scholarly journals Reliability of Sonography Measures of the Lumbar Multifidus and Transversus Abdominis during Static and Dynamic Activities in Subjects with Non-Specific Chronic Low Back Pain

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 632
Author(s):  
Eleuterio A. Sánchez Romero ◽  
José Luis Alonso Pérez ◽  
Alberto Carlos Muñoz Fernández ◽  
Andrea Battaglino ◽  
Matteo Castaldo ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Transversus Abdominis ◽  
Low Back ◽  
Lumbar Multifidus ◽  
Retest Reliability ◽  
Contraction Ratio ◽  
Test Retest Reliability ◽  
Thickness Measurements

Purpose: The purpose of this study was to investigate the test-retest reliability of ultrasound (US) thickness measurements and the muscle contraction ratio (CR) of lumbar multifidus (LM) and transversus abdominis (TA) muscles in participants with and without nonspecific chronic low back pain (NCLBP). Methods: A total of 62 participants (37 with NCLBP, 25 without NCLBP) with participated in the study. The within-day and between-day reliability of US thickness measurements and CR in a lying (supine for TA and prone for LM) and sitting positions for both muscles (sitting on a gym ball with both feet on the ground or lifting one foot off the floor) were assessed. Reliability analysis was performed with intraclass correlations (ICCs) for these two static and dynamic positions. Results: Test-retest reliability was calculated to be good to high for the static position (ICC = 0.72–0.95) and the dynamic position (ICC = 0.74–0.94) sonographic measurements in both group of TA measurement. Test-retest reliability of LM measurements was good to high for the static position (ICC = 0.82–0.95) and the dynamic position (ICC = 0.85–0.97) sonographic measurements in both groups. Conclusions: US imaging is a highly reliable method for the assessment of TA and LM thickness muscles in the dynamic position in participants with and without NCLBP. The CR measures may be adequately reliable in assessing the function of the TA and LM muscles in participants with NCLBP and healthy ones.

Comparison of Selective Local and Global Muscle Thicknesses in Females with and without Chronic Low Back Pain

2018 ◽  
Vol 20 (3) ◽  
pp. 197-204 ◽  
Author(s):  
Mahnaz Aboufazeli ◽  
Mohammad Akbari ◽  
Ali Ashraf Jamshidi ◽  
Mohammad Saleh Jafarpisheh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Healthy Subjects ◽  
Muscle Thickness ◽  
Gluteus Medius ◽  
Transversus Abdominis ◽  
Low Back ◽  
Lumbar Multifidus ◽  
Sample Test

Background. Chronic low back pain (LBP) leads to long-term physical and psychological problems and may result in acute deterioration of the pain. It is hypothesized that size changes in selected limb and pelvis muscles during contracting movements are different between healthy individuals and LBP patients. Materials and methods. A case-control study including two groups of 30 female participants with and without LBP symptoms was designed. Participants were 20-45 years old (36.7±6.7, healthy subjects; 34.6±6.2 LBP subjects). Ultrasonography was used to estimate the thicknesses of the quadratus lumborum (QL), gluteus medius (GMed), transversus abdominis (TrA) and lumbar multifidus (MF). Thickness changes of the muscles in a submaximal contracting position compared to the rest position were measured. Statistical analysis included an independent t-test to determine the significance of differences, and the Kolmogrov-Smirnov two-sample test to evaluate the normality and reliability. Results. All muscles increased their thickness during contractions. The average increase in LBP subjects was lower than in the healthy subjects. The smaller increase in the muscle thickness of GMed in the LBP group may suggest a weakness because of imbalance in the GMed muscle of LBP patients. Conclusions. 1. Ultrasonography of local and global muscles is an appropriate device for clinical diagnosis of LBP. 2. Strengthening TrA, MF, and GMed muscles for pain prevention is effective in the prevention and treatment of LBP.

scholarly journals Age-related test-retest reliability of isometric trunk torque measurements in patiens with chronic low back pain

2016 ◽  
Vol 48 (10) ◽  
pp. 893-902 ◽  
Author(s):  
T Kienbacher ◽  
J Kollmitzer ◽  
P Anders ◽  
R Habenicht ◽  
C Starek ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Retest Reliability ◽  
Age Related ◽  
Torque Measurements ◽  
Test Retest Reliability ◽  
Related Test

scholarly journals Test–Retest Reliability of an iPhone® Inclinometer Application to Assess the Lumbar Joint Repositioning Error in Non-Specific Chronic Low Back Pain

2021 ◽  
Vol 18 (5) ◽  
pp. 2489
Author(s):  
Alejandro Caña-Pino ◽  
Luís Espejo-Antúnez ◽  
José Carmelo Adsuar ◽  
María Dolores Apolo-Arenas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Total Sample ◽  
Joint Position Sense ◽  
Sitting Position ◽  
Low Back ◽  
Retest Reliability ◽  
Lumbar Flexion ◽  
Test Retest Reliability

Background: The joint position sense (JPS) has been used as an indirect marker of proprioception in subjects with non-specific chronic low back pain (NSCLBP), showing impairment in previous studies. It seems necessary to devise reliable tests to measure proprioceptive deficits in subjects with NSLBP. The objective of this study was to analyse the test–retest reliability and smallest real difference (SRD) of lumbar proprioception through the JPS indicator in a sample of patients with NSCLBP. Methods: Fifty participants with NSCLBP performed three repetitions of 30° lumbar flexion while standing and sitting using the iPhone® inclinometer application to measure the lumbar joint repositioning error. For the reliability analysis, we performed an intra-session test–retest. Results: The total sample ICC values were excellent for standing (0.96) and sitting (0.93) 30° lumbar flexion. In addition, our results showed that, for the total sample, an SRD < 12% can be considered as a true change in proprioception concerning this procedure. On the other hand, men have better reliability than women in both standing and sitting positions. Additionally, the sitting position has better reliability than the standing position. The standard error of measurement (SEM) percentage was 4.2 for standing and 3.8 for sitting. The SRD percentage was 11.6 for standing and 10.4 for sitting. Conclusions: The iPhone® inclinometer seems reliable for assessing proprioceptive ability through the lumbar joint repositioning error in subjects with NSCLBP in both standing (ICC = 0.96) and sitting (ICC = 0.93) positions. This technological device showed a lower measurement error for sitting position (SRD < 12%).

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