Changes in recruitment of transversus abdominis correlate with disability in people with chronic low back pain

British Journal of Sports Medicine

Volumn 44, Issue 16, 2010, Pages 1166-1172

  Ferreira, P H ^a,b   Ferreira, M L ^a   Maher, C G ^a   Refshauge, K ^a   Herbert, R D ^a   Hodges, P W ^c  

^a UNIVERSITY OF SYDNEY   (Australia)

^b FEDERAL UNIVERSITY OF MINAS GERAIS   (Brazil)

^c UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL WALL MUSCULATURE; ADOLESCENT; ADULT; AGED; ARTICLE; CASE CONTROL STUDY; CHRONIC DISEASE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISABLED PERSON; ECHOGRAPHY; FEMALE; HUMAN; KINESIOTHERAPY; LOW BACK PAIN; MALE; MIDDLE AGED; NEUROPHYSIOLOGICAL RECRUITMENT; PATHOPHYSIOLOGY; PHYSIOLOGY; RANDOMIZED CONTROLLED TRIAL; ULTRASTRUCTURE;

ABDOMINAL MUSCLES; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CASE-CONTROL STUDIES; CHRONIC DISEASE; DISABLED PERSONS; EXERCISE THERAPY; FEMALE; HUMANS; LOW BACK PAIN; MALE; MIDDLE AGED; RECRUITMENT, NEUROPHYSIOLOGICAL; YOUNG ADULT;

EID: 78650424513     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsm.2009.061515     Document Type: Article

References (50)

