Patterns of Muscular Activity during Movement in Patients with Chronic Low-back Pain
Abstract
Bilateral paraspinal electromyogram (EMG) at levels L1-L2 and L4-L5, and abdominal EMG of a group of 20 low-back pain patients were compared to those of a group of 20 pain-free controls during flexion, extension, lateral bending to right and left, and rotation to right and left. The results showed no significant left-right differences in paraspinal EMG levels between low-back pain patients and pain-free controls during any of the movements. However, patterns of paraspinal and abdominal EMG were found to be different for low-back pain patients compared to pain-free controls during flexion only.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Prior studies have reported trunk muscle imbalance in LBP compared with healthy subjects, while others have failed to show differences in muscle activity between these two groups.
“Trunk muscle imbalance in LBP compared with healthy subjects has been reported in some studies [10, 21] though other studies [22] have failed to show differences in muscle activity between these two groups.”
From Comparison of muscle activation imbalance following core stability or general exercises in nonspecific low back pain: a quasi-randomized controlled trial (2020) · cites this paper as [22]
Cited by
Sorted by citations
Trunk muscle activation in low-back pain patients, an analysis of the literature
van Dieën, J. H., Selen, L. P. J., & Cholewicki, J. (2003) · Journal of Electromyography and Kinesiology · doi:10.1016/s1050-6411(03)00041-5 · Cited by 610 · see citing works
van Dieën, J. H., Cholewicki, J., & Radebold, A. (2003) · Spine · doi:10.1097/01.brs.0000058939.51147.55 · Cited by 466 · see citing works
Experimental muscle pain changes feedforward postural responses of the trunk muscles
Hodges, P. W., Moseley, G. L., Gabrielsson, A., & Gandevia, S. C. (2003) · Experimental Brain Research · doi:10.1007/s00221-003-1457-x · Cited by 448 · see citing works
“Wide variability in trunk muscle EMG in patient groups has been reported in the literature, and there is marked variability between studies (Collins et al. 1982; Nouwen et al. 1987; Arena et al. 1989; Shirado et al. 1995; Wilder et al. 1996; Radebold et al. 2000).”
BackgroundArendt‐Nielsen, L., Graven‐Nielsen, T., Svarrer, H., & Svensson, P. J. (1996) · Pain · doi:10.1016/0304-3959(95)00115-8 · Cited by 417 · see citing works
Hodges, P. W., & Danneels, L. A. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2019.8827 · Cited by 318 · see citing works
Hip Strategy for Balance Control in Quiet Standing Is Reduced in People With Low Back Pain
Mok, N. W., Brauer, S., & Hodges, P. W. (2004) · Spine · doi:10.1097/01.brs.0000115134.97854.c9 · Cited by 271 · see citing works
Mientjes, M., & Frank, J. S. (1999) · Clinical Biomechanics · doi:10.1016/s0268-0033(99)00025-x · Cited by 250 · see citing works
The effect of musculoskeletal pain on motor activity and control
Sterling, M. M., Jull, G. A., & Wright, A. (2001) · Journal of Pain · doi:10.1054/jpai.2001.19951 · Cited by 244 · see citing works
Watson, P., Booker, C. K., Main, C. J., & Chen, A. C. N. (1997) · Clinical Biomechanics · doi:10.1016/s0268-0033(97)00065-x · Cited by 237 · see citing works
Dankaerts, W., O’Sullivan, P., Burnett, A., & Straker, L. M. (2006) · Spine · doi:10.1097/01.brs.0000228728.11076.82 · Cited by 234 · see citing works
“These findings are in agreement with several studies that have reported no differences in trunk muscle function during different posture and stress tasks in CLBP versus control subjects.(5,8,33,34) In contrast, other studies have reported that CLBP subjects have increased(3,5) or decreased(6,7) muscle sEMG amplitude.”
