Department of Exercise, Sport and Lifestyle Medicine

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An adapted rehabilitation programme for a cross section of South African chronic obstructive pulmonary disease patients
(Stellenbosch : Stellenbosch University, 2008-03) De Klerk, Danelle Ria; Barnard, J. G.; Joubert, J. R.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
The benefits of exercise training for patients with chronic obstructive pulmonary disease (COPD) are well-documented. In South Africa, exercise programmes for COPD patients are limited and often expensive and inaccessible to the broader community. The purpose of this study was to assess the responses of COPD patients to an exercise programme and to determine if the same results can be obtained through a less costly programme. In the primary programme of the study, 22 subjects were subjected to 12 weeks of exercise training. Each subject underwent comprehensive pre- and post-intervention assessments, which included the measurement of overall health status by a physician, level of dyspnoea, forced expiratory lung function, exercise capacity, body mass index and health-related quality of life. Exercise sessions included aerobic and strength training exercises and involved three, hour-long exercise sessions a week. In the modified programme, 18 subjects were randomly divided into an experimental and control group. Eleven subjects were included in the experimental group and seven subjects in the control group. Subjects had to complete 32, hour-long exercise sessions in a 10-week period. The experimental group’s exercise programme was adapted so that no specialised equipment was used, while the control group exercised in a well-equipped exercise- and rehabilitation centre.
The development of a fall risk assessment and exercise intervention programme for geriatric subjects
(Stellenbosch : Stellenbosch University, 2012-12) Dekenah, Ghabrielle Anne; Barnard, J. G.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: Falling is a common occurrence and one of the most serious problems in the elderly population (65 years and older). Falls account for 70% of accidental deaths in persons aged 75 years and older. Falls can be markers/indicators of poor health and declining function, and are often associated with significant morbidity. More than 90% of hip fractures occur as a result of falls, with most of these fractures occurring in persons over 70 years of age (Fuller, 2000). About one third of people aged 65 years and older fall each year, resulting in a substantial decrease in quality of life in addition to placing a huge burden on current health care systems. The purpose of this study was to determine whether a 12-week exercise intervention programme, consisting of two 30 minute exercise sessions a week, could lower the risk of falling in a group of elderly women. Female subjects (n=22) with an average age of 79.5 years were selected from three retirement homes situated in Stellenbosch, Western Cape, South Africa, according to specific inclusion and exclusion criteria. The subjects included presented no major cardiovascular and pulmonary disease signs and symptoms as recognised by the American College of Sports Medicine (2011); had no serious illnesses or co-morbidities; were mobile with no significant musculoskeletal disorders; had no uncorrected visual or vestibular problems as well as no significant cognitive impairments or major psychological disturbances; were not taking any psychotropic medications or Benzodiazepines that could affect their progress. Subjects also had to be willing to follow the 12-week exercise intervention programme and sign an informed consent document. The selected subjects then underwent a pre- and post-intervention assessment consisting of a subjective rating of their fear of falling, the Fall Risk Assessment: Biodex Balance system, Balance Evaluations Systems Test (BESTest) and the 30-Second Chair Stand Test. Statistica 10 was used to analyse the data. Data was analysed to assess any significant improvements that the exercise intervention had on each fall risk variable tested. The main fall risk variables consisted of: fear of falling, muscular strength, balance, gait and getting up strategies. Statistically significant improvements (p<0.001) were seen in: Fear of falling, muscular strength, balance, gait and getting up strategies after the 12-week exercise intervention programme. This study suggests that exercise intervention has the potential to decrease the risk of falling among elderly women and should play an extremely important role in the prevention of falling amongst this population group.
