Cross-sectional Area of Cervical Multifidus Muscle in Females With Chronic Bilateral Neck Pain Compared to Controls

Fernández‐de‐las‐Peñas, César; Albert-Sanchís, Joan C.; Buil, M.M. Martín; Benítez, José Carlos; Alburquerque‐Sendín, Francisco

doi:10.2519/jospt.2008.2598

Cited by 102 publications

(87 citation statements)

References 23 publications

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“…In earlier studies, muscle size, shape, and symmetry, and the change in these parameters during activity compared to a resting state, were studied using ultrasound to describe reference values or capture abnormalities due to muscle atrophy or hypotrophy (Rezasoltani et al, 2002;Kristjansson et al, 2004;Rankin et al, 2005;Lee et al, 2007Lee et al, , 2009Fernández-De-Las-Peñas et al, 2008). However, the ultrasound technique cannot be used as a direct measure of activity and recruitment.…”

Section: Present Results Compared With Earlier Resultsmentioning

confidence: 99%

“…Ultrasound is a well documented imaging method (Hides et al, 1995;Kristjansson, 2004;Fernández-De-Las-Peñas et al, 2008;Lee et al, 2009) that can capture functional movements in real time. The method is highly complementary to magnetic resonance imaging (MRI) and is noninvasive, in contrast to wire electromyogram (EMG).…”

Section: Introductionmentioning

confidence: 99%

“…The method is highly complementary to magnetic resonance imaging (MRI) and is noninvasive, in contrast to wire electromyogram (EMG). Traditional grey scale ultrasound, which has been used in previous studies of neck muscles (Rezasoltani et al, 1998(Rezasoltani et al, , 1999(Rezasoltani et al, , 2002Kristjansson, 2004;Rankin et al, 2005;Fernández-De-Las-Peñas et al, 2008;Jesus et al, 2008;Lee et al, 2009), provides information about anatomical landmarks and structural information about the tissue. Dorsal (Lee et al, 2007(Lee et al, , 2009) and ventral (Jesus et al, 2008) neck muscles have been studied using changes in muscle thickness or cross-sectional area (CSA) as an indication of muscle activity.…”

Section: Introductionmentioning

confidence: 99%

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A tissue velocity ultrasound imaging investigation of the dorsal neck muscles during resisted isometric extension

2010

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Persons with neck pain exhibit altered patterns of muscle patterning, but limited investigations have been carried out on these alterations or muscle patterning in healthy volunteers. This study investigated the tissue motion of the dorsal neck muscles at the C4 segmental level in 15 healthy subjects during manually resisted head extension. Doppler-based tissue velocity ultrasound imaging (TVI) was used to detect regional tissue deformation, providing indirect evidence of inter-muscular movement patterning. The deep muscles, multifidus and semispinalis, had different muscular movement patterning than the superficial muscles, especially the trapezius muscle. The semispinalis cervicis was the first deformed upon exercise initiation, followed by multifidus and semispinalis capitis. The semispinalis muscles, notably capitis, exhibited a high rate of deformation during the exercise. The trapezius muscle exhibited the least deformation and the lowest deformation rate. In conclusion, TVI provided detailed information on regional tissue activity and muscle movement patterning among the dorsal neck muscles. In future studies, data from patients with neck disorders will have to be matched to data from healthy volunteers in a variety of situations and activities.

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Section: Present Results Compared With Earlier Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A tissue velocity ultrasound imaging investigation of the dorsal neck muscles during resisted isometric extension

2010

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“…Association was also found among loss of lordosis, pain intensity and disability. These findings come from studies on multifidus, longus collis and cervical semispinalis muscles [27][28]. The reduction of ROS seems to be due to the decrease of muscle thickness in anterior-posterior direction, not in medial-lateral one [28].…”

