Effects of different types of abdominal support on lumbar-back muscle surface electromyography signals in people with abdominal obesity

doi:10.12307/2022.347

Abstract

Abstract: BACKGROUND: Scholars at home and abroad have developed various lumbar protective belts on prevention of low back pain. Following series of experiments in biomechanical studies and clinical applications, no suitable belts can provide definite benefit for people with abdominal obesity.
OBJECTIVE: To investigate the effects of several types of abdominal supports on trunk range of motion and surface electromyography of back muscles among subjects with abdominal obesity.
METHODS: Eighteen adult males with abdominal obesity were recruited. Different types of abdominal supports, no taping, elastic abdominal belt and non-elastic athletic white taping were randomly selected during flexion-extension phase of trunk at non-weight-bearing and heavy lifting (weight-bearing). Noranxon bipolar surface electromyography device was used to collected electromyography activities of back muscles, including the multifidus, lumbar erector spinae and thoracic erector spinae muscles. Kinematics of trunk was recorded with a Vicon T40 motion capture system. The protocol was approved by the Ethics Committee of Shanghai University of Sport (approval No. 102772020RT091).
RESULTS AND CONCLUSION: Multifidus: Compared with no taping and elastic abdominal belt, multifidus values of athletic white taping were significantly reduced during extension phase of non-weight-bearing (P < 0.05). Additionally, during extension phase of weight-bearing, multifidus values of elastic abdominal belt were significantly lower than no taping and athletic white taping (P < 0.05). Lumbar erector spinae: Compared with athletic white taping, lumbar erector spinae values of elastic abdominal belt were significantly decreased during flexion phase of non-weight-bearing (P < 0.05). Compared with no taping and athletic white taping, lumbar erector spinae values of elastic abdominal belt were significantly reduced during extension phase of non-weight-bearing and weight-bearing (P < 0.05). Thoracic erector spinae: Compared with no taping, thoracic erector spinae values of elastic abdominal belt were significantly reduced during flexion phase of non-weight-bearing (P < 0.05). Compared with no taping, thoracic erector spinae values of athletic white taping and elastic abdominal belt were significantly reduced during flexion phase of weight-bearing (P < 0.05). Compared with no taping, thoracic erector spinae values of athletic white taping and elastic abdominal belt were significantly reduced during extension phase of weight-bearing (P < 0.05), and compared to athletic white taping, thoracic erector spinae values of elastic abdominal belt were significantly reduced (P < 0.05). The maximum flexion angle in subjects supported by elastic abdominal belt was less than that in no taping and elastic abdominal belt (P < 0.05). The results suggest that both athletic white taping and elastic abdominal belt significantly reduce muscle activation of the back muscles in people with abdominal obesity, thereby potentially slowing spinal load and preventing occurrence of low back pain. Moreover, the elastic abdominal belt will not restrict the normal range of motion of the trunk, allowing for a wider application.

Key words: lumbar support, elastic abdominal belts, athletic taping, abdominal obesity, surface electromyography, kinematics, low back pain

CLC Number:

Shang Wandi, Wang Xingze, Wei Xiaoyan. Effects of different types of abdominal support on lumbar-back muscle surface electromyography signals in people with abdominal obesity[J]. Chinese Journal of Tissue Engineering Research, 2022, 26(11): 1656-1661.

