Lumbar Multifidus Muscle Morphology Changes in Patient with Different Degrees of Lumbar Disc Herniation: An Ultrasonographic Study

Naghdi, Neda; Mohseni-Bandpei, Mohammad Ali; Taghipour, Morteza; Rahmani, Nahid

doi:10.3390/medicina57070699

Cited by 15 publications

(5 citation statements)

References 56 publications

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“…[13] Furthermore, studies in LBP patients have revealed a decline in function and atrophy of the important trunk and low back deep musculature responsible for stability and coordination in particular the Multifidus muscle, a critical intersegmental lumbar spinal stabilizer. [14][15][16] In alignment with this research, the 8-week NeuroHAB ® program places a priority on retraining and reversing dysfunctional spinal, pelvic, and hip movement (Movement Dysfunction) by enhancing skill and stability compromised of the inter-related elements of coordinated-movement proficiency of the active musculature supported by the passive periarticular soft tissues. [17] CONCLUSION e results from this study support the alternative hypothesis, concluding an 8-week intervention of functional movement therapy represented by NeuroHAB ® results in a significant reduction of LBP ODI scores.…”

Section: Discussionmentioning

confidence: 88%

Low back pain oswestry disability index changes following 8-week movement proficiency exercise program – A retrospective cohort study

Williams

Johnson²

2023

J Med Res Innov

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Chronic low back pain (CLBP) is a worldwide epidemic, with a prevalence rate of 75–84% in developed countries. With the prevalence increasing, health-care professionals must question current best practice guidelines. In 2014, spinal neurosurgeon and back pain rehabilitation specialist Dr. David Johnson developed a unique back pain rehabilitation program referred to as NearoHAB®. The program’s uniqueness is founded on the principle that effective rehabilitation must eliminate the root cause of pain symptoms. The NeuroHAB® 8-week Movement therapy program aims to reverse movement dysfunction by restoring central nervous system-derived motor patterns based on proficient spinopelvic biomechanics for bending activities of daily living. To date, no other rehabilitation methodology adopts a movement dysfunction cause-based clinical model for back pain symptoms or includes a framework for what healthy lumbar pelvic movement should resemble. Over the course of the 8-week program, each participant is gradually upskilled, developing new default movement proficiency and improved biomechanics, in efforts to downregulate pain, improve disability, and increase functional movement capacity, creating a positive feedback loop for further progress. The leading question of this study is “How does functional movement-based therapy impact chronic low back pain?” Ten sets of participant details were selected at random and retrieved from the NeuroHAB® 8-week program database of 2020. All participants presented with CLBP, and two oswestry disability index (ODI) scores were documented – the first at the beginning of the 8-week program, and the second after the NeuroHAB® intervention. ODI scores were collated and the pre- and post-program results were measured and compared quantitatively through a paired t-test to determine the statistical significance of improvement. Results showed a two-tailed P=0.05 indicating that there was a significant difference between the pre- and post-data (0.0024). The pre- and post-group intervention ODI means were 25.80 and 13.30, respectively, resulting in a difference of 12.50 (95% CI: 5.73–19.27); determining the mean data between the pre- and post-intervention decreased by 48.4496%. The results from this study support the alternative hypothesis, concluding an 8-week intervention of functional movement therapy represented by NeuroHAB® results in a significant reduction of LBP ODI scores.

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Section: Discussionmentioning

confidence: 88%

Low back pain oswestry disability index changes following 8-week movement proficiency exercise program – A retrospective cohort study

Williams

Johnson²

2023

J Med Res Innov

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“…Also, degenerative changes in the muscle affect functionality by causing a decrease in muscle thickness (12). It is stated that the lumbar multifidus muscle thickness is less in patients with low back pain (21,29). However, the difference that this situation creates between genders is not explained in the LSS.…”

Section: Discussionmentioning

confidence: 99%

“…This study determined that females with LSS had less multifidus muscle thickness at the L4/5 level. The change in muscle thickness also leads to a decrease in the muscle's ability to contract (29). This is important in maintaining balance and stability for the multifidus, a deep muscle of the lumbar region (13).…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis

Apaydın,

Güneş,

Köremezli Keskin

2024

Düzce Tıp Fakültesi Dergisi

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Aim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area (CSA), pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis (LSS). Material and Methods: This cross-sectional study included 59 patients, 33 (55.9%) female and 26 (44.1%) male, diagnosed with LSS by magnetic resonance imaging (MRI). Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males (p=0.043), in patients with LSS. Additionally, females with LSS had worse dynamic and static balances (p=0.005, and p=0.001, respectively) and higher levels of disability (p=0.001), and kinesiophobia (p=0.001). Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic (r=-0.289; p=0.027) and static (r=0.349; p=0.007) balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females' balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.

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“…The percentage of MF atrophy correlated with the grade of disc degeneration [ 136 , 137 ]. In a case-control study, there was a significant correlation documented between functional disability, LBP intensity, and muscle size in LDH patients [ 138 ]. Choi et al.…”

Section: Paraspinal Muscles and Thoracic/lumbar Disordersmentioning

confidence: 99%

The association between morphological characteristics of paraspinal muscle and spinal disorders

Suo,

Zhang,

Sun

et al. 2023

Annals of Medicine

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Background Spinal disorders affect millions of people worldwide, and can cause significant disability and pain. The paraspinal muscles, located on either side of the spinal column, play a crucial role in the movement, support, and stabilization of the spine. Many spinal disorders can affect paraspinal muscles, as evidenced by changes in their morphology, including hypertrophy, atrophy, and degeneration. Objectives The objectives of this review were to examine the current literature on the relationship between the paraspinal muscles and spinal disorders, summarize the methods used in previous studies, and identify areas for future research. Methods We reviewed studies on the morphological characteristics of the paravertebral muscle and discussed their relationship with spinal disorders, as well as the current limitations and future research directions. Results The paraspinal muscles play a critical role in spinal disorders and are important targets for the treatment and prevention of spinal disorders. Clinicians should consider the role of the paraspinal muscles in the development and progression of spinal disorders and incorporate assessments of the paraspinal muscle function in clinical practice. Conclusion The findings of this review highlight the need for further research to better understand the relationship between the paraspinal muscles and spinal disorders, and to develop effective interventions to improve spinal health and reduce the burden of spinal disorders.

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Lumbar Multifidus Muscle Morphology Changes in Patient with Different Degrees of Lumbar Disc Herniation: An Ultrasonographic Study

Cited by 15 publications

References 56 publications

Low back pain oswestry disability index changes following 8-week movement proficiency exercise program – A retrospective cohort study

Low back pain oswestry disability index changes following 8-week movement proficiency exercise program – A retrospective cohort study

Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis

The association between morphological characteristics of paraspinal muscle and spinal disorders

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