Browse > Article

Comparison of Multifidus Thickness Change During Contralateral Arm Lift(CAL) in Patients with Chronic Low Back Pain and Normal Adults  

Song, Won-bin (Dept. of Physical Therapy, Saeng Saeng Chuk Chuk Clinic)
Kim, Chi-hyok (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
Jung, Woong-keun (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
Ha, Ye-ji (Dept. of Physical Therapy, Pusan National University Yangsan Hospital)
Han, Seong-gu (Dept. of Physical Therapy, Pusan National University Yangsan Hospital)
Hwangbo, In (Dept. of Physical Therapy, Siwon Rehabilitation Clinic)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.24, no.2, 2018 , pp. 51-58 More about this Journal
Abstract
Backdround: Using RUSI (Rehabilitation Ultra Sound Imiging) method, which showed high reliability in soft tissue measurements, we compared the muscle relax and contraction, sex, and physical characteristics of the activity of the multifidus muscle in patients with chronic low back pain and normal subjects. Methods: In this study, 16 patients (male: 8, female: 8) with chronic low back pain and 16 healthy adult (male: 8, female: 8) were participated. Subjects lied prone posture on the table with elbow flexed $90^{\circ}$ and shoulder abducted $120^{\circ}$ (starting position). Test was applied two types that muscle relax position and muscle contraction position. Muscle relax position is equal to starting position and muscle contraction position is that upper extremity lift up about 5cm from the table. We measured the thickness of the multifidus muscle in each position by ultrasound. Results: There was a statistically significant difference between the two groups in deviation of Both Side Difference of Activated resting-Arm Lifting Ratio according to posture change between the chronic low back pain patient group and the normal group. Conclusion: The result of this study support previous study showing that there is an imbalance in the activity of multifidus in patients with chronic low back pain.
Keywords
Chronic low back pain; Healthy adult; Multifidus;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Whittaker VJ, Teyhen D, Elliot J, et al. Rehabilitative ultrasound imaging: understanding the technology and its applications. J Orthop Sports Phys Ther. 2007;37(8):434-449.   DOI
2 Wilke HJ, Wolf S, Claes LE, et al. Stability increase of the lumbar spine with different muscle groups. A biomechanical in vitro study. Spine. 1995 Jan 15;20(2):192-198.   DOI
3 Yoshihara K, Nakayama Y, Fujii N, et al. Atrophy of the multifidus muscle in patients with lumbar disk herniation: Histochemical and electromyographic study. Orthopedics. 2003;26(5):493-495.
4 Yoshihara K, Shirai Y, Nakayama Y, et al. Histochemical changes in the multifidus muscle in patients with lumbar intervertebral disc herniation. Spine (Phila Pa 1976). 2001;26(6):622-626.   DOI
5 Zhao WP, Kawaguchi Y, Matsui H, et al. Histochemistry and morphology of the multifidus muscle in lumbar disc herniation: Comparative study between diseased and normal sides. Spine (Phila Pa 1976). 2000;25(17): 2191-21.   DOI
6 Andersson GB. Epidemiological features of chronic low back pain. Lancet. 1999;354:581-585.   DOI
7 Dickx N, Cagnie B, Parlevliet T, et al. The effect of unilateral muscle pain on recruitment of the lumbar multifidus during automatic contraction. An experimental pain study. Man Ther. 2010;15(4):364-369.   DOI
8 Akbari A, Khorashadizadeh S, Abdi G. The effect of motor control exercise versus general exercise on lumbar local stabilizing muscles thickness: Randomized controlled trial of patients with chronic low back pain. J Back Musculoskelet Rehabil. 2008;21(2):105-112.   DOI
9 Brown SH, McGill SM. A comparison of ultra:sound and electromyography measures of force and activation to examine the mechanics of abdominal wall contraction. Clin Biomech. 2010;25:115-123.   DOI
10 Danneels LA, Vanderstraeten GG, Cambier DC, et al. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9(4):266-272.   DOI
11 Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscular strengthening in chronic low back pain: A comparative study. Clinics (Sao Paulo). 2010;65(10):1013-1017.   DOI
12 Freeman MD, Woodham MA, Woodham AW. The role of the lumbar multifidus in chronic low back pain: A review. PM R. 2010;2(2):142-146.   DOI
13 Hides JA, Stanton WR, McMahon S, et al. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. J Orthop Sports Phys Ther. 2008;38(3):101-108.   DOI
14 Hebert JJ, Koppenhaver SL, Parent EC, et al. A systematic review of the reliability of rehabilitative ultrasound imaging for the quantitative assessment of the abdominal and lumbar trunk muscles. Spine. (Phila Pa 1976) 2009;34(23):848-856.
