Lumbar flexion and dynamic EMG among persons with single level disk herniation pre- and postsurgery with radicular low-back pain

Am J Phys Med Rehabil. 2009 Apr;88(4):302-7. doi: 10.1097/PHM.0b013e318198b6ed.

Abstract

Objective: The paraspinal muscles often fail to relax on forward flexion in many persons with low-back pain. The goal of this prospective study was to determine whether this abnormal lack of a flexion-relaxation phenomenon corrects after lumbar diskectomy for symptoms of radiculopathy with low-back pain.

Design: Electromyographic testing was performed on 17 patients before and 30 days after lumbar diskectomy.

Results: Although pain improved significantly (P < 0.05), the flexion-relaxation phenomenon did not improve.

Conclusions: Failure to recover muscle relaxation while pain is relieved suggests another mechanism for paraspinal activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Electromyography*
  • Female
  • Humans
  • Intervertebral Disc Displacement / rehabilitation*
  • Intervertebral Disc Displacement / surgery
  • Low Back Pain / rehabilitation*
  • Low Back Pain / surgery
  • Lumbar Vertebrae / physiopathology*
  • Male
  • Middle Aged
  • Pain Measurement
  • Postoperative Period
  • Radiculopathy / rehabilitation*
  • Radiculopathy / surgery
  • Time Factors