← Back to Search
Evidence Of Altered Lumbopelvic Muscle Recruitment In The Presence Of Sacroiliac Joint Pain.
Barbara A Hungerford, W. Gilleard, P. Hodges
Published 2003 · Medicine
Save to my Library
Download PDFAnalyze on Scholarcy
STUDY DESIGN Cross-sectional study of electromyographic onsets of trunk and hip muscles in subjects with a clinical diagnosis of sacroiliac joint pain and matched control subjects. OBJECTIVES To determine whether muscle activation of the supporting leg was different between control subjects and subjects with sacroiliac joint pain during hip flexion in standing. BACKGROUND Activation of the trunk and gluteal muscles stabilize the pelvis for load transference; however, the temporal pattern of muscle activation and the effect of pelvic pain on temporal parameters has not been investigated. METHODS Fourteen men with a clinical diagnosis of sacroiliac joint pain and healthy age-matched control subjects were studied. Surface electromyographic activity was recorded from seven trunk and hip muscles of the supporting leg during hip flexion in standing. Onset of muscle activity relative to initiation of the task was compared between groups and between limbs. RESULTS The onset of obliquus internus abdominis (OI) and multifidus occurred before initiation of weight transfer in the control subjects. The onset of obliquus internus abdominis, multifidus, and gluteus maximus was delayed on the symptomatic side in subjects with sacroiliac joint pain compared with control subjects, and the onset of biceps femoris electromyographic activity was earlier. In addition, electromyographic onsets were different between the symptomatic and asymptomatic sides in subjects with sacroiliac joint pain. CONCLUSIONS The delayed onset of obliquus internus abdominis, multifidus, and gluteus maximus electromyographic activity of the supporting leg during hip flexion, in subjects with sacroiliac joint pain, suggests an alteration in the strategy for lumbopelvic stabilization that may disrupt load transference through the pelvis.
This paper references
Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb.
P. Hodges (1998)
Reliability of motion palpation procedures to detect sacroiliac joint fixations.
W. Herzog (1989)
The Relation Between the Transversus Abdominis Muscles, Sacroiliac Joint Mechanics, and Low Back Pain
C. Richardson (2002)
Current concepts of pelvic impairment
D Lee (2000)
Pain in the locomotor system: a broad approach
V. Janda (1985)
Stabilizing function of trunk flexorextensor muscles around neutral spine posture. Spine 1997;22:2207–12
J Cholewecki (1997)
Evaluation of specific stabilizing exercise in treatment of chronic low back pain with radiologic diagnosis of spondylosis or spondylolisthesis. Spine 1997;22:2959–67
P O’Sullivan (2003)
Evaluation of Specific Stabilizing Exercise in the Treatment of Chronic Low Back Pain With Radiologic Diagnosis of Spondylolysis or Spondylolisthesis
P. O'Sullivan (1997)
A radiological analysis of movements of the sacroiliac joint during the standing hip flexion test
B Sturesson (2000)
Electromyographic study of patterns of activity of the anterior abdominal wall muscles in man.
W. Floyd (1950)
Physical Therapy Research: Principles and Applications
E. Domholdt (1993)
Transfer of lumbosacral load to iliac bones and legs Part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise.
C. Snijders (1993)
Stabilizing Function of Trunk Flexor‐Extensor Muscles Around a Neutral Spine Posture
J. Cholewicki (1997)
Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain: A Motor Control Evaluation of Transversus Abdominis
P. Hodges (1996)
Biomechanics of the interface between spine & pelvis in different postures
C Snijders (1997)
Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement.
