Analysis of the electromyographic activity, strength, and heart rate variability in caregivers of bedridden patients before and after a workday: a cross-sectional observational study

Authors

DOI:

https://doi.org/10.14393/BJ-v42n0a2026-77572

Keywords:

Electromyography, Low back pain, Work stress.

Abstract

This study aims to analyze the electromyographic (EMG) signal and strength of the erector spinae muscles and heart rate variability (HRV) of caregivers before and after a workday. Twenty-four caregivers with low back pain were selected. EMG data (RMS (Root Mean Square) and F50) and erector spinae strength were collected from three maximal voluntary isometric contractions and recorded using an electromyograph (EMG System of Brazil 830C). HRV was collected using the POLAR H10 strap. For data analysis, GraphPad Prism (version 8.4; GraphPad Software, Inc.) was used, and the significance level was set at 5%. RMS significantly increased after a workday, but no significant drop was observed in the values of F50 and strength. Regarding HRV, a predominance of the sympathetic nervous system was observed to the detriment of the parasympathetic nervous system. The results suggest increased neuromuscular demand and autonomic alterations consistent with higher physiological stress at the end of the day.

Author Biography

  • Frederico Balbino Lizardo, Federal University of Uberlândia
    raduado em Educação Física pela Universidade Federal de Uberlândia-UFU (2004), Mestre em Ciências Veterinárias pela UFU (2009) e Doutor em biologia buco-dental (ÁREA- ANATOMIA) pela Faculdade de Odontologia de Piracicaba da Universidade Estadual de Campinas (FOP/UNICAMP). Atualmente é professor efetivo de Anatomia Humana do Instituto de Ciências Biomédicas (ICBIM) da UFU. Tem experiência na área de Morfologia, com ênfase em Anatomia Humana, atuando principalmente nos seguintes temas: Anatomia Humana, Eletromiografia e Anatomia Comparativa.

References

ALVES, E. V. C. et al. The double vulnerability of elderly caregivers: Multimorbidity and perceived burden and their associations with frailty. Revista Brasileira de Geriatria e Gerontologia. 2018, 21(3), 312–322. https://doi.org/10.1590/1981-22562018021.180050

BARBOSA, F. S. S. and GONÇALVES, M. Erector spinae muscle fatigue: an electromyographic study. Fisioterapia e Pesquisa. 2005, 12(2), 6–12. https://doi.org/10.1590/fpusp.v12i2.76394

BRAZ, E. and CIOSAK, S. I. Becoming caregiver in the old age. Escola Anna Nery Revista de Enfermagem. 2009, 13(2), 372–377. https://doi.org/10.1590/S1414-81452009000200019

BRITO, P. P. and SANTOS, W. S. Informal caregivers’ perceptions of their health activities during home hospitalization. Cogitare Enfermagem. 2025, 30, e92585. https://doi.org/10.1590/ce.v30i0.92585.

CECCON, R. F. et al. Primary Health Care in caring for dependent older adults and their caregivers. Ciência & Saúde Coletiva. 2021, 26(1), 99–108. https://doi.org/10.1590/1413-81232020261.30382020

CESÁRIO, V. A. C. et al. Stress and quality of life of the family caregiver of an elderly person with Alzheimer’s disease. Saúde em Debate. 2017, 41(112), 171–182. https://doi.org/10.1590/0103-1104201711214

DEVECCHI, V. et al. Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? A systematic review. PLoS ONE. 2021, 16(4), e0249220. https://doi.org/10.1371/journal.pone.0249220

DE LUCA, C. J. The use of surface electromyography in biomechanics. Journal of Applied Biomechanics. 1997, 13(2), 135–163. https://doi.org/10.1123/jab.13.2.135

D’HOOGE, R. et al. Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain. Journal of Electromyography and Kinesiology. 2013, 23(1), 173–181. https://doi.org/10.1016/j.jelekin.2012.09.003

EICHINGER, F. L. et al. Lumbar dynamometry: a functional test for the torso. Revista Brasileira de Medicina do Trabalho. 2016, 14(2), 120–126. https://doi.org/10.5327/Z1679-443520162415

FLEISS, J. L. The design and analysis of clinical experiments. New York: John Wiley & Sons, 1999.

