scholarly journals Influence of physical activity level and body adiposity on lumbar multifidus muscle fat infiltration of low back pain individuals

2021 ◽  
Vol 13 (2) ◽  
pp. 13-21
Author(s):  
M.Y. Dambele, ◽  
N.A. Yamsat ◽  
S. Raheem ◽  
M.O. Akindele
Keyword(s):  
Physical Activity ◽  
Body Fat ◽  
Fatty Infiltration ◽  
Activity Level ◽  
Low Back ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Fat Infiltration ◽  
Body Adiposity

The stability of the spinal column is largely dependent on the integrity of the spinal muscles, especially the multifidus muscle. However, this important role of the multifidus muscle might be compromised due to both mechanical and non-mechanical causes leading to change in its contents, fat deposition and reduction in the cross-sectional area. This study was carried out to determine the influence of physical activity level and body adiposity indices on lumbar multifidus muscle (LMM) fatty infiltration among individuals with low back pain (LBP). This was a cross-sectional study in which 94 participants, male and female samples with non-specific LBP were recruited conveniently and assessed for LMM fat infiltration, pain intensity, functional disability, physical activity and socio-demographic variables. There were positive and moderate correlations between LMM fatty infiltration body mass index (BMI) (r=0.575, p=0.001), waist circumference (WC) (r=0.514, p=0.001) and gender (r=0.409, p=0.001) for normally distributed data using Pearson moment correlation coefficient. For not normally distributed variables, LMM fatty infiltration was moderately and positively correlated with gender (r=0.422, p=0.001), %body fat (r=0.621, p=0.001), visceral fat (r=0.470, p=0.0001), Oswestry Disability Index (ODI) (r=0.238, p=0.021) and visual analogue scale (VAS) (r=0.232, p=0.024) respectively. However, there was a weak negative correlation between LMM fatty infiltration and occupation (r=p=0.046). There were significant differences between male and female multifidus fat infiltration and body adiposity indices. There was a positive relationship between multifidus fatty infiltration and BMI, gender, %body fat, visceral mass, ODI and VAS, while we observed a negative relationship between lumbar multifidus fatty infiltration and occupation. Furthermore, the best correlate of lumbar multifidus % body fat.  

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.

scholarly journals ASSOCIATION BETWEEN BODY COMPOSITION AND FAT INFILTRATION IN THE LUMBAR MULTIFIDUS IN YOUNG ADULTS

2020 ◽  
Vol 26 (1) ◽  
pp. 39-42
Author(s):  
Márcia Heloyse Alves Motta ◽  
Tony Meireles Santos ◽  
Geisa Guimarães de Alencar ◽  
Ruanna Ketyllin Gonçalves de Freitas ◽  
Gisela Rocha de Siqueira
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Cross Section ◽  
Abdominal Mass ◽  
Activity Level ◽  
Low Back ◽  
Fat Percentage ◽  
Fat Infiltration ◽  
Cross Section Area ◽  
Section Area

ABSTRACT Introduction: The increase in body fat is a natural and progressive process with aging, allowing fat infiltration in ectopic sites, such as skeletal muscle, which disrupts its function. Objective: To evaluate the association between body composition, fat infiltration into the low back multifidus muscles, and history of low back pain. Methods: This is a transversal and qualitative study that included young adult subjects of both sexes, and excluded individuals with neurological and musculoskeletal disorders and pregnant women. Fat infiltration into the multifidus and cross section area by magnetic resonance imaging; body composition by Dual-energy X-ray absorptiometry (DXA), and physical activity level determined by the International Physical Activity Questionnaire (IPAQ) were evaluated. The sample was divided by sex and. Pearson and Spearman's correlation and stepwise linear regression were performed. For this study, a p<0.05, a level of significance of 5% and confidence interval of 95% were adopted. Results: Thirty-two individuals were evaluated (59.37% women; 40.63% men). There was a correlation between fat percentage and total cross-sectional area (CSAtotal) (r=0.525; p=0.021), in women, and with lean abdominal mass (r= −0.648; p=0.017) and Body Mass Index (BMI) (r= −0.644; p=0.018) in men. There was also an association, in women, between fat percentage and cross section area (R2=0.275; p=0.021; CI=0.364 − 3.925) and, in men, with lean abdominal mass (R2=0.420; p=0.017; CI: −9.981- [-1.235]). Conclusion: There was correlation between fat percentage in the multifidus and CSA in women, and lean abdominal mass and BMI in men. There was also an association between fat percentage and cross section area in women, and lean abdominal mass in men. However, there was no evidence of any correlation between pain and low back dysfunction. Level of evidence I; Diagnostic studies - Investigating a diagnostic test.

