minutes.

Keywords

Acknowledgement

본 연구는 산업통상자원부와 한국산업기술진흥원의 "지역산업거점 기관지원사업"(과제번호: R0006231)으로수행된연구임.

References

  1. O'Sullivan PB, Dankaerts W, Burnett AF et al. Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine. 2006;31(19):E707-12. https://doi.org/10.1097/01.brs.0000234735.98075.50
  2. Lee JH, Yoo WG. The mechanical effect of anterior pelvic tilt taping on slump sitting by seated workers. Ind Health. 2011;49(4):403-9. https://doi.org/10.2486/indhealth.MS1230
  3. Claus A, Hides J, Moseley GL et al. Sitting versus standing: does the intradiscal pressure cause disc degeneration or low back pain? J Electromyogr Kinesiol. 2008;18(4):550-8. https://doi.org/10.1016/j.jelekin.2006.10.011
  4. Makhsous M, Lin F, Bankard J et al. Biomechanical effects of sitting with adjustable ischial and lumbar support on occupational low back pain: evaluation of sitting load and back muscle activity. BMC Musculoskelet Disord. 2009;10(1):17.
  5. Burnett AF, Cornelius MW, Dankaerts W et al. Spinal kinematics and trunk muscle activity in cyclists: a comparison between healthy controls and non-specific chronic low back pain subjects-a pilot investigation. Man Ther. 2004;9(4):211-9. https://doi.org/10.1016/j.math.2004.06.002
  6. Dankaerts W, O'Sullivan P, Burnett A et al. Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified. Spine. 2006;15;31(6):698-704. https://doi.org/10.1097/01.brs.0000202532.76925.d2
  7. O'Sullivan K, O'Sullivan L, O'Sullivan P et al. Investigating the effect of real-time spinal postural biofeedback on seated discomfort in people with non-specific chronic low back pain. Ergonomics. 2013;56(8):1315-25. https://doi.org/10.1080/00140139.2013.812750
  8. O'Sullivan PB, Burnett A, Floyd AN et al. Lumbar repositioning deficit in a specific low back pain population. Spine. 2003;28(10):1074-9. https://doi.org/10.1097/01.BRS.0000061990.56113.6F
  9. Kim HA, Kwon OY, Ahn SH et al. Effect of taping on lumbar kinematics and muscle activities during typing in Individuals with nonspecific chronic low back pain. Phys Ther Korea. 2015;22(1): 93-102. https://doi.org/10.12674/ptk.2015.22.1.093
  10. Cho MS, Park KN, Choung SD et al. Effect of visual biofeedback training in real time on buttock pressure and pelvic tilting angles of hemiplegic patients during sitting. Phys Ther Korea. 2017;24(2):66-75 https://doi.org/10.12674/ptk.2017.24.2.066
  11. Kang MH, Choi SH, Oh JS. Postural taping applied to the low back influences kinematics and EMG activity during patient transfer in physical therapists with chronic low back pain. J Electromyogr Kinesiol. 2013;23(4):787-93. https://doi.org/10.1016/j.jelekin.2013.02.009
  12. Leitner C, Mair P, Paul B et al. Reliability of posturographic measurements in the assessment of impaired sensorimotor function in chronic low back pain. J Electromyogr Kinesiol. 2009;19(3):380-90. https://doi.org/10.1016/j.jelekin.2007.09.007
  13. Marshall P, Murphy B. Delayed abdominal muscle onsets and self-report measures of pain and disability in chronic low back pain. J Electromyogr Kinesiol. 2010;20(5):833-9. https://doi.org/10.1016/j.jelekin.2009.09.005
  14. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. St Louis, Mosby, 2002:111-21.
  15. Kim YW, Kim TH, Yang MN et al. Comparison of activities of tibialis anterior, peroneus longus, and tibialis posterior muscles according to lunge squats and bulgarian split squats in a healthy population. J Musculoskelet Sci Technol. 2017;1(1):26-30.
  16. Jung EJ, Oh JS. Effects of indirect pelvic floor muscle activation exercise using a pressure biofeedback unit on trunk muscle activity in sitting position. J Musculoskelet Sci Technol. 2020;4(1):18-24.
  17. Dankaerts W, O'Sullivan PB, Burnett AF et al. Reliability of EMG measurements for trunk muscles during maximal and sub-maximal voluntary isometric contractions in healthy controls and CLBP patients. J Electromyogr Kinesiol. 2004;14(3):333-42. https://doi.org/10.1016/j.jelekin.2003.07.001
  18. Kim JS, Kang MH, Moon DC et al. Effect of pelvic tilt exercise using pressure-based visual biofeedback training on the gait parameter in elderly patients with Alzheimer's disease. Eur Geriatr Med. 2017;8(1):30-6. https://doi.org/10.1016/j.eurger.2016.11.001
  19. Burnett AF, Barrett CJ, Marshall RN et al. Three-dimensional measurement of lumbar spine kinematics for fast bowlers in cricket. Clin Biomech. 1998;13(8):574-83. https://doi.org/10.1016/S0268-0033(98)00026-6
  20. Dolan P, Greenfield K, Nelson RJ et al. Can exercise therapy improve the outcome of microdiscectomy? Spine. 2000;25(12):1523-32. https://doi.org/10.1097/00007632-200006150-00011
  21. O'Sullivan PB, Burnett A, Floyd AN et al. Lumbar repositioning deficit in a specific low back pain population. Spine. 2003;28(10):1074-9. https://doi.org/10.1097/01.BRS.0000061990.56113.6F
  22. Vaz G, Roussouly P, Berthonnaud E et al. Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J. 2002;11(1):80-7. https://doi.org/10.1007/s005860000224
  23. O'Sullivan K, McCarthy R, White A et al. Can we reduce the effort of maintaining a neutral sitting posture? A pilot study. Man Ther. 2012;17(6):566-71. https://doi.org/10.1016/j.math.2012.05.016
  24. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord. 1992;5(4):390-6. https://doi.org/10.1097/00002517-199212000-00002

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