A Review of Studies Comparing of Surface Electromyography Values between the Low-back Pain Group and Healthy Controls

요통환자군과 정상대조군 사이의 표면근전도값 비교에 관한 연구문헌 고찰

  • Yoo, Duk-Joo ;
  • Cho, Jae-Heung ;
  • Chung, Seok-Hee
  • 유덕주 ;
  • 조재흥 ;
  • 정석희
  • Published : 2013.10.31


Objectives To present reviews of studies comparing surface-electromyography (SEMG) values between low back pain group and control group. Methods We searched 8 databases including KoreaMed, Google, KISS (Korean studies Information Service System), RISS (Research Information Sharing Service), OASIS (Oriental medicine Advanced Searching Integrated System), Pubmed, Ovid-MEDLINE and EMBASE. After searching, we conducted study selection by using inclusion and exclusion criteria and quality-assessment. We reviewed the selected studies concerning about the subject's measuring position, findings, sensitivities and specificities. Results 27 Studies were searched and reviewed. In static surface electromyography, more muscle activities observed in low back pain subjects than in controls. In dynamic surface electromyography, the low back pain subjects showed more muscle activites during flexion, while the control group showed more muscle activities during extension. Faster muscle fatigue observed in isometric muscle analysis. Conclusions Surface electromyography values will be able to be objective marker for evaluating low back pain. Further research is needed to determine additional unified protocol such as the type of SEMG and its directions.


