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Article type: Research Article
Authors: Hinnekens, Simona; * | Bara, Julieb | Scheen, Paulineb | Hidalgo, Benjaminb; c; d
Affiliations: [a] Mechatronic, Electrical Energy & Dynamic Systems (MEED), Institute of Mechanics, Materials & Civil Engineering (iMMC), Université Catholique de Louvain, Louvain-la-Neuve, Belgium | [b] Faculté des Sciences de la Motricité, Université catholique de Louvain, Louvain-La-Neuve, Belgium | [c] Neuromusculoskeletal Lab (NMSK), Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain, Brussels, Belgium | [d] Haute Ecole Léonard de Vinci, Département de Kinésithérapie, Brussels, Belgium
Correspondence: [*] Corresponding author: Simon Hinnekens, iMMC/MEED, UCLouvain, Place du Levant 2/L5.04.02, 1348 Louvain-la-Neuve, Belgium. E-mail: simon.hinnekens@uclouvain.be.
Abstract: BACKGROUND: There is a sex-related difference in strength and endurance in trunk muscles: males have more strength while females have more endurance. OBJECTIVE: Investigate sex-related differences in motor control strategies in back muscles during isometric contractions (IC) in the Sorensen test posture. METHODS: Thirty-six healthy and young volunteers performed different tasks: three maximal voluntary contraction (MVC) tests recorded with a bio-feedback force sensor, and followed by five loaded IC (LIC) tests using bodyweight and loads of 0 to 8 kg with a 2-kg step. Surface electromyography was used to measure the activity of bilateral lumbar paravertebral (LP) and quadratus lumborum (QL) muscles. RESULTS: Sex-related and load-related differences in EMG amplitudes were highlighted during LIC tests. Females showed significantly (p-value = 0.02) greater EMG amplitude for the highest load (8 kg) than males. Besides, significant differences between low (2 and 4 kg) and high (6 and 8 kg) loads for both LP and QL muscles and for both sexes were observed. Finally, for MVC tests, males produced significantly (p-value = 1.02e-4) greater strength during MVC tests (4.25 ± 1.37 N/kg vs 2.60 ± 0.78 N/kg). CONCLUSION: The results were clinically relevant to bring attention to load strategy during rehabilitation, particularly in females who seemed to recruit the QL muscle more.
Keywords: Electromyography, motor control, back muscles, sexual dimorphism, sorensen test
DOI: 10.3233/BMR-220058
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 651-660, 2023
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