[Purpose] To clarify the influence of nonspecific low back pain (NSLBP) on force
fluctuation and the myoelectric data of back muscles during isometric trunk extension at
low to high force levels. [Subjects] Fourteen male subjects with NSLBP and 14 healthy male
control subjects participated in this study. [Methods] All participants extended their
trunk isometrically maintaining 10 levels of target force [2, 5, 10, 15, 20, 30, 50, 70,
80 and 90% of maximal voluntary contraction (MVC) in a random order] for about 4 seconds
with visual feedback. A force transducer and tri-axis force sensor were positioned at the
7th thoracic vertebra to measure force output and the direction of force. Myoelectric
activities of the back muscles (longissimus thoracis, L2 level; multifidus, S1 level) were
recorded by surface electromyography. [Results] Force output of NSLBP subjects fluctuated
more than that of healthy subjects at 30% and 50%MVC. Higher median power frequency in the
multifidus was observed in NSLBP subjects at moderate to high force levels. [Conclusion]
These results show that the properties of force output in NSLBP subjects differ from those
in healthy subjects, suggesting that the assessment of force fluctuation of back muscles
at moderate force levels is a useful index for evaluating and discriminating NSLBP.