P. Hodges (2000)
Coupled motion of contralateral latissimus dorsi and gluteus maximus: its role in sacroiliac stabilization
V Mooney (1997)
A new light on low back pain
A Vleeming (1995)
Sacroiliac Joint: Pain Referral Maps Upon Applying a New Injection/Arthrography Technique Part II Clinical Evaluation
J. Fortin (1994)
Transfer of lumbosacral load to iliac bones and legs. Pt 1: Biomechanics of self bracing and its significance for treatment & exercise
C Snijders (1993)
Reliability and Validity of the Active Straight Leg Raise Test in Posterior Pelvic Pain Since Pregnancy
J. Mens (2001)
Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint
N. Potter (1985)
Directional specificity of postural muscles in feed-forward postural reactions during fast voluntary arm movements
A. Aruin (2004)
The sacrotuberous ligament: a conceptual approach to its dynamic role in stabilizing the sacroiliac joint
A. Vleeming (1989)
The mobility of the sacroiliac joints in healthy volunteers between 20 and 50 years of age.
H. Jacob (1995)
A Radiostereometric Analysis of Movements of the Sacroiliac Joints During the Standing Hip Flexion Test
B. Sturesson (2000)
Sacroiliac joint referral patterns upon application of a new injection/arthrography technique: I. Asymptomatic volunteers
J Fortin (1994)
Dynamic transitions in stance support accompanying leg flexion movements in man
M. Rogers (2004)
The relationship between the transversus abdominis muscles, sacroiliac joint mechanics and low back pain
C Richardson (2002)
The muscular, ligamentous, and neural structure of the low back and its relation to back pain
FH Willard (1997)
The relationship between the transversus abdominis muscles, sacroiliac joint mechanics and low back pain. Spine 2002;27:399–405
C Richardson (2002)
Sacroiliac joint angular rotation during the stork test and hip drop test in normal subjects: pilot study results
B Hungerford (1998)
Altered patterns of abdominal muscle activation in patients with chronic low back pain.
P. O'Sullivan (1997)
Delayed postural contraction of transversus abdominis associated with the lower limb in people with low back pain
P Hodges (1998)
The Posterior Layer of the Thoracolumbar Fascia|Its Function in Load Transfer From Spine to Legs
A. Vleeming (1995)
The posterior layer of the thoraco-lumbar fascia: its function in load transfer from spine to legs. Spine 1995;20:753–8
A Vleeming (1995)
Preparatory trunk motion accompanies rapid upper limb movement
P. Hodges (1999)
Back and hip extensor activities during trunk flexion/extension: effects of low back pain and rehabilitation.
V. Leinonen (2000)
An integrated therapy for peripartum pelvic instability: a study of the biomechanical effects of pelvic belts.
A. Vleeming (1992)
The Muscle Energy Manual
FJ Mitchell (1995)
A rapid upward step challenges medio-lateral postural stability.
K. J. Sims (2000)
Electromyographic study of postural muscles in various positions and movements.
F. Morin (1956)
Altered pattern of abdominal muscle activation in patients with chronic low back pain
P O’Sullivan (1997)
Contraction of the abdominal muscles associated with movement of the lower limb.
P. Hodges (1997)
Altered Motor Control Strategies in Subjects With Sacroiliac Joint Pain During the Active Straight-Leg-Raise Test
P. O'Sullivan (2002)
Dealing with the challenges to spinal stability: mechanisms of control of the trunk
P. Hodges (2000)
Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement
P. Hodges (1997)
Deep and Superficial Fibers of the Lumbar Multifidus Muscle Are Differentially Active During Voluntary Arm Movements
G. Moseley (2002)
Efficacy of a lumbar stability program for persons with recurrent low back pain
P O’Sullivan (2000)
Electrode placement in EMG biofeedback
J. Basmajian (1980)
Effect of simulating leg length inequality on pelvic torsion and trunk mobility.
R. S. Young (2000)
EMG recordings of abdominal and back muscles in various standing postures: validation of a biomechanical model on sacroiliac joint stability.
C. Snijders (1998)
Movement, stability and low back pain.
M. Laurence (1998)
This paper is referenced by
Correlations between Transversus Abdominis Thickness, Lumbar Stability, and Balance of Female University Students
Wontae Gong (2013)
Investigation of abdominal muscle thickness changes after spinal manipulation in patients who meet a clinical prediction rule for lumbar stabilization.