scholarly journals Relação da atividade física e percentual de gordura de escolares

2018 ◽  
Vol 12 (2) ◽  
pp. 481
Author(s):  
Hilbert Silva Julio ◽  
Roberto Tauil Paladino ◽  
Andreia Beatriz Machado ◽  
Lucas Prado Siqueira ◽  
Lucas Reis Hausen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Fat ◽  
Activity Level ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Physically Active ◽  
Percentage Of Body Fat ◽  
Grasa Corporal ◽  
Children Obesity ◽  
And Training

RESUMOObjetivo: identificar o Nível de Atividade Física e Percentual de Gordura Corporal de escolares. Método: estudo quantitativo, transversal, por amostragem composta de 640 escolares (Idade: 10±1 anos; Massa Corporal, 37,25±13,90kg; Estatura, 1,45±0,08m; IMC, 17,50±5,04kg/m²). O NAF por meio PAQ-C, %GC pelo método de dobras cutâneas e o IMC. Resultados: há diferenças significativas (p < 0,01, d = 0,37) no escore do PAQ-C entre os sexos, com superioridade nos valores masculinos; foram encontradas diferenças significativas na distribuição dos níveis de atividade física divididos pelo sexo (p < 0,0001, d = 6,7) e na distribuição do %CG pelo sexo (p < 0,0001, d=0,28). Conclusão: foram identificados índices de obesidade dentre os escolares (43% e 53,10%, populações feminina e masculina, respectivamente) ao mesmo tempo em que essa população apresenta que é ativa ou moderadamente ativa fisicamente (67,07% e 67,56%, masculino e feminino, respectivamente); contudo, não foi identificada associação entre Nível de Atividade Física e Percentual de Gordura Corporal. Estes resultados corroboram os achados gerais da literatura que demonstram que o NAF não é fator determinante para o valor Percentual de Gordura Corporal. Descritores: Escolares; Obesidade Infantil; Promoção da Saúde; Saúde Pública; Educação Física e Treinamento; Educação em Saúde.ABSTRACT Objective: to identify the level of Physical Activity and Percentage of Body Fat of schoolchildren. Method: cross-sectional quantitative study of 640 schoolchildren (Age: 10 ± 1 years; Body Mass, 37.25 ± 13.90 kg; Stature, 1.45 ± 0.08 m; BMI, 17.50 ± 5.04 kg / m²). The NAF by PAQ-C,% GC by the skinfold method and the BMI. Results: there were significant differences (p <0.01, d = 0.37) in the PAQ-C score between the sexes, with superiority in the male values; (p <0.0001, d = 6.7) and in the CG distribution by gender (p <0.0001, d = 0.28). Conclusion: obesity rates among schoolchildren (43% and 53.10%, female and male, respectively) were identified at the same time as this population shows that they are active or moderately physically active (67.07% and 67.56 %, male and female, respectively); however, no association was identified between Physical Activity Level and Body Fat Percentage. These results corroborate the general findings of the literature that demonstrate that PAL is not a determinant factor for the Percentage of Body Fat. Decriptors: School Children; Obesity; Health Promotion; Public Health; Physical Education and Training; Health Education.RESUMENObjetivo: identificar el Nivel de Actividad Física y Porcentaje de Grasa Corporal de escolares. Método: estudio cuantitativo transversal, por muestreo compuesto de 640 escolares (Edad: 10 ± 1 años; Masa Corporal, 37,25 ± 13,90kg; Estatura, 1,45 ± 0,08m; IMC, 17,50 ± 5,04kg / m²). El NAF por PAQ-C,% GC por el método de pliegues cutáneos y el IMC. Resultados: hay diferencias significativas (p <0,01, d = 0,37) en la puntuación del PAQ-C entre los sexos, con superioridad en los valores masculinos; se encontraron diferencias significativas en la distribución de los niveles de actividad física divididos por el sexo (p <0,0001, d = 6,7) y en la distribución del %CG por el sexo (p <0,0001, d = 0,28). Conclusión: se identificaron índices de obesidad entre los escolares (43% y 53,10%, poblaciones femenina y masculina, respectivamente) al mismo tiempo que esa población presenta que es activa o moderadamente activa físicamente (67,07% y 67,56% masculino y femenino respectivamente); sin embargo, no se identificó, asociación entre Nivel de Actividad Física y Porcentaje de Grasa Corporal. Estos resultados corroboran los hallazgos generales de la literatura que demuestran que el NAF no es factor determinante para los valores Porcentaje de Grasa Corporal. Descriptores: Escolares; Obesidad Infantil; Promoción de la Salud, Salud Pública; Educación y Entrenamiento Físico; Educación en Salud.

