Seated maximum flexion: An alternative to standing maximum flexion for determining presence of flexion-relaxation?

Abstract:

BACKGROUND:The flexion-relaxation phenomenon (FRP) in standing is a specific and sensitive diagnostic tool for low back pain. Seated flexion as an alternative could be beneficial for certain populations, yet the behavior of the trunk extensors during seated maximum flexion compared to standing flexion remains unclear. OBJECTIVE:Compare FRP occurrences and spine angles between seated and standing flexion postures in three levels of the erector spinae muscles. METHODS:Thirty-one participants free of back pain performed seated and standing maximum trunk flexion. Electromyographical signals were recorded from the bilateral lumbar (L3), lower-thoracic (T9), and upper-thoracic (T4) erector spinae and assessed for the occurrence of FRP. Spine angles corresponding to FRP onset and cessation were determined, and FRP occurrences and angles were compared between posture and muscle. RESULTS:FRP occurrence was similar in standing and seated maximum flexion across all muscles, with the lumbar muscles showing the greatest consistency. Standing FRP onset and cessation angles were consistently greater than the corresponding seated FRP angles. CONCLUSION:Considering the similar number of FRP occurrences, seated maximum flexion may constitute an objective criterion for low back pain diagnosis. Future work should seek to confirm the utility of this test in individuals with low back pain.

authors

Ang C,Nairn BC,Schinkel-Ivy A,Drake JD

doi

10.3233/BMR-150621

subject

Has Abstract

pub_date

2016-04-27 00:00:00

pages

249-258

issue

2

eissn

1053-8127

issn

1878-6324

pii

BMR--1-BMR621

journal_volume

29

pub_type

杂志文章
  • Association between bone scintigraphy features of spinal degeneration and anthropometric and demographic variables.

    abstract:BACKGROUND AND OBJECTIVES:Bone scintigraphy is a molecular imaging technique routinely used for the evaluation of benign and malignant bone abnormalities. This study aimed at evaluating spinal degenerative changes detected by bone scintigraphy and determining associations between image features and patients’ anthropome...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-140479

    authors: Chatziioannou S,Kallergi M,Karampina P,Zotou P,Bakalis S,Lyra V,Lamprakopoulos G,Armeniakos I,Pneumaticos S

    更新日期:2015-01-01 00:00:00

  • Static balance after surgical decompression of lumbar spinal canal stenosis.

    abstract:BACKGROUND AND OBJECTIVES:Spinal canal stenosis is the most common reason for spinal surgeries in patients over 65 years of age. The aim of the study was to assess static balance in patients prior to and after surgical decompression of lumbar spinal canal stenosis. MATERIAL AND METHODS:The study population consisted o...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-150646

    authors: Truszczyńska A,Drzał-Grabiec J,Trzaskoma Z,Rachwał M,Rapała K,Górniak K

    更新日期:2015-01-01 00:00:00

  • Influence of the strap-length on the trunk motion and gait symmetry in Korean women carrying a single-strap bag.

    abstract:OBJECTIVE:The purpose of this study was to examine whether strap length influences the trunk motion and gait symmetry of the ground reaction forces while walking with a single-strap bag. METHODS:Seventeen Korean women participated in this study. The kinematics of trunk motion and ground-reaction forces was recorded wh...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-2012-0335

    authors: Yoon JY,Lim WT,Oh JS

    更新日期:2012-01-01 00:00:00

  • Electromyographic activity of the quadriceps components during the final degrees of knee extension.

    abstract::An imbalance in the recruitment patterns of the quadriceps muscle has been implicated in patellofemoral knee pain; however ambiguity remains in the normal recruitment patterns of this muscle. We investigated the activity of the quadriceps muscle during the final degrees of knee extension, specifically in the medial an...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-2011-0298

    authors: Duffell LD,Dharni H,Strutton PH,McGregor AH

    更新日期:2011-01-01 00:00:00

  • Muscle function and size in the lumbar spine before and after a four week exercise intervention.

    abstract:BACKGROUND:Exercise of the spinal muscles is recommended for a variety of rehabilitative reasons but it is not always clear whether interventions are effective in improving the performance of the muscles or whether their benefit is elicited via other mechanisms. OBJECTIVE:To explore the effects of an exercise interven...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.3233/BMR-150337

    authors: Fulford J,Juroskova V,Meakin JR,Barker AR

    更新日期:2017-08-03 00:00:00

  • The effects of a standardized belly dance program on perceived pain, disability, and function in women with chronic low back pain.

