Muscle reflex classification of low-back pain

J Electromyogr Kinesiol. 2005 Feb;15(1):53-60. doi: 10.1016/j.jelekin.2004.07.001. Epub 2004 Nov 21.

Abstract

It has been well documented that low-back pain (LBP) patients have longer muscle response latencies to perturbation than healthy controls. These muscle responses appear to be reflexive and not voluntary in nature, and as a result, might be useful for objectively classifying LBP. The goal of the study was to develop an objective and accurate method for classifying LBP using a sudden load-release protocol. Subjects were divided into two groups: learning group (20 patients and 20 controls), and holdout group (15 patients and 12 controls). Subjects exerted isometric trunk force against a cable in four different directions. Following cable release, the trunk was suddenly displaced eliciting a muscle reflex response. Reflex latencies for muscles switching-on and shutting-off were determined using electromyogram signals from 8 trunk muscles. Independent t tests were performed on the learning group to determine which reflex parameters were to be entered into logistic regression analysis to produce a classification model. The holdout group was used to validate this classification model. The three-parameter model was able to correctly classify 83% of the learning group, and 81% of the holdout group. Using reflex parameters appears to be an accurate and objective method for classifying LBP.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Algorithms
  • Case-Control Studies
  • Electromyography
  • Female
  • Humans
  • Isometric Contraction / physiology
  • Logistic Models
  • Low Back Pain / classification*
  • Low Back Pain / physiopathology*
  • Male
  • Models, Biological
  • Muscle, Skeletal / physiopathology*
  • Reflex / physiology*
  • Weight-Bearing / physiology