ResultDanneels, L. A., Coorevits, P. L., Cools, A. M. J., Vanderstraeten, G., Cambier, D. C., Witvrouw, E., & Cuyper, H. D. (2001) · European Spine Journal · doi:10.1007/s005860100314 · Cited by 225 · see citing works
Paoloni, M., Bernetti, A., Fratocchi, G., Mangone, M., Parrinello, L., Cooper, M. D. P., Sesto, L. C., Sante, L. D., & Santilli, V. (2011) · PubMed · Cited by 216 · see citing works
Active Therapy for Chronic Low Back Pain
Mannion, A. F., TAIMELA, S. P., Müntener, M., & Dvořák, J. (2001) · Spine · doi:10.1097/00007632-200104150-00013 · Cited by 200 · see citing works
“, electrical silence of the back muscles when an individual stands in full flexion) has been examined in many studies, most of which have shown that patients with LBP typically show an inability to fully relax the back muscles in this posture.(7,11,46,55,59) This was confirmed in the present study but was dependent on…”
ResultLederman, E. (2010) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2009.08.001 · Cited by 197 · see citing works
“This injury response has also been shown to occur in CLBP patients (Nouwen et al., 1987; Arena et al., 1991; Hubley-Kozey and Vezina, 2002a,b; Marras et al., 2005), who tend to co-contract their trunk flexors and extensors during movement (van Dieen et al.”
BackgroundDifferences in Repositioning Error Among Patients With Low Back Pain Compared With Control Subjects
Newcomer, K. L., Laskowski, E. R., Yu, B., et al. (2000) · Spine · doi:10.1097/00007632-200010010-00011 · Cited by 163 · see citing works
Andersson, E. R., Oddsson, L., Grundström, H., Nilsson, J., & Thorstensson, A. (1996) · Clinical Biomechanics · doi:10.1016/0268-0033(96)00033-2 · Cited by 158 · see citing works
Quantifying the Lumbar Flexion–Relaxation Phenomenon
Neblett, R., Mayer, T. G., Gatchel, R. J., Keeley, J., Proctor, T., & Anagnostis, C. (2003) · Spine · doi:10.1097/01.brs.0000067085.46840.5a · Cited by 150 · see citing works
Ng, J. K. F., Richardson, C. A., Parnianpour, M., & Kippers, V. (2002) · Journal of Orthopaedic Research® · doi:10.1016/s0736-0266(01)00067-5 · Cited by 148 · see citing works
Activation imbalances in lumbar spine muscles in the presence of chronic low back pain
Oddsson, L. I. E., & De Luca, C. J. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01183.2001 · Cited by 147 · see citing works
Larivière, C., Gagnon, D., & Loisel, P. (2000) · Journal of Electromyography and Kinesiology · doi:10.1016/s1050-6411(99)00027-9 · Cited by 140 · see citing works
The association of low back pain, neuromuscular imbalance, and trunk extension strength in athletes
Renkawitz, T., Boluki, D., & Grifka, J. (2006) · The Spine Journal · doi:10.1016/j.spinee.2006.03.012 · Cited by 130 · see citing works
Muscle activation patterns in subjects with and without low back pain
Newcomer, K. L., Jacobson, T. D., Gabriel, D. A., Larson, D. R., Brey, R. H., & An, K. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.32826 · Cited by 128 · see citing works
Paraspinal Muscles and Intervertebral Dysfunction: Part Two
Fryer, G., Morris, T., & Gibbons, P. F. (2004) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2004.04.008 · Cited by 119 · see citing works
Endurance of trunk muscles in persons with chronic low back pain: assessment, performance, training.
Moffroid, M. T. (1997) · PubMed · Cited by 108 · see citing works
Towards a measurement of active muscle control for lumbar stabilisation
Jull, G. A., Richardson, C. A., Toppenberg, R. M. K., et al. (1993) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60481-5 · Cited by 101 · see citing works
Chronic Low Back Pain Assessment Using Surface Electromyography
Ambroz, C., Scott, A. J., Ambroz, A., & Talbott, E. O. (2000) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-200006000-00018 · Cited by 77 · see citing works
Flexion relaxation of the hamstring muscles during lumbar-pelvic rhythm
Sihvonen, T. (1997) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(97)90161-1 · Cited by 78 · see citing works
Paraspinal Muscles and Intervertebral Dysfunction: Part One
Fryer, G., Morris, T., & Gibbons, P. F. (2004) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2004.02.006 · Cited by 75 · see citing works
Storheim, K., Holm, I., Gunderson, R., Brox, J. I., & Bø, K. (2003) · Journal of Spinal Disorders & Techniques · doi:10.1097/00024720-200306000-00008 · Cited by 71 · see citing works
“Paraspinal muscles of patients with LBP are found to have longer response time (1), be less likely to shut off after sudden unload (2), and have changes in recruitment patterns (3).”