    abstract:BACKGROUND:An alternative approach to facilitate movement and control through the trunk and pelvis is belly dancing. Investigations of belly dancing mechanics indicate similar muscular activation patterns of those known to influence chronic low back pain (cLBP). However, no documented studies have examined its effectiv...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-150504

    authors: Castrillon T,Hanney WJ,Rothschild CE,Kolber MJ,Liu X,Masaracchio M

    更新日期:2017-01-01 00:00:00

  • Does clinically measured ankle plantar flexor muscle strength or weakness correlate with walking performance in healthy individuals?

    abstract:OBJECTIVE:Muscle strength is usually measured using isometric hand-held dynamometers (HHDs) in the clinic. However, during functional activities, the muscle acts more dynamically. The aim of this study was to investigate the relation between clinically measured plantar flexor (PF) muscle strength (PFMS) and laboratory ...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-171082

    authors: Akalan NE,Kuchimov S,Apti A,Temelli Y,Ören M,Nene A

    更新日期:2018-01-01 00:00:00

  • Efficacy of the lumbar stabilization and thoracic mobilization exercise program on pain intensity and functional disability reduction in chronic low back pain patients with lumbar radiculopathy: A randomized controlled trial.

    abstract:BACKGROUND:Exercise programs in the treatment of chronic lumbar pain are quite diverse, but it has been proven that stabilization exercises are the most effective. OBJECTIVE:We compared the lumbar stabilization exercise program in a closed and open kinetic chain (LSCO) and lumbar stabilization exercises and thoracic m...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-201843

    authors: Kostadinović S,Milovanović N,Jovanović J,Tomašević-Todorović S

    更新日期:2020-01-01 00:00:00

  • Predicting treatment adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain.

    abstract:BACKGROUND:There is a growing need to identify patient pre-treatment characteristics that could predict adherence and outcome following specific interventions. OBJECTIVE:To identify predictors of adherence and outcome to outpatient multimodal rehabilitation in chronic low back pain (CLBP). METHODS:A total of 273 CLBP...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-181125

    authors: Dhondt E,Van Oosterwijck J,Cagnie B,Adnan R,Schouppe S,Van Akeleyen J,Logghe T,Danneels L

    更新日期:2020-01-01 00:00:00

  • Assessment on selectivity of multi-contact cuff electrode for recording peripheral nerve signals using Fitzhugh-Nagumo model of nerve excitation.

    abstract:BACKGROUND:Nerve cuff electrodes provide a safe technique for recording nerve signals. Defining a more realized modeling to investigate the selectivity of a cuff electrode in recording from peripheral nervous system is an interesting field of research. METHODS:A four-contact cuff electrode was modeled to evaluate sele...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-160684

    authors: Taghipour-Farshi H,Frounchi J,Ahmadiasl N,Shahabi P,Salekzamani Y

    更新日期:2016-11-21 00:00:00

  • Association among pain, disability, and functional capacity in patients with chronic non-specific low back pain: A cross-sectional study.

    abstract:BACKGROUND:Patients with chronic non-specific low back pain (CNSLBP) have pain, disability, and decreased functional capacity, however, the association is still unknown. OBJECTIVE:This study aimed to examine the association between pain, disability, and functional capacity in patients with CNSLBP. METHODS:Thirty part...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-200168

    authors: Sakulsriprasert P,Vachalathiti R,Kingcha P

    更新日期:2021-01-01 00:00:00

  • The magnitude of pre-programmed reaction dysfunction in back pain patients: experimental pilot electromyography study.

    abstract:BACKGROUND:Preprogrammed reactions (PPR) appear at a latency of higher than 40 ms, but before the voluntary muscle responds (approximately 120 ms) to postural perturbations. OBJECTIVE:To examine the difference in magnitude of preprogrammed reactions in patients with chronic low back pain (CLBP) and without low back pa...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-2010-0254

    authors: Ramprasad M,Shenoy DS,Singh SJ,Sankara N,Joseley SR

    更新日期:2010-01-01 00:00:00

  • Relationship of the HLA-DRB1 alleles and seropositivity, anti-MCV, functional status and radiological damage in Turkish patients with rheumatoid arthritis.

    abstract:OBJECTIVES:The HLA-DRB1 gene plays an important role in the genetic predisposition to rheumatoid arthritis. The anti-citrullinated protein antibody (ACPA) is known to be associated with the susceptibility to rheumatoid arthritis (RA), as well as the severity of the disease. The aim of this study is to determine the HLA...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-2012-00351

    authors: Sariyildiz MA,Batmaz I,Guli Çetinçakmak M,Yıldız I,Nas K,Çevik R

    更新日期:2013-01-01 00:00:00

  • Prevalence causes and impact of work related musculoskeletal disorders among physical therapists.

