scholarly journals Does Motor Control Exercise Restore Normal Morphology of Lumbar Multifidus Muscle in People with Low Back Pain? – A Systematic Review

2021 ◽  
Vol Volume 14 ◽  
pp. 2543-2562
Author(s):  
Sabina M Pinto ◽  
Sweta B Boghra ◽  
Luciana G Macedo ◽  
Yong-Ping Zheng ◽  
Marco YC Pang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Low Back ◽  
Multifidus Muscle ◽  
Lumbar Multifidus ◽  
Normal Morphology ◽  
Control Exercise ◽  
Lumbar Multifidus Muscle

Effects of Lumbar Stabilization Exercises with Real-Time Ultrasound Imaging Biofeedback on Lumbar Multifidus Muscle Cross-Sectional Area in Individuals with Chronic Nonspecific Low Back Pain: A Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Sarafadeen Raheem ◽  
Sokunbi O. Ganiyu ◽  
Aminu A. Ibrahim ◽  
Anas Ismail ◽  
Mukadas O. Akindele ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Area ◽  
Low Back ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Lumbar Stabilization ◽  
Lumbar Multifidus Muscle

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.

The Relationship of Lumbar Multifidus Muscle Morphology to Previous, Current, and Future Low Back Pain

Spine ◽  
2014 ◽  
Vol 39 (17) ◽  
pp. 1417-1425 ◽  
Author(s):  
Jeffrey J. Hebert ◽  
Per Kjaer ◽  
Julie M. Fritz ◽  
Bruce F. Walker
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Multifidus Muscle ◽  
Muscle Morphology ◽  
Lumbar Multifidus ◽  
Relationship Of ◽  
The Relationship ◽  
Lumbar Multifidus Muscle

scholarly journals Combined neuromuscular electrical stimulation with motor control exercise can improve lumbar multifidus activation in individuals with recurrent low back pain

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sranya Songjaroen ◽  
Panakorn Sungnak ◽  
Pagamas Piriyaprasarth ◽  
Hsing-Kuo Wang ◽  
James J. Laskin ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Motor Performance ◽  
Neuromuscular Electrical Stimulation ◽  
Low Back ◽  
Lumbar Multifidus ◽  
Maximum Voluntary Isometric Contraction ◽  
Control Exercise

AbstractMotor control exercise (MCE) is commonly prescribed for patients with low back pain. Although MCE can improve clinical outcomes, lumbar multifidus muscle (LM) activation remains unchanged. Neuromuscular electrical stimulation (NMES) can be used to re-activate motor units prior to MCE which should result in increased LM activation. Therefore, this study aimed to explore the immediate effects of NMES combined with MCE on LM activation and motor performance. Twenty-five participants without low back pain (NoLBP) and 35 participants with movement control impairment (MCI) were recruited. Participants with MCI were further randomized to combined NMES with MCE (COMB) or sham-NMES with MCE (MCE) group. Ultrasound imaging was used to measure LM thickness at rest, maximum voluntary isometric contraction (MVIC), and NMES with MVIC. These data were used to calculate LM activation. Quadruped rocking backward was used to represent motor performance. LM activation and motor performance were measured at baseline and after one-session of intervention. Results showed that both COMB and MCE groups had significantly lower (P < 0.05) LM activation compared with NoLBP group at baseline. Additionally, both COMB and MCE groups demonstrated significant improvement (P < 0.05) in motor performance while COMB group demonstrated significantly greater improvement (P < 0.05) in LM activation compared with MCE group. Individuals with MCI still have persisting LM activation deficit. Our key findings suggest that combined NMES and MCE may have better ability to improve LM activation in individuals with MCI. These findings would support the utility of NMES to induce a priming effect before MCE.

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