The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle

Manual Therapy

Volumn 14, Issue 5, 2009, Pages 496-500

  Wallwork, Tracy L ^a,b   Stanton, Warren R ^c   Freke, Matt ^a   Hides, Julie A ^a,c  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b Mater Health Services ^*

^c Second Health Support Battalion   (Australia)

Author keywords

Chronic low back pain (CLBP); Multifidus muscle; Ultrasound imaging

Indexed keywords

ADULT; ARTICLE; BACK MUSCLE; CHRONIC PAIN; CLINICAL ARTICLE; CONTROLLED STUDY; ECHOGRAPHY; FEMALE; HUMAN; IMAGE ANALYSIS; LOW BACK PAIN; MALE; MUSCLE CONTRACTION; MUSCLE ISOMETRIC CONTRACTION; PRIORITY JOURNAL; SPINAL MUSCULAR ATROPHY; VOLUNTARY MOVEMENT;

ADULT; ANALYSIS OF VARIANCE; ANTHROPOMETRY; CHRONIC DISEASE; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; LOW BACK PAIN; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; MUSCLE CONTRACTION; MUSCLE, SKELETAL; MUSCULAR ATROPHY; PAIN MEASUREMENT; YOUNG ADULT;

EID: 68049114426     PISSN: 1356689X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.math.2008.09.006     Document Type: Article

References (23)

1. Barker K.L., Shamley D.R., and Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine 29 (2004) E515-E519
2. Danneels L., Vanderstraeten G., Cambier D., Witvrouw E., and De Cuyper H. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. European Spine Journal 9 4 (2000) 266-272
3. Danneels L., Van der Straeten G., Cambier D., Witvrouw E., and De Cuyper H. The effects of three different training modalities on the cross-sectional area of the lumbar multifidus. British Journal of Sports Medicine 35 (2001) 186-194
4. Goldby L.J., Moore A.P., Doust J., and Trew M. A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine 31 10 (2006) 1083-1093
5. Hides J.A., Cooper D.H., and Stokes M.J. Diagnostic ultrasound imaging for measurement of the lumbar multifidus in normal young adults. Physiotherapy Theory and Practice 8 (1992) 19-26
6. Hides J., Gilmore C., Stanton W., and Bohlscheid E. Multifidus size and symmetry among chronic LBP and healthy asymptomatic subject. Manual Therapy 13 1 (2008) 43-49
7. Hides J., Jull G., and Richardson C. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine 26 11 (2001) E243-E248
8. Hides J., Richardson C., and Jull G. Multifidus recovery is not automatic after resolution of acute, first-episode low back pain. Spine 21 (1996) 2763-2769
9. Hides J., Richardson C., and Jull G. Magnetic resonance imaging and ultrasonongraphy of the lumbar multifidus muscle: comparison of two different modalities. Spine 20 1 (1995) 54-58
10. Hides J., Stokes M., Saide M., Jull G., and Cooper D. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine 19 2 (1994) 165-172
11. Hides J.A., Wilson S., Stanton W., McMahon S., Sims K., and Richardson C. The effect of stabilization training on multifidus muscle size among young elite cricketers. Journal of Orthopaedic and Sports Physical Therapy 38 3 (2008) 101-108
12. International Association for the Study of Pain. Available at: (2008). http://www.iasp-pain.org//AM/Template.cfm?Section=Home [accessed April 1, 2008]
13. Kader D., Wardlaw D., and Smith F. Correlation between the MRI changes in the lumbar multifidus muscles and leg pain. Clinical Radiology 55 (2000) 145-149
14. Kiesel K., Uhl T., Underwood F., Rodd D., and Nitz A. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Manual Therapy 12 2 (2007) 161-166
15. Kiesel K.B., Uhl T.L., Underwood F.B., and Nitz A. Rehabilitative ultrasound measurement t of select trunk muscle activation during induced pain. Manual Therapy 13 (2008) 132-138
16. O'Sullivan P.B., Twomey L.T., and Allison G.T. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 22 (1997) 2959-2967
17. Pressler J.F., Heiss G.D., Buford J.A., and Chidley J.V. Between day repeatability and symmetry of multifidus cross-sectional area measured using ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy 36 1 (2006) 10-18
18. Sihvonen T., Herno A., Paljarvi L., Airaksinen O., Partanen J., and Tapaninaho A. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 18 (1993) 575-581
19. Stokes M., Rankin G., and Newham D.J. Ultrasound imaging of lumbar multifidus: normal reference ranges for measurements and practical guidance on the technique. Manual Therapy 10 (2005) 116-126
20. Stokes M., Hides J., Elliott J., Kiesel K., and Hodges P. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic and Sports Physical Therapy 37 10 (2007) 581-595
21. Stuge B., Veierød M.B., Laerum E., and Vøllestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two year follow up of a randomized clinical trial. Spine 29 10 (2004) E197-E203
22. Van K., Hides J.A., and Richardson C.A. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. Journal of Orthopaedic and Sports Physical Therapy 36 12 (2006) 920-925
23. Wallwork T., Hides J., and Stanton W. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy 37 10 (2007) 608-612