ASSOCIATION OF RECRUITMENT AND ACTIVATION OF LUMBAR MULTIFIDUS AND TRANSVERSUS ABDOMINIS WITH LOW BACK PAIN IN PHYSIOTHERAPY STUDENTS; A CROSS SECTIONAL SURVEY

Background: Physiotherapy students are prone to low back pain (LBP) due to studying and their active involvement in clinical treatment of patients. As a result of pathology, muscle activity is influenced, affecting optimal function of the spine. Method: Physiotherapy students enrolled for 2010 at the University of the Witwatersrand participated in a cross-sectional study. A questionnaire and physical assessment were completed. Results: The study revealed that the lifetime LBP prevalence was 36% among physiotherapy students. Associations with LBP were hours of practical exposure, posterior-anterior mobilisations on L4 (p=0.003) and L5 (p≤0.001) centrally and unilaterally, left lumbar multifidus (LM) cross-sectional area (p=0.02), right obliquus internusabdominis (OI) (p=0.02) and right transversus abdominis (TrA) thickness at rest (p=0.02), as well as the pull of the TrA during contraction on the left (p=0.03). Discussion: Hours of practical exposure may play a role in lumbar pathology. Due to pathology, muscle imbalances of LM, TrA and OI affect the stability of the spine which may lead to recurrences. Conclusion: Practical exposure as well as LM, TrA and OI muscle imbalances were associated with LBP in physiotherapy students. Awareness of the factors associated with LBP while studying at an undergraduate level may lead to better prevention of LBP.

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Reliability of ultrasound measurement of the lateral abdominal and lumbar multiﬁdus muscles in individuals with chronic low back pain: a cross-sectional test-retest study

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2020.12.029 ◽

2020 ◽

Author(s):

Soheila Abbasi ◽

Mohammad Reza Hadian Rasanani ◽

Gholam Reza Olyaei ◽

Nastaran Ghotbi ◽

Omid Rasouli

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Ultrasound Measurement ◽

Low Back ◽

Cross Sectional ◽

Lumbar Multifidus

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Wearable Technology to Increase Self-Awareness of Low Back Pain: A Survey of Technology Needs among Health Care Workers

Sensors ◽

10.3390/s21248412 ◽

2021 ◽

Vol 21 (24) ◽

pp. 8412

Author(s):

Andrea Ferrone ◽

Christopher Napier ◽

Carlo Menon

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Economic Cost ◽

Machine Learning Techniques ◽

Self Awareness ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Learning Techniques ◽

Monitoring Technologies

Low back pain (LBP) is a leading contributor to musculoskeletal injury worldwide and carries a high economic cost. The healthcare industry is the most burdened, with nurses, in particular, being highly prone to LBP. Wearable technologies have the potential to address the challenges of monitoring postures that contribute to LBP and increase self-awareness of workplace postures and movements. We aimed to gain insight into workers’ perceptions of LBP and whether they would consider using wearable monitoring technologies to reduce injury risks. We conducted a cross-sectional survey to gather information from a selected population of nurses. Sixty-four participants completed the survey, and data were analyzed with the support of Machine Learning techniques. Findings from this study indicate that the surveyed population (64 nurses) is interested in these new approaches to monitor movement and posture in the workplace. This technology can potentially change the way ergonomic guidelines are implemented in this population.

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Attitudes Toward Chiropractic

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587215604073 ◽

2015 ◽

Vol 21 (2) ◽

pp. 92-104 ◽

Cited By ~ 4

Author(s):

Carol Ann Weis ◽

Kent Stuber ◽

Jon Barrett ◽

Alexandra Greco ◽

Alexander Kipershlak ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Spinal Manipulation ◽

Response Rate ◽

Interprofessional Relations ◽

Chiropractic Care ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Written Comments

We assessed the attitudes of Canadian obstetricians toward chiropractic with a 38-item cross-sectional survey. Ninety-one obstetricians completed the survey, for a response rate of 14% (91 of 659). Overall, 30% of respondents held positive views toward chiropractic, 37% were neutral, and 33% reported negative views. Most (77%) reported that chiropractic care was effective for some musculoskeletal complaints, but 74% disagreed that chiropractic had a role in treatment of non-musculoskeletal conditions. Forty percent of respondents referred at least some patients for chiropractic care each year, and 56% were interested in learning more about chiropractic care. Written comments from respondents revealed concerns regarding safety of spinal manipulation and variability among chiropractors. Canadian obstetricians’ attitudes toward chiropractic are diverse and referrals to chiropractic care for their patients who suffer from pregnancy-related low back pain are limited. Improved interprofessional relations may help optimize care of pregnant patients suffering from low back pain.

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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

10.21203/rs.3.rs-46869/v1 ◽

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.