    abstract:BACKGROUND:Physical therapists are particularly vulnerable to work-related musculoskeletal disorders (WRMDs). OBJECTIVE:To evaluate the prevalence, causes and impact of WRMDs among physical therapists in the Kingdom of Saudi Arabia (KSA). METHODS:A cross-sectional study of physical therapists using a valid and reliab...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-160687

    authors: Muaidi QI,Shanb AA

    更新日期:2016-11-21 00:00:00

  • Effects of mechanical bed massage on biochemical markers of exercise-induced back muscle fatigue in athletes: A randomized controlled trial.

    abstract:BACKGROUND:Many previous studies have explored the effects of manual massage on back muscle fatigue, and most of the mechanical massage techniques imitate manual massage. However, it is unknown whether mechanical and manual massage have the same functions for exercise-induced back muscle fatigue. OBJECTIVE:To investig...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-181347

    authors: Zhong H,Eungpinichpong W,Wang X,Chatchawan U,Wanpen S,Buranruk O,Wang C

    更新日期:2020-01-01 00:00:00

  • Spinal accessory nerve injury: A potentially missed cause of a painful, droopy shoulder.

    abstract:BACKGROUND:Spinal accessory nerve (SAN) injury can be an overlooked cause of scapular winging and shoulder dysfunction. The most common etiology is iatrogenic injury following surgical procedures at the posterior triangle of the neck. We present three cases of isolated injury to the SAN following trauma. OBJECTIVE:To ...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-160674

    authors: Macaluso S,Ross DC,Doherty TJ,Doherty CD,Miller TA

    更新日期:2016-11-21 00:00:00

  • Cross-training and periodization in running.

    abstract::Understanding the principles of cross-training and periodization will assist the coach and team physician in designing training programs that maximize performance while minimizing risk of injury. Cross-training is defined as simultaneous training for two or more sports or the use of multiple modes of training to enhan...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-1996-6106

    authors: Brennan DK,Wilder RP

    更新日期:1996-01-01 00:00:00

  • Femoral cartilage thickness measurements in healthy individuals: learning, practicing and publishing with TURK-MUSCULUS.

    abstract:BACKGROUND AND OBJECTIVES:Measurement of the femoral cartilage thickness by using in-vivo musculoskeletal ultrasonography (MSUS) has been previously shown to be a valid and reliable method in previous studies; however, to our best notice, normative data has not been provided before in the healthy population.The aim of ...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.3233/BMR-130441

    authors: Özçakar L,Tunç H,Öken Ö,Ünlü Z,Durmuş B,Baysal Ö,Altay Z,Tok F,Akkaya N,Doğu B,Çapkın E,Bardak A,Çarlı AB,Buğdaycı D,Toktaş H,Dıraçoğlu D,Gündüz B,Erhan B,Kocabaş H,Erden G,Günendi Z,Kesikburun S,Omaç ÖK,Taş

    更新日期:2014-01-01 00:00:00

  • Effects of active versus passive upper extremity neural mobilization combined with mechanical traction and joint mobilization in females with cervical radiculopathy: A randomized controlled trial.

    abstract:BACKGROUND:Neural mobilization is an effective technique in the management of cervical radiculopathy (CR). However, the difference between active versus passive upper extremity (UE) neural mobilization techniques in the management of cervical radiculopathy is not well established. OBJECTIVE:To determine the role of ac...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.3233/BMR-170887

    authors: Ayub A,Osama M,Ahmad S

    更新日期:2019-01-01 00:00:00

  • Ring finger sensorial conduction studies in grading carpal tunnel syndrome.

    abstract:BACKGROUND:Comparing the distal sensory latencies of median and ulnar nerve over wrist-to-ring finger (RF) segment is a sensitive conduction parameter in the diagnosis of carpal tunnel syndrome (CTS). However to the best of our knowledge, there is not any research questioning whether the RF studies are useful in gradin...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-150631

    authors: Alemdar M

    更新日期:2016-04-27 00:00:00

  • Comparison of plantar pressure between flat and normal feet when crossing an obstacle at different heights.

    abstract:OBJECTIVE:The purpose of this study is to compare the plantar foot pressure and the center of pressure (COP) pathway of normal and flat feet while crossing an obstacle at different heights. METHODS:Nineteen subjects (10 normal feet, 9 flat feet) participated in this study. The plantar foot surface was divided into the...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-130449

    authors: Han JT,Lee JH,Lee EJ,Lim CH,Kim WB

    更新日期:2015-01-01 00:00:00

  • Influence of pressure changes on recruitment pattern and neck muscle activities during Cranio-Cervical Flexion Tests (CCFTs).