Low back pain;Surface electromyography;Muscle


  1. Geisser ME, Ranavaya M, Haig AJ, Roth RS, Zucker R, Ambroz C, Caruso M. A meta-analytic review of surface electromyography among persons with low back pain and normal, healthy controls. J Pain. 2005;6(11):711-26. https://doi.org/10.1016/j.jpain.2005.06.008
  2. 강세윤. 요통의 재활치료. 대한의학협회지. 1992;35(8):968-75.
  3. Lin ML, Wu HC, Hsieh YH, Su CT, Shih YS, Lin CW, Wu JH. Evaluation of the effect of laser acupuncture and cupping with ryodoraku and visual analog scale on low back pain. Evid Based Complement Alternat Med. 2012;2012:1-7.
  4. Arokoski JP, Valta T, Kankaanpaa M, Airaksinen O. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch Phys Med Rehabil. 2004;85(5):823-32. https://doi.org/10.1016/j.apmr.2003.06.013
  5. 조재흥, 이종수, 김성수. 경근전도 검사의 임상 활용에 관한 연구. 한방재활의학과학회지. 2005;15(4):89-104.
  6. 왕문성, 변윤식, 박상희. 표면 근전도 신호 해석에 의한 내부 근육 근전도 신호의 추정. 대한전자공학회 학술회의 논문집. 1986;370:641-2.
  7. 이선희, 최원정, 이민, 설아람, 정유진. 신의료기술평가 체계적 문헌고찰 지침. 서울:한국보건의료연구원. 2011:163-76.
  8. 문재동. 표면근전도와 적외선체열촬영을 이용한 요통의 평가. 대한산업의학회지. 2001;13(3):306-14.
  9. 한재영, 주성렬, 최인성, 이소영, 이삼규, 노성만. 표면 근전도검사를 이용한 만성 요통환자의 평가. 대한재활의학회지. 2002;26(6):739-44.
  10. Dankaerts W, O'Sullivan P, Burnett A, Straker L. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: importance of subclassification. Spine (Phila Pa 1976). 2006;31(17):2017-23. https://doi.org/10.1097/01.brs.0000228728.11076.82
  11. Neblett R, Brede E, Mayer TG, Gatchel RJ. What is the best surface EMG measure of lumbar flexion-relaxation for distinguishing chronic low back pain patients from pain-free controls? Clinical Journal of Pain. 2013;29(4):334-40. https://doi.org/10.1097/AJP.0b013e318267252d
  12. Enomoto M, Ukegawa D, Sakaki K, Tomizawa S, Arai Y, Kawabata S, Kato T, Yoshii T, Shinomiya K, Okawa A. Increase in paravertebral muscle activity in lumbar kyphosis patients by surface electromyography compared with lumbar spinal canal stenosis patients and healthy volunteers. J Spinal Disord Tech. 2012;25(6):167-73. https://doi.org/10.1097/BSD.0b013e31825d63c4
  13. Lofland KR, Cassisi JE, Levin JB, Palumbo NL, Blonsky ER. The incremental validity of lumbar surface EMG, behavioral observation, and a symptom checklist in the assessment of patients with chronic low-back pain. Appl Psychophysiol Biofeedback. 2000;25(2):67-78. https://doi.org/10.1023/A:1009589524042
  14. Reger SI, Shah A, Adams TC, Endredi J, Ranganathan V, Yue GH, Sahgal V, Finneran MT. Classification of large array surface myoelectric potentials from subjects with and without low back pain. J Electromyogr Kinesiol. 2006;16(4):392-401. https://doi.org/10.1016/j.jelekin.2005.08.004
  15. Takahashi I, Kikuchi S, Sato K, Iwabuchi M. Effects of the mechanical load on forward bending motion of the trunk: Comparison between patients with motion-induced intermittent low back pain and healthy subjects. Spine (Phila Pa 1976). 2007;32(2):73-8.
  16. 정재영, 이준환, 남기봉, 김성수. 만성요통환자의 복부근육 일상 동작에 대한 경근전도 분석. 한방재활의학과학회지. 2008;18(4):203-15.
  17. Cole MH, Grimshaw PN. Electro-myography of the trunk and abdominal muscles in golfers with and without low back pain. J Sci Med Sport. 2008;11(2):174-81. https://doi.org/10.1016/j.jsams.2007.02.006
  18. Marshall PW, Desai I, Robbins DW. Core stability exercises in individuals with and without chronic nonspecific low back pain. J Strength Cond Res. 2011;25(12):3404-11. https://doi.org/10.1519/JSC.0b013e318215fc49
  19. Finneran MT, Mazanec D, Marsolais ME, Marsolais EB, Pease WS. Large-array surface electromyography in low back pain: A pilot study. Spine (Phila Pa 1976). 2003; 28(13):1447-54.
  20. Hanada EY, Johnson M, Hubley-Kozey C. A comparison of trunk muscle activation amplitudes during gait in older adults with and without chronic low back pain. PM R. 2011;3(10):920-8. https://doi.org/10.1016/j.pmrj.2011.06.002
  21. Kuriyama N, Ito H. Electromyographic functional analysis of the lumbar spinal muscles with low back pain. J Nippon Med Sch. 2005;72(3):165-73. https://doi.org/10.1272/jnms.72.165
  22. Newcomer KL, Jacobson TD, Gabriel DA, Larson DR, Brey RH, An KN. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002;83(6):816-21. https://doi.org/10.1053/apmr.2002.32826
  23. Ng JK-F, Kippers V, Parnianpour M, Richardson CA. EMG activity normalization for trunk muscles in subjects with and without back pain. Medicine & Science in Sports & Exercise. 2002;34(7):1082-6. https://doi.org/10.1097/00005768-200207000-00005
  24. Silfies SP, Squillante D, Maurer P, Westcott S, Karduna AR. Trunk muscle recruitment patterns in specific chronic low back pain populations. Clin Biomech (Bristol, Avon). 2005;20(5):465-73. https://doi.org/10.1016/j.clinbiomech.2005.01.007
  25. Dankaerts W, O'Sullivan PB, Burnett AF, Straker LM, Danneels LA. Reliability of EMG measurements for trunk muscles during maximal and sub-maximal voluntary isometric contractions in healthy controls and CLBP patients. J Electromyogr Kinesiol. 2004;14(3):333-42. https://doi.org/10.1016/j.jelekin.2003.07.001
  26. Leinonen V, Kankaanpaa M, Luukkonen M, Hanninen O, Airaksinen O, Taimela S. Disc herniation-related back pain impairs feed-forward control of paraspinal muscles. Spine (Phila Pa 1976). 2001;26(16):367-72. https://doi.org/10.1097/00007632-200108150-00014
  27. Humphrey AR, Nargol AV, Jones AP, Ratcliffe AA, Greenough CG. The value of electromyography of the lumbar paraspinal muscles in discriminating between chronic-low-back-pain sufferers and normal subjects. Eur Spine J. 2005;14(2):175-84. https://doi.org/10.1007/s00586-004-0792-3
  28. Kramer M, Ebert V, Kinzl L, Dehner C, Elbel M, Hartwig E. Surface electromyography of the paravertebral muscles in patients with chronic low back pain. Arch Phys Med Rehabil. 2005;86(1):31-6. https://doi.org/10.1016/j.apmr.2004.01.016
  29. Kumar S, Prasad N. Torso muscle EMG profile differences between patients of back pain and control. Clin Biomech (Bristol, Avon). 2010;25(2):103-9. https://doi.org/10.1016/j.clinbiomech.2009.10.013
  30. Leinonen V, Kankaanpaa M, Luukkonen M, Kansanen M, Hanninen O, Airaksinen O, Taimela S. Lumbar paraspinal muscle function, perception of lumbar position, and postural control in disc herniation-related back pain. Spine (Phila Pa 1976). 2003;28(8):842-8.
  31. Linsinski P. Surface EMG in chronic low back pain. Eur Spine J. 2000;9(6):559-62. https://doi.org/10.1007/s005860000131
  32. Lu WW, Luk KD, Cheung KM, Wong YW, Leong JC. Back muscle contraction patterns of patients with low back pain before and after rehabilitation treatment: an electromyographic evaluation. J Spinal Disord. 2001;14(4):277-82. https://doi.org/10.1097/00002517-200108000-00001
  33. Pope MH, Aleksiev A, Panagiotacopulos ND, Lee JS, Wilder DG, Friesen K, Stielau W, Goel VK. Evaluation of low back muscle surface EMG signals using wavelets. Clin Biomech (Bristol, Avon). 2000;15(8):567-73. https://doi.org/10.1016/S0268-0033(00)00024-3
  34. Sung PS, Lammers AR, Danial P. Different parts of erector spinae muscle fatigability in subjects with and without low back pain. Spine J. 2009;9(2):115-20. https://doi.org/10.1016/j.spinee.2007.11.011