BackgroundMuscle activation imbalance and low-back injury in varsity athletes
Reeves, N. P., Cholewicki, J., & Silfies, S. P. (2006) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2005.07.008 · Cited by 65 · see citing works
Butler, H. L., Newell, R. S., Hubley‐Kozey, C. L., et al. (2007) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2007.10.004 · Cited by 64 · see citing works
“The electrodes for the lateral fibers (EO2) were placed 15 cm lateral the umbilicus at a 45- angle (McGill, 1991) and for EO3 the electrodes were placed at the midpoint between the lowest part of the ribcage and the iliac crest (Nouwen et al., 1987).”
MethodSurface Electromyographic (SEMG) Biofeedback for Chronic Low Back Pain
Neblett, R. (2016) · Healthcare · doi:10.3390/healthcare4020027 · Cited by 62 · see citing works
Neblett, R., Mayer, T. G., Brede, E., & Gatchel, R. J. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181d2bd8c · Cited by 60 · see citing works
Laskowski, E. R., Newcomer-Aney, K. L., & Smith, J. (2000) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/s1047-9651(18)30132-3 · Cited by 56 · see citing works
Mayer, T. G., Neblett, R., Brede, E., & Gatchel, R. J. (2009) · Spine · doi:10.1097/brs.0b013e3181b20070 · Cited by 55 · see citing works
Neblett, R., Brede, E., Mayer, T. G., & Gatchel, R. J. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e318267252d · Cited by 52 · see citing works
“7) NS Race (%) NS White 124 (57) 24 (80) African American 49 (23) 3 (10) Hispanic 24 (11) 2 (6.”
Penney, T., Ploughman, M., Austin, M. W., Behm, D. G., & Byrne, J. M. (2014) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.06.009 · Cited by 49 · see citing works
Stevens, V. K., Parlevliet, T., Coorevits, P. L., Mahieu, N., Bouche, K., Vanderstraeten, G., & Danneels, L. A. (2006) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2006.10.009 · Cited by 50 · see citing works
Electromyographic Functional Analysis of the Lumbar Spinal Muscles with Low Back Pain
Kuriyama, N., & Ito, H. (2005) · Journal of Nippon Medical School · doi:10.1272/jnms.72.165 · Cited by 50 · see citing works
Intervertebral dysfunction: a discussion of the manipulable spinal lesion
Fryer, G. (2003) · Journal of Osteopathic Medicine · doi:10.1016/s1443-8461(03)80016-3 · Cited by 48 · see citing works
O’Sullivan, P., Twomey, L. T., & Allison, G. T. (1997) · Journal of Manual & Manipulative Therapy · doi:10.1179/jmt.1997.5.1.20 · Cited by 48 · see citing works
Zuriaga, D. S., López-Pascual, J., Garrido-Jaén, D., & García-Mas, M. A. (2014) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2014.11.002 · Cited by 47 · see citing works
Psychophysiological responses to repeated acute pain stimulation in chronic low back pain patients
Peters, M. L., & Schmidt, A. J. M. (1991) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(91)90007-b · Cited by 45 · see citing works
Trunk muscle recruitment patterns in patients with low back pain enhance the stability
van Dieën, J. H., Cholewicki, J., & Radebold, A. (2003) · Spine · doi:10.1097/00007632-200304150-00018 · Cited by 44 · see citing works
Davidson, K. L. C., & Hubley‐Kozey, C. L. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.04.029 · Cited by 41 · see citing works
Norris, C. M. (1995) · Physiotherapy · doi:10.1016/s0031-9406(05)67069-1 · Cited by 39 · see citing works
Clinical considerations in the use of surface electromyography: Three experimental studies
Lehman, G. J. (2002) · Journal of Manipulative and Physiological Therapeutics · doi:10.1067/mmt.2002.124423 · Cited by 39 · see citing works
Pirouzi, S., Hides, J. A., Richardson, C. A., Darnell, R. E., & Toppenberg, R. M. K. (2006) · Spine · doi:10.1097/01.brs.0000250076.74366.9d · Cited by 36 · see citing works
Clark, B. C., Walkowski, S. A., Conatser, R. R., et al. (2009) · Osteopathic Medicine and Primary Care · doi:10.1186/1750-4732-3-7 · Cited by 34 · see citing works
Effects of pregnancy on lumbar motion patterns and muscle responses
Biviá-Roig, G., Lisón, J. F., & Zuriaga, D. S. (2018) · The Spine Journal · doi:10.1016/j.spinee.2018.08.009 · Cited by 32 · see citing works
Becker, S., Bergamo, F., Schnake, K. J., Schreyer, S., Rembitzki, I. V., & Dißelhorst-Klug, C. (2018) · Gait & Posture · doi:10.1016/j.gaitpost.2018.08.042 · Cited by 31 · see citing works
The biology of manual therapies.
