Evidence of Altered Lumbopelvic Muscle Recruitment in the Presence of Sacroiliac Joint Pain

Hungerford, Barbara; Gilleard, Wendy L; Hodges, Paul W.

doi:10.1097/01.brs.0000076821.41875.1c

Cited by 283 publications

(206 citation statements)

References 26 publications

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“…A pre-activation of the transversus abdominis muscle and the internal oblique muscle, as well as an increased intraabdominal pressure prior to an expected perturbation, have been observed, which indicates a feed-forward postural strategy designed to increase the stability of the spine (Cresswell et al, 1994). The same feed-forward regulation has been demonstrated in the deep abdominal muscles Richardson, 1996, 1997a,b;Marshall and Murphy, 2003) and the diaphragm (Hodgeset al, 1997;Hodges and Gandevia, 2000) as a response to rapid single or repetitive arm movements as well as during standing hip movements (Hodges and Richardson, 1997c;Hungerford et al, 2003).…”

Section: Introductionmentioning

confidence: 73%

“…Recent research has focused on the importance of muscle activation for motor control and stability of the lumbopelvic region (Hungerford et al, 2003;Vleeming et al, 1997). The muscles surrounding the abdominal cavity have been found to play an important role for controlling the spine stability (Cresswell et al, 1994;Hodges and Gandevia, 2000;Richardson, 1996, 1997a).…”

Section: Introductionmentioning

confidence: 99%

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The postural response of the pelvic floor muscles during limb movements: A methodological electromyography study in parous women without lumbopelvic pain

Sjödahl

Kvist

Gutke

et al. 2009

Clinical Biomechanics

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However, coordination of muscle activity by appropriate timing and amplitude is necessary for maintaining adequate stability in the lumbopelvic area. The aim was to develop a method using surface electromyography to detect a feed-forward response in the pelvic floor muscles during limb movements performed at a comfortable speed applicable in future studies for women with lumbopelvic pain.Methods: Ten parous women with no lumbopelvic pain in the past 12 months were included.Surface electromyographic activity was recorded from the pelvic floor muscles and unilaterally from transverses abdominis/internal oblique, rectus abdominis, erector spinae, hip adductors, rectus femoris and deltoid. The subjects performed leg lift in supine and arm lift from standing. The electromyographic onset was related to the initiation of the movement.Findings: In the majority of the women the electromyographic onsets of the pelvic floor muscles occurred before the movement was initiated, regardless of whether it was a leg or an arm lift. In addition, electromyographic onsets for the other muscles, except the rectus abdominis during the arm lift, also occurred prior to the movements. Interpretation:The findings suggest a feed-forward response in the pelvic floor muscles during leg and arm lifts in women who had previously given birth and were without lumbopelvic pain. Movements performed at a comfortable speed seem to be useful in order to detect such a response.

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Section: Introductionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

The postural response of the pelvic floor muscles during limb movements: A methodological electromyography study in parous women without lumbopelvic pain

Sjödahl

Kvist

Gutke

et al. 2009

Clinical Biomechanics

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“…It has been reported that impaired trunk movement in subjects with low back pain (LBP) results in limited range of motion (ROM) of the trunk or abnormal patterns of lumbopelvic motion [1,2]. Several other investigators have also reported decreased flexibility and back muscle tightness.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting shoulder–pelvic integration during axial trunk rotation in subjects with recurrent low back pain

et al. 2012

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Introduction Shoulder-pelvic integration could play a central role in the control of dynamic posture and movement. However, kinematic coordination during axial trunk rotation has not been carefully investigated in subjects with recurrent low back pain (LBP). The purpose of this study was to compare the maximum rotational angles of the shoulders and pelvis in the transverse plane between subjects with and without recurrent LBP. Materials and methods A total of 38 age-matched subjects (19 control subjects: 69.00 ± 5.75 years old and 19 subjects with LBP: 68.79 ± 5.40 years old) participated in the study. The axial trunk rotation test was conducted in the upright position with bilateral hips and knees fully extended and both feet shoulder width apart. Results The results of this study indicated that there was a difference in pelvic girdle rotation between groups (100.79 ± 26.46 in the control group, 82.12 ± 23.16 in the LBP group; t = 2.31, p = 0.02); however, there was no difference for the shoulder girdle (177.63 ± 36.98 in the control group, 156.42 ± 30.09 in the LBP group; t = 1.91, p = 0.06). There were interactions with age (F = 9.27, p = 0.004) and BMI (F = 7.50, p = 0.01) with the rotational angles of the shoulder and pelvis. Conclusion These results indicated a different pattern of trunk rotation movement with the age and BMI serving as important factors to consider for recurrent LBP. The results of our study also indicated a different pattern of shoulder and pelvic coordination with age and gender. Clinicians need to consider the consequences of limited shoulderpelvic rotational angles, especially limited rotational angle on the pelvis during trunk axial rotation. Further studies are required to determine the causes of the underlying problems for clinical decision-making and altered shoulderpelvic rotation in subjects with recurrent LBP.

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“…Its inappropriate activation in gait is thought to be a cause of low back pain. This results in a failed load transfer system, whereas the hamstrings has been shown to have an early onset in patients with sacroiliac joint disorders, which is thought to be a compensation for weaknesses of the gluteus maximus 2,8 .…”

Section: Introductionmentioning

confidence: 99%

“…Imbalances of the lumbar spine and pelvic stabilizing muscles have been shown to be associated with the development of low back pain and, currently, emphasis has been put on the importance of achieving coordinated activity between all muscles within a balanced muscular system for the prevention and treatment of lumbar and pelvic disorders [1][2][3][4][5][6][7] . The sacroiliac joints work as shock absorbers during early stance in gait and also transmit ground reaction forces from the lower limbs to the trunk [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Gluteus maximus and semitendinosus activation during active prone hip extension exercises

Sakamoto¹,

Lf²,

Rodrigues³

et al. 2009

Rev. bras. fisioter.

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Evidence of Altered Lumbopelvic Muscle Recruitment in the Presence of Sacroiliac Joint Pain

Cited by 283 publications

References 26 publications

The postural response of the pelvic floor muscles during limb movements: A methodological electromyography study in parous women without lumbopelvic pain

The postural response of the pelvic floor muscles during limb movements: A methodological electromyography study in parous women without lumbopelvic pain

Factors affecting shoulder–pelvic integration during axial trunk rotation in subjects with recurrent low back pain

Gluteus maximus and semitendinosus activation during active prone hip extension exercises

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