Relationship between surface electromyography of the spinae erector muscles and subjectively adjusted step length in the supporting standing-up motion

Abstract

[Purpose] Caregivers experience low back pain owing to frequent patient handling motions such as supporting the body while standing up. To prevent low back pain in caregivers, low load posture while engaging in patient handling motions is required. We determined the relationship between surface electromyography of the erector spinae muscles and subjective step length as “long” and “short” during the supporting standing-up motions of caregivers. [Participants and Methods] Ten young male participants were asked to perform supporting standing-up motion 10 times using two-step lengths comprised of subjective long and short steps. During supporting standing-up motion, we measured surface electromyograms of the erector spinae muscles and calculated the integral electromyographic values. [Results] The subjective long/short-step length normalized by body height did not differ across the participants. In addition, the subjective long-step length was longer than the subjective short-step length in all the participants. Integral electromyographic values for both the left and right erector spinae muscles in the short-step length were significantly lower than those in the long-step length when the data obtained from all the participants were used. [Conclusion] We considered that the load of the erector spinae muscle will be reduced if the short-step instead of the long-step instruction is given. In the future, instructions based on the subjective step-length variation in caregivers must be considered.

Optimal foot-position of caregiver based on muscle activity of lower back and lower limb while providing sit-to-stand support

“…Furthermore, the base of support achieved by greater foot-distance provides body stability while lifting a patient 9 ) . However, too long foot-distance requires flexion and extension of the hip joint, which may increase the load on erector spinae muscles 10 ) , which is not recommended to prevent lower back pain because loads on erector spinae muscles negatively affect the stress and structure of lumbar vertebrae 11 , 12 , 13 ) . Therefore, it is necessary to quantitatively find the optimal foot-position that will reduce stress on the lumbar vertebra without increasing load on the spinae erector muscles.…”