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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2017019016
pages 203-214

Surface Electromyography in Pediatric Patients with Nonspecific Chronic Low Back Pain: A Systematic Review

Anne Tabard-Fougère
Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Geneva, Switzerland
Vincent Pittet
Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Geneva, Switzerland
Romain Dayer
Division of Paediatric Orthopaedics, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland
Nicolas Vuillerme
AGEIS laboratory, Grenoble Alps University, Grenoble, France; French University Institute, Paris, France
Stéphane Armand
Willy Taillard Laboratory of Kinesiology, Geneva University Hospitals and Geneva University, Geneva, Switzerland

ABSTRACT

Background−Low back pain (LBP) is a common burden affecting more than 80% of the adult population, with 85% classified as nonspecific. Nonspecific low back pain (NSLBP) is also common among children and adolescents. In the adult population, it is possible to distinguish patients with NSLBP from healthy controls by surface electromyography (sEMG) records. The aim of this systematic review was to identify existing published literature distinguishing children and adolescents with and without NSLBP using EMG parameters. Methods−Five electronic medical databases (PubMed, Embase, Central, Google Scholar, and Opengrey) and two manual sources (Journal of Electromyography and Kinesiology, International Clinical Trials Registry) were searched by two independent reviewers. The qualitative reviews method referred to as PICO (Population, phenomenon of Interest, COntext) was used to identify initial keywords and to define inclusion and exclusion criteria of screened studies. Findings−One full-text study was included with a total of 28 patients with NSLBP and 28 age-matched healthy controls measured for back and abdominal EMG during sitting functional tasks. A global score of 17/19 was assessed for this study using a modified quality assessment checklist. Interpretation−Trunk EMG activation was shown to be the only parameter that could discriminate healthy from NSLBP adolescents in the sitting position when NSLBP patients were subclassified according to the O'Sullivan classification system. This systematic review highlights a lack of knowledge about muscle activity in the NSLBP pediatric population. The problem of NSLBP in children and adolescents is of great interest considering the epidemiological data and the future of adolescent development.


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