The effect of exercise in pulmonary rehabilitation on the quality of life of chronic obstructive pulmonary disease patients
(Stellenbosch : Stellenbosch University, 2004-12) Brown, Jennifer Leigh; Barnard, J. G.; Joubert, J. R.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: The purpose of the study was to measure the responses of chronic obstructive pulmonary disease patients to an exercise programme in a South Africa setting. Nine subjects were evaluated before and after aerobic and resistance training three times a week for the total of 12 weeks. Each evaluation measured forced expiratory lung function; health-related quality of life; functional capacity; level of dyspnea; body composition; physician global evaluation; and the patient global evaluation. The exercise programme consisted of one-hour exercise sessions, three times a week for 12 weeks. The exercise sessions included elements of aerobic and resistance training of the upper and lower extremities. Functional capacity improved drastically (p < 0.01), as did the physician and the patient global evaluations (p < 0.01 and p < 0.01, respectively). Levels of dyspnea also improved (p < 0.01). Health-related quality of life improved marginally (p = 0.03). No significant change was noted in lung function and body composition. The study concluded that an exercise programme consisting of aerobic and resistance training improves chronic obstructive pulmonary disease patients' health-related quality of life, functional capacity and levels of dyspnea. Exercise also reduces the symptoms of chronic obstructive pulmonary disease as are perceived by the physician and patient alike. Exercise does not change lung function or body composition of chronic obstructive pulmonary disease patients. Exercise in conjunction with appropriate medical treatment has the potential to benefit all chronic obstructive patients in South Africa. Keywords: COPD, quality oflife, functional capacity, rehabilitation, exercise.
Exercise preferences and expectations of young female students in a university environment
(Stellenbosch : University of Stellenbosch, 2009-12) Van Niekerk, Estelle; Barnard, J. G.; University of Stellenbosch. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: The study investigated the exercise preferences of female university students participating in exercise modes presented at the local gymnasium and their expectations of the outcomes of such participation. Secondly, the study aimed to determine the most important reason for their participation and whether this was satisfied by their choice of exercise mode. A third aim was to determine other reasons that contributed to the selection of exercise environment and mode. The size of the research group of the pilot study was 210 (n=210). For the final longitudinal study, over a period of three years, it was 985 (N=985). The study population was selected on a basis of convenient sampling, availability and interest among young female gymnasium members, (aged 18 to 27 years). Their participation was voluntary. Original questionnaires were constructed for the purpose of the study to provide general demographic and physical characteristic information of the participants, their exercise preference and choice of exercise mode, reasons for participation in particular exercise modes, time spent on physical activity, frequency of attendance of exercise sessions, exercise motivators, barriers to exercise, medication and supplementation prevalence, health problems and smoking. The questionnaire was completed in a five to 10 minute time slot before the commencement of exercise classes at the gymnasium. Information required on the questionnaire was verbally explained to the participants during the initial few minutes of data capturing. Guidance was given for each section of the questionnaire during the five to 10 minute period allocated for completion. Data was captured on Microsoft Excel spreadsheets and the analysis was performed using Statistica for Windows (Statsoft SA-2008). Descriptive statistics were used to analyse and present the data. The results of the study indicated that most (34.4%) young female students who regularly attended group exercise sessions at the gymnasium preferred participating in the exercise modality punchline (a boxing aerobic modality), with the aim of losing weight (45%) and improving their general fitness (24%).
The incidence and nature of cricket injuries amongst South African schoolboy cricketers
(Stellenbosch : University of Stellenbosch, 2006-12) Milsom, Natashia M.; Barnard, J. G.; Stretch, R. A.; University of Stellenbosch. Faculty of Education. Dept. of Sport Science.
INTRODUCTION: The primary aim of this study is to identify the prevalence and nature of injuries sustained by South African schoolboy cricketers. The results will then be used to set possible preventative measures in order to minimize the incidence of first-time and recurrent injuries. METHODS: The population consisted of 196 cricketers representing all 16 provincial teams in the under 19 Coca-Cola Khaya Majola cricket week played in Pretoria from 16 - 20 December 2004. Data were collected retrospectively and the cricket players were asked to recall all injuries from June 2003 to May 2004. The researcher personally guided each cricketer through a questionnaire regarding training and injury. The questionnaire was designed to obtain the following information: i) anatomical site of injury, ii) month of injury, iii) diagnosis of injury, iv) cause of injury, v) whether it was a recurrence of a previous injury and vi) whether the injury recurred during the season. A questionnaire was handed to each of the coaches who then asked if they could complete the questionnaire in their own time. The questionnaire was designed to see the level of coaching qualifications achieved by them and their level of understanding of basic training principles. RESULTS: The results showed that 67 injuries were sustained by 196 cricketers with a seasonal incidence of 34.2. Almost 72% of injuries occurred during matches, 14.9% occurred gradually due to the repetitive stresses sustained during matches and practices, 11.9% occurred during practice and 1.5% of the injuries occurred during other forms of training. Surprisingly, no injuries were sustained to the head, neck and face region while 34.3% were sustained to the upper limbs; 34.3% to the lower limbs and 31.3% to the back and trunk. Bowling accounted for 50.7% of the injuries, while fielding accounted for 32.8%, batting accounted for 14.9% and the remaining 1.5% occurred while warming-up or training. The primary mechanism of injury was the delivery and follow through of the fast bowler (34.3%), direct impact from the cricket ball when attempting to take a catch (10.4%), running after the ball (6.0%), stopping the ball along the ground (6.0%) and landing incorrectly after diving for the ball (6.0%). Fifty eight of the injuries were reported as being first time injuries while only nine injuries were due to the recurrence of a previous injury. The majority of injuries (40.6%) reported were quite severe and took the cricketers more than 21 days to recover. Thirty six percent of injuries allowed the cricketers to return to play within seven days of acquiring the injury. Cricketers were found to be more prone to injury during December and January. CONCLUSION: Potential risk factors for injury have been identified and it has been suggested that coaches and cricketers partake in continuous educational processes that focus on all the physical, training, mental and technical components necessary for success in cricket. Cricketers should undergo regular musculoskeletal evaluations and be given personalized training programs. It is essential that a National database for junior cricketers be implemented.