scholarly journals The Effect of Physical Activity Level and Body Adiposity on Fatty Infiltration of the Lumbar Multifidus in Apparently Healthy Individuals From an Urban African Setting

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Musbahu Mahmud Sani ◽  
Musa Yusuf Dambele ◽  
Sarafadeen Raheem ◽  
Mukadas O. Akindele
Keyword(s):  
Physical Activity ◽  
Visceral Fat ◽  
Physical Activity Level ◽  
Fatty Infiltration ◽  
Activity Level ◽  
Core Stability ◽  
Healthy Individuals ◽  
Body Adiposity ◽  
African Setting ◽  
Apparently Healthy

Background: Spine stability or core stability exercises are among the most recommended interventions in low back pain management. It is important to clarify whether physical activity and body adiposity affect lumbar muscle multifidus (LMM) among apparently healthy adults. Objectives: The current study aimed at investigating the effect of physical activity level (PAL) and body adiposity on fatty infiltration of LMM in apparently healthy individuals from an urban African setting. Methods: Fatty infiltration of LMM was visually graded as normal, slight, and severe using diagnostic ultrasound. Validated Hausa and English versions of IPAQ were employed to analyze PAL, and the bioelectrical impedance analysis machine was used to measure some of the body adiposity parameters and weight. Results: A slight fatty infiltration of LMM was observed in 40.3% of 196 participants. Slight fatty infiltration of LMM had a higher prevalence in female subjects (39.2%) than males (34.2%). Only two variables of age (P = 0.032; r = 0.153) and visceral fat (P = 0.0001; r = 0.308) had a relationship with fatty infiltration of LMM. Conclusions: Fatty infiltration of LMM was positively associated with visceral fat and weakly with age among the participants. However, fatty infiltration of LMM had no relationship with the PAL.

scholarly journals Effectiveness of lumbar stabilization exercise with real-time ultrasound imaging biofeedback on lumbar multifidus muscle cross-sectional area in individuals with non-specific chronic low back pain: a study protocol for a randomized controlled trial

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Raheem Sarafadeen ◽  
Sokunbi O. Ganiyu ◽  
Aminu A. Ibrahim ◽  
Anas Ismail ◽  
Mukadas O. Akindele ◽  
...  
Keyword(s):  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Cross Sectional Area ◽  
Low Back ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Muscle Cross Sectional Area ◽  
Lumbar Multifidus Muscle

Abstract Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional area, is evident among individuals with chronic low back pain. Real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate the lumbar multifidus muscle during lumbar stabilization exercises (LSE). However, evidence of the effectiveness of this treatment approach in individuals with non-specific chronic low back pain (NCLBP) is still limited. The purpose of this study is, therefore, to determine the effectiveness of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP. Methods/Design This study is a prospective, single-center, assessor-blind, three-arm, parallel randomized controlled trial to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety individuals with NCLBP will be randomized in a 1:1:1: ratio to receive LSE, LSE with RUSI biofeedback, or minimal intervention. All participants will receive treatment twice weekly for 8 weeks. The primary outcome will be the lumbar multifidus muscle cross-sectional area. The secondary outcomes will include pain (Numerical Pain Rating Scale), functional disability (Roland–Morris Disability Questionnaire), and quality of life (12-Item Short-Form Health Survey). All outcomes will be assessed at baseline, 8 weeks post-intervention,  and 3 months follow-up. Discussion To our knowledge, this study will be the first powered randomized controlled trial to compare the effectiveness of LSE training with and without RUSI biofeedback in individuals with NCLBP. The outcome of the study may provide evidence for the effectiveness of LSE with RUSI biofeedback on enhancing the recovery of the lumbar multifidus muscle in individuals with NCLBP. Trial registration Pan African Clinical Trials Registry (PACTR201801002980602). Registered on January 16, 2018.

