RESUMEN
STUDY DESIGN: The reflexive EMG from the L3-L4 to L5-L6 multifidus of the in vivo feline was recorded during application of single passive flexion-extension cycle of the lumbar spine. OBJECTIVE: To determine the effect of viscoelastic hysteresis associated with a single-cycle flexion-extension and of increasing cycle frequency on the initiation and cessation displacement and tension thresholds of reflexive EMG from the multifidus muscles. SUMMARY OF BACKGROUND DATA: It is known that reflexive EMG can be recorded from some paraspinal muscles as a result of mechanical stimulation of lumbar ligaments and other viscoelastic structures. It is also known that mechanical neutral zones exist in the spine, that viscoelastic hysteresis is associated with a stretch-release cycle, and that the rate of stretch and release has a profound impact on viscoelastic tissue responses. It is unknown what are the neurologic neutral zones of the spine within which reflexive EMG does not exist, as well as the dependence of such neurologic neutral zones on viscoelastic hysteresis and increasing frequency of a flexion-extension cycle. METHODS: Single passive flexion-extension cycles of frequencies ranging from 0.1 to 1.0 Hz were applied to the lumbar spine of the feline while recording intramuscular EMG from the L3-L4 to L5-L6 multifidus. The displacement and tension thresholds associated with the initiation and cessation of EMG activity during the cycle were analyzed with respect to the cycles' viscoelastic hysteresis and frequency. The peak EMG discharge was tested for relationships with cycle frequency. RESULTS: The displacement and tension thresholds during the flexion phase of the cycle were significantly lower than the corresponding thresholds in the extension phase of the cycle. As the cycle frequency increased, EMG was triggered significantly earlier (lower displacement and tension thresholds) in the flexion phase and terminated earlier (higher displacement and tension thresholds) in the extension phase. The peak EMG was significantly larger as cycle frequency increased. CONCLUSIONS: Reflexive muscle forces are triggered at lower displacement or tension during flexion but diminish early during extension, leaving the spine unprotected for a substantial part of the extension movement. The muscle forces are recruited earlier and with larger intensity as the velocity of the movement increases, lending more protection to the spine. Faster extension movement, however, creates a larger window during which the spine is exposed to instability and injury because of lack of muscle forces.
Asunto(s)
Movimiento/fisiología , Contracción Muscular/fisiología , Relajación Muscular/fisiología , Músculo Esquelético/fisiología , Recuperación de la Función/fisiología , Reflejo de Estiramiento/fisiología , Animales , Gatos , Electromiografía , Inestabilidad de la Articulación/fisiopatología , Vértebras Lumbares/fisiología , Región Lumbosacra , Factores de Tiempo , Soporte de Peso/fisiologíaRESUMEN
OBJECTIVES: To determine the rest duration required for full recovery of reflexive muscular activity and laxity/creep induced in the lumbar viscoelastic structures (e.g., ligaments, discs, etc.) after 50 min of cyclic loading, and to develop a model describing such recovery. BACKGROUND: It is well established that steady, cyclic or vibratory loading of the lumbar spine induces laxity/creep in its viscoelastic structures. It was also shown that such viscoelastic creep does not fully recover when subjected to rest equal in duration to the loading period. Rest periods of 24 h, however, were more than sufficient to allow full recovery. The exact period of time allowing full recovery of viscoelastic laxity/creep, and its pattern is not known. It is also not known what is the duration required for full recovery of reflexive muscular activity lost due to the laxity/creep induced in the spine during cyclic loading. METHODS: The lumbar spine of 'in vivo' feline preparations was subjected to 50 min of 0.25 Hz cyclic loading applied v ia the L4/5 supraspinal ligament. At the end of the loading period the spine was subjected to prolonged rest, interrupted by a single cycle loading applied hourly for measurement purposes until the laxity was fully recovered (>90%). Reflexive EMG activity was recorded with wire electrodes from the L-1-L-7 multifidus muscles. A biexponential model was fitted to the load and EMG recorded in the recovery period in order to represent viscous and elastic components of structures with different architecture (e.g., disc vs. ligament). RESULTS: Full recovery of the laxity induced by 50 min of cyclic loading at 0.25 Hz required 7 h and was successfully fitted with a biexponential model. Similarly, EMG activity was fully recovered in 4 hours, and often exceeded its initial value during the following 3 h. CONCLUSIONS: Full recovery of laxity induced in the lumbar viscoelastic structures by a given period of cyclic loading requires rest periods, which are several folds longer than the loading duration. Similarly, reflexive muscular activity requires 4 h of rest in order to be restored. Meanwhile, significant laxity can be present in the joints, exposing the spine to potential injury and low back pain. Increased EMG activity at the end of the recovery period may indicate that pain was possibly induced in the spinal structures, inducing hyperexcitability of the muscles during passive loading. RELEVANCE: Although the data was derived from a feline model, and its extrapolation to the human model is not straightforward, the general pattern of decreasing reflexive muscular activity with cyclic loading is expected in both species. Therefore, workers who subject their spine to periods of cyclic loading may be exposed to prolonged periods of laxity beyond the neutral zone limits, without protection from the muscles and therefore the risk of possible injury and low back pain. Pain and muscle hyperexcitability could also be a factor associated with cyclic loading, being expressed several hours after work was completed.