Die invloed van 'n intervensieprogram op omkeerbare gesondheidsrisikofaktore by 'n geselekteerde groep adolessente dogters
(Stellenbosch : University of Stellenbosch, 2006-12) Africa, Eileen Katherine; Van Deventer, K. J.; Barnard, J. G.; University of Stellenbosch. Faculty of Education. Dept. of Sport Science.
The continued integration of our global society has caused a shift in human social interaction and redefined the contexts of adolescents’ lives. Adolescents are inundated with a variety of choices at a stage of their lives where they are trying to create their own identity. This critical period of development is highlighted by an increased desire to experiment with adult life. Thus is experimentation not uncommon. The study examines the prevalence of a range of health risk behaviours amongst adolescent girls. It focuses on the identification of behaviours such as violence, smoking, alcohol and drug use and abuse, sexual behaviours, dietary behaviours and physical inactivity that place adolescents at increased risk for premature morbidity and mortality. An intervention programme was launched at the schools concerned in an effort to address these behaviour patterns and to inform learners regarding the dangers of these health risk factors. The sample population was selected from three previously disadvantaged high schools in the Worcester region. Due to restrictive circumstances at the schools, the sample could not be randomly selected and therefore the study is based on a quasi-experimental research approach. A sample of 1805 adolescent girls in Grades 8 to 10 completed a questionnaire, which assessed a range of health risk behaviours. This questionnaire was based on the Youth Risk Behaviour Survey (YRBS) and completed by all the respondents during the pre-test. A control and experimental group was selected from the Grades concerned, at the different schools. The experimental group was subjected to a six-months long intervention programme. At the end of the intervention programme a post-test was conducted on both the control and experimental groups. Four months after the post-test the respondents were subjected to the same test, which is now known as the follow-up test. The girls who dropped out of the study as it progressed are referred to as the drop-out group. Information regarding the socio-economic background of the girls, as well as permission to take part in the study, was obtained from the parents by means of a questionnaire. A self-designed questionnaire was used to obtain information regarding the state and status of Physical Education (PE) and movement programmes within Life Orientation at the schools. Teachers who were responsible for Grades 8, 9 and 10, completed the questionnaire. To keep track of body size and growth, mass and length were determined and body mass index (BMI) was calculated. Blood pressure was measured to determine to what extend these girls suffer from hypertension. Skinfold measures were taken to determine the fat percentage. The 20m shuttle run (Bleep test) was used to indirectly determine the physical activity levels of the respondents. The main results are discussed next. The results indicate that more respondents in the post-test (64%) reported that learners carry weapons on school grounds than in the pre-test. According to the results 64% of the respondents indicated in the post-test that learners carry weapons on school grounds compared to 29% of the respondents in the follow-up test (p<0.01). The pre-tests results indicate that 11% of the respondents smoke cigarettes in comparison to 14% in the post-test (p<0.01). Approximately 9% of the respondents in the pre-test indicated that they drank at least one alcoholic drink in the week before the study was undertaken in comparison to the 22% of the post-test (p<0.01). Regarding the smoking of dagga 2% of the respondents indicated in the pre-test that they smoked dagga whereas 9% in the post-test indicated that they did. More sexual active respondents during the follow-up test (57%) indicated that they used condoms during their last sexual experience than in the post-test (46%). The results of the pre-test indicate that approximately 49% of the respondents did something to loose weight or to prevent weight-gain in comparison to the 25% of the post-test and the 31% of the follow-up test. According the results, 35% of the respondents purported to have PE at their school in comparison to 30% during the post-test and 54% during the follow-up test. Although there were some exceptions, in most cases a tendency existed that indicated an increase in the variables measured between the pre-test and post-test. In most cases the results remained constant between the post-test and the follow-up test. This study can therefore be a starting point for further research into the process to combat health risk behaviours amongst adolescent girls. This can be done with educational programmes in cooperation with several role-players in the community.
