This investigation examined surface electromyography as an additional tool
in the comprehensive clinical evaluation of patients with chronic low back
pain (CLBP). Electromyographic signals from electrodes placed in the lumbar
area of 30 CLBP patients and 30 non-pain control subjects were compared. P
atients and controls were matched for age, gender, and body mass index. Pai
red t test showed a statistically significant difference between the two gr
oups. The muscle activity mean values were threefold higher in CLBP patient
s than in controls (P < 0.00001) in the static testing, and twofold higher
in CLBP patients than in controls (P < 0.00001) in the dynamic testing: Our
findings indicate that surface electromyography, assess ment of the parasp
inal muscle activity may be a useful objective diagnostic tool in the compr
ehensive evaluation of CLBP.