The Strengthening Effect of Electrical Stimulation on Lumbar Paraspinal Muscles in the Sitting Position: A Randomized Controlled Trial

Choi, Young-Ah; Lee, Shi-Uk
July 2017
PM & R: Journal of Injury, Function & Rehabilitation;Jul2017, Vol. 9 Issue 7, p643
Academic Journal
journal article
Background: Sedentary lifestyle, a prevalent finding in modern society, can lead to weakness of the lumbar trunk musculature. Electrical stimulation (ES), in addition to lumbar strengthening exercises, has been shown to increase muscle strength.Objective: To assess the strengthening effect of ES on the lumbar paraspinal muscles during prolonged sitting.Design: Randomized, controlled, single-blind study.Setting: Tertiary hospital.Participants: Thirty healthy subjects without low back pain.Methods: Thirty participants were randomly assigned to the ES group (n = 15) or the control group (n = 15). ES was administered over the lumbar paraspinal muscles, while subjects maintained a seated posture, at a maximal tolerable intensity for 60 minutes per day, three times per week, for 4 consecutive weeks. An identical protocol was used in the control group with muscle stimulation provided at the minimal sensory threshold intensity.Main Outcome Measurements: The isokinetic strength of the lumbar paraspinal muscles was evaluated at baseline, 4 weeks after the initiation of ES, and 8 weeks after the initiation of ES with an isokinetic dynamometer (Biodex Medical Dynamometer System-4) at 60°/s and 120°/s angular velocities.Results: The extension and flexion peak torque at 60°/s showed no significant interaction between the time and intervention or between the interventions. However, after 4 weeks of ES in the sitting position, the isokinetic extensor trunk muscle strength measured at 120°/s angular velocity significantly increased in the ES group (P < .05) compared with that in the control group. This effect was not maintained when measured at 4 weeks after the cessation of ES.Conclusions: ES in a sitting position is a potentially effective and accessible rehabilitation treatment, which can lead to short-term improvement in the extensor trunk muscle strength of the lumbar paraspinal muscles.Level Of Evidence: I.


Related Articles

  • Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study. Tuakli-Wosornu, Yetsa A.; Terry, Alon; Boachie-Adjei, Kwadwo; Harrison, Julian R.; Gribbin, Caitlin K.; LaSalle, Elizabeth E.; Nguyen, Joseph T.; Solomon, Jennifer L.; Lutz, Gregory E. // PM & R: Journal of Injury, Function & Rehabilitation;Jan2016, Vol. 8 Issue 1, p1 

    Objective: To determine whether single injections of autologous platelet-rich plasma (PRP) into symptomatic degenerative intervertebral disks will improve participant-reported pain and function.Design: Prospective, double-blind, randomized controlled...

  • Hyoscine N-Butylbromide for Preventing Propofol Injection Pain: A Randomized, Placebo-Controlled and Double-Blind Study. Sargın, Mehmet; Uluer, Mehmet Selçuk; Aydoğan, Eyüp // Medical Principles & Practice;Apr2018, Vol. 27 Issue 1, p1 

    Objective: In this study, the aim was to investigate the effect of hyoscine N-butylbromide (HnBB) pretreatment on pain during propofol injection.Subjects and Methods: In this prospective, randomized, placebo-controlled and double-blind trial, 60 patients scheduled to...

  • Effects of Botulinum Toxin Landmark-Guided Intra-articular Injection in Subjects With Knee Osteoarthritis. Hsieh, Lin-Fen; Wu, Chia-Wei; Chou, Ching-Chieh; Yang, Sai-Wei; Wu, Shih-Hui; Lin, Yi-Jia; Hsu, Wei-Chun // PM & R: Journal of Injury, Function & Rehabilitation;Dec2016, Vol. 8 Issue 12, p1127 

    Background: Increasing evidence has suggested that botulinum toxin A (BoNT/A) can inhibit the release of selected neuropeptide transmitters from primary sensory neurons. Thus, intra-articular (IA) injection therapies with BoNT/A may reduce pain in patients with knee...