Lisa N Konitzer (2011)
[What about the European guidelines?].
A. Cohen Solal (2010)
Reliability of MR-Based Volumetric 3-D Analysis of Pelvic Muscles among Subjects with Low Back with Leg Pain and Healthy Volunteers
E. Skorupska (2016)
Chronic Female Pelvic Pain—Part 1: Clinical Pathoanatomy and Examination of the Pelvic Region
Gail G Apte (2012)
Motion analysis study of a scapular orientation exercise and subjects' ability to learn the exercise.
S. Mottram (2009)
Comparison of Muscle Activities of the Posterior Oblique Sling Muscles among Three Prone Hip Extension Exercises with and without Contraction of the Latissimus dorsi
Dae-kwan Kang (2019)
Effect of Modified Bridge Exercise on Muscle Activity of Erector Spinae, Gluteus Maximus and Biceps Femoris Muscle in Patients with Chronic Low Back Pain
Sung-Jin Moon (2018)
Trunk Muscles Activation Pattern During Walking in Subjects With and Without Chronic Low Back Pain: A Systematic Review
Leila Ghamkhar (2015)
Ultrasound Evaluation of the Abdominal Wall and Lumbar Multifidus Muscles in Participants Who Practice Pilates: A 1‐year Follow‐up Case Series
Paula Gala‐Alarcón (2018)
Diagnostikk og behandling av bekkenleddsplager
Britt Stuge (2010)
Injuries in the Pelvis, Groin, Hip and Thigh
P. Hölmich (2015)
Effect of head and limb orientation on trunk muscle activation during abdominal hollowing in chronic low back pain
Kevin C Parfrey (2014)
Forceclosure and optimal stability of the lumbopelvic region
A. Vleeming (2010)
The middle crossed syndrome - New insights into core function.
M. Wallden (2014)
Exploring the effect of pelvic belt configurations upon athletic lumbopelvic pain
L. Sawle (2013)
Commentary: The Ileocecal valve point and muscle testing: A possible mechanism of action
H. Pollard (2006)
Muscle Activation Patterns during Posture Transition in Patients Shortly after Total Hip Arthroplasty
Takuya Kobayashi (2014)
Minimally Invasive Spine Surgery
B. Butt (2020)
Muscle activation pattern and onset times during a semi-orthostatic, unilateral closed-kinetic hip extension exercise in adolescent males
D. Cochrane (2015)
A multivariate model for predicting PPGP considering postural adjustment parameters.
Daniela Aldabe (2020)
Methodology and demographics of a single blinded, randomized controlled trial of chiropractic compared to physical therapy for balance impairments in community dwelling geriatric patients with or without low back pain
Dennis E. Enix (2014)
Neuromuscular Function in Women Postpartum
Rita E Deering (2017)
Gluteus medius muscle activation patterns as a predictor of low back pain during standing.
Erika Nelson-Wong (2008)
A description of the lumbar interfascial triangle and its relation with the lateral raphe: anatomical constituents of load transfer through the lateral margin of the thoracolumbar fascia
M. Schuenke (2012)
The role of exercise and alternative treatments for low back pain.
Kevin A. Carneiro (2010)
Evaluation of the Ability of Physical Therapists to Palpate Intrapelvic Motion With the Stork Test on the Support Side
Barbara A Hungerford (2007)
Sex differences in anticipatory postural adjustments during rapid single leg lift.
Melanie D. Bussey (2018)
Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes
D. Polly (2015)
Movement between the equine ilium and sacrum: in vivo and in vitro studies.
L. Goff (2006)
Muscular activation patterns during active prone hip extension exercises.
A. L. Sakamoto (2009)
Ultrasound imaging of the abdominal muscles and bladder: implications for the clinical assessment of individuals with lumbopelvic pain
Jacqueline Lee Whittaker (2012)See more