Clark, B. C., Thomas, J. S., Walkowski, S. A., et al. (2012) · PubMed · Cited by 31 · see citing works
Shamsi, M., Mirzaei, M., & HamediRad, M. (2020) · BMC Sports Science, Medicine and Rehabilitation · doi:10.1186/s13102-020-00173-0 · Cited by 30 · see citing works
Neblett, R., Gatchel, R. J., & Mayer, T. G. (2003) · Applied Psychophysiology and Biofeedback · doi:10.1023/a:1023814709858 · Cited by 28 · see citing works
“Participants with chronic low back pain (CLBP) have often shown an absence of lumbar paraspinal relaxation during full trunk flexion (Ahern, Follick, Council, Laser-Wolston, & Litchman, 1988; Cram, 1990; Floyd & Silver, 1955; Golding, 1952; Kaigle, Wessberg, & Hansson, 1998; Kasman, Cram, Wolf, & Barton, 1998; Nouwen,…”
Kocjan, A., & Šarabon, N. (2014) · Europe PMC (PubMed Central) · Cited by 26 · see citing works
Wolf, S. L., Wolf, L. B., & Segal, R. L. (1989) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf00999341 · Cited by 19 · see citing works
“The degree to which these approaches have met with success has been the subject of several reviews ( Nouwen, Van Akkerveeken, & Versloot, 1987; Keefe & Hoelscher, 1987) that suggest equivocal results.”
BackgroundNeblett, R., Mayer, T. G., Brede, E., et al. (2013) · The Spine Journal · doi:10.1016/j.spinee.2013.07.442 · Cited by 18 · see citing works
“This flexion-relaxation pattern can be reliably measured in most normal subjects, but is absent in most chronic low back pain (CLBP) subjects [1–12].”
BackgroundMethodKramer, M., V�lker, H.-U., Weikert, E., et al. (2004) · European Spine Journal · doi:10.1007/s00586-003-0617-9 · Cited by 17 · see citing works
Park, S. J., Kim, Y. M., & Yang, S. R. (2020) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-181202 · Cited by 16 · see citing works
“This respiratory exercise induces the internal pressure in the abdominal muscle and deep muscle, and the trunk muscles work effectively to support them, thus changing the muscle activity pattern of patients with low back pain [16].”
Hubley‐Kozey, C. L., Hanada, E., Gordon, S., et al. (2009) · PM&R · doi:10.1016/j.pmrj.2009.09.018 · Cited by 16 · see citing works
Neblett, R., Mayer, T. G., & Gatchel, R. J. (2003) · Applied Psychophysiology and Biofeedback · doi:10.1023/a:1023862625787 · Cited by 16 · see citing works
“For instance, the presence or absence of FR has consistently distinguished chronic low back pain (CLBP) subjects from control subjects (Ahern, Follick, Council, Laser-Wolston, & Litchman, 1988; Kaigle, Wessberg, & Hansson, 1998; Nouwen, Van Akkerveeken, & Versloot, 1987; Paquet, Malouin, & Richards, 1994; Shirado, Ito…”
Chiou, W., Lee, Y.-H., & Chen, W. (1999) · International Journal of Industrial Ergonomics · doi:10.1016/s0169-8141(97)00100-5 · Cited by 15 · see citing works
Chen, W., Chiou, W., Lee, Y.-H., Lee, M., & Chen, M. (1998) · Clinical Biomechanics · doi:10.1016/s0268-0033(98)80133-2 · Cited by 15 · see citing works
Kang, D., Park, J., Jeong, I., & Eun, S.-D. (2022) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.21.12306-0 · Cited by 16 · see citing works
Muthukrishnan, R., Shenoy, D. S., Singh, S. J., et al. (2010) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-2010-0254 · Cited by 13 · see citing works
“They have shown that during lumbar flexion, persons with LBP have increased electromyographic activity of the ES muscle and decreased activity of the abdominal muscles [1,32,34,35].”
