Reduced nondominant lumbar multifidi cross-sectional area is a precursor of low back injury in cricket fast bowlers

Abstract Background: Impairments in the lumbar multifidus muscle such as reduced muscle thickness and fat infiltrations are evident in individuals with low back pain. Lumbar stabilization exercises (LSE) with real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate of the lumbar multifidus muscle, thus enhancing recovery. However, the effects of using this treatment approach in individuals with nonspecific chronic low back pain (NCLBP) seemed not to have widely reported. The purpose of this study is, therefore, to investigate the effects of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP patients. Method: This study is a prospective, single-center, assessor-blind three-arm, randomized controlled to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety-one individuals with NCLBP will be randomly assigned into one of the three treatment groups of equal sample size (n = 30); LSE group, LSE with RUSI biofeedback group, or control (minimal intervention). The participants in the LSE and LSE with RUSI biofeedback group will also receive the same intervention as the control group. All participants will receive treatment twice weekly for 8 weeks. The primary outcome will be lumbar multifidus muscles cross-sectional area while the secondary outcomes will be pain, functional disability and quality of life. All outcomes will be assessed at baseline, and at 8 weeks and 3 months post-intervention.Discussion: The outcome of the study may support the evidence for the effectiveness of LSE with RUSI biofeedback in the rehabilitation of individuals with NCLBP. It may also provide a rationale for the physiotherapists to make use of diagnostic ultrasound as a feedback mechanism in enhancing the performance and retention of LSE program as well as monitoring the patient’s recovery.Trial registration: Pan African Clinical Trials Registry, (PACTR201801002980602), Registered on 16 January 2018.

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The relationship between cross-sectional area of multifidus muscle and disability index in patients with chronic non-specific low back pain

Musculoskeletal Science and Practice ◽

10.1016/j.msksp.2019.03.005 ◽

2019 ◽

Vol 42 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Fereshteh Rezazadeh ◽

Navid Taheri ◽

Seyed Mehdi Okhravi ◽

Sayed Mohsen Hosseini

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cross Sectional Area ◽

Low Back ◽

Sectional Area ◽

Multifidus Muscle ◽

Cross Sectional ◽

The Relationship

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The Intervention Effects of Different Treatment for Chronic Low Back Pain as Assessed by the Cross-sectional Area of the Multifidus Muscle

Journal of Physical Therapy Science ◽

10.1589/jpts.25.811 ◽

2013 ◽

Vol 25 (7) ◽

pp. 811-813 ◽

Cited By ~ 17

Author(s):

Qiuchen Huang ◽

Desheng Li ◽

Noriyo Yokotsuka ◽

Yuying Zhang ◽

Hitomi Ubukata ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Cross Sectional Area ◽

Low Back ◽

Sectional Area ◽

Intervention Effects ◽

Multifidus Muscle ◽

Cross Sectional ◽

The Cross

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Prediction Models for the Erector Spinae Muscle Cross-Sectional Area

Journal of Biomechanical Engineering ◽

10.1115/1.4029984 ◽

2015 ◽

Vol 137 (7) ◽

Cited By ~ 9

Author(s):

Celal Gungor ◽

Ruoliang Tang ◽

Richard F. Sesek ◽

Kenneth Bo Foreman ◽

Sean Gallagher ◽

...

Keyword(s):

Prediction Models ◽

Absolute Error ◽

Cross Sectional Area ◽

Erector Spinae ◽

Low Back ◽

Sectional Area ◽

Cross Sectional ◽

Erector Spinae Muscle ◽

Significant Difference ◽

Mri Scans

Accurate and reliable “individualized” low back erector spinae muscle (ESM) data are of importance to estimate its force producing capacity. Knowing the force producing capacity, along with spinal loading, enhances the understanding of low back injury mechanisms. The objective of this study was to build regression models to estimate the ESM cross-sectional area (CSA). Measurements were taken from axial-oblique magnetic resonance imaging (MRI) scans of a large historical population [54 females and 53 males at L3/L4, 50 females and 44 males at L4/L5, and 41 females and 35 males at L5/S1 levels]. Results suggest that an individual's ESM CSA can be accurately estimated based on his/her gender, height, and weight. Results further show that there is no significant difference between the measured and estimated ESM CSAs, and expected absolute error is less than 15%.

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Effect of Walking Exercise on Structural of Lumbar Cross-sectional Area and Functional Change in Chronic Low Back Pain Women Patients with Obesity

Journal of Sport and Leisure Studies ◽

10.51979/kssls.2012.08.49.773 ◽

2012 ◽

Vol 49 ◽

pp. 773-784

Author(s):

Myoung Ki Kim ◽

Hey Young Cho ◽

Dae Hun Kim

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Functional Change ◽

Cross Sectional Area ◽

Low Back ◽

Sectional Area ◽

Women Patients ◽

Cross Sectional ◽

Walking Exercise

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Multifidus Muscle Size and Symmetry in Ballroom Dancers with and without Low Back Pain

International Journal of Sports Medicine ◽

10.1055/a-0631-3111 ◽

2018 ◽

Vol 39 (08) ◽

pp. 630-635 ◽

Cited By ~ 3

Author(s):

Alyssa Smyers Evanson ◽

Joseph Myrer ◽

Dennis Eggett ◽

Ulrike Mitchell ◽

A. Johnson

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cross Sectional Area ◽

Muscle Size ◽

Low Back ◽

Sectional Area ◽

Multifidus Muscle ◽

Cross Sectional ◽

Significant Difference ◽

The Right

AbstractThe incidence of low back pain (LBP) among elite ballroom dancers is high and understanding associations between muscle morphology and pain may provide insight into treatment or training options. Research has linked multifidus muscle atrophy to LBP in the general and some athletic populations; however, this has not been examined in ballroom dancers. We compared the lumbar multifidus cross-sectional area (CSA) at rest in 57 elite level ballroom dancers (age 23±2.4 years; height, 174±11 cm; mass, 64±10 kg) divided into one of three pain groups, according to their self-reported symptoms, 1) LBP group (n=19), 2) minimal LBP (n=17), and 3) no LBP (n=21). There were no significant difference in demographics between the groups (P>0.05). The LBP group demonstrated significant differences in reported pain and Oswestry Disability Index scores compared to the other two groups. There was no significant difference between groups in multifidus cross-sectional area (P=0.49). Asymmetry was found in all groups with the overall left side being significantly larger than the right (P<0.002). Pain associated with segmental decrease in multifidus CSA was not observed in ballroom dancers with LBP, suggesting other reasons for persistent LBP in ballroom dancers.

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