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STUDY DESIGN The contribution of transversus abdominis to spinal stabilization was evaluated indirectly in people with and without low back pain using an experimental model identifying the coordination of trunk muscles in response to a disturbances to the spine produced by arm movement. OBJECTIVES To evaluate the temporal sequence of trunk muscle activity(More)
STUDY DESIGN A clinical study was conducted on 39 patients with acute, first-episode, unilateral low back pain and unilateral, segmental inhibition of the multifidus muscle. Patients were allocated randomly to a control or treatment group. OBJECTIVES To document the natural course of lumber multifidus recovery and to evaluate the effectiveness of(More)
OBJECTIVE To compare trunk muscle coordination in people with and without low back pain with varying speeds of limb movement. STUDY DESIGN Abdominal and back extensor muscle activity in association with upper limb movement was compared among three speeds of movement and between people with and without low back pain. PARTICIPANTS Fourteen subjects with a(More)
BACKGROUND AND PURPOSE Activity of the trunk muscles is essential for maintaining stability of the lumbar spine because of the unstable structure of that portion of the spine. A model involving evaluation of the response of the lumbar multifidus and abdominal muscles to leg movement was developed to evaluate this function. SUBJECTS To examine this(More)
A clinical test of the function of the deep abdominal muscles was compared to a laboratory electromyographic (EMG) investigation of the contribution of transversus abdominis (TrA) to stability of the lumbar spine during limb movement. The two different functions of TrA were evaluated in 15 subjects. The subject group included six subjects with chronic low(More)
The response of the abdominal muscles to voluntary contraction of the pelvic floor (PF) muscles was investigated in women with no history of symptoms of stress urinary incontinence to determine whether there is co-activation of the muscles surrounding the abdominal cavity during exercises for the PF muscles. Electromyographic (EMG) activity of each of the(More)
A very specific type of exercise has been devised which is proving to provide effective pain relief for chronic and recurrent back pain sufferers. The exercise approach focuses on retraining a precise co-contraction pattern of the deep trunk muscles, the transversus abdominis and lumbar multifidus. The approach is based on the knowledge of how muscles(More)
Rapid shoulder movement is preceded by contraction of the abdominal muscles to prepare the body for the expected disturbance to postural equilibrium and spinal stability provoked by the reactive forces resulting from the movement. The magnitude of the reactive forces is proportional to the inertia of the limb. The aim of the study was to investigate if(More)
STUDY DESIGN A randomized clinical trial with 1-year and 3-year telephone questionnaire follow-ups. OBJECTIVE To report a specific exercise intervention's long-term effects on recurrence rates in acute, first-episode low back pain patients. SUMMARY OF BACKGROUND DATA The pain and disability associated with an initial episode of acute low back pain (LBP)(More)
By manipulation of movement reaction time we investigated the co-ordination between the motor command for arm movement and the associated 'anticipatory' postural response of the abdominal muscles. Limb movement reaction time was varied by changing the expectation of limb movement direction required in a choice-reaction-time task. Timing of the(More)