%0 Journal Article
%T Muscle Contributions to Joint Rotational Stiffness following Sudden Trunk Flexion and Extension Perturbations
%A Joel A. Cort
%A James P. Dickey
%A Jim R. Potvin
%J Journal of Medical Engineering
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/915428
%X The purpose of this study was to investigate the contribution of individual muscles (MJRSm) to total joint rotational stiffness (MJRST) about the lumbar spine's joint prior to, and following, sudden dynamic flexion or extension perturbations to the trunk. We collected kinematic and surface electromyography (sEMG) data while subjects maintained a kneeling posture on a parallel robotic platform, with their pelvis constrained by a harness. The parallel robotic platform caused sudden inertial trunk flexion or extension perturbations, with and without the subjects being aware of the timing and direction. Prevoluntary muscle forces incorporating both short and medium latency neuromuscular responses contributed significantly to joint rotational stiffness, following both sudden trunk flexion and extension motions. MJRST did not change with perturbation direction awareness. The lumbar erector spinae were always the greatest contributor to MJRST. This indicates that the neuromuscular feedback system significantly contributed to MJRST, and this behaviour likely enhances joint stability following sudden trunk flexion and extension perturbations. 1. Introduction There is a complex arrangement of bones, ligaments, muscle, and nervous tissue which combine to maintain the structural integrity of the spine, thus reducing the potential for system buckling. For stability maintenance, Bergmark [1] identified the importance of the force distribution of the lumbar musculature. Other research has shown that passive tissues of the lumbar spine can only provide minimal resistance to compressive loads (up to 90£¿N), thus the majority of stiffness is provided by the muscles, demonstrating the importance of muscles for joint safety [2]. Moorhouse and Granata [3] and Sinkjaer et al. [4] stated that involuntary muscle force contributions account for 35 to 42% of the total joint stiffness following a perturbation. Although muscles are vital for joint safety, their force distribution relies on the careful control of the nervous system to properly coordinate the required joint stiffness. Poor neuromuscular coordination has been suggested to be a risk factor for mechanical failure following kinematic disturbances [5¨C9]. Granata and England [10] were among the first to characterize the neuromuscular control of stability during dynamic trunk flexion/extension movements. However, that research did not account for scenarios where the timing of trunk disturbances was unknown and, thus, the results cannot be used to explain the implications of the common scenario of an unexpected kinematic
%U http://www.hindawi.com/journals/jme/2013/915428/