Section: Cross Sectional Area [Csa] and Ratio Of Size [Ros]mentioning

confidence: 98%

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Mario¹,

Vanti²,

Pillastrini³

et al. 2015

Int J Phys Ther Rehab

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Background: The purpose of this review is to provide an updated overview of structural and functional changes of cervical neuromuscular system associated with Insidious Onset Mechanical Neck Pain [IOMPT]. Methods: MEDLINE and SCOPUS databases were searched. Observational studies published after 01-01-2003 in English or Italian languages were included. The following search string was used: "neck pain" AND (muscle OR "motor control" OR behaviour OR function OR endurance OR "isometric contraction") NOT (radiculopathy OR surgery OR "specific neck pain"). Results: 15 papers concerning changes in structure of neck neuromuscular system, 19 on changes in pattern of neuromuscular activation, and 16 on deficit in neuromuscular function associated to IOMNP were selected. From this review emerges that pain, whether it be artificially produced or due to IOMNP, provokes an alteration of the cervical region function and a number of anomalies in the behavior of the neuro-muscular system. IOMNP is associated with structural alterations affecting the cervical region at different levels (metabolic, histological, and even macroscopic). Changes in cervical neuromuscular system structure concern altered histology and metabolism, cross sectional area thickness, muscle fatty infiltration, trigger points generation, and alterations of muscular activation pattern. Changes in neuromuscular function concern reduced maximal voluntary contraction, alteration on proprioception, coordination and on complex functions. Conclusion:The relationships between IONMP and changes in the intrinsic properties, behavior, and function of neck muscles have now acquired evidence. There is a widespread consensus about the fact that these alterations contribute to the onset, maintenance, and recurrence of neck pain. Structural and Functional Changes of Cervical Neuromuscular System Review ArticleOpen Access IntroductionInsidious Onset Mechanical Neck Pain (IOMNP) is a common cause of discomfort and disability and a growing problem in society, resulting in significant impact on health care costs [1]. Within 6 months, 54% of adults experience IOMNP, and 5% of them complain of associated disability. Furthermore, only 6.3% of people who suffered from neck pain are free from recurrence [2]. About 0.6% of the general population is exposed to disability caused by IOMNP and females are more prone to recurrent and / or chronic pain than males [3]. The IOMNP can be considered a work-related disorder in some professions, including pilots [4][5][6][7], musicians [8][9], and workers using personal computer for prolonged times [10][11][12][13][14].Cervical spine supports the head and orients it in space, transmits forces on the upper limb and has close relations with the visual and vestibular function [15][16][17][18]. Given the complexity of this region and the close link between central nervous system (CNS) and muscles, several abnormalities in structure and function of the neuromuscular system may develop when pain occurs [2,15].The aim of this review is to pro...

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“…4 Furthermore, patients with mechanical neck pain have reduced activation of the multifidus and semispinalis cervicis muscles 5 or decreased cross-sectional areas of the cervical multifidus. 6 These morphologic changes in the deep cervical extensors are proposed to be contributing or perpetuating factors for neck pain disorders. 7 Therefore, treatment approaches targeting the deep extensor muscles are clearly advocated in the management of individuals with neck pain.…”

Section: Introductionmentioning

confidence: 99%

Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle

Fernández‐de‐las‐Peñas

Mesa-Jiménez

Paredes-Mancilla

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The aim of this study was to determine if a needle is able to reach the cervical multifidus during the application of dry needling or acupuncture. Methods: Dry needling and ultrasound imaging of cervical multifidi was conducted on 5 patients (age: 32 ± 5 years) with mechanical neck pain and on 2 fresh cadavers (age: 64 ± 1 years). Dry needling was done using a needle of 40 mm in length inserted perpendicular to the skin about 1 cm lateral to the spinous process at C3-C4. The needle was advanced from a posterior to anterior direction into the cervical multifidus with a slight inferior-medial angle (approximately 10°) to reach the vertebra lamina. For the cadaveric study, the multifidus was isolated by carefully resecting the superficial posterior cervical muscles: trapezius, splenius, and semispinalis. For the ultrasonographic study, a convex transducer was placed transversely over C3-C4 after the insertion of the needle into the muscle. Results: The results of both the cadaveric and ultrasonic studies found that the needle does pierce the cervical multifidus muscle during insertion and that the tip of the needle rests properly against the vertebral laminae, thereby guarding the sensitive underlying spinal structures from damage. Conclusion: This anatomical and ultrasound imaging study supports that dry needling of the cervical multifidus could be conducted clinically. (J Manipulative Physiol Ther 2017;xx:0-6)

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Cross-sectional Area of Cervical Multifidus Muscle in Females With Chronic Bilateral Neck Pain Compared to Controls

Cited by 102 publications

References 23 publications

A tissue velocity ultrasound imaging investigation of the dorsal neck muscles during resisted isometric extension

A tissue velocity ultrasound imaging investigation of the dorsal neck muscles during resisted isometric extension

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Cadaveric and Ultrasonographic Validation of Needling Placement in the Cervical Multifidus Muscle

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