Abstract

BackgroundThe flexion-relaxation phenomenon (FRP) is defined by reduced lumbar erector spinae (ES) muscle myoelectric activity during full trunk flexion. The objectives of this study were to quantify the effect of hip and back extensor muscle fatigue on FRP parameters and lumbopelvic kinematics.MethodsTwenty-seven healthy adults performed flexion-extension tasks under 4 different experimental conditions: no fatigue/no load, no fatigue/load, fatigue/no load, and fatigue/load. Total flexion angle corresponding to the onset and cessation of myoelectric silence, hip flexion angle, lumbar flexion angle and maximal trunk flexion angle were compared across different experimental conditions by 2 × 2 (Load × Fatigue) repeated-measures ANOVA.ResultsThe angle corresponding to the ES onset of myoelectric silence was reduced after the fatigue task, and loading the spine decreased the lumbar contribution to motion compared to the hip during both flexion and extension. A relative increment of lumbar spine motion compared to pelvic motion was also observed in fatigue conditions.ConclusionsPrevious results suggested that ES muscles, in a state of fatigue, are unable to provide sufficient segmental stabilization. The present findings indicate that, changes in lumbar-stabilizing mechanisms in the presence of muscle fatigue seem to be caused by modulation of lumbopelvic kinematics.

Highlights

  • The flexion-relaxation phenomenon (FRP) is defined by reduced lumbar erector spinae (ES) muscle myoelectric activity during full trunk flexion

  • Olson et al [3] reported that the FRP during trunk flexion from a standing position was not present during trunk flexion from a supine position and concluded that the gravitational load applied to the lumbar spine seems to be an important modulator of the flexion-relaxation

  • The results suggested that ES muscles, in a state of fatigue, may not be able to provide sufficient stabilization to the vertebral units, transferring load-sharing to passive structures earlier in trunk flexion

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Summary

Introduction

The flexion-relaxation phenomenon (FRP) is defined by reduced lumbar erector spinae (ES) muscle myoelectric activity during full trunk flexion. The objectives of this study were to quantify the effect of hip and back extensor muscle fatigue on FRP parameters and lumbopelvic kinematics. Flexion-relaxation phenomenon (FRP) The FRP is defined by reduced or silent myoelectric activity of the lumbar erector spinae (ES) muscle during full trunk flexion and is observed in healthy individuals [1]. It is believed to reflect the load-sharing interaction of the active and passive components of lumbopelvic stability [2]. The results suggested that ES muscles, in a state of fatigue, may not be able to provide sufficient stabilization to the vertebral units, transferring load-sharing to passive structures earlier in trunk flexion. This study did not assess the potential changes in lumbopelvic rhythm following muscle fatigue

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