GENUÍNO, S. L. V. P., GOMES, M. S. and MORAES, E. M. O Estresse Ocupacional e a Síndrome de Burnout no Ambiente de Trabalho: Suas Influências no Comportamento dos Professores da Rede Privada do Ensino Médio de João Pessoa. Anagrama. 2009, 3(2), 1–9. https://doi.org/10.11606/issn.1982-1689.anagrama.2009.35426

GOUBERT, D. et al. Lumbar muscle structure and function in chronic versus recurrent low back pain: a cross-sectional study. The Spine Journal. 2017, 17(9), 1285–1296. https://doi.org/10.1016/j.spinee.2017.04.025

HAO, Z. et al. Spatial distribution and asymmetry of surface electromyography on lumbar muscles of soldiers with chronic low back pain. Pain Research and Management. 2020, 6946294, 1–8. https://doi.org/10.1155/2020/6946294

HODGES, P. W. and DANNEELS, L. Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. Journal of Orthopaedic & Sports Physical Therapy. 2019, 49(6), 464–476. https://www.jospt.org/doi/10.2519/jospt.2019.8827

JANSEN, N. W. H., KANT, I. and VAN DEN BRANDT, P. A. Need for recovery in the working population: description and associations with fatigue and psychological distress. International Journal of Behavioral Medicine. 2002, 9(4), 322–340. https://doi.org/10.1207/S15327558IJBM0904_03

KOUMANTAKIS, G. A. and OLDHAM, J. A. Paraspinal strength and electromyographic fatigue in patients with sub-acute back pain and controls: Reliability, clinical applicability and between-group differences. World Journal of Orthopedics. 2021, 12(11), 816–832. https://doi.org/10.5312/wjo.v12.i11.816

LUCIO, D. M. et al. Efeitos do uso de máscara de proteção facial no desempenho e na variabilidade da frequência cardíaca de corredores. Revista Brasileira de Prescrição e Fisiologia do Exercício. 2025, 19, 475–482.

MARQUES, A. P. Manual of goniometry. 2th ed. São Paulo: Manole, 2003.

MARZOLA, T. S. et al. Perfil de pessoas idosas cuidadoras de outras pessoas idosas. Revista Eletrônica Acervo em Saúde. 2025, 25, e20431. https://doi.org/10.25248/reas.e20431.2025

MENDES, A. A. M. T. et al. Electromyographic activity of the erector spinae: The short-effect of one workday for welders with nonspecific chronic low back pain, an observational study. Journal of Back and Musculoskeletal Rehabilitation. 2018, 31(1), 147–154. https://doi.org/10.3233/BMR-169733

NEMCIKOVA, M., KATRENIAKOVA, Z. and NAGYOVA, I. Social support, positive caregiving experience, and caregiver burden in informal caregivers of older adults with dementia. Frontiers in Public Health. 2023, 11, 1104250. https://doi.org/10.3389/fpubh.2023.1104250

NEVES, A. C. O. J. et al. Home care: care profile of a service linked to a teaching hospital. Physis. 2019, 29(2), e290214. https://doi.org/10.1590/S0103-73312019290214

NUNES, D. P. et al. Caregivers of elderly and excessive tension associated to care: evidence of the Sabe Study. Revista Brasileira de Epidemiologia. 2018, 21(2), e180020. https://doi.org/10.1590/1980-549720180020.supl.2

OLIVEIRA, J. F. et al. Quality of life of elderly people who care for other elderly people with neurological diseases. Revista Brasileira de Geriatria e Gerontologia. 2018, 21(4), 428-438. https://doi.org/10.1590/1981-22562018021.180077

PEREIRA, P. B. A. Care for the elderly in the home context. Brasília: Ministry of Health, 2016.

