lumbar multifidus
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Author(s):  
Benita Olivier ◽  
Franso-Mari Olivier ◽  
Nkazimulo Mnguni ◽  
Oluchukwu Loveth Obiora

Purpose Previous studies found that trunk muscle asymmetry may play a role in preventing injury in cricket fast bowlers, while the association with bowling performance has not been investigated. This study aims to describe the side-to-side differences in trunk muscle thickness and determine the association between bowling performance and these side-to-side differences in trunk muscle thickness in adolescent fast bowlers. Methods In this observational cross-sectional study, bowling performance, namely ball release speed and bowling accuracy, was recorded in adolescent fast bowlers. Ultrasound imaging measured external oblique, internal oblique, transversus abdominis and lumbar multifidus muscle thickness. Results Fast bowlers (n = 46) with a mean age of 15.9 (±1.2) years participated. On the non-dominant side, the external oblique and internal oblique at rest were thicker than on the dominant side (external oblique: p = 0.011, effect size = 0.27; internal oblique: p < 0.0001, effect size = 0.40), while the transversus abdominus ( p = 0.72, effect size = 0.19) and lumbar multifidus ( p = 0.668, effect size = 0.04) were symmetrical. Weak correlations existed between bowling performance and the side-to-side differences in the thickness in all muscles, except for two moderate correlations: 1. The smaller the side-to-side difference in absolute thickness of the external oblique when contracted, the faster the ball release speed (Spearman's (ρ) = −0.455, p = 0.002). 2. Also, a smaller side-to-side difference in external oblique contraction ratio (Spearman's (ρ) = −0.495, p = 0.0001) was associated with faster ball release speed. Conclusions No relationship between bowling performance and side-to-side differences in internal oblique muscle thickness could be established, while more symmetrical external oblique muscles may be linked to faster ball release speeds.


Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Raheem Sarafadeen ◽  
Sokunbi O. Ganiyu ◽  
Aminu A. Ibrahim ◽  
Anas Ismail ◽  
Mukadas O. Akindele ◽  
...  

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.


2021 ◽  
Vol 13 (2) ◽  
pp. 13-21
Author(s):  
M.Y. Dambele, ◽  
N.A. Yamsat ◽  
S. Raheem ◽  
M.O. Akindele

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.  


Author(s):  
Gustavo Plaza‐Manzano ◽  
Marcos J. Navarro‐Santana ◽  
Juan Antonio Valera‐Calero ◽  
Raúl Fabero‐Garrido ◽  
César Fernández‐de‐las‐Peñas ◽  
...  

2021 ◽  
Vol 21 (87) ◽  
pp. 286-293
Author(s):  
Hamid Zamani ◽  
Mahdi Dadgoo ◽  
Mohammad Akbari ◽  
Javier Fernández-Jara ◽  
Mohammadreza Pourahmadi

Aim: To examine the reliability of rehabilitative ultrasound imaging performed to measure the thickness of the transverse abdominis, internal oblique, external oblique, and lumbar multifidus muscles in females with recurrent low back pain. Material and methods: A sample of 15 women was recruited. Two independent examiners recorded the thickness of their deep abdominal and spinal muscles by rehabilitative ultrasound imaging. Imaging scans of the transverse abdominis, internal oblique, and external oblique muscles were performed in the supine position and in the midaxillary line, between the lower edge of the ribcage and the iliac crest. Imaging of the lumbar multifidus was done in the prone position and at the level of the L5/S1 zygapophyseal joints. Imaging scans were performed bilaterally in rest and contraction, three times by the first examiner (at baseline, after two hours, and one week later) and once by the second examiner. Results: Good to excellent within-session intra-rater (ICC = 0.76, 0.97), good to excellent between-session intra-rater reliability (ICC = 0.73, 0.93), and good to excellent inter-rater reliability (ICC = 0.73, 0.98) were obtained. Conclusions: The results showed that rehabilitative ultrasound imaging can be used as an excellent reliable instrument by one or two examiners to measure the thickness of the transverse abdominis, internal oblique, external oblique and lumbar multifidus muscles in females with recurrent low back pain.


Author(s):  
Seung-Min Baik ◽  
Heon-Seock Cynn ◽  
Chung-Hwi Yi ◽  
Ji-Hyun Lee ◽  
Jung-Hoon Choi ◽  
...  

BACKGROUND: The effectiveness of side-sling plank (SSP) exercises on trunk and hip muscle activation in subjects with gluteus medius (Gmed) weakness is unclear. OBJECTIVE: To quantify muscle activation of the rectus abdominis (RA), external oblique (EO), erector spinae (ES), lumbar multifidus (LM), Gmed, gluteus maximus (Gmax), and tensor fasciae latae (TFL) during SSP with three different hip rotations compared to side-lying hip abduction (SHA) exercise in subjects with Gmed weakness. METHODS: Twenty-two subjects with Gmed weakness were recruited. SHA and three types of SSP exercises were performed: SSP with neutral hip (SSP-N), hip lateral rotation (SSP-L), and hip medial rotation (SSP-M). Surface electromyography was used to measure the activation of the trunk and hip muscles. RESULTS: The trunk and hip muscles activations were generally significantly higher level during three SSP than SHA. SSP-M showed significantly lower EO activation while significantly higher ES and LM activation than SSP-L. Gmed activation was significantly higher during SSP-M than during SSP-L. TFL activation was significantly lower during SSP-M than during SSP-N and SSP-L. CONCLUSIONS: SSP could be prescribed for patients who have reduced Gmed strength after injuries. Especially, SSP-M could be applied for patients who have Gmed weakness with dominant TFL.