A model for psychophysiological regeneration of elite team athletes
(Stellenbosch : Stellenbosch University, 2008-12) Venter, Rachel Elizabeth; Potgieter, Justus R.; Barnard, J. G.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
There is general consensus that athletes, striving to compete and perform at the highest level, should optimally balance training and competition stress with adequate regeneration. Although a well-planned training programme is of utmost importance, the time between training sessions and competitions is critical for the modern-day athlete. It is suggested that athletes should apply a variety of recovery methods to enhance the regeneration process. Although team sport is a popular entity throughout the world, there is limited published research on the regeneration process in team athletes and recovery methods to enhance the regeneration process. The aim of this study was to develop a model that could serve as a guideline for the regeneration of team athletes within the South African context. Two phases were involved in the process of developing a model. Phase one involved a research of literature in order to assess which strategies can be implemented for athletic regeneration, and what information team athletes are given for regeneration. The second phase involved an investigation into the recovery strategies that are currently used for regeneration by elite South African team players during the competitive phase of the year. Research questions focused on the recovery methods used by players, the perceived importance of various recovery methods to the players, and the relationship between sport and level of participation in the use of recovery strategies. This study did not attempt to assess the knowledge of the players on recovery methods.
Morphological variables as possible risk factors for the drivers of rubber tyred gantry cranes at the port of Felixstowe, UK
(Stellenbosch : Stellenbosch University, 2007-12) Watson, Estelle Dorothy; Barnard, J. G.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: The prevalence of lower back disorders and the high costs involved are an ongoing problem in industrialised countries. Research indicates an estimated 70-80% of all individuals will experience lower back pain (LBP) during the course of their lives (Manek & MacGregor, 2005; Kent & Keating, 2005; Dunn & Croft, 2004; Takeyachi et al., 2003; Carter & Birrel, 2000:6; Nourbakhsh & Arab, 2003; Bernard, 1997:374). It is widely accepted that occupational demands and physical work contribute greatly towards onset, recovery and recurrence of symptoms (Carter & Birrel, 2000:6). Rubber Tyred Gantry (RTG) crane drivers are particularly at risk, as their working posture forces them into various prolonged non-neutral trunk positions (Fehrsen-Du Toit, 2005:24; Rohlmannt et al., 2001; Nachemson, 1963) and extreme trunk flexion (Seider et al., 2003; Hoogendoorn et al., 2000). Intrinsic factors such as trunk strength (O'Sullivan et al., 2005; Bayramoglu et al., 2001) and trunk stability (Hitt & Lie, 2006; MacDonald et al., 2006; Barker et al., 2006; Hodges et al., 2005; Hodges, 2003; Hodges & Richardson, 1996) as well as anthropometric variables (Franklin et al., 2000:64), can play different roles in incidences of lumbar pain or injury. A job such as RTG crane driving is dependant on a certain amount of strength or physical fitness. A deficit in on or more of these areas can lead to compensation, overload and eventually symptoms and injury. Research has yet to identify factors that predispose certain drivers to injury, and factors determining a quick, safe recovery and return to work. The purpose of this study was to investigate possible morphological variables as risk factors for RTG crane drivers, for Hutchison Whampoa, at the Port of Felixstowe, UK. The study design was based on a cross sectional, analytical epidemiological study. A sample of 43 RTG drivers completed testing. They were divided into a group of drivers who had never had lower back pain or symptoms (n=22), and a group of drivers who had had a previous history of lower back pain (n=21). All subjects were asymptomatic at the time of testing. Although not significant (p > 0.05), the results of the study showed that average performance deficit (the power needed to maintain or repetitively produce a force) tended to be higher in those subjects without a previous history of pain. The flexion/extension ratio also tended to be better for this group. The subjects without a past history of lower back pain were, surprisingly, found to be older than the other group. This explains the higher body weight, waist-to-hip-circumference, body mass index, and fat percentage for this group, as these measurements all tend to increase with age. It also explains the lower peak torque to body weight values for that group, as peak torque would decrease with increased body weight. This is the first study to look at morphological variables and isokinetic testing of RTG crane drivers, and the relationship between these variables and lower back pain.
