Evidence map›Paper›PMID 39365339›Full record

ArticleEuropean journal of applied physiology2025

Alterations in magnitude and spatial distribution of erector spinae muscle activity in cyclists with a recent history of low back pain.

Alessandro Sampieri, Giuseppe Marcolin, Federico Gennaro, Emanuele Magistrelli, Alessandro Del Vecchio, Tatiana Moro, Antonio Paoli, Andrea Casolo

Abstract read
In one paragraph

Article in European journal of applied physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alessandro SampieriDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.ORCID http://orcid.org/0000-0002-8780-7872
Giuseppe MarcolinDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy. giuseppe.marcolin@unipd.it.ORCID http://orcid.org/0000-0002-2768-3257
Federico GennaroDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.ORCID http://orcid.org/0000-0003-2203-2858
Emanuele MagistrelliDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.
Alessandro Del VecchioDepartment of Artificial Intelligence in Biomedical Engineering, Friedrich-Alexander University, Erlangen-Nuremberg, Germany.ORCID http://orcid.org/0000-0002-7118-5554
Tatiana MoroDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.ORCID http://orcid.org/0000-0002-1404-1511
Antonio PaoliDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.ORCID http://orcid.org/0000-0003-0474-4229
Andrea CasoloDepartment of Biomedical Sciences, University of Padua, Via Marzolo 3, 35131, Padua, Italy.ORCID http://orcid.org/0000-0002-1901-3894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile cycling offers several health benefits, repetitive loading and maintenance of static postures for prolonged periods expose cyclists to low back pain (LBP). Despite high LBP prevalence in cyclists, underlying pathomechanics and specific lumbar region muscle activation patterns during cycling are unclear. Here, we compared lumbar erector spinae (ES) muscles activation and spatial distribution activity in cyclists with and without recent LBP history.

methodsTen cyclists with recent LBP history (LBPG; Oswestry Disability Index score ~ 17.8%) and 11 healthy cyclists (CG) were recruited. After assessing the Functional Threshold Power (FTP), participants underwent an incremental cycling test with 4 × 3 min steps at 70%, 80%, 90%, and 100% of their FTP. High-density surface electromyography (HDsEMG) signals were recorded from both lumbar ES using two 64-channel grids. Information about ES activation levels (root-mean-square, RMS), degree of homogeneity (entropy), and cranio-caudal displacement of muscle activity (Y-axis coordinate of the barycenter of RMS maps) was extracted from each grid separately and then grand-averaged across both grids.

resultsRepeated-measure 2-way ANOVAs showed a significant intensity by group interaction for RMS amplitude (p = 0.003), entropy (p = 0.038), and Y-bar displacement (p = 0.033). LBPG increased RMS amplitude between 70-100% (+ 19%, p = 0.010) and 80-100% FTP (+ 21%, p = 0.004) and decreased entropy between 70-100% FTP (- 8.4%, p = 0.003) and 80-100% FTP (- 8.5%, p = 0.002). Between-group differences emerged only at 100% FTP (+ 9.6%, p = 0.049) for RMS amplitude.

conclusionOur findings suggest that cyclists with recent LBP history exhibit higher ES muscles activation and less homogeneous activity compared to healthy controls, suggesting potential inefficient muscle recruitment strategy. TRIAL REGISTRATION NUMBER: HEC-DSB/09-2023.

Indexed as

BicyclingLow Back PainParaspinal MusclesAdultElectromyographyFemaleHumansMaleCyclingErector spinaeHigh-density surface EMGLow back pain

Identifiers

PMID39365339
PMCPMC11950058

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.