Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effect of Taping on Lumbar Kinematics and Muscle Activities During Typing in Individuals With Nonspecific Chronic Low Back Pain

  • Kim, Hyun-A (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Ahn, Sun-Hee (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jeon, In-Cheol (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Choung, Sung-Dae (Dept. of Physical Therapy, The Graduate School, Yonsei University)
  • Received : 2014.11.16
  • Accepted : 2014.12.26
  • Published : 2015.02.19
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Abstract

Prolonged sitting can contribute to low back pain. The lumbar taping can be applied to correct the sitting posture. This study aimed to investigate the effect of lumbar taping on lumbar kinematics and the muscle activities of multifidus (MF) and internal oblique in the individuals with nonspecific chronic low back pain (NSCLBP) as they type for 30 minutes. Nineteen subjects with NSCLBP (9 people in non taping group and 10 people in taping group) were recruited. Lumbar taping was applied to the taping group before typing. Both groups started typing in a neutral sitting position with their feet on the floor. The change of posture and S2 posterior tilting (S2P) were measured to investigate kinematic data. Three sensors were attached on T12, L3, and S2 to identify the change of posture. Surface electromyography was used to measure the muscle activities. Palpation meter was used to standardize the angle of pelvic tilt in sagittal plane before typing. All instruments were used to measure each data before and after typing. Independent t-test was used to compare the changing values of lumbar kinematics and muscle activities before and after typing between both groups. The changing values of S2P and change of posture of L3 and S2 were significantly smaller in the taping group compared to the non taping group (p<.05). The changing value of muscle activities of MF between before and after typing was significantly smaller in the taping group compared to the non taping group (p<.05). In conclusion, the lumbar taping during the 30-minute typing task can be applied to maintain correct sitting posture in the lumbar and pelvis and to maintain activation of MF.