Lofland, K. R., Mumby, P. B., Cassisi, J. E., et al. (1995) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf01712763 · Cited by 13 · see citing works
Capodaglio, P., Nilsson, J., & Jurisic, D. H. (1995) · Clinical Rehabilitation · doi:10.1177/026921559500900413 · Cited by 12 · see citing works
Li, Y., Zhang, X., Dai, J., Wang, J., Wu, H. M., Liu, J., Chen, J., Zhu, Y., & Zhao, F. (2019) · World Neurosurgery · doi:10.1016/j.wneu.2019.01.238 · Cited by 10 · see citing works
EMG activity in neck and back muscles during selected static postures in adult males and females
Edgerton, V. R., Wolf, S. L., Levendowski, D. J., et al. (1997) · Physiotherapy Theory and Practice · doi:10.3109/09593989709036462 · Cited by 11 · see citing works
Understanding paraspinal muscle dysfunction in low back pain: a way forward?
Cooper, R. G. (1993) · Annals of the Rheumatic Diseases · doi:10.1136/ard.52.6.413 · Cited by 11 · see citing works
Hubley‐Kozey, C. L., Butler, H. L., & Kozey, J. W. (2012) · Human Movement Science · doi:10.1016/j.humov.2011.08.010 · Cited by 10 · see citing works
Park, J.-H., Lee, S., Shin, H., & Cho, H.-Y. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013480 · Cited by 10 · see citing works
“This posture induces a greater muscle activity of the ES and increases the co-contraction with the trunk flexors, providing trunk neutrality and stability [35].”
BackgroundEffects of Lumbar Brace on Trunk forward Bending. Kinematic and Electromyographic Analysis.
Tanase, Y., Hirata, S., & Mizuno, K. (2000) · リハビリテーション医学 : 日本リハビリテーション医学会誌 · doi:10.2490/jjrm1963.37.33 · Cited by 8 · see citing works
Yang, S. R., Kim, Y. M., Park, S. J., et al. (2017) · The Journal of Korean Physical Therapy · doi:10.18857/jkpt.2017.29.5.234 · Cited by 8 · see citing works
Evaluating the Electromyographical Signal During Symmetrical Load Lifting
Fagundes, J., Cantergi, D., Milman, F., et al. (2012) · InTech eBooks · doi:10.5772/25732 · Cited by 7 · see citing works
“Only Nouwen et al. (1987) found asymmetry of the activation in the lumbar region in individuals both with and without pain.”
BackgroundThe relationship between low back pain and movements in prolonged sitting posture. Literature review
de Santander, U. I., García, F. M., Quintana, L., Javeriana, P. U., Barrero, L. H., & Javeriana, P. U. (2016) · Salud Uninorte · doi:10.14482/sun.32.1.8481 · Cited by 7 · see citing works
“La búsqueda en las diferentes bases de datos permitió encontrar 6226 artículos; a 169 de estos se les realizó una revisión por título; a 90 de estos se les realizó una revisión por resúmenes; de estos fueron descartados 12 por no cumplir con alguno de los criterios de inclusión y 59 debido a que el estudio se realizó…”
BackgroundVezina, M. J., Hubley‐Kozey, C. L., & Egan, D. A. (1998) · Journal of Manual & Manipulative Therapy · doi:10.1179/jmt.1998.6.4.191 · Cited by 6 · see citing works
Kim, C.-Y., & Kang, J.-H. (2013) · Journal of the Korean Society of Physical Medicine · doi:10.13066/kspm.2013.8.3.289 · Cited by 5 · see citing works
(2000) · Time to knit · doi:10.1016/s1283-0887(19)30045-3 · Cited by 5 · see citing works
Sagittal Kinematics and Muscular Activities of Torso and Hip during Trunk Flexion and Extension
Nakayama, T., Yamamoto, I., Fujiwara, T., & Yamada, T. (2006) · Journal of Physical Therapy Science · doi:10.1589/jpts.18.165 · Cited by 4 · see citing works
Cheng, C.-H., Rezaei, A., & Kaufman, K. R. (2024) · Gait & Posture · doi:10.1016/j.gaitpost.2024.12.012 · Cited by 4 · see citing works
Jiang, N., Xue, J., & Li, G. (2019) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2019.8857067 · Cited by 3 · see citing works
“By analyzing the sEMG of specific lumbar muscles, some researchers have found patterns in the individual muscles when participants performed different trunk-movements [4, 15].”
