The present study examined muscle activity in response to backward perturbation in patients with clinical vertebral compression fracture (CVCF). The subjects were 32 patients aged 65 years and above con-sisting of 16 each with (CVCF group) and without (control group) CVCF. The time to peak activity, and time of onset of muscle activity of the an-terior tibial, vastus medialis, and rectus abdominis muscles when unex-pected backward perturbation was applied were evaluated by surface electromyography. The strength of perturbation was 4% or 6% of the subject’s body weight. In addition, the presence of the stepping reaction to perturbation, severity of low back pain, and vertebral alignment were evaluated. Each item was compared between the two groups. In the CVCF group, kyphosis and severity of low back pain were significantly more severe, the time to peak activity of the anterior tibial muscle after the application of perturbation at 6% of the body weight was signifi-cantly shorter, and the time of onset of activity of the rectus abdominis muscle was significantly delayed. This suggests that the time to peak activity of the anterior tibial muscle is shortened and the time of onset of activity of the rectus abdominis muscle is delayed in unexpected backward perturbation in patients with CVCF.
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Abstract INTRODUCTION MATERIALS AND METHODS Materials Methods RESULTS DISCUSSION CONFLICT OF INTEREST REFERENCES
Tomoya Kishimoto [ Department of Rehabilitation, Watanabe Hospital, Niimi, Japan, Graduate School of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Japan ]
Corresponding Author
Kastushi Kuniyasu [ Department of Physical Therapy, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, Kurashiki, Japan ]
Tadanobu Suehiro [ Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Japan ]
Kenichi Kobara [ Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Japan ]