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Age and gender related neuromuscular pattern during trunk flexion-extension in chronic low back pain patients

Overview of attention for article published in Journal of NeuroEngineering and Rehabilitation, February 2016
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Title
Age and gender related neuromuscular pattern during trunk flexion-extension in chronic low back pain patients
Published in
Journal of NeuroEngineering and Rehabilitation, February 2016
DOI 10.1186/s12984-016-0121-1
Pubmed ID
Authors

Thomas Kienbacher, Elisabeth Fehrmann, Richard Habenicht, Daniela Koller, Christian Oeffel, Josef Kollmitzer, Patrick Mair, Gerold Ebenbichler

Abstract

The root mean square surface electromyographic activity of lumbar extensor muscles during dynamic trunk flexion and extension from standing has repeatedly been recommended to objectively assess muscle function in chronic low back pain patients. However, literature addressing older patients is sparse. This cross sectional study sought to examine differences in neuromuscular activation between age groups (>60 versus 40-60 versus <40 years) and sexes during a standardized trunk flexion-extension task. A total of 216 patients (62 older, 84 middle-aged, 70 younger) performed maximum trunk extensions followed by trunk flexion extension testing thereby holding static positions at standing, half, and full trunk flexion. The lumbar extensor muscle activity and 3d-accelerometric signals intended to monitor hip and trunk position angles were recorded from the L5 (multifidus) and T4 (semispinalis thoracis) levels. Permutation ANOVA with bootstrapped confidence intervals were performed to examine for age and gender related differences. Ridge-regressions investigated the impact of physical-functional and psychological variables to the half flexion relaxation ratio (i.e. muscle activity at the half divided by that in maximum flexion position). Maximum back extension torque was slightly but significantly higher in youngest compared to oldest patients if male and females were pooled. Normalized RMS-SEMG revealed highest lumbar extensor muscle activity at standing in the oldest and the female groups. Patients over 60 years showed lowest activity changes from standing to half (increments) and from half to the maximum flexion position (decrements) leading to a significantly lower half flexion relaxation ratio compared to the youngest patients. These oldest patients demonstrated the highest hip and lowest lumbothoracic changes of position angles. Females had higher regional hip and gross trunk ranges of movement compared to males. Lumbothoracic flexion and the muscle activity at standing had a significant impact on the half flexion relaxation ratio. The neuromuscular activation pattern and the kinematics in this trunk flexion-extension task involving static half flexion position changed according to age and sex. The test has a good potential to discriminate between impaired and unimpaired neuromuscular regulation of back extensors in cLBP patients, thereby allowing the design of more individualized exercise programs.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 138 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 16%
Student > Ph. D. Student 16 12%
Student > Bachelor 15 11%
Researcher 14 10%
Other 8 6%
Other 23 17%
Unknown 41 29%
Readers by discipline Count As %
Medicine and Dentistry 23 17%
Sports and Recreations 22 16%
Nursing and Health Professions 21 15%
Psychology 5 4%
Social Sciences 5 4%
Other 14 10%
Unknown 49 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2017.
All research outputs
#18,445,779
of 22,854,458 outputs
Outputs from Journal of NeuroEngineering and Rehabilitation
#984
of 1,279 outputs
Outputs of similar age
#216,382
of 297,902 outputs
Outputs of similar age from Journal of NeuroEngineering and Rehabilitation
#17
of 19 outputs
Altmetric has tracked 22,854,458 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,279 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 297,902 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one is in the 5th percentile – i.e., 5% of its contemporaries scored the same or lower than it.