Cargando…

Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain

Most of the studies evaluating core muscle activity during exercises have been conducted with healthy participants. The objective of this study was to compare core muscle activity and tolerability of a variety of dynamic and isometric exercises in patients with non-specific low back pain (NSLBP). 13...

Descripción completa

Detalles Bibliográficos
Autores principales: Calatayud, Joaquín, Escriche-Escuder, Adrian, Cruz-Montecinos, Carlos, Andersen, Lars L., Pérez-Alenda, Sofía, Aiguadé, Ramón, Casaña, José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801665/
https://www.ncbi.nlm.nih.gov/pubmed/31547140
http://dx.doi.org/10.3390/ijerph16193509
_version_ 1783460629379547136
author Calatayud, Joaquín
Escriche-Escuder, Adrian
Cruz-Montecinos, Carlos
Andersen, Lars L.
Pérez-Alenda, Sofía
Aiguadé, Ramón
Casaña, José
author_facet Calatayud, Joaquín
Escriche-Escuder, Adrian
Cruz-Montecinos, Carlos
Andersen, Lars L.
Pérez-Alenda, Sofía
Aiguadé, Ramón
Casaña, José
author_sort Calatayud, Joaquín
collection PubMed
description Most of the studies evaluating core muscle activity during exercises have been conducted with healthy participants. The objective of this study was to compare core muscle activity and tolerability of a variety of dynamic and isometric exercises in patients with non-specific low back pain (NSLBP). 13 outpatients (average age 52 years; all with standing or walking work in their current or latest job) performed 3 consecutive repetitions at 15-repetition maximum during different exercises in random order. Surface electromyography was recorded for the rectus abdominis; external oblique and lumbar erector spinae. Patients rated tolerability of each exercise on a 5-point scale. The front plank with brace; front plank and modified curl-up can be considered the most effective exercises in activating the rectus abdominis; with a median normalized EMG (nEMG) value of 48% (34–61%), 46% (26–61%) and 50% (28–65%), respectively. The front plank with brace can be considered the most effective exercise in activating the external oblique; with a nEMG of 77% (60–97%). The squat and bird-dog exercises are especially effective in activing the lumbar erector spinae; with nEMG of 40% (24–87%) and 29% (27–46%), respectively. All the exercises were well tolerated; except for the lateral plank that was mostly non-tolerated. In conclusion; the present study provides a variety of dynamic and isometric exercises; where muscle activity values and tolerability can be used as guide to design evidence-based exercise programs for outpatients with NSCLBP.
format Online
Article
Text
id pubmed-6801665
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68016652019-10-31 Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain Calatayud, Joaquín Escriche-Escuder, Adrian Cruz-Montecinos, Carlos Andersen, Lars L. Pérez-Alenda, Sofía Aiguadé, Ramón Casaña, José Int J Environ Res Public Health Article Most of the studies evaluating core muscle activity during exercises have been conducted with healthy participants. The objective of this study was to compare core muscle activity and tolerability of a variety of dynamic and isometric exercises in patients with non-specific low back pain (NSLBP). 13 outpatients (average age 52 years; all with standing or walking work in their current or latest job) performed 3 consecutive repetitions at 15-repetition maximum during different exercises in random order. Surface electromyography was recorded for the rectus abdominis; external oblique and lumbar erector spinae. Patients rated tolerability of each exercise on a 5-point scale. The front plank with brace; front plank and modified curl-up can be considered the most effective exercises in activating the rectus abdominis; with a median normalized EMG (nEMG) value of 48% (34–61%), 46% (26–61%) and 50% (28–65%), respectively. The front plank with brace can be considered the most effective exercise in activating the external oblique; with a nEMG of 77% (60–97%). The squat and bird-dog exercises are especially effective in activing the lumbar erector spinae; with nEMG of 40% (24–87%) and 29% (27–46%), respectively. All the exercises were well tolerated; except for the lateral plank that was mostly non-tolerated. In conclusion; the present study provides a variety of dynamic and isometric exercises; where muscle activity values and tolerability can be used as guide to design evidence-based exercise programs for outpatients with NSCLBP. MDPI 2019-09-20 2019-10 /pmc/articles/PMC6801665/ /pubmed/31547140 http://dx.doi.org/10.3390/ijerph16193509 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Calatayud, Joaquín
Escriche-Escuder, Adrian
Cruz-Montecinos, Carlos
Andersen, Lars L.
Pérez-Alenda, Sofía
Aiguadé, Ramón
Casaña, José
Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title_full Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title_fullStr Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title_full_unstemmed Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title_short Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain
title_sort tolerability and muscle activity of core muscle exercises in chronic low-back pain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801665/
https://www.ncbi.nlm.nih.gov/pubmed/31547140
http://dx.doi.org/10.3390/ijerph16193509
work_keys_str_mv AT calatayudjoaquin tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT escricheescuderadrian tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT cruzmontecinoscarlos tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT andersenlarsl tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT perezalendasofia tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT aiguaderamon tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain
AT casanajose tolerabilityandmuscleactivityofcoremuscleexercisesinchroniclowbackpain