RAJÃO, F. L. and MARTINS, M. Home Care in Brazil: an exploratory study on the construction process and service use in the Brazilian Health System. Ciência & Saúde Coletiva. 2020, 25(5), 1863–1876. https://doi.org/10.1590/1413-81232020255.34692019

SANTOS, F. R. A. et al. Electromyographic Analysis of Core Muscles During front Plank Exercises Using the trx® System at Different Heights. Brazilian Archives of Biology and Technology. 2024, 67. https://doi.org/10.1590/1678-4324-2024240153

SANTOS, F. R. A. et al. Comparison of the electromyographic activity of core muscles during ventral plank exercise until exhaustion using different unstable equipment. Research on Biomedical Engineering. 2024, 40, 1–12. https://doi.org/10.1007/s42600-024-00357-4

SANTOS, M. C., KRUEGER, E. and NEVES, E. B. Electromyographic analysis of postural overload caused by bulletproof vests on public security professionals. Research on Biomedical Engineering. 2017, 33(3), 175–184. https://doi.org/10.1590/2446-4740.09016

SASAKI, K. and MARUYAMA, R. Consciously controlled breathing decreases the high-frequency component of heart rate variability by inhibiting cardiac parasympathetic nerve activity. Tohoku Journal of Experimental Medicine. 2014, 233(3), 155–163. https://doi.org/10.1620/tjem.233.155

SKOVLUND, S. V. et al. Association between physical work demands and work ability in workers with musculoskeletal pain: cross-sectional study. BMC Musculoskeletal Disorders. 2020, 21, 166. https://doi.org/10.1186/s12891-020-03191-8

SUEHIRO, T. et al. Trunk muscle activation patterns during active hip abduction test during remission from recurrent low back pain: an observational study. BMC Musculoskeletal Disorders. 2021, 22, 671. https://doi.org/10.1186/s12891-021-04538-5

SUN, J. et al. Application of Surface Electromyography in Exercise Fatigue: A Review. Frontiers in Systems Neuroscience. 2022, 16, 893275. https://doi.org/10.3389/fnsys.2022.893275

TARVAINEN, M. P. et al. Kubios HRV - Heart rate variability analysis software. Computer Methods and Programs in Biomedicine. 2014, 113(1), 210–220. https://doi.org/10.1016/j.cmpb.2013.07.024

VARRECCHIA, T. et al. Trunk Muscle Coactivation in People with and without Low Back Pain during Fatiguing Frequency-Dependent Lifting Activities. Sensors. 2022, 22, 1417. https://doi.org/10.3390/s22041417

VON ELM, E. et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007, 370(9596):1453-7. https://doi.org/10.1016/S0140-6736(07)61602-X

WELCOME TO SENIAM. SENIAM [online]. 2022 [acesso em 5 jun. 2022]. Disponível em: https://www.seniam.org

WILLIAMS, A. et al. A Canadian qualitative study exploring the diversity of the experience of family caregivers of older adults with multiple chronic conditions using a social location perspective. International Journal for Equity in Health. 2016, 15(40). https://doi.org/10.1186/s12939-016-0328-6

YU, X. S., ZHU, H. and GRIFFIN, L. Fatigue-related changes in intermuscular electromyographic coherence across rotator cuff and deltoid muscles in individuals with and without subacromial pain. Journal of Neurophysiology. 2024, 132(3), 617–627. https://doi.org/10.1152/jn.00431.2023

Downloads

Published

2026-05-05

Issue

Section

Health Sciences

How to Cite

Analysis of the electromyographic activity, strength, and heart rate variability in caregivers of bedridden patients before and after a workday: a cross-sectional observational study. Bioscience Journal [online], 2026. [online], vol. 42, pp. e42014. [Accessed19 May 2026]. DOI 10.14393/BJ-v42n0a2026-77572. Available from: https://seer.ufu.br/index.php/biosciencejournal/article/view/77572.