Effects of whole body vibration exercise on lumbar-abdominal muscles activation for patients with chronic low back pain

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(2020) 12:78

RESEARCH ARTICLE

Open Access

Effects of whole body vibration exercise on lumbar-abdominal muscles activation for patients with chronic low back pain Yulin Dong1, Huifang Wang2, Yan Zhu1, Binglin Chen3, Yili Zheng4, Xiaochen Liu4, Jun Qiao1* Xueqiang Wang4*

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Abstract Background: Whole body vibration (WBV) training as an intervention method can cure chronic low back pain (CLBP). Different WBV parameters exert different effects on lumbar-abdominal muscle performance. Currently, there is a lack of study researched the influence of WBV training on patients with CLBP by lumbar–abdominal muscle activity. Therefore, this study aimed to investigate how WBV and exercise and their interactions influence lumbarabdominal muscle activity in patients with CLBP. Methods: a group of ambulatory patients with chronic low back pain. Muscle activities of the multifidus (MF), erector spinae (ES), abdominal oblique externus muscle (AOE) and the rectus abdominis muscle (RA) were measured by surface electromyography, whereas participants performed 4 different exercises (single bridge, plank, side stay and V crunch) during three whole body vibration conditions and a no-vibration condition in a single experimental session. Results: Compared with the same exercises without whole body vibration, muscle activity increased when whole body vibration was added to the exercises. MF; the WBV frequency (P = 0.002,) and exercise (P < 0.001) presented significant effects on the root mean square of MF, whereas exercise * frequency (P = 0.044) also resulted in significant interaction effects. ES: the significant differences were detected at WBV frequency (P < 0.001), exercise (P < 0.001), the interaction effect of exercise and frequency (P = 0.225) was no significant. RA: the significant difference was detected at WBV frequency (P = 0.018), the effect of exercise (P = 0.590) and the exercise * frequency interaction (P = 0.572) were no significant. AOE: the significant difference was detected at WBV frequency (P < 0.001), the effect of exercise (P = 0.152) and the exercise * frequency interaction (P = 0.380) were no significant. Conclusion: Adding whole body vibration to exercise could increase muscle activation of lumbar–abdominal muscle in patients with CLBP. The optimum frequency for lumbar–abdominal muscles is 15 Hz. The best exercises include plank for multifidus and erector spinae, V crunch for rectus abdominis and single bridge for abdominal oblique externus. (Continued on next page)

* Correspondence: [email protected]; [email protected] 1 Department of Treatment, The Second Rehabilitation Hospital of Shanghai, 25 Changjiang RD, Shanghai, China 4 Department of Sport Rehabilitation, Shanghai University of Sport, 399 Changhai RD, Shanghai, China Full list of author information is available at the end of the article

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