Análisis biomecánico de la zona lumbar mediante electromiografía de superficie: Relación flexión-relajación en trabajadores de mantenimiento
DOI:
https://doi.org/10.17533/udea.rfnsp.e356473Keywords:
low back pain, occupational health, surface electromyography, biomechanical phenomena, lumbar regionAbstract
Objective: This study analysed the presence and absence of electromyographic silence during the holding phase of the flexion-relaxation of the trunk.
Methodology: The electrical activity of two back muscles (i.e., longissimus and multifidus) of 10 male workers in the maintenance sector, all younger than 65, was recorded when they performed an unloaded anterior flexion of the trunk for 15 seconds. The risk of suffering from low back pain was evaluated based on the calculated flexion-relaxation ratios.
Results: In the sample, the average FRRs of the longissimus and multifidus muscles were 6.47 ± 4.21 and 7.99 ± 4.71, respectively. In addition, 20% of the subjects presented values under 2.98 in the longissimus; and 40%, values under 7.21 in the multifidus—which indicates an absence of silences and possible pain. The average flexion velocity was 103.67 ± 15.56°/s; the average relaxation velocity, 98.968 ± 19.11°/s; and the average flexion angle, 106.94 ± 12.60°.
Conclusion: The results of this study demonstrate that, in the long term, maintenance and general service workers may suffer from chronic low back discomfort or pain as a consequence of their daily duties.
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References
1. Organización Mundial de la Salud OMS. Trastornos musculoesqueléticos [Internet]. Febrero 8. 2021 [citado el 1 de abril de 2021]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/musculoskeletal-conditions
2. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis and Rheumatism. 2012.
3. Arce-Eslava SL, Parra-González E, Parra-González E, Cruz-Libreros AM. Costos por Dolor Lumbar en una EPS en Cali, Colombia. Rev Colomb Salud Ocup [Internet]. 2015;3(2):22–5. Disponible en: http://revistasojs.unilibrecali.edu.co/index.php/rcso/article/view/90
4. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8–20.
5. Inga S, Rubina K, Mejia C. Factores asociados al desarrollo de dolor lumbar en nueve ocupaciones de riesgo en la serranía peruana. Rev la Asoc Española Espec en Med del Trab. 2021;30(1):48–56.
6. Teófila Vicente-Herrero M, Fuentes STC, Espí-López GV, Fernández-Montero A. Low back pain in workers. Occupational risk and related variables. Rev Colomb Reumatol (English Ed [Internet]. 2019;26(4):236–45. Disponible en: http://dx.doi.org/10.1016/j.rcreue.2019.10.004
7. Noriega-Elío M, Barrón Soto A, Sierra Martínez O, Méndez Ramírez I, Pulido Navarro M, Cruz Flores C. The debate on lower back pain and its relationship to work: a retrospective study of workers on sick leave. Cad saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Esc Nac Saúde Pública. 2005;21(3):887–97.
8. Vanni T, Rantanen J, Reijula K, Russo F, Iavicoli S. Low Back Pain as a Challenge for Occupational Health. Saf Health Work [Internet]. 2022;13:S156. Disponible en: https://doi.org/10.1016/j.shaw.2021.12.1240
9. Rodríguez Y. Method for the Assessment of Workplace Risks for Work-Related Individual Risk Assessment ( ERIN ): Method for the Assessment of Workplace Risks for Work-Related Musculoskeletal Disorders. En: IGI GLOBAL, editor. Ergonomics and Product Design. 1a ed. 2018. p. 1–27.
10. Straker LM. Body Discomfort: Assessment tools. En: KARWOWSKI, W.; MARRAS W, editor. Occupational Ergonomics: Engineering and Administrative Controls. Londres CRC; 2005. p. 26–40.
11. Takala E-P, Pehkonen I, Forsman M, G-å H, Se M, Wp N, et al. Systematic evaluation of observational methods assessing biomechanical exposures at work. 2010;36(1):3–24.
12. Chiou WK, Lee YH, Chen WJ. Use of the surface EMG coactivational pattern for functional evaluation of trunk muscles in subjects with and without low-back pain. En: International Journal of Industrial Ergonomics. 1999.
