Skip to main content
Log in

The relationship of extraneous movements to lumbar paraspinal muscle activity: Implications for EMG biofeedback training applications to low back pain patients

  • Published:
Biofeedback and Self-regulation Aims and scope Submit manuscript

Abstract

Within recent years clinicians and researchers have applied paraspinal EMG biofeedback procedures during static and dynamic movement retraining of chronic low back pain patients. Most of these applications make use of surface electromyography, an approach complicated by the fact that the erector spinae muscles are deeply situated. This descriptive study reveals that extraneous movements, such as neck flexion and pelvic rotation, can elicit profound activity from percutaneously placed EMG electrodes while little change is seen at the skin surface. The implications of these observations for the use of EMG feedback to remediate low back pain are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahern, D. K., Follick, M. J., Council, J. R., & Laser-Wolston, M. A. (1986). Reliability of lumbar para-vertebral EMG assessment in chronic low back pain.Archives of Physical Medicine and Rehabilitation, 67 762–765.

    Google Scholar 

  • Basmajian, J. V. (1976). A fresh look at the intrinsic muscles of the back.American Surgery, 42 685–690.

    Google Scholar 

  • Basmajian, J. V., & DeLuca, C. J. (1985).Muscles alive: Their function revealed by electromyography (5th ed., pp. 354–366). Baltimore: Williams and Wilkins.

    Google Scholar 

  • Basmajian, J. V., & Stecko, G. (1962). A new bipolar electrode for electromyography.Journal of Applied Physiology, 17 849.

    Google Scholar 

  • Belar, C. D., & Cohen, J. L. (1979). The use of EMG feedback and progressive relaxation in the treatment of a woman with chronic back pain.Biofeedback and Self-Regulation, 4 345–353.

    Google Scholar 

  • Cram, J. R., & Engstrom, D. (1986). Pattern of neuromuscular activity in pain and non-pain patients.Clinical Biofeedback and Health, 9 55–61.

    Google Scholar 

  • Cram, J. R., & Steger, J. S. (1983). EMG scanning in the diagnosis of chronic pain.Biofeedback and Self-Regulation, 8 229–242.

    Google Scholar 

  • Flor, H., Haag, G., Turk, D. C., & Koehler, H. (1983). Efficacy of EMG biofeeback, pseudotherapy, and conventional medical treatment for chronic rheumatic back pain.Pain, 17 21–31.

    Google Scholar 

  • Freeman, C. W., Calsyn, D. A., Paige, A. B., & Halar, E. M. (1980). Biofeedback with low back pain patients.American Journal of Clinical Biofeedback, 3 118–122.

    Google Scholar 

  • Gentry, W. D., & Bernal, G. A. A. (1977). Chronic pain. In R. B. Williams & W. D. Gentry (Eds.),Behavioral approaches to medical treatment (pp. 173–182). Cambridge, MA: Ballinger.

    Google Scholar 

  • Hoyt, W. H., Hunt, H. H., Jr., DePauw, M. A., Bard, D., Shaffer, F., Passias, J. N., Robbins, D. H., Jr., Runyon, D. G., Semrad, S. E., Symonds, J. T., & Watt, K. C. (1981). Electromyographic assessment of chronic low-back pain.Journal of the American Osteopathic Association, 80 728–730.

    Google Scholar 

  • Jonsson, B. (1970). The functions of individual muscles in the lumbar part of the spinate muscle.Electromyography, 1 5–21.

    Google Scholar 

  • Keefe, F. J., Block, A. R., Williams, R. B., & Surwit, R. S. (1981). Behavioral treatment of chronic low back pain: Clinical outcome and individual differences in pain relief.Pain, 11 221–231.

    Google Scholar 

  • Keefe, F. J., & Hoelscher, T. J. (1987). Biofeedback in the management of chronic pain syndromes. In J. P. Hatch, J. G. Fisher, & J. D. Rugh (Eds.),Biofeedback: Studies in clinical efficacy (pp. 211–253). New York: Plenum Press.

    Google Scholar 

  • Kravitz, E., Moore, M. E., & Glaros, A. (1981). Paralumbar muscle activity in chronic low back pain.Archives of Physical Medicine and Rehabilitation, 62 172–176.

    Google Scholar 

  • Nouwen, A. (1983). EMG biofeedback used to reduce standing levels of paraspinal muscle tension of chronic low back pain.Pain, 17 353–360.

    Google Scholar 

  • Nouwen, A., & Bush, C. (1984). The relationship between paraspinal EMG and chronic low back pain.Pain, 20 109–123.

    Google Scholar 

  • Nouwen, A., Van Akkerveeken, P. F., & Versloot, J. M. (1987). Patterns of muscular activity during movement in patients with chronic low back pain.Spine, 12 777–782.

    Google Scholar 

  • Schultz, A. B., Haderspeck-Grib, K., Sinkora, G., Warwick, D. N. (1985). Quantitative studies of the flexion-relaxation phenomenon in the back muscles.Journal of Orthopaedic Research, 3 189–197.

    Google Scholar 

  • Seres, J. L., & Newman, R. I. (1976). Results of treatment of chronic low back pain at the Portland Pain Center.Journal of Neurosurgery, 45 32–36.

    Google Scholar 

  • Wolf, L. B., Segal, R. L., Wolf, S. L., & Nyberg, R. (1988). A quatitative analysis of integrated surface and percutaneous EMG activity in lumbar erector spinae of normal young women.Spine.

  • Wolf, S. L., Basmajian, J. V., Russe, C. T. C., & Kutner, M. (1979). Normative data on low back mobility and activity levels: Implications for neuromuscular reeducation.American Journal of Physical Medicine, 58 217–229.

    Google Scholar 

  • Wolf, S. L., Nacht, M., & Kelly, J. L. (1982). EMG feedback training during dynamic movement for low back pain patients.Behavior Therapy, 13 395–406.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported in part by Grant No. G008300041 from the National Institute on Disability and Rehabilitation Research, Department of Education, Washington, D.C.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wolf, S.L., Wolf, L.B. & Segal, R.L. The relationship of extraneous movements to lumbar paraspinal muscle activity: Implications for EMG biofeedback training applications to low back pain patients. Biofeedback and Self-Regulation 14, 63–74 (1989). https://doi.org/10.1007/BF00999341

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00999341

Descriptor Key Words

Navigation