Surface Electromyographic Analysis of the Low Back Muscles During Rehabilitation Exercises

Moderation of Back pain by Rehabilitation Exercises; Multifidus Muscle’ Perspective

“…Exercise is safe for individuals suffering from back pain because it does not boost the risk of future back accidents or work absence [24]. However, providing positive effects in treating individuals with chronic low back pain (CLBP), despite the fact that, there is a lack of good proof for exercise therapy with regard to patients with acute low back pain, there are reports, that every patient with either severe or chronic low back pain (CLBP) might benefit from an appropriate specific exercise program [21].…”

“…In the lumbar multifidus muscle, the electrodes will be placed 2cm laterally at the lumbosacral junction. Multifidus muscles at L5, 2cm laterally from the midline running through the L5 spinal process [17], [20], [11], [21], [50]. A reference electrode will be placed at the tip of the spinous process or on the posterior superior iliac spine process [30].Exercise program The exercises are usually performed 3 times with a hold for 5 seconds.…”

“…A reference electrode will be placed at the tip of the spinous process or on the posterior superior iliac spine process [30].Exercise program The exercises are usually performed 3 times with a hold for 5 seconds. Rest periods of 30 seconds is allowed between repetitions of the exercises and a 1-minute rest period will be given between exercises, the exercises will be persisted for 6 weeks occur twice a week [21], [46], [22].…”

“…There is absolutely no evidence that one exercise program is preferable to another for the rehabilitation associated with patients with low back pain (LBP). For that reason, a wide variety of exercises have been useful for a progressive strengthening of the lower back [21]. Electromyography (EMG) offers a means by which the back muscle mass activation levels can be examined during exercises, which can support a therapist in choosing appropriate exercises [21].…”

“…Besides the low back pain (LBP) another term referred to as chronic low back pain (CLBP) is sometimes defined as back pain that lasts for longer than 7-12 weeks. These pains cause the atrophy of the paraspinal, isolated multifidus, quadratus lumbar, psoas, and the gluteus maximus muscles to varying degrees, with most prominent in the multifidus to be affected [4], [10].A number of literature reviews and recommendations for the treatment of low back pain (LBP) indicate that exercise therapy constitutes an effective intervention with regard to patients with acute low back pain [21], [1], [16], [24], [5], [41], [6]. Exercise is safe for individuals suffering from back pain because it does not boost the risk of future back accidents or work absence [24].…”