Changes in Muscle Thickness Across Positions on Ultrasound Imaging in Participants With or Without a History of Low Back Pain

Sutherlin, Mark A.; Gage, Matthew J.; Mangum, L. Colby; Hertel, Jay; Russell, Shawn; Saliba, Susan A.; Hart, Joseph M.

doi:10.4085/1062-6050-491-16

Cited by 33 publications

(23 citation statements)

References 39 publications

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“…The main findings of each study are summarised in S3 Table . From the results retrieved in individual studies, evidence of neuromuscular adaptations in people with rLBP were found for the following outcome domains: muscle activation amplitude [ 34 , 35 , 37 , 38 , 42 , 44 , 48 , 49 , 56 , 57 , 58 – 60 , 65 , 67 ] and timing [ 13 , 37 , 51 – 54 , 65 ], spine kinematics [ 34 , 43 , 47 , 50 , 62 – 64 , 66 ], sensorimotor control [ 61 , 62 ], muscle properties [ 45 , 46 , 58 , 68 ], and neuromuscular performance [ 39 – 41 , 46 , 47 , 55 , 69 ]. For people with rNP, sensorimotor control and neck muscle performance were assessed in the single study included [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Ultrasound (US) imaging was used to investigate the recruitment of abdominal muscles (transversus abdominis [TrA], internal [OI] and external oblique [OE]) and MF in five and two studies, respectively [ 38 , 48 , 49 , 57 , 58 , 67 ]. The OE and OI were assessed in one study and no between-group differences were found [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study found a greater thickness change of the MF during the prone straight leg raise in people with rLBP [ 57 ]. However, Sutherlin et al [ 67 ] reported no differences between groups when participants adopted different postures or during walking.…”

Section: Resultsmentioning

confidence: 99%

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Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? a systematic review

et al. 2021

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A plethora of evidence supports the existence of neuromuscular changes in people with chronic spinal pain (neck and low back pain), yet it is unclear whether neuromuscular adaptations persist for people with recurrent spinal pain when in a period of remission. This systematic review aimed to synthesise the evidence on neuromuscular adaptations in people with recurrent spinal pain during a period of remission. Electronic databases, grey literature, and key journals were searched from inception up to the 4th of September 2020. Eligibility criteria included observational studies investigating muscle activity, spine kinematics, muscle properties, sensorimotor control, and neuromuscular performance in adults (≥ 18 years) with recurrent spinal pain during a period of remission. Screening, data extraction, and quality assessment (Newcastle-Ottawa Scale) were conducted independently by two reviewers. Data synthesis was conducted per outcome domain. A meta-analysis with a random-effects model was performed where possible. The overall strength of evidence was rated using the Grading of Recommendations, Assessment, Development and Evaluation guidelines (GRADE). From 8292 records, 27 and five studies were included in a qualitative and quantitative synthesis, respectively. Very low level of evidence supports muscle activity changes in people with recurrent low back pain, especially greater co-contraction, redistribution of muscle activity, and delayed postural control of deeper trunk muscles. Reduced range of motion of the lumbar spine was also found. Meaningful conclusions regarding other outcome domains or people with recurrent neck pain could not be drawn. In conclusion, people with recurrent low back pain during a period of remission show muscle activity and spine kinematics adaptations. Future research should investigate the long-term impact of these changes, as well as adaptations in people with recurrent neck pain.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? a systematic review

et al. 2021

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“…A modified version [25] of the Godin Leisure-Time Exercise Questionnaire [26, 27] was used to measure physical activity. This is a well-established reliable and valid measure for exercise behavior [28], that is often used in research of physical activity of patients with low back pain [29–32]. For these reasons the GLTEQ was applied in the present study.…”