The prevalence of coronary risk factors among children, ages 11 to 13, in selected Western Cape schools
(Stellenbosch : Stellenbosch University, 2002-12) De Klerk, Danelle Ria; Barnard, J. G.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: Numerous studies have shown that coronary artery disease (CAD) has its origin in childhood. Several risk factors that increase a person's risk for the development of CAD are prevalent amongst children. South African statistics concerning the prevalence of these risk factors are limited. Research has shown that early intervention to eliminate risk factors can decrease the risk for the development of CAD. The purpose of this study was to determine the prevalence of certain coronary risk factors amongst children aged 11 to 13 years in certain Western Cape schools. Certain selected factors were tested. These included obesity, lack of physical activity, hypertension, low physical fitness (V02max), a family history associated with an increased risk, exposure to cigarette smoke, prevalence of diabetes mellitus and an unhealthy diet. The sample consisted out of 288 children and was made up by 154 boys and 134 girls. Certain anthropometrical measurements (stature, weight, skinfoids, waist and hip circumferences) were taken. Activity levels, family history, exposure to cigarette smoke, prevalence of diabetes mellitus and diet, were measured by means of questionnaires. Physical fitness (V02max) was tested with a three-minute step-test. A sphygmomanometer was used to measure blood pressure. Depending on the circumference of the child's arm, a paediatric or adult size cuff was used. The results of the study showed that 22.01% of the boys and 59.7% of the girls had a percentage body fat so high that it was considered a coronary risk factor. Physical fitness levels were considered risk factors in 2.6% of the boys and 9% of the girls. A very high percentage of the children tested had a family history associated with an increased risk for the development of CAD (73.38% of the boys and 78.36% of the girls). Systolic hypertension was prevalent among 22.01% of the boys and 23.13% of the girls. Diastolic hypertension was only prevalent among 5.19% of the boys and 5.97% of the girls. Low activity levels were considered a risk factor in 31.17% of the boys and 39.55% of the girls. Out of all the subjects, 32.47% of the boys and 37.31% of the girls were exposed to cigarette smoke on a daily basis. The results of this study shows that certain coronary risk factors are quite common amongst children. Prevention programmes that focuses on elimination of coronary risk factors, such as hypertension, inactivity and obesity, is essential for the prevention of subsequent coronary artery disease in adults.
The prevalence of postural deformities among children age 11 to 13 years in some Western Cape schools
(Stellenbosch : Stellenbosch University, 2002-12) Stroebel, Suzanne; Barnard, J. G.; Stellenbosch University. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: Postural deformities are a commonly encountered problem among children. Most of the aches and pains of adults are the result, not of injuries, but of the long-term effects of distortions in posture or alignment that have their origins in childhood or adolescence. Television, video entertainment, motorized transportation, fast food and lack of regular physical activity contribute to the poor physical condition of children. School screening for scoliosis is mandated in schools in 26 states of the United States (US) for children between 10 and 16 years of age. Previous studies conducted in the US found that 160 out of 1000 people suffer from scoliosis. This means that scoliosis is as prevalent as hypertension or diabetes mellitus (Boachie-Adjei & Lonner, 1996). Identification of postural deformities at an early stage makes early treatment possible, which may, in future, prevent serious postural abnormalities. The American Academy of Orthopedic Surgeons approved the implementation of screening programs in schools in 1974 (Lonstein, 1988). Few studies have included the entire musculoskeletal system. The purpose of this study was to determine the prevalence of postural deformities among children aged 11 to 13 years in selected primary schools in the Western Cape. The study also proposes to investigate factors that may influence the prevalence rate of postural deformities. These factors included age, gender, school district, weight, height, BMI (Body Mass Index), fat%, waist-hip ratio, and physical activity. Letters were sent to 15 primary schools within a 30km radius of Stellenbosch. This region included Stellenbosch, Strand, and Kuilsrivier. Four schools replied, giving permission to conduct the study