title: Trunk extension exercises: How is trunk extensor muscle recruitment related to the exercise dosage?
abstract: Trunk extension exercises are used to train endurance and strength of the trunk extensor muscles. Appropriate exercise dosage is crucial to achieve specific training effects, however literature describing the relation between the predetermined exercise intensity and the actual trunk extensors activity is scarce and inconclusive. To examine whether the actual activity of the thoracic and lumbar extensors during extensions exercises correspond with the predetermined intensity, electromyographic evaluation of the trunk extensors was performed during trunk extension exercises at various intensities expressed as percentages of 1-RM. The 1-RM was predetermined using 2 different methods: (1) through direct estimation by determining the maximum isometric force produced during semi-seated trunk extension on a Tergumed rehabilitation device, (2) through indirect estimation calculated based on the relation between the maximum number of repetitions of trunk extension from prone lying on a variable angle chair and the submaximal resistance at which the repetitions were performed as presented on the Holten-diagram. The total trunk muscle activity during extension exercises performed semi-seated on a rehabilitation device or from prone lying corresponds with the predetermined dosage using both estimation methods. The indirect estimation method more accurately predicts the actual trunk extensor activity for low load training than for high load training. However, the direct estimation method is suitable to closely predetermine the load and actual trunk extensors activity during high load exercises. A shift from a differential recruitment between the thoracic and lumbar extensors at low intensities to a more homogenous recruitment at high intensities is observed during semi-seated trunk extension exercises. During prone extension exercises both muscle groups equally contribute to the total muscle work regardless of the exercise intensity. Based on these findings suggestions regarding the appropriate choice of estimation and performance method are made.
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
authors.forename: Eline
authors.initials: E
authors.lastname: De Ridder
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. Electronic address: Lieven.Danneels@Ugent.be.
authors.forename: Lieven
authors.initials: L
authors.lastname: Danneels
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Anatomy, University of New England, College of Osteopathic Medicine, Biddeford, ME, USA.
authors.forename: Andry
authors.initials: A
authors.lastname: Vleeming
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
authors.forename: Guy
authors.initials: G
authors.lastname: Vanderstraeten
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
authors.forename: Maarten
authors.initials: M
authors.lastname: Van Ranst
authors.affiliation: Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
authors.forename: Jessica
authors.initials: J
authors.lastname: Van Oosterwijck
mesh_terms: D004576:Electromyography / Q000379:methods*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000502:physiology; D008297:Male; D018482:Muscle, Skeletal / Q000502:physiology*; D016684:Prone Position / Q000502:physiology; D060726:Torso / Q000502:physiology*; D055815:Young Adult
keywords: Back extensors; Electromyography; Resistance exercises; Tergumed; Training intensity