[Application Progress of Surface Electromyography and Surface Electromygraphic Biofeedback in Low Back Pain]

Overview

Journal Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Specialty General Surgery

Date 2018 May 26

PMID 29798619

Citations 2

Authors

Peifang Li

Yong Nie

Jiali Chen

Ning Ning

Affiliations

Soon will be listed here.

Abstract

Objective: To summarize the application progress of surface electromyography (sEMG) and surface electromygraphic biofeedback (sEMGBF) in low back pain (LBP).

Methods: The related literature about the application of sEMG and sEMGBF in diagnosis and therapy of LBP was summarized and analyzed.

Results: As a auxiliary diagnostic technique, lumbar muscle fatigue, lumbar muscle activity disorder, flexion-relaxation phenomenon, and asymmetry of the paravertebral muscle electromygraphic activity were found in patients with LBP by sEMG. For treatment, sEMG combined with sEMGBF technology to form sEMGBF training. sEMGBF training include sEMGBF training and sEMGBF stretching exercise. sEMGBF training can improve lumbar muscle activity disorder, recover muscle function, and relieve back pain.

Conclusion: sEMG can monitor the electromyographic signal and sEMGBF biofeedback information can relax or strengthen the muscle. It is very meaningful for diagnosis and therapy of LBP.

Citing Articles

Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis.

Yu Z, Yin Y, Wang J, Zhang X, Cai H, Peng F Int J Environ Res Public Health. 2023; 20(4).

PMID: 36833545 PMC: 9956295. DOI: 10.3390/ijerph20042850.

Dynamics of Changes in Isometric Strength and Muscle Imbalance in the Treatment of Women with Low back Pain.

Wilczynski J, Kasprzak A Biomed Res Int. 2020; 2020:6139535.

PMID: 32420354 PMC: 7201447. DOI: 10.1155/2020/6139535.

References

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

Ambroz C, Scott A, Ambroz A, Talbott E . Chronic low back pain assessment using surface electromyography. J Occup Environ Med. 2000; 42(6):660-9. DOI: 10.1097/00043764-200006000-00018. View

Laasonen E . Atrophy of sacrospinal muscle groups in patients with chronic, diffusely radiating lumbar back pain. Neuroradiology. 1984; 26(1):9-13. DOI: 10.1007/BF00328195. View

Shirado O, Ito T, Kaneda K, Strax T . Flexion-relaxation phenomenon in the back muscles. A comparative study between healthy subjects and patients with chronic low back pain. Am J Phys Med Rehabil. 1995; 74(2):139-44. View

Flor H, Furst M, Birbaumer N . Deficient discrimination of EMG levels and overestimation of perceived tension in chronic pain patients. Appl Psychophysiol Biofeedback. 1999; 24(1):55-66. DOI: 10.1023/a:1022847131149. View

Neblett R, Mayer T, Brede E, Gatchel R . Correcting abnormal flexion-relaxation in chronic lumbar pain: responsiveness to a new biofeedback training protocol. Clin J Pain. 2010; 26(5):403-9. PMC: 2908528. DOI: 10.1097/AJP.0b013e3181d2bd8c. View

Watson P, Booker C, Main C, Chen A . Surface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio. Clin Biomech (Bristol). 1997; 12(3):165-171. DOI: 10.1016/s0268-0033(97)00065-x. View

Morin F, PORTNOY H . Electromyographic study of postural muscles in various positions and movements. Am J Physiol. 1956; 186(1):122-6. DOI: 10.1152/ajplegacy.1956.186.1.122. View

Hagg G . Interpretation of EMG spectral alterations and alteration indexes at sustained contraction. J Appl Physiol (1985). 1992; 73(4):1211-7. DOI: 10.1152/jappl.1992.73.4.1211. View

10.

GOLDING J . Electromyography of the erector spinal in low back pain. Postgrad Med J. 1952; 28(321):401-6. PMC: 2530847. DOI: 10.1136/pgmj.28.321.401. View

11.

Geisser M, Haig A, Wallbom A, Wiggert E . Pain-related fear, lumbar flexion, and dynamic EMG among persons with chronic musculoskeletal low back pain. Clin J Pain. 2004; 20(2):61-9. DOI: 10.1097/00002508-200403000-00001. View

12.

Kupa E, Roy S, Kandarian S, De Luca C . Effects of muscle fiber type and size on EMG median frequency and conduction velocity. J Appl Physiol (1985). 1995; 79(1):23-32. DOI: 10.1152/jappl.1995.79.1.23. View

13.

Neblett R . Surface Electromyographic (SEMG) Biofeedback for Chronic Low Back Pain. Healthcare (Basel). 2016; 4(2). PMC: 4934580. DOI: 10.3390/healthcare4020027. View

14.

Flor H, Birbaumer N . Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain. J Consult Clin Psychol. 1993; 61(4):653-8. DOI: 10.1037//0022-006x.61.4.653. View

15.

Renkawitz T, Boluki D, Grifka J . The association of low back pain, neuromuscular imbalance, and trunk extension strength in athletes. Spine J. 2006; 6(6):673-83. DOI: 10.1016/j.spinee.2006.03.012. View

16.

Oddsson L, De Luca C . Activation imbalances in lumbar spine muscles in the presence of chronic low back pain. J Appl Physiol (1985). 2002; 94(4):1410-20. DOI: 10.1152/japplphysiol.01183.2001. View

17.

Deyo R, Weinstein J . Low back pain. N Engl J Med. 2001; 344(5):363-70. DOI: 10.1056/NEJM200102013440508. View

18.

Zhao W, Kawaguchi Y, Matsui H, Kanamori M, Kimura T . Histochemistry and morphology of the multifidus muscle in lumbar disc herniation: comparative study between diseased and normal sides. Spine (Phila Pa 1976). 2000; 25(17):2191-9. DOI: 10.1097/00007632-200009010-00009. View

19.

Paquet N, Malouin F, Richards C . Hip-spine movement interaction and muscle activation patterns during sagittal trunk movements in low back pain patients. Spine (Phila Pa 1976). 1994; 19(5):596-603. DOI: 10.1097/00007632-199403000-00016. View

20.

Sihvonen T, Huttunen M, Makkonen M, Airaksinen O . Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arch Phys Med Rehabil. 1998; 79(10):1210-2. DOI: 10.1016/s0003-9993(98)90264-7. View