    abstract:BACKGROUND:The muscle activity of the deep cervical flexors is emphasized more than that of the superficial cervical flexors, and it has been reported that functional disorders of the longuscolli are found in patients who experience neck pain. OBJECTIVE:The objective of this study was to analyze the recruitment patter...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-140512

    authors: Park J,Hur J,Ko T

    更新日期:2015-01-01 00:00:00

  • Prolotherapy: An effective therapy for Tietze syndrome.

    abstract:PURPOSE:To compare the short-term effect of prolotherapy and conservative terapy for the Tietze syndrome. PATIENTS AND METHODS:From 2013 to 2014, twenty-one patients underwent prolotherapy (group 1) and thirteen underwent conservative therapy with analgesics (group 2). A visual analogue score (VAS) was recorded for me...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-159269

    authors: Senturk E,Sahin E,Serter S

    更新日期:2017-09-22 00:00:00

  • Reliability and minimal detectable change of spinal length and width measurements using the Flexicurve for usual standing posture in healthy young adults.

    abstract:PURPOSE:The purposes of this study were to: 1) investigate the inter-rater and intra-rater reliability of use of the Flexicurve for measurement of spinal length (L), thoracic (TL) and lumbar length (LL), thoracic (TW) and lumbar width (LW), and 2) quantify measurement error and minimal detectable change at the 95% CI (...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-2010-0269

    authors: Dunleavy K,Mariano H,Wiater T,Goldberg A

    更新日期:2010-01-01 00:00:00

  • Static and dynamic balance deficiencies in chronic low back pain.

    abstract:BACKGROUND:According to previously conducted studies, people with Low Back Pain (LBP) present with static balance deficiencies. OBJECTIVE:The aim of the present study was to compare static, as well as dynamic balance ability between Chronic Low Back Pain (CLBP) and healthy subjects. METHODS:The CLBP group comprised 1...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-160721

    authors: Tsigkanos C,Gaskell L,Smirniotou A,Tsigkanos G

    更新日期:2016-11-21 00:00:00

  • Body fat percent and fat distribution parameters in rheumatic diseases.

    abstract::Alterations in body composition in chronic rhematologic disorders have been associated with decreased strength, altered energy metabolism and immunologic compromise and may provide a useful indicator of the severity of the disease. However, results of anthropometric parameter studies have been equivocal. The purpose o...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/bmr-2002-162-302

    authors: Okçu MZ,Yardımcı S,Çomoğlu S

    更新日期:2002-01-01 00:00:00

  • An assessment of the relation between bone mineral density and clinic-demographic properties and life quality during postmenopausal period.

    abstract:OBJECTIVES:This study was conducted to assess the relation between bone mineral density (BMD) and clinic-demographic properties and life quality during postmenopausal period. METHODS:The study group consisted of 172 postmenopausal women who applied to the physical therapy and rehabilitation outpatient clinic at a trai...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-170933

    authors: Aktaş Ö,Kaplan S,Sezer N

    更新日期:2018-01-01 00:00:00

  • Hamstring muscle length and lumbar lordosis in subjects with different lifestyle and work setting: comparison between individuals with and without chronic low back pain.

    abstract:BACKGROUND AND OBJECTIVES:Shortened hamstring muscle length has been noted in persons with low back pain (LBP). Prolonged sitting postures, such as those adopted during different work settings and sedentary lifestyle has been associated with hamstring shortness and LBP. The purpose of this study was to investigate the ...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-130420

    authors: Arab AM,Nourbakhsh MR

    更新日期:2014-01-01 00:00:00

  • A useful marker in the assessment of remission and activation of disease in patients with rheumatoid arthritis: Serum human neutrophil peptides 1-3.

    abstract:AIM:Rheumatoid arthritis (RA) is a chronic disease of unknown etiology. Various cellular and molecular immunological factors are involved in the pathophysiology of RA. Recent studies suggest that neutrophils and alpha-defensins released from the neutrophils assume significant roles in the pathogenesis of RA. The aim of...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章

    doi:10.3233/BMR-160743

    authors: Okcu M,Oktayoglu P,Mete N,Bozkurt M,Caglayan M,Dagli AZ,Nas K

    更新日期:2018-01-01 00:00:00

  • Comparison of two different electrotherapy methods in low back pain treatment.

    abstract:OBJECTIVE:To investigate the efficacy of High Intensity Laser Therapy (HILT) and Transcutaneous Electrical Nerve Stimulation (TENS) in low back pain (LBP). METHODS:Forty patients aged between 18 to 60 were included in this study. The patients were randomized into two groups as TENS (Group I) and HILT (Group II). The s...

    journal_title:Journal of back and musculoskeletal rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.3233/BMR-181199

    authors: Ozkaraoglu DK,Tarakci D,Algun ZC

    更新日期:2020-01-01 00:00:00