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References

  1. Ahn SH, Kwon OY, Choung SD, et al. Comparison of muscle activity ratio of upper trapezius to serratus anterior during shoulder elevation between subjects with and without pain experienced in upper trapezius. Phys Ther Korea. 2014;21(2):67-73. http://www.dx.doi.org/10.12674/ptk.2014.21.2.067
  2. Burnett AF, Barrett CJ, Marshall RN, et al. Threedimensional measurement of lumbar spine kinematics for fast bowlers in cricket. Clin Biomech Bristol Avon. 1998;13(8):574-583. https://doi.org/10.1016/S0268-0033(98)00026-6
  3. Burnett AF, Cornelius MW, Dankaerts W, et al. Spinal kinematics and trunk muscle activity in cyclists: A comparison between healthy controls and non-specific chronic low back pain subjects- a pilot investigation. Man Ther. 2004;9(4):211-219. https://doi.org/10.1016/j.math.2004.06.002
  4. Claus A, Hides J, Moseley GL, et al. Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain? J Electromyogr Kinesiol. 2008;18(4):550-558. https://doi.org/10.1016/j.jelekin.2006.10.011
  5. Claus AP, Hides JA, Moseley GL, et al. Different ways to balance the spine: Subtle changes in sagittal spinal curves affect regional muscle activity. Spine (Phila Pa 1976) 2009;34(6): E208-E214. http://www.dx.doi.org/10.1097/BRS.0b013e3181908ead
  6. Dankaerts W, O'Sullivan P, Burnett A, et al. Differences in sitting postures are associated with nonspecific chronic low back pain disorders when patients are subclassified. Spine (Phila Pa 1976). 2006;15;31(6):698-704. https://doi.org/10.1097/01.brs.0000202532.76925.d2
  7. Dankaerts W, O'Sullivan PB, Burnett AF, et al. Reliability of EMG measurements for trunk muscles during maximal and sub-maximal voluntary isometric contractions in healthy controls and CLBP patients. J Electromyogr Kinesiol. 2004;14(3):333-342. https://doi.org/10.1016/j.jelekin.2003.07.001
  8. Dolan P, Greenfield K, Nelson RJ, et al. Can exercise therapy improve the outcome of microdiscectomy? Spine (Phila Pa 1976). 2000;25(12):1523-1532. https://doi.org/10.1097/00007632-200006150-00011
  9. Drysdale CL, Earl JE, Hertel J. Surface electromyographic activity of the abdominal muscles during pelvic-tilt and abdominal-hollowing exercises. J Athl Train. 2004;39(1):32-36.
  10. Greig AM, Bennell KL, Briggs AM, et al. Postural taping decreases thoracic kyphosis but does not influence trunk muscle electromyographic activity or balance in women with osteoporosis. Man Ther. 2008;13(3):249-257. https://doi.org/10.1016/j.math.2007.01.011
  11. Hwang UJ, Kim SH, Choi HS, et al. Comparison of buttock pressure and pelvic tilting angle during typing in subjects with and without unilateral low back pain. Phys Ther Korea. 2014;21(1):37-46. http://www.dx.doi.org/10.12674/ptk.2014.21.1.037
  12. Kang MH, Choi SH, Oh JS, et al. Postural taping applied to the low back influences kinematics and EMG activity during patient transfer in physical therapists with chronic low back pain. J Electromyogr Kinesiol. 2013;23(4):787-793. http://www.dx.doi.org/10.1016/j.jelekin.2013.02.009
  13. Lee JH, Yoo WG. Changes in gluteal pressure and pelvic inclination angles after continuous cross-legged sitting. Work. 2011a;40(2):247-252. http://www.dx.doi.org/10.3233/WOR-2011-1225
  14. Lee JH, Yoo WG. The mechanical effect of anterior pelvic tilt taping on slump sitting by seated workers. Ind Health. 2011b;49(4):403-409. https://doi.org/10.2486/indhealth.MS1230
  15. Leitner C, Mair P, Paul B, et al. Reliability of posturographic measurements in the assessment of impaired sensorimotor function in chronic low back pain. J Electromyogr Kinesiol. 2009;19(3):380-390. https://doi.org/10.1016/j.jelekin.2007.09.007
  16. Makhsous M, Lin F, Bankard J, et al. Biomechanical effects of sitting with adjustable ischial and lumbar support on occupational low back pain: Evaluation of sitting load and back muscle activity. BMC Musculoskelet Disord. 2009;10:17. http://www.dx.doi.org/10.1186/1471-2474-10-17
  17. Marshall P, Murphy B. Delayed abdominal muscle onsets and self-report measures of pain and disability in chronic low back pain. J Electromyogr Kinesiol. 2010;20(5):833-839. http://www.dx.doi.org/10.1016/j.jelekin.2009.09.005
  18. Mills PM, Morrison S, Lloyd DG, et al. Repeatability of 3D gait kinematics obtained from an electromagnetic tracking system during treadmill locomotion. J Biomech. 2007;40(7):1504-1511. https://doi.org/10.1016/j.jbiomech.2006.06.017
  19. Murray H, Husk L. Effect of kinesio$^{TM}$ taping on proprioception in the ankle. J Orthop Sports Phys Ther. 2001;31:A-37.
  20. Ng JK, Kippers V, Richardson CA. Muscle fibre orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol. 1998;38(11):51-58.
  21. O'Sullivan K, McCarthy R, White A, et al. Can we reduce the effort of maintaining a neutral sitting posture? A pilot study. Man Ther. 2012;17 (6):566-571. http://www.dx.doi.org/10.1016/j.math.2012.05.016
  22. O'Sullivan K, O'Sullivan L, O'Sullivan P, et al. Investigating the effect of real-time spinal postural biofeedback on seated discomfort in people with non-specific chronic low back pain. Ergonomics. 2013;56(8):1315-1325. http://www.dx.doi.org/10.1080/00140139.2013.812750
  23. O'Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine (Phila Pa 1976). 2003;28(10):1074-1079. https://doi.org/10.1097/00007632-200305150-00022
  24. O'Sullivan PB, Dankaerts W, Burnett AF, et al. Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine (Phila Pa 1976). 2006;31(19):E707-E712. https://doi.org/10.1097/01.brs.0000234735.98075.50
  25. Petrone MR, Guinn J, Reddin A, et al. The accuracy of the palpation meter (PALM) for measuring pelvic crest height difference and leg length discrepancy. J Orthop Sports Phys Ther. 2003;33(6):319-325. https://doi.org/10.2519/jospt.2003.33.6.319
  26. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. 1st ed. St Louis, Mosby, 2002:71-73.
  27. Vaz G, Roussouly P, Berthonnaud E, et al. Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J. 2002;11(1):80-87. https://doi.org/10.1007/s005860000224