title: Comparing the local dynamic stability of trunk movements between varsity athletes with and without non-specific low back pain.
abstract: The local dynamic stability of trunk movements, quantified using the maximum Lyapunov exponent (λmax), can provide important information on the neuromuscular control of spine stability during movement tasks. Although previous research has displayed the promise of this technique, all studies were completed with healthy participants. Therefore the goal of this study was to compare the dynamic stability of spine kinematics and trunk muscle activations, as well as antagonistic muscle co-contraction, between athletes with and without low back pain (LBP). Twenty interuniversity varsity athletes (10 LBP, 10 healthy controls) were recruited to participate in the study. Each participant completed a repetitive trunk flexion task at 15 cycles per minute, both symmetrically and asymmetrically, while trunk kinematics and muscular activity (EMG) were monitored. The local dynamic stability of low back EMG was significantly higher (lower λmax) in healthy individuals (p=0.002), whereas the dynamic stability of kinematics, the dynamic stability of full trunk system EMG, and the amount of antagonistic co-contraction were significantly higher when moving asymmetrically (p<0.05 for all variables). Although non-significant, kinematic and trunk system EMG stability also tended to be impaired in LBP participants, whereas they also tended to co-contract their antagonist muscles more. This study provides evidence that Lyapunov analyses of kinematic and muscle activation data can provide insight into the neuromuscular control of spine stability in back pain participants. Future research will repeat these protocols in patients with higher levels of pain, with hopes of developing a tool to assess impairment and treatment effectiveness in clinical and workplace settings.
authors: School of Physical and Health Education, Schulich School of Education, Nipissing University, 100 College Drive, Box 5002, North Bay, ON, Canada P1B 8L7; Biomechanics and Ergonomics Laboratory, School of Kinesiology and Health Studies, Queen׳s University, 28 Division Street, Kingston, ON, Canada K7L 3N6. Electronic address: ryang@nipissingu.ca.
authors: Ryan B
authors: RB
authors: Graham
authors: Biomechanics and Ergonomics Laboratory, School of Kinesiology and Health Studies, Queen׳s University, 28 Division Street, Kingston, ON, Canada K7L 3N6.
authors: Lisa Y
authors: LY
authors: Oikawa
authors: Biomechanics and Ergonomics Laboratory, School of Kinesiology and Health Studies, Queen׳s University, 28 Division Street, Kingston, ON, Canada K7L 3N6.
authors: Gwyneth B
authors: GB
authors: Ross
mesh_terms: D000328:Adult; D056352:Athletes; D001415:Back; D001696:Biomechanical Phenomena; D004576:Electromyography; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology*; D008297:Male; D009068:Movement / Q000502:physiology*; D009119:Muscle Contraction / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D012984:Software; D013131:Spine / Q000502:physiology; D013997:Time Factors; D060726:Torso / Q000502:physiology*; D055815:Young Adult
keywords: Low back pain; Lyapunov exponents; Muscle co-contraction; Neuromuscular control; Spine stability