Effects of Muscle Fatigue, Creep, and Musculoskeletal Pain on Neuromuscular Responses to Unexpected Perturbation of the Trunk: A Systematic Review

Overview

Journal Front Hum Neurosci

Specialty Neurology

Date 2017 Jan 20

PMID 28101013

Citations 10

Authors

Jacques Abboud

Arnaud Lardon

Frederic Boivin

Claude Dugas

Martin Descarreaux

Affiliations

Soon will be listed here.

Abstract

Trunk neuromuscular responses have been shown to adapt under the influence of muscle fatigue, as well as spinal tissue creep or even with the presence of low back pain (LBP). Despite a large number of studies exploring how these external perturbations affect the spinal stability, characteristics of such adaptations remains unclear. The purpose of this systematic review was to assess the quality of evidence of studies investigating trunk neuromuscular responses to unexpected trunk perturbation. More specifically, the targeted neuromuscular responses were trunk muscle activity reflex and trunk kinematics under the influence of muscle fatigue, spinal creep, and musculoskeletal pain. A research of the literature was conducted in Pubmed, Embase, and Sport-Discus databases using terms related to trunk neuromuscular reflex responses, measured by electromyography (baseline activity, reflex latency, and reflex amplitude) and/or trunk kinematic, in context of unexpected external perturbation. Moreover, independent variables must be either trunk muscle fatigue or spinal tissue creep or LBP. All included articles were scored for their electromyography methodology based on the "Surface Electromyography for the Non-Invasive Assessment of Muscles (SENIAM)" and the "International Society of Electrophysiology and Kinesiology (ISEK)" recommendations whereas overall quality of articles was scored using a specific quality checklist modified from the Quality Index. Meta-analysis was performed on reflex latency variable. A final set of 29 articles underwent quality assessments. The mean quality score was 79%. No effect of muscle fatigue on erector spinae reflex latency following an unexpected perturbation, nor any other distinctive effects was found for back muscle fatigue and reflex parameters. As for spinal tissue creep effects, no alteration was found for any of the trunk reflex variables. Finally, the meta-analysis revealed an increased erector spinae reflex latency in patients with chronic LBP in comparison with healthy controls following an unexpected trunk perturbation. The literature provides some evidence with regard to trunk adaptions in a context of spinal instability. However, most of the evidence was inconclusive due to a high methodological heterogeneity between the studies.

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References

Bazrgari B, Hendershot B, Muslim K, Toosizadeh N, Nussbaum M, Madigan M . Disturbance and recovery of trunk mechanical and neuromuscular behaviours following prolonged trunk flexion: influences of duration and external load on creep-induced effects. Ergonomics. 2011; 54(11):1043-52. DOI: 10.1080/00140139.2011.614357. View

Howarth S, Kingston D, Brown S, Graham R . Viscoelastic creep induced by repetitive spine flexion and its relationship to dynamic spine stability. J Electromyogr Kinesiol. 2013; 23(4):794-800. DOI: 10.1016/j.jelekin.2013.04.002. View

Jones S, Hitt J, DeSarno M, Henry S . Individuals with non-specific low back pain in an active episode demonstrate temporally altered torque responses and direction-specific enhanced muscle activity following unexpected balance perturbations. Exp Brain Res. 2012; 221(4):413-26. PMC: 3472522. DOI: 10.1007/s00221-012-3183-8. View

Wada M, Sunaga N, Nagai M . Anxiety affects the postural sway of the antero-posterior axis in college students. Neurosci Lett. 2001; 302(2-3):157-9. DOI: 10.1016/s0304-3940(01)01662-7. View

Olson M, Li L, Solomonow M . Flexion-relaxation response to cyclic lumbar flexion. Clin Biomech (Bristol). 2004; 19(8):769-76. DOI: 10.1016/j.clinbiomech.2004.05.007. View

Dupeyron A, Perrey S, Micallef J, Pelissier J . Influence of back muscle fatigue on lumbar reflex adaptation during sudden external force perturbations. J Electromyogr Kinesiol. 2009; 20(3):426-32. DOI: 10.1016/j.jelekin.2009.05.004. View

Reeves N, Cholewicki J, Milner T . Muscle reflex classification of low-back pain. J Electromyogr Kinesiol. 2005; 15(1):53-60. DOI: 10.1016/j.jelekin.2004.07.001. View

Abboud J, Nougarou F, Descarreaux M . Muscle Activity Adaptations to Spinal Tissue Creep in the Presence of Muscle Fatigue. PLoS One. 2016; 11(2):e0149076. PMC: 4750977. DOI: 10.1371/journal.pone.0149076. View

Fersum K, Dankaerts W, OSullivan P, Maes J, Skouen J, Bjordal J . Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercise therapy for non-specific chronic low back pain: a systematic review. Br J Sports Med. 2009; 44(14):1054-62. DOI: 10.1136/bjsm.2009.063289. View

10.

Radebold A, Cholewicki J, Panjabi M, Patel T . Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine (Phila Pa 1976). 2000; 25(8):947-54. DOI: 10.1097/00007632-200004150-00009. View

11.

Jacobs J, Henry S, Jones S, Hitt J, Bunn J . A history of low back pain associates with altered electromyographic activation patterns in response to perturbations of standing balance. J Neurophysiol. 2011; 106(5):2506-14. PMC: 3214123. DOI: 10.1152/jn.00296.2011. View

12.

Downs S, Black N . The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998; 52(6):377-84. PMC: 1756728. DOI: 10.1136/jech.52.6.377. View

13.

Lavender S, Marras W, Miller R . The development of response strategies in preparation for sudden loading to the torso. Spine (Phila Pa 1976). 1993; 18(14):2097-105. DOI: 10.1097/00007632-199310001-00029. View

14.

Hodges P, Bui B . A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol. 1996; 101(6):511-9. DOI: 10.1016/s0013-4694(96)95190-5. View

15.

MacIntyre D, Cort J . Neuromuscular response of the trunk to inertial based sudden perturbations following whole body vibration exposure. J Electromyogr Kinesiol. 2014; 24(6):977-85. DOI: 10.1016/j.jelekin.2014.08.001. View

16.

Toosizadeh N, Bazrgari B, Hendershot B, Muslim K, Nussbaum M, Madigan M . Disturbance and recovery of trunk mechanical and neuromuscular behaviours following repetitive lifting: influences of flexion angle and lift rate on creep-induced effects. Ergonomics. 2013; 56(6):954-63. DOI: 10.1080/00140139.2013.785601. View

17.

Cohen J . A power primer. Psychol Bull. 2009; 112(1):155-9. DOI: 10.1037//0033-2909.112.1.155. View

18.

Grondin D, Potvin J . Effects of trunk muscle fatigue and load timing on spinal responses during sudden hand loading. J Electromyogr Kinesiol. 2008; 19(4):e237-45. DOI: 10.1016/j.jelekin.2008.05.006. View

19.

Hodges P, Richardson C . Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997; 114(2):362-70. DOI: 10.1007/pl00005644. View

20.

Cresswell A, Oddsson L, Thorstensson A . The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res. 1994; 98(2):336-41. DOI: 10.1007/BF00228421. View