Neuromuscular neutral zones sensitivity to lumbar displacement rate

Abstract

Objectives. To determine the displacement and tension thresholds (developed during anterior lumbar flexion) which trigger reflexive muscular activity in the multifidus muscles; their variability with the velocity of flexion; and the pattern of threshold variability across the lumbar spine. Design. An in-vivo study of the feline during passive lumbar flexion applied via the L-4/5 supraspinous ligament. Method. EMG from six pairs of intramuscular electrodes inserted in the L-1/2 to L-6/7 multifidus muscles was recorded while the lumbar spine was passively flexed to 75% of the physiological strain of the supraspinous ligament at rates of 17–100%/s. Three-dimensional models of tension threshold, flexion rate and lumbar levels were developed from the experimental data. Results. Displacement and tension thresholds were the lowest at the fastest flexion rate and gradually increased as flexion rates decreased. Electromyographic activity was detected at low thresholds at the center of the flexion and at gradually increasing thresholds at higher and lower lumbar segments. Conclusion. Multifidus reflexive muscular activity, which stabilize the spine, is triggered at a displacement and tension thresholds of 5–15% of the physiological range. Earlier activation of muscular activity occurs as the velocity of flexion increases. Earlier activation also occurs near the center of flexion. Relevance Sensory-motor neurological feedback maintains spine stability and is responsive to the velocity of lumbar motion. A neuromuscular silence exists in small lumbar movements in which spine stability is not protected by the musculature. Spine models constructed to predict risk factors could benefit from incorporating this new information.