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Pain knowledge and fear-avoidance beliefs of French osteopathy students and educators towards chronic low back pain: An osteopathic educational institution-based cross-sectional survey

International Journal of Osteopathic Medicine ◽

10.1016/j.ijosm.2021.12.002 ◽

2021 ◽

Author(s):

Hakim Mhadhbi ◽

Benoit Thierry-Hildenbrand ◽

Jerry Draper-Rodi ◽

Jorge E. Esteves ◽

Mathieu Ménard

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Educational Institution ◽

Low Back ◽

Fear Avoidance ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fear Avoidance Beliefs ◽

Pain Knowledge

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A Cross-Sectional Survey of Low Back Pain in Nurses Working in Orthopedic Departments

Workplace Health & Safety ◽

10.1177/2165079918807231 ◽

2018 ◽

Vol 67 (5) ◽

pp. 218-230 ◽

Cited By ~ 2

Author(s):

Lingli Li ◽

Xiaofan Deng ◽

Hongxia Zhang ◽

Hui Yang ◽

Jiali Chen ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Sichuan Province ◽

Annual Number ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fear Avoidance Beliefs ◽

Tertiary Hospitals ◽

Disability Questionnaire

The study aimed to gain knowledge about low back pain (LBP) in nurses working in the orthopedic departments of tertiary hospitals in Sichuan province, China. We used a cross-sectional survey to examine the prevalence of LBP among 797 inpatient nurses who had worked for 1 year in an orthopedic department in one of 29 hospitals (Grade 3A) in Sichuan province. The survey included a questionnaire to determine the prevalence of LBP and factors related to LBP, a screening graph of LBP symptoms, the Roland Morris Disability Questionnaire (RMDQ), and the Fear Avoidance Beliefs Questionnaire (FABQ) for LBP. The 1-year period prevalence of LBP in the nursing population was 66.8% and the point prevalence was 51.3%. Among the 523 nurses who had experienced LBP, the mean total number of days that LBP had been experienced during the past year was 20.2 ± 16.3 days (range = 1-90 days). The annual number of episodes of LBP was 5.7 ± 4.5 times/year (range = 1-20 times/year). More than half the orthopedic nurses (51.1%) planned to quit, and 5.8% thought of leaving their job due to LBP. These study findings indicate that nurses in this region experience a burden of LBP similar to those in other regions in the world.

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Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross‐sectional Study

PM&R ◽

10.1002/pmrj.12002 ◽

2019 ◽

Vol 11 (7) ◽

pp. 694-702 ◽

Cited By ~ 1

Author(s):

Peemongkon Wattananon ◽

Sheri P. Silfies ◽

Jarugool Tretriluxana ◽

Wattana Jalayondeja

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cross Sectional Study ◽

Erector Spinae ◽

Muscle Synergies ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

Lumbar Multifidus ◽

Hip Extension

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Transversus abdominis and multifidus asymmetry in runners measured by MRI: a cross-sectional study

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2019-000556 ◽

2019 ◽

Vol 5 (1) ◽

pp. e000556

Author(s):

Ulrike H Mitchell ◽

A Wayne Johnson ◽

Patrick J Owen ◽

Timo Rantalainen ◽

Daniel Belavy

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Muscle Activation ◽

Cross Sectional Study ◽

Transversus Abdominis ◽

Low Back ◽

Sectional Study ◽

Multifidus Muscle ◽

Cross Sectional ◽

The Right

ObjectiveThe transversus abdominis muscle (TrA) is active during running as a secondary respiratory muscle and acts, together with the multifidus, as trunk stabiliser. The purpose of this study was to determine size and symmetry of TrA and multifidus muscles at rest and with contraction in endurance runners without low back pain.DesignCross-sectional study.SettingA medical imaging centre in Melbourne, Australia.ParticipantsThirty middle-aged (43years±7) endurance-trained male (n=18) and female (n=12) runners without current or history of low back pain.Outcome measuresMRI at rest and with the core engaged. The TrA and multifidus muscles were measured for thickness and length (TrA) and anteroposterior and mediolateral thickness (multifidus). Muscle activation was extrapolated from rest to contraction and compared with the same and contralateral side. Paired t-tests were performed to compare sides and contraction status.ResultsLeft and right TrA and multifidus demonstrated similar parameters at rest (p>0.05). However, with contraction, the right TrA and multifidus (in mediolateral direction) were 9.2% (p=0.038) and 42% (p<0.001) thicker, respectively, than their counterparts on the left. There was no TrA thickness side difference with contraction in left-handed participants (p=0.985). When stratified by sex, the contracted TrA on the right side remained 8.4% thicker, but it was no longer statistically significant (p=0.134). The side difference with contraction of the TrA became less with increasing training age.ConclusionsRight-handed long-term runners without low back pain exhibit a greater right side core muscle activation when performing an isometric contraction. This activation preference diminishes with increasing training age.

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