13. Trask C, Teschke K, Morrison J, Johnson P, Village J, Koehoorn M. EMG estimated mean, peak, and cumulative spinal compression of workers in five heavy industries. Int J Ind Ergon. 2010
14. Sarti Martínez M, Molina J, Pamblanco M, Lisón Párraga J, Sánchez D. Patrón de Activación del Músculo Erector Spinae en dos ejercicios de fortalecimiento lumbar. Eur J Hum Mov. 2005
15. McGorry RW, Lin JH. Flexion relaxation and its relation to pain and function over the duration of a back pain episode. PLoS One. 2012.
16. Watson PJ, Booker CK, Main CJ, Chen ACN. Surface electromyography in the identification of chronic low back pain patients: The development of the flexion relaxation ratio. Clin Biomech. 1997.
17. Nougarou F, Massicotte D, Descarreaux M. Detection method of flexion relaxation phenomenon based on wavelets for patients with low back pain. EURASIP J Adv Signal Process. 2012;2012(1):1–17.
18. McGill SM, Kippers V. Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon. Spine (Phila Pa 1976). 1994.
19. Pinheiro CF, Santos MF dos, Chaves TC. Flexion-relaxation ratio in computer workers with and without chronic neck pain. J Electromyogr Kinesiol. 2016.
20. Ambroz C, Scott A, Ambroz A, Talbott EO. Chronic low back pain assessment using surface electromyography. J Occup Environ Med. 2000.
21. Arena JG, Sherman RA, Bruno GM, Young TR. Electromyographic recordings of 5 types of low back pain subjects and non-pain controls in different positions. Pain. 1989.
22. Sihvonen T, Partanen J, Hanninen O, Soimakallio S. Electric behavior of low back muscles during lumbar pelvic rhythm in low back pain patients and healthy controls. Arch Phys Med Rehabil. 1991.
23. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine (Phila Pa 1976). 1996.
24. Ahern DK, Follick MJ, Council JR, Laser-Wolston N, Litchman H. Comparison of lumbar paravertebral EMG patterns in chronic low back pain patients and non-patient controls. Pain. 1988.
25. Surface Electromyography for the Non-Invasive Assessment of Muscles. Recommendations for sensor locations in trunk or (lower) back muscles [Internet]. [citado el 30 de mayo de 2024]. Disponible en: http://www.seniam.org/back_location.htm
26. World Medical Association. World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. Am Med Assoc. 2013;310(20):2013–6.
27. O’Shaughnessy J, Roy JF, Descarreaux M. Changes in flexion-relaxation phenomenon and lumbo-pelvic kinematics following lumbar disc replacement surgery. J Neuroeng Rehabil. 2013.
28. Mackey S, Howarth SJ, Frey M, De Carvalho D. An investigation of the flexion relaxation ratio in adults with and without a history of self-reported low back pain and transient sitting-induced pain. J Electromyogr Kinesiol [Internet]. 2022;67(October):102719. Disponible en: https://doi.org/10.1016/j.jelekin.2022.102719
29. De Carvalho D, Mackey S, To D, Summers A, Frey M, Romme K, et al. A systematic review and meta analysis of measurement properties for the flexion relaxation ratio in people with and without non specific spine pain. Sci Rep [Internet]. 2024;14(1):1–15. Disponible en: https://doi.org/10.1038/s41598-024-52900-z
30. Gouteron A, Tabard-Fougère A, Bourredjem A, Casillas JM, Armand S, Genevay S. The flexion relaxation phenomenon in nonspecific chronic low back pain: prevalence, reproducibility and flexion–extension ratios. A systematic review and meta-analysis. Eur Spine J [Internet]. 2022;31(1):136–51. Disponible en: https://doi.org/10.1007/s00586-021-06992-0
31. Vaisy M, Gizzi L, Petzke F, Consmüller T, Pfingsten M, Falla D. Measurement of Lumbar Spine Functional Movement in Low Back Pain. Clin J Pain. 2015;31(10):876–85.
32. Alqhtani RS, Jones MD, Theobald PS, Williams JM. Correlation of Lumbar-Hip Kinematics between Trunk Flexion and Other Functional Tasks. J Manipulative Physiol Ther [Internet]. 2015;38(6):442–7. Disponible en: http://dx.doi.org/10.1016/j.jmpt.2015.05.001
33. Huang QM, Thorstensson A. Trunk muscle strength in eccentric and concentric lateral flexion. Eur J Appl Physiol. 2000.
34. Yanira Pineda F, María Gutiérrez-Strauss A. Tercera encuesta nacional de condiciones de SST en Colombia [Internet]. Bogotá D.C; 2022. Disponible en: https://www.researchgate.net/publication/362455968
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