Onset and maximum values of electromyographic amplitude during prone hip extension after neurodynamic technique in patients with lumbosciatic pain: A pilot study

J Bodyw Mov Ther. 2016 Apr;20(2):316-23. doi: 10.1016/j.jbmt.2015.08.006. Epub 2015 Aug 28.

Abstract

Objective: The mechanisms underlying the effects of neurodynamic techniques are still unknown. Therefore, the aim of this study was to provide a starting point for future research on explaining why neurodynamic techniques affect muscular activities in patients with sciatic pain.

Methods: A double-blind trial was conducted in 12 patients with lumbosciatica. Surface electromyography activity was assessed for different muscles during prone hip extension. Pre- and post-intervention values for muscle activity onset and maximal amplitude signals were determined.

Results: There was a significant reduction in the surface electromyography activity of maximal amplitude in the erector spinae and contralateral erector spinae (p < 0.05). Additionally, gluteus maximus (p < 0.05) activity onset was delayed post-intervention.

Conclusions: Self-neurodynamic sliding techniques modify muscular activity and onset during prone hip extension, possibly reducing unnecessary adaptations for protecting injured components. Future work will analyze the effects of self-neurodynamic sliding techniques during other physical tasks.

Keywords: Electromyography; Lower back pain; Neurodynamic techniques; Neuropathic pain; Prone hip extension; Sciatica.

MeSH terms

  • Adult
  • Double-Blind Method
  • Electromyography
  • Female
  • Hip Joint / physiopathology
  • Humans
  • Low Back Pain / physiopathology*
  • Low Back Pain / rehabilitation*
  • Male
  • Middle Aged
  • Muscle Contraction / physiology
  • Muscle, Skeletal / physiology
  • Physical Therapy Modalities*
  • Pilot Projects
  • Prone Position / physiology
  • Sciatica / physiopathology*
  • Sciatica / rehabilitation*