title: The effect of back belt use on isometric lifting force and fatigue of the lumbar paraspinal muscles.
abstract: METHODS
  A repeated measures multivariate design to assess the effect of back belts on isometric lifting force and lumbar paraspinal muscle fatigue.
  
  
  OBJECTIVE
  To determine the efficacy of lumbar back belts in minimizing a loss in isometric force production and fatigue of lumbar paraspinal muscles.
  
  
  BACKGROUND
  Increased prevalence of back belts in industry and lack of scientific evidence supporting them suggested additional research was needed. There has been no conclusive research to substantiate manufacturer claims that use of belts reduces fatigue of lumbar paraspinals.
  
  
  METHODS
  Twenty-four subjects, 13 men and 11 women, were tested twice: once with and once without a belt. All subjects performed a dynamic lifting task at a rate of 10 lifts per minute for 20 minutes. Surface electromyograms from the lumbar paraspinals and isometric force measurements were recorded during a static maximal isometric lift at 0, 10, and 20 minutes. Load during the dynamic task was determined as 20% of initial maximum isometric force. Electromyographic data were used to detect changes in median power spectral frequencies. Muscular fatigue was indicated by a reduction in median power spectral frequency values or a decrease in isometric force-generating capacity.
  
  
  RESULTS
  Multivariate and univariate analyses suggest that there is no effect on lumbar paraspinal muscle fatigue or isometric lifting force production as a result of back belt use.
  
  
  CONCLUSIONS
  These findings do not support the use of back belts for the purpose of minimizing either lumbar paraspinal muscle fatigue or a loss in isometric lifting force production.
authors.affiliation: United States Army-Baylor Graduate Program in Physical Therapy, San Antonio, Texas.
authors.forename: G R
authors.initials: GR
authors.lastname: Majkowski
authors.forename: B W
authors.initials: BW
authors.lastname: Jovag
authors.forename: B T
authors.initials: BT
authors.lastname: Taylor
authors.forename: M S
authors.initials: MS
authors.lastname: Taylor
authors.forename: S C
authors.initials: SC
authors.lastname: Allison
authors.forename: D M
authors.initials: DM
authors.lastname: Stetts
authors.forename: R L
authors.initials: RL
authors.lastname: Clayton
mesh_terms: D000328:Adult; D004576:Electromyography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology*; D017116:Low Back Pain / Q000517:prevention & control; D008161:Lumbosacral Region / Q000502:physiology*; D008297:Male; D018763:Muscle Fatigue / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D011482:Protective Devices; D012016:Reference Values; D014891:Weight Lifting / Q000502:physiology*