BackgroundElectromyography Pattern Likelihood Analysis for Flexion-Relaxation Phenomenon Evaluation
Paoletti, M., Belli, A., Palma, L., & Pierleoni, P. (2020) · Electronics · doi:10.3390/electronics9122046 · Cited by 3 · see citing works
Low Back Pain: Recent Advances and Perspectives
Gatchel, R. J. (2017) · MDPI eBooks · doi:10.3390/books978-3-03842-656-1 · Cited by 3 · see citing works
Evaluating patterns of EMG amplitudes for trunk and neck muscles of patients and controls
Edgerton, V. R., Wolf, S. L., Levendowski, D. J., et al. (1996) · International Journal of Rehabilitation and Health · doi:10.1007/bf02213560 · Cited by 3 · see citing works
Yoshikawa, T., Shimada, Y., Miyakoshi, N., et al. (2013) · Japanese Journal of Comprehensive Rehabilitation Science · doi:10.11336/jjcrs.4.17 · Cited by 2 · see citing works
Biomechanical characteristics of low back tissues during trunk flexion-extension
Olson, M. W. (2006) · doi:10.31390/gradschool_dissertations.1319 · Cited by 2 · see citing works
Horie, J., Ito, K., Hayashi, S., et al. (2013) · Journal of Physical Therapy Science · doi:10.1589/jpts.25.391 · Cited by 1 · see citing works
The Effect of Sex and Menstrual Cycle Phase on Neuromuscular Control of Trunk Musculature
Dahn, T. R. (2012) · Cited by 1 · see citing works
Can we be more specific about back and neck pain?
Williams, N. H. (2009) · International Musculoskeletal Medicine · doi:10.1179/175361409x412494 · Cited by 1 · see citing works
Ritter, N. W. (2014) · Unitec Research Bank (Unitec Institute of Technology) · Cited by 1 · see citing works
Quirk, D. A. (2013) · Library and Archives Canada (Government of Canada)
Junolainen, M. (2013) · DSpace repository (University of Tartu)
Clinical Decision Making in the Application of Cervical Spine Manipulation
Wise, C. H., & Schenk, R. J. (2011) · Orthopaedic Section, APTA, Inc. eBooks · doi:10.17832/isc.2011.21.1.5
Assessment and Palpation: Accuracy and Reliability Issues
Chaitow, L., & Wallden, M. (2008) · Elsevier eBooks · doi:10.1016/b978-044310390-2.50010-9
Shim, H.-H., Choi, K., Kong, Y., et al. (2020) · Journal of the Ergonomics Society of Korea · doi:10.5143/jesk.2020.39.2.143
(2011) · Elsevier eBooks · doi:10.1016/b978-2-294-71296-8.00031-0
Yun, K., Jung, K.-B., & Lee, Y. (2022) · Physical therapy rehabilitation science · doi:10.14474/ptrs.2022.11.2.245
- Authors
- NOUWEN, A., VAN AKKERVEEKEN, P. F., & VERSLOOT, J. M.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- Corresponding author
- NOUWEN, ARIE
- ORCID
- NOUWEN, ARIE
- Venue
- Spine
- Published
- 1987-10
- Volume
- 12
- Issue
- 8
- Pages
- 777-782
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W1977430594
- Cited by
- 99
- References
- 0
- Citations by year
- 2024: 1 · 2022: 3 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2 · 2014: 4 · 2013: 7 · 2012: 4
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Spine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Keywords
- chronic low back pain, paraspinal muscle activity, abdominal muscle activity, electromyography, spinal flexion, spinal extension, lateral bending, spinal rotation, movement patterns, bilateral asymmetry
- MeSH terms
- Abdominal Muscles, Adult, Analysis of Variance, Back Pain, Electromyography, Female, Humans, Lumbosacral Region, Male, Movement, Muscles, Posture, Sex Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review