
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
More infoThe force generated by the Latissimus Dorsi contraction during adduction can be transmitted to the contralateral Gluteus Maximus, modifying hip resting position towards lateral rotation. It is suggested that this change is due to the connection of these muscles with the thoracolumbar fascia. However, it is not known whether the tensioning of the latissimus dorsi leads to a change in fascia stiffness. In addition, adduction may be less functional, making it necessary to evaluate whether the latissimus dorsi contraction in movements more present in activities of daily living and sports, such as, for example, shoulder extension, may also be capable of transmitting force to the Thoracolumbar Fascia and Gluteus Maximus.
ObjectivesTo compare lumbar stiffness and hip resting position between control and active tensioning of the Latissimus dorsi in shoulder extension conditions, providing evidence for a better understanding of the force transmission mechanism between Latissimus dorsi, Thoracolumbar fascia and Gluteus maximus.
Methods44 healthy individuals of both genders (age: 29.80±7.71 years, weight: 65.32±9.82 kg and height: 1.69±0.09 m) participated in this study. A portable instrument capable of recording passive tissue stiffness was used to assess lumbar stiffness. The hip resting position was calculated from the passive resistance torque, recorded with an isokinetic dynamometer during the medial rotation movement, while the electromyographic activity of the Latissimus Dorsi, Paraspinal and hip muscles was monitored. Both tests were performed under conditions of control and active tensioning of the Latissimus Dorsi, performed with the shoulder in 10° of extension, sustaining 10% of the participant's maximum RM. For statistical analysis, the Wilcoxon Test was used to compare the stiffness of the lumbar region and the Paired t-test was used to compare the resting position of the hip between the studied conditions.
ResultsDuring active tensioning, an increase in lumbar stiffness was demonstrated compared to the control condition (Z=-5.54, p<0.001). The mean difference was -1.48±1.45 N/mm. For the resting position, a shift towards lateral hip rotation was demonstrated during active tensioning (t=5.303, p<0.001). The mean difference between conditions was 1.73±2.16°.
ConclusionThe findings of the present study demonstrated that the active tensioning of the Latissimus Dorsi in extension altered the passive properties of the hip and lumbar region, supporting the force transmission mechanism between the Latissimus Dorsi, Thoracolumbar Fascia and Gluteus Maximus. Although it was not possible to register the specific stiffness of the fascia, the lumbar evaluation was only performed in individuals who kept the paraspinals relaxed during tensioning, favoring changes in connective tissues to be better captured. For future studies, it is important to evaluate the relationship between the efficiency of force transmission and performance and the development of dysfunctions.
ImplicationsThe myofascial force transmission between the Latissimus Dorsi, Thoracolumbar Fascia and Gluteus Maximus must be considered in the evaluation of muscle function, movement and dysfunction processes related to these regions. Support: CAPES, CNPq, FAPEMIG.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: This work was supported by the Brazilian funding agencies CAPES, FAPEMIG, and CNPq.
Ethics committee approval: Comitê de Ética em Pesquisa – CEP-UFMG - CAAE: 53641821.3.0000.5149.