Understanding the Active Straight Leg Raise (ASLR): An electromyographic study in healthy subjects

H. Hu, O.G. Meijer, S.M. Bruijn, R.L.M. Strijers, P.W.B. Nanayakkara, B.J. van Royen, W Wu, C. Xia, J.H. van Dieen

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    The Active Straight Leg Raise (ASLR) is an important test in diagnosing pelvic girdle pain (PGP). It is difficult to understand what happens normally during the ASLR, let alone why it would be impaired in PGP. In the present study, healthy subjects performed the ASLR under normal conditions, with weight added above the ankle, and while wearing a pelvic belt. Activity of the abdominal muscles, rectus femoris (RF), and biceps femoris (BF) was recorded with surface electromyography (EMG), and transversus abdominis (TA) with fine wire EMG. RF was ipsilaterally active, BF contralaterally, and the abdominal muscles bilaterally. All muscle activity was higher with weight, and abdominal muscle activity was lower with the pelvic belt. In both these conditions, TA and obliquus abdominis internus (OI) were more asymmetrically active than obliquus externus. The abdominal muscles engage in multitasking, combining symmetric and asymmetric task components. Hip flexion causes an unwanted forward pull on the ipsilateral ilium, which is counteracted by contralateral BF activity. To transfer this contralateral force toward ipsilateral, the lateral abdominal muscles press the ilia against the sacrum (" force closure" ). Thus, problems with the ASLR may derive from problems with force closure. Also abdominal wall activity counteracts forward rotation of the ilium. Moreover, contralateral BF activity causes transverse plane rotation of the pelvis, often visible as an upward movement of the contralateral anterior superior iliac spine. Such transverse plane rotation is countered by ipsilateral TA and OI. The present study facilitates the understanding of what normally happens during the ASLR. © 2012 Elsevier Ltd.
    Original languageEnglish
    Pages (from-to)531-537
    JournalManual Therapy
    Volume17
    Issue number6
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Abdominal Muscles
    Leg
    Healthy Volunteers
    Ilium
    Pelvic Girdle Pain
    Quadriceps Muscle
    Electromyography
    Weights and Measures
    Sacrum
    Abdominal Wall
    Pelvis
    Ankle
    Hip
    Spine
    Muscles
    Hamstring Muscles

    Cite this

    Hu, H. ; Meijer, O.G. ; Bruijn, S.M. ; Strijers, R.L.M. ; Nanayakkara, P.W.B. ; van Royen, B.J. ; Wu, W ; Xia, C. ; van Dieen, J.H. / Understanding the Active Straight Leg Raise (ASLR): An electromyographic study in healthy subjects. In: Manual Therapy. 2012 ; Vol. 17, No. 6. pp. 531-537.
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    title = "Understanding the Active Straight Leg Raise (ASLR): An electromyographic study in healthy subjects",
    abstract = "The Active Straight Leg Raise (ASLR) is an important test in diagnosing pelvic girdle pain (PGP). It is difficult to understand what happens normally during the ASLR, let alone why it would be impaired in PGP. In the present study, healthy subjects performed the ASLR under normal conditions, with weight added above the ankle, and while wearing a pelvic belt. Activity of the abdominal muscles, rectus femoris (RF), and biceps femoris (BF) was recorded with surface electromyography (EMG), and transversus abdominis (TA) with fine wire EMG. RF was ipsilaterally active, BF contralaterally, and the abdominal muscles bilaterally. All muscle activity was higher with weight, and abdominal muscle activity was lower with the pelvic belt. In both these conditions, TA and obliquus abdominis internus (OI) were more asymmetrically active than obliquus externus. The abdominal muscles engage in multitasking, combining symmetric and asymmetric task components. Hip flexion causes an unwanted forward pull on the ipsilateral ilium, which is counteracted by contralateral BF activity. To transfer this contralateral force toward ipsilateral, the lateral abdominal muscles press the ilia against the sacrum ({"} force closure{"} ). Thus, problems with the ASLR may derive from problems with force closure. Also abdominal wall activity counteracts forward rotation of the ilium. Moreover, contralateral BF activity causes transverse plane rotation of the pelvis, often visible as an upward movement of the contralateral anterior superior iliac spine. Such transverse plane rotation is countered by ipsilateral TA and OI. The present study facilitates the understanding of what normally happens during the ASLR. {\circledC} 2012 Elsevier Ltd.",
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    Understanding the Active Straight Leg Raise (ASLR): An electromyographic study in healthy subjects. / Hu, H.; Meijer, O.G.; Bruijn, S.M.; Strijers, R.L.M.; Nanayakkara, P.W.B.; van Royen, B.J.; Wu, W; Xia, C.; van Dieen, J.H.

    In: Manual Therapy, Vol. 17, No. 6, 2012, p. 531-537.

    Research output: Contribution to JournalArticleAcademicpeer-review

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    AU - Bruijn, S.M.

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    AU - Nanayakkara, P.W.B.

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    AB - The Active Straight Leg Raise (ASLR) is an important test in diagnosing pelvic girdle pain (PGP). It is difficult to understand what happens normally during the ASLR, let alone why it would be impaired in PGP. In the present study, healthy subjects performed the ASLR under normal conditions, with weight added above the ankle, and while wearing a pelvic belt. Activity of the abdominal muscles, rectus femoris (RF), and biceps femoris (BF) was recorded with surface electromyography (EMG), and transversus abdominis (TA) with fine wire EMG. RF was ipsilaterally active, BF contralaterally, and the abdominal muscles bilaterally. All muscle activity was higher with weight, and abdominal muscle activity was lower with the pelvic belt. In both these conditions, TA and obliquus abdominis internus (OI) were more asymmetrically active than obliquus externus. The abdominal muscles engage in multitasking, combining symmetric and asymmetric task components. Hip flexion causes an unwanted forward pull on the ipsilateral ilium, which is counteracted by contralateral BF activity. To transfer this contralateral force toward ipsilateral, the lateral abdominal muscles press the ilia against the sacrum (" force closure" ). Thus, problems with the ASLR may derive from problems with force closure. Also abdominal wall activity counteracts forward rotation of the ilium. Moreover, contralateral BF activity causes transverse plane rotation of the pelvis, often visible as an upward movement of the contralateral anterior superior iliac spine. Such transverse plane rotation is countered by ipsilateral TA and OI. The present study facilitates the understanding of what normally happens during the ASLR. © 2012 Elsevier Ltd.

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