  • Topical retapamulin ointment, 1%, versus sodium fusidate ointment, 2%, for impetigo: a randomized, observer-blinded, noninferiority study. Oranje, Arnold P.; Chosidow, Olivier; Sacchidanand, Sarvajnamurthy; Todd, Gail; Singh, Krishan; Scangarella, Nicole; Shawar, Ribhi; Twynholm, Monique; TOC100224 Study Team // Dermatology (10188665);Dec2007, Vol. 215 Issue 4, p331 

    Background: Retapamulin is a novel pleuromutilin antibacterial developed for topical use. Objective: To compare the efficacy and safety of retapamulin ointment, 1% (twice daily for 5 days), with sodium fusidate ointment, 2% (3 times daily for 7 days), in impetigo....

  • Steroid-sparing effect of pimecrolimus cream 1% in children with severe atopic dermatitis. Zuberbier, Torsten; Heinzerling, Lucie; Bieber, Thomas; Schauer, Uwe; Klebs, Sven; Bräutigam, Matthias; Bräutigam, Matthias // Dermatology (10188665);Dec2007, Vol. 215 Issue 4, p325 

    Objective: To investigate if pimecrolimus cream 1% reduces the need for steroids in the long-term management of severe pediatric atopic dermatitis (AD).Methods: A total of 184 pediatric patients (aged 2-17 years) with a history of severe AD according to Rajka and...

  • Prevention of acute mountain sickness by acetazolamide in Nepali porters: a double-blind controlled trial. Hillenbrand, Peter; Pahari, Anil K.; Yuen Soon; Subedi, Deepak; Bajracharya, Rajah; Gurung, Puncho; Lal, Barun K.; Marahatta, Ramesh; Pradhan, Santosh; Rai, Dilip; Sharma, Shailendra; Soon, Yuen; Bajracharya, Rajan; Birmingham Medical Research Expeditionary Society // Wilderness & Environmental Medicine;Summer2006, Vol. 17 Issue 2, p87 

    Objective: This study aimed to determine the efficacy, tolerability, and practicality of acetazolamide for the prevention of acute mountain sickness (AMS) in Nepali trekking porters early in the trekking season.Methods: This study was a randomized, double-blind...

  • A Method to Calculate Adherence to Inhaled Therapy that Reflects the Changes in Clinical Features of Asthma. Sulaiman, Imran; Seheult, Jansen; MacHale, Elaine; Boland, Fiona; O'Dwyer, Susan M.; Rapcan, Viliam; D'Arcy, Shona; Cushen, Breda; Mokoka, Matshediso; Killane, Isabelle; Ryder, Sheila A.; Reilly, Richard B.; Costello, Richard W. // Annals of the American Thoracic Society;Nov2016, Vol. 13 Issue 11, p1894 

    Rationale: Currently, studies on adherence to inhaled medications report average adherence over time. This measure does not account for variations in the interval between doses, nor for errors in inhaler use.Objectives: To investigate whether adherence calculated as a...

  • Intravaginal gel prepared from Dead Sea peloid for treating luteal-phase defect Artymuk, Natalia V.; Kira, Eugeniy F.; Kondratieva, Tatiana A. // International Journal of Gynecology & Obstetrics;Jan2010, Vol. 108 Issue 1, p72 

    No abstract available.

  • A randomised controlled trial of the pectoral nerves-2 (PECS-2) block for radical mastectomy. Al Ja'bari, A.; Robertson, M.; El‐Boghdadly, K.; Albrecht, E.; El-Boghdadly, K // Anaesthesia;Oct2019, Vol. 74 Issue 10, p1277 

    We randomly allocated 50 women scheduled for radical mastectomy to pectoral nerves-2 (PECS-2) block (n = 25) or no block (n = 25), 20 and 22 of whom we analysed for the primary outcome of a cumulative 24-h postoperative morphine dose. We gave intra-operative sufentanil, magnesium,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics