Electromyographic Analysis of Training to Selectively Strengthen the Lumbar Multifidus Muscle: Effects of Different Lifting Directions and Weight Loading of the Extremities During Quadruped Upper and Lower Extremity Lifts

ObjectiveThe lumbar multifidus muscle (LMF) is a lower back muscle that contributes to spinal stability. Several electromyographic analyses have evaluated LMF activity during various types of training. The present study examined the activity of the back muscles during quadruped upper and lower extremity lifts (QULELs) with different lifting direction and weight loading of extremities.MethodsSeventeen healthy men were included as subjects. The exercise conditions comprised raising the upper extremity of one side and the lower extremity of the opposite side in a quadruped position with different lifting direction and weight loading. The various combinations of lifts were modifications of conventional QULEL, in which the upper extremity is raised to 180° shoulder flexion and the lower extremity to 0° hip extension. The effects of different lifting directions and weight loading on LMF and lumbar erector spinae (LES) muscle activities were measured using surface electromyography.ResultsThe LMF activity and the LMF/LES activity ratio on the side of lower extremity lifting were higher during QULEL with the upper and lower extremities in abduction than during conventional QULEL. The LMF/LES activity ratio was lower during QULEL with weight loading on the upper and lower extremities than during conventional QULEL.ConclusionThe results of the present study suggest that QULEL with shoulder and hip abduction is more effective to selectively strengthen LMF on the side, where the lower extremity is lifted. Loading weight onto both the lifted upper and lower extremities during QULEL is disadvantageous as a selective LMF training method because the LMF/LES activity ratio is low.