Hip-spine movement interaction and muscle activation patterns during sagittal trunk movements in low back pain...

Profiles of hip-spine movement interaction and muscle activations were characterized in 10 low back pain patients and in 10 normal subjects during trunk forward bending and extension. Electrogoniometric recordings showed that patients performed the movements significantly more slowly than normal subjects when asked to choose a comfortable cadence. For movements performed at the same velocity and amplitude, only the movement profiles at the spine and activation patterns of the erector spinae (ES) muscle during flexion were found to be significantly different between the two groups. A detailed analysis revealed that a subgroup of six patients (SG2) with an abnormal hip-spine movement interaction showed a significant (P < 0.01) lack of relaxation in ES muscle at the end of flexion. Patients from SG2 had pain for a longer time (P < 0.01) compared to patients from SG1 with normal movement and electromyographic profiles. Given the small sample size, these results are not conclusive, but they suggest that the lack of relaxation of the ES muscle may be associated with perturbation of movement patterns and the duration of the symptoms.