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SEMG: spinal stability post manual facilitation

Jones, Karen, Wray, Jonathan Marc, McBride, Mark Berrie, Ellis, N. and Harraway, Camilla 2009. SEMG: spinal stability post manual facilitation. Presented at: ICMD 3rd International Conference on Movement Dysfunction, Edinburgh, UK, 30 Oct – 1 Nov 2009.

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The importance of stabilising the spine is heightened in athletes with a weak core leading to less efficient movement and potential injury. Evidence indicates that spinal stability training could prevent injury, enhance performance and accelerate post injury rehabilitation. The intervention being investigated has not previously been objectively evaluated in any population. The purpose of the present study was to investigate the effect of a manual facilitation technique on bilateral activity of Multifidis (MT), Transverse Abdominus/Internal Oblique (TA/IO), External Oblique (EO), Erector Spinae (ES) in both sitting and standing. A same subject experimental design was implemented. A healthy convenience sample (mean (SD) age 26.45 years (±5.25) (n = 22; 13 female) was recruited. The intervention is a specific manual facilitation applied to MT, which aims to enhance proprioceptive awareness and facilitate an active neutral alignment of the lumbar spine. This is described as the optimum alignment for efficient spinal stability and activation of the deep muscle stabilisers. Surface Electromyography was used to evaluate. Data was analysed using a repeated measures ANOVA (alpha ≤ 0.05). Local ethical approval was obtained from School of Healthcare studies, Cardiff University. The results indicate that following intervention there was a significant increase in all the target muscles with a highly significant increase of the deep muscle stabilisers, TA/IO and MT. In sitting, left MT (p=0.000), right MT (p=0.002), left ES (p=0.029), right ES (p=0.015), left TA/IO (p=0.000), right TA/IO (p=0.000), left EO (p=0.008), right EO (p=0.044). In standing, left MT (p=0.000), right MT (p=0.000), left ES (p=0.008), right ES (p=0.010), left TA/IO (p=0.000), right TA/IO (p=0.000), left EO (p=0.001), right EO (p=0.001). Clinically this technique has potential to be useful in the retraining of athletes to isolate the deep stabilisers prior to progressing on to independent exercises and integration into more challenging sporting activities.

Item Type: Conference or Workshop Item (Poster)
Date Type: Completion
Status: Unpublished
Schools: Healthcare Sciences
Subjects: R Medicine > RM Therapeutics. Pharmacology
Additional Information: Abstract published in Manual Therapy (supplement) - Volume 14, Supplement, October 2009 Pages S1-S53
Last Modified: 05 Jan 2018 20:55

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