Publications

STUDY DESIGN: This was a descriptive study involving 20 healthy individuals. OBJECTIVES: To evaluate the neuromuscular activation patterns of the lumbar paraspinal and hip extensor muscles during isotonic trunk extension exercise. SUMMARY OF BACKGROUND DATA: Few studies have evaluated the effect of muscle fatigue on the lumbar musculature during isotonic exercise. METHODS: Electromyographic activity was recorded continuously from the lumbar paraspinal, gluteus maximus, and biceps femoris muscles during isotonic trunk extension exercise performed to muscular failure. Root mean squared electromyography was determined over the concentric portion of each repetition, and polynomial regression analysis was used to describe the association between fatigue and the recruitment patterns. RESULTS: The lumbar paraspinals demonstrated an increase in the electromyogram signal up to 57.9% of maximal fatigue, at which point decrements in electromyography were observed (lumbar [quadratic curve] R2 = 0.0807, SEE = 0.228; beta2 = -8.245(-5)) (P 0.000). Associated with fatigue, the gluteus maximus demonstrated an increase in electromyography, with an exponential breakpoint occurring at 35.9% of maximal fatigue (gluteus maximus [quadratic curve]: R2 = 0.5059, SEE = 0.865; beta2 = 0.00017) (P = 0.014). The biceps femoris demonstrated a linear increase in electromyography with fatigue (R2 = 0.4667, SEE = 0.284; beta2 = 0.0091) (P 0.000). To further investigate the derecruitment of the lumbar extensors associated with fatigue, study participants were analyzed individually with regression analyses. Results revealed that the majority of study participants (68.5%) demonstrated a significant decrease (quadratic bend) in lumbar electromyography, with decrements in muscle activity beginning at 53% of maximum. CONCLUSION: During fatiguing trunk extension exercise, an increase in the lumbar paraspinal electromyogram signal occurs up to approximately 55% of maximum fatigue, at which point a decrease in electromyography is observed. Associated with this derecruitment is a concomitant increase in hip extensor muscle activity, suggesting that as the lumbar musculature becomes fatigued, these muscles allow for continuation of the exercise.

OBJECTIVE: To evaluate the effects of exercise intensity and multiple sets on muscle activation patterns during trunk extension exercise. DESIGN: Descriptive, repeated measures. SETTING: University-based musculoskeletal research laboratory. PARTICIPANTS: Twenty volunteers recruited from a university setting. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Electromyographic activity was recorded from the L3-4 paraspinal region, gluteus maximus, and biceps femoris muscles during multiple sets of trunk extension exercise at intensities representing 40%, 50%, and 70% of peak isometric force. RESULTS: As exercise intensity increased, the electromyographic activity of the gluteus maximus increased to a greater extent than the activity of the paraspinal region. At the 50% intensity level, biceps femoris electromyographic activity was significantly greater than the paraspinal region electromyographic activity, whereas at the 70% intensity no differences were found between muscles. During multiple sets of exercise at the same intensity a muscle by set interaction was observed. This interaction revealed that with respect to other muscle groups, the electromyographic activity of the gluteus maximus increased between sets 1 and 2, whereas electromyographic decrements occurred in the paraspinal region. During exercise at the 40% intensity level, biceps femoris electromyographic activity increased to a greater extent between sets 1 and 2 when compared with the paraspinal region. CONCLUSION: Exercise intensity and multiple sets result in alterations in muscle recruitment patterns of the lumbar and hip extensor muscles. These findings raise questions as to the efficacy of added loading and multiple sets during trunk extension exercise.