Influence of asymmetry on the flexion relaxation response of the low back musculature

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2011-01-01
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Ning, Xiaopeng
Haddad, Omid
Jin, Sangeun
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Mirka, Gary
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Industrial and Manufacturing Systems Engineering
The Department of Industrial and Manufacturing Systems Engineering teaches the design, analysis, and improvement of the systems and processes in manufacturing, consulting, and service industries by application of the principles of engineering. The Department of General Engineering was formed in 1929. In 1956 its name changed to Department of Industrial Engineering. In 1989 its name changed to the Department of Industrial and Manufacturing Systems Engineering.
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Abstract

Background

The flexion relaxation phenomenon has been extensively studied in sagittally symmetric postures. Knowledge about this phenomenon in asymmetric trunk postures is less well understood, and may help to reveal the underlying physiology of the passive tissue/active tissue load-sharing mechanism in the lumbar region.

Methods

Twelve participants performed fifteen controlled, full range trunk flexion–extension motions toward three asymmetric lifting postures (0° (sagittally symmetric), 15°, and 30° from the mid-sagittal plane). The electromyographic activity data from the paraspinals at the L3 and L4 levels and trunk kinematics data from motion sensors over the C7, T12 and S1 vertebrae were recorded. The lumbar flexion angles at which these muscles' activities were reduced to resting levels during forward flexion provided quantitative data describing the effects of asymmetry on the passive tissue/active tissue interaction.

Findings

Flexion relaxation was observed in the muscles contralateral to the direction of the asymmetric trunk flexion motion. The response of the ipsilateral extensor musculature was much less consistent, with many trials indicating that flexion relaxation was never achieved. Increasing asymmetry from 0° to 30° led to a 10% reduction in the maximum lumbar flexion. Lumbar flexion angles necessary to achieve flexion relaxation in the contralateral muscles also decreased (L4 paraspinal-related angle decreasing by 15% and the L3 paraspinal-related angle decreasing by 21%).

Interpretation

Under asymmetric conditions the lumbar flexion angle at which the transition from active muscle to passive ligamentous extension moment is altered from that seen in symmetric motions and this transition can have implications for the loading of the spine in full flexion (or near full flexion) postures.

Comments

This is a manuscript of an article published as Ning, Xiaopeng, Omid Haddad, Sangeun Jin, and Gary A. Mirka. "Influence of asymmetry on the flexion relaxation response of the low back musculature." Clinical Biomechanics 26, no. 1 (2011): 35-39. doi: 10.1016/j.clinbiomech.2010.08.012 Posted with permission.

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Sat Jan 01 00:00:00 UTC 2011
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