scholarly journals Association Between Body Fat Percentage and Level of Physical Activity Among Adolescents in Kuala Nerus, Terengganu

2022 ◽  
Vol 5 (S2) ◽  
pp. 36-43
Author(s):  
Nur Farisya Athirah Zulkifli ◽  
Bee Suan Wee
Keyword(s):  
Physical Activity ◽  
Body Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Body Fat Percentage ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Prevalence Of Obesity

Lack of physical activity among adolescents is one of the factors which lead to the accumulation of body fat and increase prevalence of obesity among Malaysian population. Therefore, this study was aimed to determine the association between body fat percentage and physical activity level among adolescents in Kuala Nerus, Terengganu. This cross-sectional study involved 300 participants consists of 44.7% male and 55.3% female aged between 10 to 16 years old. Anthropometric measurements included body weight, height and waist circumference. Body fat percentage (%BF) was assessed using bioelectrical impedance analysis (BIA). Physical activity was assessed by physical activity questionnaire (PAQ-C) and pedometers in a subsample (n = 50). The result shows that the mean body fat percentage and BMI of the participants were 23.02±9.41% and 20.03±4.77 kg/m2, respectively. Mean PAQ-C score and pedometer steps count for both genders were 1.9±0.42 and 6079±1878, respectively. Male has higher PA level compared to female in their daily life based on PAQ-C score and pedometer steps count. PAQ-C score and pedometer step counts were negatively associated with %BF however there is no significant association between screen time and %BF. As a conclusion, the problems of obesity can be solved by providing strategies to promote active living among adolescents in Malaysia not only focus on increasing physical activity but also emphasise reduction in sedentary behaviours.

Investigating a Message Tailoring Strategy to Improve Efficacy of Activity Promotion Interventions: A Study Protocol (Preprint)

2016 ◽  
Author(s):  
Leila Sadat Rezai ◽  
Catherine Marie Burns
Keyword(s):  
Physical Activity ◽  
Regulatory Focus ◽  
Message Framing ◽  
Physical Activity Behaviour ◽  
Activity Level ◽  
Regulatory Focus Theory ◽  
Cross Sectional ◽  
Physically Active ◽  
Activity Promotion ◽  
Focus Theory

BACKGROUND There have been challenges in designing effective behaviour-change interventions, including those that promote physical activity. One of the key reasons is that many of those systems do not account for individuals’ characteristics and their psychological differences, which affect their approach toward adopting target behaviour. For decades, tailoring has been used as a common technique to effectively communicate health-related information to persuade people to follow a healthier living. However, its use in the design of persuasive technologies has not been adequately investigated. OBJECTIVE The objective of this research is to explore the effects of tailoring when it is grounded in Higgins’ regulatory focus theory. METHODS A combination of cross-sectional and longitudinal studies has been proposed to examine how individuals’ intention to become more physically active would be affected by receiving health messages that may or may not match their self-regulatory orientation. The research would also subjectively, as well as objectively, measures the changes in individuals’ physical activity level. RESULTS The anticipated completion date for the consequent studies is December 2016. CONCLUSIONS In this article, the importance of refining message-framing research questions and a stepwise approach to develop an efficient experimental design to examine a new tailoring strategy is discussed. A set of small studies is proposed that would inform the best approach to design the principal experiment. The findings of principal experiment will provide a deeper insight into the relationship between regulatory-focus theory, persuasive message construction, and individuals’ physical activity behaviour.

Sign in / Sign up

Export Citation Format

Share Document