1. Van Dieen J, Selen L, Cholewicki J. Trunk muscle activation in low-back pain patients, an analysis of the literature. J Electromyogr Kinesiol 2003;13:333-51.
2. Radebold A, Cholewicki J, Panjabi MM, et al. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine 2000;25:947-54.
3. Arendt-Nielsen L, Graven-Nielsen T, Svarrer H, et al. The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study. Pain 1996;64:231-40.
4. Soderberg G, Barr J. Muscular function in chronic low-back dysfunction. Spine 1983;8:79-85.
5. O'Sullivan P, Beales D, Beetham J, et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine 2002;27:E1-8.
6. Hodges P, Richardson C. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J Spinal Disord 1998;11:46-56.
7. Hodges P, Richardson C. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil 1999;80:1005-12.
8. Hodges P, Richardson C. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine 1996;21:2640-50.
9. Hodges P, Moseley G, Gabrielsson A, et al. Experimental muscle pain changes feedforward postural responses of the trunk muscles. Exp Brain Res 2003;151:262-71.
10. Ferreira P, Ferreira M, Hodges P. Changes in recruitment of the abdominal muscles in people with low back pain. Ultrasound measurement of muscle activity. Spine 2004;29:2560-6.
11. Cresswell A, Grundstrom H, Thorstensson A. Observations of intra-abdominal pressure and patterns of abdominal intra-muscular activity in man. Acta Physiol Scand 1992;144:409-18.
12. Cresswell A, Grundstrom H, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res 1994;98:336-41.
13. Hodges P, Richardson C. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res 1997;114:362-70.
14. McCook D, Vicenzino B, Hodges P. Activity of deep abdominal muscles increases during submaximal flexion and extension efforts but antagonist co-contraction remains unchanged. J Electromyogr Kinesiol 2009;19:754-762.
15. Hodges P. Neuromechanical control of the spine. Stockholm: Kongl Carolinska Medico Chirurgiska Institute, 2003.
16. Hodges P, Eriksson A, Shirley D, et al. Intra-abdominal pressure increases stiffness of the lumbar spine. J Biomech 2005;38: 1873 -80 .
17. Richardson C, Snijders C, Hides J, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine 2002;27:399-405.
18. Richardson C, Jull G, Hodges P. Therapeutic exercise for spinal segmental stabilization in low back pain. Edinburgh: Churchill Livingstone, 1999.
19. O'Sullivan P, Twomey L, Allison G. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 1997;22:2959-67.
20. Goldby L, Moore A, Doust J, et al. A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine 2006;31:1083-93.
21. Hides J, Jull G, Richardson C. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine 2001;26:E243-8.
22. Ferreira P, Ferreira M, Maher C, et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust J Physiother 2006;52:79-88.
23. Niemisto L, Lahtinen-Suopanki T, Rissanen P, et al. A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain. Spine 2003;28:2185-91.
24. Stuge B, Laerum E, Kirkesola G, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine 2004;29:351-9.
25. Hodges P, Richardson C. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 1997;77:132-42; discussion 142-4.
26. Hodges P, Richardson C. Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task. Neurosci Lett 1999;265:91-4.
27. Hodges P, Cresswell A, Thortensson A. Preparatory trunk motion acccompanies rapid upper limb movement. Exp Brain Res 1999;124:69-79.
28. Hodges P, Richardson C. Relationship between limb movement speed and associated contraction of the trunk muscles. Ergonomics 1997;40:1220-30. (Pubitemid 27487550)
29. Hodges P, Richardson C, Jull G. Evaluation of the relationship between laboratory and clinical tests of transversus abdominis function. Physiother Res Int 1996;1:30-40.
30. Tsao H, Hodges P. Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain. J Electromyogr Kinesiol 2008;18:559-67.
31. Tsao H, Hodges P. Immediate changes in feedforward postural adjustments following voluntary motor training. Exp Brain Res 2007;181:537-46.
32. Bunce S, Hough A, Moore A. Measurement of abdominal muscle thickness using Mmode ultrasound imaging during functional activities. Man Ther 2004;9:41-4.
33. Bunce SM, Moore A, Hough A. M-mode ultrasound: a reliable measure of transversus abdomini thickness? Clin Biomech 2002;17:315-17.
34. Critchley D, Coutts F. Abdominal muscle function in chronic low-back pain patients: measurements with real-time ultrasound scanning. Physiotherapy 2002;86:322-32.
35. McMeeken J, Beith I, Newham D, et al. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech 2004;19:337-42.
36. Hodges P, Pengel L, Herbert R, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve 2003;27:682-92.
37. Ferreira M, Ferreira P, Latimer J, et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain. A randomized trial. Pain 2007;131:31-7.
38. Fleiss J. The design and analysis of clinical experiments: reliability of measurement. Chichester: John Wiley and Sons, 1986:1-33.
39. Hodges P, Ferreira P, Ferreira M. Lumbar spine - treatment of spondylolytic and instability problems. In: Magee D, Zachazewski J, Quillen W, eds. Musculoskeletal rehabilitation. 2008. Saunders Elsevier - St Louis, Missouri 63146.
40. Klaber Moffet J, Frost H. Back to fitness programme. The manual for physiotherapists to set up the classes. Physiotherapy 2000;86:295-305.
41. Maitland G, Hengenveld E, Banks K, et al. Maitland's vertebral manipulation. Oxford: Butterworth Heinneman, 2001.
42. Pengel L, Maher C, Refshauge K. Responsiveness of pain, disability and physical impairment outcomes in subjects with low back pain. Spine 2004;29:879-83.
43. Roland M, Morris R. A study of the natural history of back pain. Spine 1983;8:141-50.
44. Ferreira P, Ferreira M, Refshauge K, et al. Clinical ultrasound test for transversus abdominus thickness: investigation of reliability. Proceedings of the Musculoskeltal Physiotherapy Association Conference; Musculoskeletal Physiotherapy Association Sydney, Australia, 2003.
45. Teyhen D, Miltenberger C, Deiters H, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther 2005;35:346-55.
46. Henry S, Westervelt K. The use of real time ultrasound feedback in teaching abdominal hollowing exercises to healthy subjects. J Orthop Sports Phys Ther 2005;35:338-45.
47. Hides J, Jull G, Richardson C. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine 1996;21:2763-9.
48. Assmann S, Pocock S, Enos L, et al. Subgroup analysis and other (mis)uses of baseline data in clinical trials. Lancet 2000;355:1064-9.
49. Brooks S, Whitely E, Egger M, et al. Subgroup analyses in randomized trials: risks of subgroup-specific analyses; power and sample size for the interaction test. J Clin Epidemiol 2004;57:229-36.
50. Childs J, Cleland J. Development and application of clinical prediction rules to improve decision making in physical therapist practice. Phys Ther 2006;86:122-31.