Figures/Tables 5

References

[1] MELLOH M, ELFERING A, KäSER A, et al. What is the best time point to identify patients at risk of developing persistent low back pain? J Back Musculoskelet Rehabil. 2015;28(2):267-276.
[2] ALONSO-GARCíA M, SARRíA-SANTAMERA A. The Economic and Social Burden of Low Back Pain in Spain: A National Assessment of the Economic and Social Impact of Low Back Pain in Spain. Spine (Phila Pa 1976). 2020;45(16):E1026-E1032.
[3] CHOLEWICKI J, IVANCIC PC, RADEBOLD A. Can increased intra-abdominal pressure in humans be decoupled from trunk muscle co-contraction during steady state isometric exertions? Eur J Appl Physiol. 2002;87(2):127-133.
[4] HOOGENDOORN WE, BONGERS PM, DE VET HC, et al. Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine (Phila Pa 1976). 2000; 25(23):3087-3092.
[5] 杨立杰,欧阳林,陈鼎伟,等.下腰疼痛的生物力学分析[J].中国组织工程研究,2020,24(33):5267-5271.
[6] DAI H, ALSALHE T, CHALGHAF N, et al. The global burden of disease attributable to high body mass index in 195 countries and territories, 1990-2017: An analysis of the Global Burden of Disease Study. PLoS Med. 2020;17(7):e1003198.
[7] YANG L, MU L, HUANG K, et al. Abdominal adipose tissue thickness measured using magnetic resonance imaging is associated with lumbar disc degeneration in a Chinese patient population. Oncotarget. 2016; 7(50):82055-82062.
[8] HOWARTH SJ, CALLAGHAN JP. Compressive force magnitude and intervertebral joint flexion/extension angle influence shear failure force magnitude in the porcine cervical spine. J Biomech. 2012;45(3):484-490.
[9] MYUNG E, NETO J, MURTA G, et al. ANAMT Technical Guideline (DT 05): prevention of occupational low back pain through back belts, lumbar support or braces. Rev Bras Med Trab. 2020;16(4):524-531.
[10] AMMENDOLIA C, KERR MS, BOMBARDIER C. Back belt use for prevention of occupational low back pain: a systematic review. J Manipulative Physiol Ther. 2005;28(2):128-134.
[11] CANADIAN TASK FORCE ON PREVENTIVE HEALTH CARE. Use of back belts to prevent occupational low-back pain. Recommendation statement from the Canadian Task Force on Preventive Health Care. Can Med Assoc J. 2003;169(3):213-214.
[12] BOONKERD C, LIMROONGREUNGRAT W. Elastic therapeutic tape: do they have the same material properties? J Phys Ther Sci. 2016;28(4): 1303-1306.
[13] MIYAMOTO K, IINUMA N, UEKI S, et al. Effects of abdominal belts on the cross-sectional shape of the trunk during intense contraction of the trunk muscles observed by computer tomography. Clin Biomech. 2008; 23(10):1220-1226.
[14] JORGENSEN MJ, MARRAS WS. The effect of lumbar back support tension on trunk muscle activity. Clin Biomech. 2000;15(4):292-294.
[15] FU W, LIU Y, ZHANG S, et al. Effects of local elastic compression on muscle strength, electromyographic, and mechanomyographic responses in the lower extremity. J Electromyogr Kinesiol. 2012;22(1): 44-50.
[16] YEN SC, FOLMAR E, FRIEND KA, et al. Effects of kinesiotaping and athletic taping on ankle kinematics during walking in individuals with chronic ankle instability: A pilot study. Gait Posture. 2018;66(1): 118-123.
[17] HUEBNER A, FAENGER B, SCHENK P, et al. Alteration of Surface EMG amplitude levels of five major trunk muscles by defined electrode location displacement. J Electromyogr Kinesiol. 2015;25(2):214-223.
[18] ESCAMILLA R, LEWIS C, PECSON A, et al. Muscle Activation Among Supine, Prone, and Side Position Exercises With and Without a Swiss Ball. Sports Health. 2016;8(4):372-379.
[19] PERCHTHALER D, HAUSER S, HEITKAMP HC, et al. Acute effects of whole-body vibration on trunk and neck muscle activity in consideration of different vibration loads. J Sports Sci Med. 2015;14(1): 155-162.
[20] LUDVIG D, PREUSS R, LARIVIERE C. The effect of extensible and non-extensible lumbar belts on trunk muscle activity and lumbar stiffness in subjects with and without low-back pain. Clin Biomech. 2019;67(1): 45-51.
[21] MOKHTARINIA H, GHAMARY J, MALEKI-GHAHFAROKHI A, et al. The new “Tehran Back Belt”: Design then testing during a simulated sitting task improved biomechanical spine muscle activity. Health Promot Perspect. 2019;9(2):115-122.
[22] KINGMA I, FABER GS, SUWARGANDA EK, et al. Effect of a stiff lifting belt on spine compression during lifting. Spine (Phila Pa 1976). 2006; 31(22):E833-839.
[23] LAVENDER S, SHAKEEL K, ANDERSSON G, et al. Effects of a lifting belt on spine moments and muscle recruitments after unexpected sudden loading. Spine (Phila Pa 1976). 2000;25(12):1569-1578.
[24] HEALEY EL, BURDEN AM, MCEWAN I M, et al. The impact of increasing paraspinal muscle activity on stature recovery in asymptomatic people. Arch Phys Med Rehabil. 2008;89(4):749-753.
[25] GRANATA KP, MARRAS WS, DAVIS KG. Biomechanical assessment of lifting dynamics, muscle activity and spinal loads while using three different styles of lifting belt. Clin Biomech. 1997;12(2):107-115.
[26] YH L, SM K. Effect of belt pressure and breath held on trunk electromyography. Spine (Phila Pa 1976). 2002;27(3):282-290.
[27] 陈岚岚,韩晓鸣,胡飞锋,等.不同方式躯干运动时腰部肌肉表面肌电信号特征研究[J].杭州师范大学学报(自然科学版),2019,18(5): 555-560.
[28] MARRAS WS, JORGENSEN MJ, DAVIS KG. Effect of foot movement and an elastic lumbar back support on spinal loading during free-dynamic symmetric and asymmetric lifting exertions. Ergonomics. 2000;43(5): 653-668.
[29] CHOLEWICKI J. The effects of lumbosacral orthoses on spine stability: what changes in EMG can be expected? J Orthop Res. 2004;22(5): 1150-1155.
[30] KAWCHUK G, EDGECOMBE T, WONG A, et al. A non-randomized clinical trial to assess the impact of nonrigid, inelastic corsets on spine function in low back pain participants and asymptomatic controls. Spine (Phila Pa 1976). 2015;15(10):2222-2227.
[31] SHAHVARPOUR A, PREUSS R, SULLIVAN MJL, et al. The effect of wearing a lumbar belt on biomechanical and psychological outcomes related to maximal flexion-extension motion and manual material handling. Appl Ergon. 2018;69(1):17-24.
[32] LARIVIERE C, CARON JM, PREUSS R, et al. The effect of different lumbar belt designs on the lumbopelvic rhythm in healthy subjects. BMC Musculoskelet Disord. 2014;15(1):307.
[33] GIORCELLI RJ, HUGHES RE, WASSELL JT, et al. The effect of wearing a back belt on spine kinematics during asymmetric lifting of large and small boxes. Spine (Phila Pa 1976). 2001;26(16):1794-1798.
[34] BATALLER-CERVERO AV, RABAL-PELAY J, ROCHE-SERUENDO LE, et al. Effectiveness of lumbar supports in low back functionality and disability in assembly-line workers. Ind Health. 2019;57(5):588-595.
[35] KATSUHIRA J, SASAKI H, ASAHARA S, et al. Comparison of low back joint moment using a dynamic 3D biomechanical model in different transferring tasks wearing low back belt. Gait Posture. 2008;28(2): 258-264.