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Applying an active lumbopelvic control strategy during lumbar extension exercises: Effect on muscle recruitment patterns of the lumbopelvic region
Affiliation:1. Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 1B3, B-9000 Ghent, Belgium;2. Department of Anatomy, Center for Excellence in the Neurosciences, Medical Faculty, University of New England, Biddeford, ME, USA;1. Health Sciences Major, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan;2. Laboratory of Analysis and Control of Upper Extremity Function, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan;3. Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan;4. Department of Rehabilitation, Kibinomori Rehabilitation Hospital, 1-30-1, Kibinomori-Minami, Oamishirasato-shi, Chiba, 299-3241, Japan;5. Department of Orthopaedic Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute-shi, Aichi, 480-1195, Japan;1. Department of Sports Sciences, Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain;2. Royal Spanish Swimming Federation, Barcelona, Spain;3. Lecturer on NSCA Certified Personal Trainer (NSCA-CPT®), Spain;4. Instituto Traumatológico Quirón, Spain;5. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy;1. Department of Orthopaedic Surgery, Shanghai Key Laboratory of Orthopaedic Implants, Shanghai Ninth People''s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China;2. Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
Abstract:ObjectiveExamine whether implementing an active lumbopelvic control strategy during high load prone lumbar extension exercises affects posterior extensor chain recruitment and lumbopelvic kinematics.MethodsThirteen healthy adults acquired an optimal active lumbopelvic control strategy during guided/home-based training sessions. During the experimental session electromyography was used to evaluate the activity of the posterior extensor chain muscles during high load trunk/bilateral leg extension exercises with/without application of the strategy. Video-analysis was used to evaluate thoracic/lumbar/hip angles.ResultsImplementing the active lumbopelvic control strategy decreased the lordotic angle during trunk (p = 0.045; −3.2°) and leg extension exercises (p = 0.019; −10°). The hip angle was solely affected during trunk extension (p < 0.001; +9.2°). The posterior extensor chain (i.e. mean of the relative activity of all muscles (%MVIC) was recruited to a higher extent (p = 0.026; +9%) during trunk extension exercises performed with active lumbopelvic control. Applying the strategy during leg extension exercises lead to less activity of longissimus thoracic (p = 0.015; −10.2%) and latissimus dorsi (p = 0.010; −4.4%), and increased gluteus maximus activity (p  0.001; +16.8%).ConclusionsWhen healthy people are taught/instructed to apply an active lumbopelvic control strategy, this will decrease the degree of lumbar (hyper)lordosis and this influences the recruitment patterns of trunk and hip extensors. Hence, the possible impact on predetermined training goals should be taken into account by trainers.
Keywords:Electromyography  Exercise therapy  Lumbosacral region  Paraspinal muscles  Rehabilitation  Training
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