15 Hides J, Stanton W, Dilani Mendis M, et al. The relationship of transversus abdominus and lumbar multifidus clinical muscle tests in patients with chronic low back pain. Man Ther. 2011;16:573-577.   DOI
16 Hides J, Wilson S, Stanton W, et al. An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine (Phila Pa 1976). 2006 Mar 15;31(6):175-178.
17 Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine (Phila Pa 1976). 1996;21(23):2763-2769.   DOI
18 Hides JA, Stokes MJ, Saide M, et al. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19:165-172.   DOI
19 Hodges PW, Pengel LH, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve. 2003;27(6): 682-692.   DOI
20 Jeon JW. The Effects of Body Action Therapy Program and Sports Massage to the Lumbar Muscle sectional area and Trunk Muscle Activity on the Patients with Chronic Low Back Pain. 2018.
21 Kader DF, Wardlaw D, Smith FW. Correlation between the MRI changes in the lumbar multifidus muscles and leg pain. Clinical Radiology. 2000;55:145-149.   DOI
22 Kendall FP, McCreary EK, Provance PG, et al. Muscles : Testing and Function with Posture and Pain. 2006;51-52.
23 Macdonald D, Moseley GL, Hodges PW. Why do some patients keep hurting their back? Evidence of ongoing back muscle dysfunction during remission from recurrent back pain. Pain; 2009.
24 Kiesel KB, Uhl TL, Underwood FB, et al. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Man Ther. 2007;12(2):161-166.   DOI
25 Kiesel KB, Uhl T, Underwood FB, et al. Rehabilitative ultrasound measurement of select trunk muscle activation during induced pain. Man Ther. 2008;13(2):132-138.   DOI
26 Kim. JH, Lee WH, Lee JK. Effects of multifidus muscle volume in patient of lumbar pain according to lumbar exercise methods. 2008;17(2):1003-1014.
27 Koppenhaver SL, Hebert JJ, Fritz JM, et al. Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Archives of Physical Medicine and Rehabilitation. 2009;90(1):87-94.   DOI
28 Lee JH, Hoshino Y, Nakamura K, et al. Trunk muscle weakness as a risk factor for low back pain. A 5-Year prospective study. Spine. 1999;24:54-57.   DOI
29 Macintosh JE, Valencia F, Bogduk N, et al. The morphology of the lumbar multifidus muscles. Clin Biomech. 1986;1:196-204.   DOI
30 McMeeken JM, Beith ID, Newham DJ, et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech (Bristol, Avon). 2004;19(4):337-342.   DOI
31 O'Sullivan. Lumbar segmental 'instability': Clinical presentation and specific stabilizing exercise management. Manual Therapy. 2000;5(1):2-12.   DOI
32 Panjabi MM. Clinical spinal instability and low back pain. Journal of electromyography and kinesiology. 2003;13(4):371-379.   DOI
33 Springer BA, Mielcarek BJ, Nesfield TK, et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006;36(5):289-297.   DOI
34 Parkkola R, Rytokoski U, Kormano M. Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine. 1993;18:830-836.   DOI
35 Ragmani N, Kiani A, Mohseni-Bandpei MA, et al. Multifidus muscle size in adolescents with and without back pain using ultrasonography. Journal of Bodywork & Movement Therapies. 2018;147-151.
36 Rubin DI, Epidemiology and risk factors for spine pain. Neurol. Clin. 2007;25:353-371.   DOI
37 Stokes M, Rankin G, Newham DJ. Ultrasound imaging of lumbar multifidus muscle: normal reference ranges for measurements and practical guidance on the technique. Man Ther. 2005 May 10(2):116-126.   DOI
38 Sweeney N, O'Sullivan C, Kelly G. Multifidus muscle size and percentage thickness changes among patients with unilateral chronic low back pain (CLBP) and healthy controls in prone and standing. Man Ther. 2014;19:433-439.   DOI
39 Walker BF, Muller R, Grant WD. Low back pain in Australian adults: health provider utilization and care seeking. J. Manip. Physiological Ther. 2004;27:327-335.   DOI
40 Wallwork TL, Hides JA, Stanton WR. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37:608-612.   DOI
41 Wallwork TL, Stanton WR, Freke M, et al. The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Man Ther. 2009;14(5):496-500.   DOI