@article{MuellerEngelKopinskietal.2017, author = {M{\"u}ller, Juliane and Engel, Tilman and Kopinski, Stephan and Mayer, Frank and M{\"u}ller, Steffen}, title = {Neuromuscular trunk activation patterns in back pain patients during one-handed lifting}, series = {World journal of orthopedics}, volume = {8}, journal = {World journal of orthopedics}, number = {2}, publisher = {Baishideng Publishing Group}, address = {Pleasanton}, issn = {2218-5836}, doi = {10.5312/wjo.v8.i2.142}, pages = {142 -- 148}, year = {2017}, abstract = {AIM To analyze neuromuscular activity patterns of the trunk in healthy controls (H) and back pain patients (BPP) during one-handed lifting of light to heavy loads. METHODS RESULTS Seven subjects (3m/4f; 32 +/- 7 years; 171 +/- 7 cm; 65 +/- 11 kg) were assigned to BPP (pain grade >= 2) and 36 (13m/23f; 28 +/- 8 years; 174 +/- 10 cm; 71 +/- 12 kg) to H (pain grade <= 1). H and BPP did not differ significantly in anthropometrics (P > 0.05). All subjects were able to lift the light and middle loads, but 57\% of BPP and 22\% of H were not able to lift the heavy load (all women) chi(2) analysis revealed statistically significant differences in task failure between H vs BPP (P = 0.03). EMG-RMS ranged from 33\% +/- 10\%/30\% +/- 9\% (DL, 1 kg) to 356\% +/- 148\%/283\% +/- 80\% (VR, 20 kg) in H/BPP with no statistical difference between groups regardless of load (P > 0.05). However, the EMG-RMS of the VR was greatest in all lifting tasks for both groups and increased with heavier loads. CONCLUSION Heavier loading leads to an increase (2-to 3-fold) in trunk muscle activity with comparable patterns. Heavy loading (20 kg) leads to task failure, especially in women with back pain.}, language = {en} }