2021 ◽  
Vol 15 (10) ◽  
pp. 3178-3181
Author(s):  
Aftab Ahmed Mirza Baig ◽  
Basit Ansari

Aim: To determine the significant difference in lumbar multifidus activity within the patient with unilateral chronic low back pain and its association with lumbar range of motion. Study design: Analytical cross-sectional study Study setting and duration: Former institute of Dow University of Health Sciences, Karachi, Pakistan (Institute of Physical Medicine and Rehabilitation) which has become Sindh Institute of Physical Medicine and Rehabilitation and study duration was March 2020 to December 2020. Methodology: About 128 patients with unilateral chronic low back pain were assessed for the lumbar multifidus activity based on the percentage of maximum voluntary contraction through surface electromyography. Lumbar flexion and extension range of motion was measured through Modified-Modified Schober’s test. All the data were analyzed through the Statistical Package of Social Sciences 21. Nonparametric tests were employed. The level of significance was 0.05. Results: The lumbar multifidus activity was significantly increased (p<0.001) on the painful side than the non-painful side. However, there was a significant negative correlation (rh=- 0.551, -0.703; p<0.001) of only painful side lumbar multifidus activity with flexion and extension range of motion. Conclusion: Activity of painful side lumbar multifidus increases in unilateral chronic low back pain. Furthermore, it increases with a decrease in lumbar flexion and extension range of motion. Keywords: Correlation Study, disability, Low Backaches, non-specific low back pain, Surface Electromyography


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zhen Lyu ◽  
Jinzhu Bai ◽  
Shizheng Chen ◽  
Jiesheng Liu ◽  
Wenlong Yu

Abstract Background Percutaneous endoscopic lumbar discectomy (PELD) is a promising minimally invasive treatment for lumbar disc herniation (LDH). Postoperative rehabilitation can improve patient outcomes. Not only rehabilitation for surgical trauma but also rehabilitation for lumbar spine and lower kinetic chain dysfunction should be performed. The aims of this study were to investigate the efficacy of a lumbar kinetic chain training for staged rehabilitation after PELD for LDH. Methods Fifty one LDH patients treated with PELD were studied. After surgery, patients underwent lumbar kinetic chain training for staged rehabilitation( staged group) or regular low back rehabilitation (regular group). The staged rehabilitation programme included three phases from 2 to 6, 7–12, and 13–24 weeks postoperatively, and different physical therapies were performed during these phases. The low back pain visual analogue scale (VAS), JOA score, ODI, SF-36, and cross-sectional area of the lumbar multifidus on MRI were assessed, and gait analysis was performed. Results Twenty five patients in staged group and twenty six patients in regular group were included. There were no significant differences in age or sex between the two groups at baseline (p > 0.05). The VAS score decreased and the JOA and SF-36 scores increased in both groups from baseline to 6 weeks (P < 0.05). In the staged group, compared with the regular group, the VAS and ODI scores were lower and the JOA and SF-36 scores were higher at 6 weeks (P < 0.05); the VAS and ODI scores were lower and the SF-36 score was higher at 12 weeks (P < 0.05); the SF-36 score was higher at 24 weeks (P < 0.05); the cross-sectional area of the lumbar multifidus showed no differences at 12 weeks (P > 0.05); and the left-right support ratio of gait was higher at 24 weeks (P < 0.05). Conclusions The staged rehabilitation programme for LDH after PELD promoted postoperative recovery, and the efficacy of lumbar kinetic chain training was higher than that of regular low back muscle exercise.


2021 ◽  
Author(s):  
Alikemal Yazici ◽  
Tuba Yerlikaya ◽  
Adile Oniz

Abstract BackgroundThe aim of this study was to evaluate the efficacy of a semi-quantitative simplified 4-grade fat infiltration measurement system, described for the first time in literature, through comparison with the existing simplified 3-grade fat infiltration system in the prediction of lumbar disc herniation.Material and MethodThe study included 39 lumbar disc herniation patients (LDH) and 38 healthy subjects (control), comprising 33 (42.9%) males and 44 (57.1%) females with a mean age of 37 ± 11.3 years (range, 20–64 years). The patients were evaluated in respect of fat infiltration of the right and left lumbar multifidus and erector spina muscles on axial magnetic resonance imaging slices passing through the centre of the disc at L3-S1 level using the 3 and 4-grade fat infiltration measurement systems. The results were compared and the correlations of the results of the two systems with lumbar disc herniation were examined.ResultsThe 3-grade fat infiltration system was found to be insufficient in the prediction of lumbar disc herniation (p > 0.05) and the 4-grade fat infiltration system was determined to be effective in the prediction of lumbar disc herniation (p = 0.003).ConclusionThe 4-grade fat infiltration system was seen to be more effective than the 3-grade fat infiltration system in the determination of the level of fat infiltration in the paraspinal muscles and the prediction of lumbar disc herniation. The 4-grade fat infiltration system is an effective semi-quantitative grading system which can be used instead of the simplified 3-grade system.


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