Section: Methodsmentioning

confidence: 99%

The Back College for nurses – an evaluation of intermediate effects

Kusma

Pietsch

Riepenhof

et al. 2019

J Occup Med Toxicol

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Background Nursing staff and care workers run an increased risk of work related musculoskeletal disorders such as low back pain. The Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) offers its insured persons the opportunity to participate in a three-week Back College with the aim of preventing them having to abandon their profession due to back problems. The aim of the study was to record the effectiveness and sustainability of the Back College on an intermediate basis (6 months). Methods As part of a single-group pre-post measurement on three survey dates – at the start (T0) and end (T1) of rehabilitation and 6 months later (T2) – in 2013 all participants in the Back College at three locations were surveyed using a standard questionnaire. Wilcoxon signed-rank tests were performed to evaluate statistically significant changes. Results For measurement dates T0 to T2 we had 570 complete datasets (response rate 70.81%). There was a significant decrease in reported back pain and the general state of health and quality of life index improved. Participants’ emotional strain decreased and they showed an improved understanding of illness as well as of having acquired knowledge-based abilities and skills for dealing with the disease. After training, they recorded back-friendly behaviour in everyday life and opportunities to relieve strain on the spinal column were utilised at work more often. Participants’ subjective assessment of their ability to work (Work Ability Index) improved. Conclusion The present study proved the intermediate effectiveness of the Back College curriculum. Whether these effects remain stable in the long term will be tested on the subsequent measurement date (T3, after 24 months).

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“…In this line, the results of the present investigation presented a decrease of the TrAb, IO, and EO thickness for the tendinopathy group. The important role of the TrAb muscle in control of the spine was widely evidenced, being the deep trunk abdominal muscles considered as main outcomes to assess and manage specific populations with different musculoskeletal disorders such as LPP, LBP, or AT individuals [50,51].…”

Section: External Oblique Internal Oblique and Transversus Abdominimentioning

confidence: 99%

Ultrasound Imaging of the Abdominal Wall and Trunk Muscles in Patients with Achilles Tendinopathy versus Healthy Participants

et al. 2019

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Purpose: To compare and quantify with ultrasound imaging (USI) the inter-recti distance (IRD), rectus abdominis (RA), external oblique (EO), internal oblique (IO), transversus abdominis (TrAb), and multifidus thickness and the RA and multifidus cross-sectional area (CSA) between individuals with and without chronic mid-portion Achilles tendinopathy (AT). Methods: A cross-sectional study. A sample of 143 patients were recruited and divided into two groups: A group comprised of chronic mid-portion AT (n = 71) and B group composed of healthy subjects (n = 72). The IRD, RA, EO, IO, TrAb, and multifidus thickness, as well as RA and multifidus CSA, were measured by USI. Results: USI measurements for the EO (p = 0.001), IO (p = 0.001), TrAb (p = 0.041) and RA (p = 0.001) thickness were decreased as well as IRD (p = 0.001) and multifidus thickness (p = 0.001) and CSA (p = 0.001) were increased for the tendinopathy group with respect the healthy group. Linear regression prediction models (R2 = 0.260 − 0.494; p < 0.05) for the IRD, RA, EO, and IO thickness (R2 = 0.494), as well as multifidus CSA and thickness were determined by weight, height, BMI and AT presence. Conclusions: EO, IO, TrAb, and RA thickness was reduced and IRD, multifidus thickness and CSA were increased in patients with AT.

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Changes in Muscle Thickness Across Positions on Ultrasound Imaging in Participants With or Without a History of Low Back Pain

Abstract: In participants reporting HxLBP, TrA thickness modulations were lower and both tabletop and seated thickness modulations were able to distinguish reported HxLBP status. These findings suggest that TrA muscle function may be altered by HxLBP.

Cited by 33 publications

References 39 publications

Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? a systematic review

Are neuromuscular adaptations present in people with recurrent spinal pain during a period of remission? a systematic review

The Back College for nurses – an evaluation of intermediate effects

Ultrasound Imaging of the Abdominal Wall and Trunk Muscles in Patients with Achilles Tendinopathy versus Healthy Participants

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