at their schools. The sample (N=288, mean age=12.36, SD=0.92) consisted of 78 scholars from grade five; 104 scholars form grade six; and 106 scholars from grade seven. Of the total number of scholars examined (288), 154 were boys, and 134 were girls. Only children with parental consent were allowed to participate in the study. Anthropometric measures included stature, mass, skinfoids (two-site skinfoid), waist- and hip circumferences and trochanterion leg length. Level of physical activity and family history of deformities were obtained by means of a questionnaire. The New York Posture Test was used for postural evaluation (Bloomfield et aI., 1994:320; Reedeo Inc., 2001. This Posture Test was designed for the screening of 13 categories of deformities. Using a "see-through" posture grid, lateral and posterior examinations were performed. The "Adam's position" (forward bending) was used for further scoliosis evaluation. Quantitative data was analyzed, using Statistica (Statsoft, 2001) and classification tree methodology (Breiman et aI., 1993). The anthropometric results indicated that the subjects had a mean stature of 1.54m, mass of 47.48kg, BMI of 19.75, waist-hip ratio of 0.79 and fat% (Lohman, 1987) of 21.35%. The prevalence of postural deformities was as follows: Lordosis, 70%; Kyphosis, 57%; Uneven shoulders, 55%; Inclined trunk, 43%; Winged scapulae, 42%; Pronated feet, 30%; Flat feet, 30%; Flat chest, 29%; Forward head, 28%; Protruding abdomen, 28%; Uneven hips, 11%; Scoliosis, 10%; and Twisted head, 1%. Uneven hips, scoliosis and twisted head were not considered for statistical purposes, because of their low incidence compared to the other deformities. The factors that influenced the prevalence rate of deformities the most were BMI and fat%. A higher BMI and fat% resulted in a higher prevalence rate in most deformities. The prevalence rate of postural deformities in this study was considerably high. Sedentary lifestyles of children (watching television, computer games, junk food and physical inactivity) were a contributing factor in the high prevalence rate of postural deformities. It is known that overweight and sedentary behavior of children is increasing and this could pose an alarming concern to the health of a child. Also, if a significant correlation does exist between the prevalence of postural deformities and conditions such as back pain, the high prevalence rate reported in this study is a matter of concern.
The validity and reliability of a biofeedback system during segmental stabilisation in patients with low back pain
(Stellenbosch : University of Stellenbosch, 2009-12) Pienaar, Andries Willem; Barnard, J. G.; University of Stellenbosch. Faculty of Education. Dept. of Sport Science.
ENGLISH ABSTRACT: Worldwide epidemiological findings strongly indicate low back pain as a growing epidemic despite the latest diagnostic and treatment methods used (Jellema et al., 2001:377; Woolf & Pfleger, 2003:646; Kopec et al., 2004:70; Frost & Sullivan, 2006; Dagenais et al., 2008:9). From this clinical problem, a need arose to quantify lumbar muscle performance for the safe monitoring of rehabilitation programmes and assessments. The quantification of muscular strength is especially important from a kinematic viewpoint, because activities of daily living are dependent on muscular strength (Nobori & Maruyama, 2007:9). Furthermore, it is of utmost importance to combine the complex muscular system with the complexity of motor control (Richardson et al., 2005) and biomechanics (McGill, 2007), to specifically address the problem of low back pain. Scientists have developed a better understanding of muscle function or dysfunction pertaining to low back pain and highlighted the clinical importance of quantitative muscle testing of the lumbar spine. Various clinical assessment devices and methods such as ultrasound, kinesiologic electromyography, isokinetic dynamometry and the Biering-Sorensen test are being used to record muscle atrophy and dysfunction of the m. lumbar multifidi at L5. However, some of these assessments are very costly and some are clinically unsafe, and therefore the need for reliable and valid low back tests still exists. In the study presented, a system called the pressure air biofeedback (PAB) device was developed, to scientifically assess m. lumbar multifidus’ isometric contraction in asymptomatic (n=24) and low back pain (n=18) subjects. A closed chain test model with a neutral spine posture in zero degrees upright sitting was used. This study compared results of m. lumbar multifidus’ isometric contraction between tests of pressure air biofeedback, electromyography and real-time ultrasound.

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