Association between changes in abdominal and lumbar multifidus muscle thickness and clinical improvement after spinal manipulation

Journal of Orthopaedic and Sports Physical Therapy

Volumn 41, Issue 6, 2011, Pages 389-399

  Koppenhaver, Shane L ^a   Fritz, Julie M ^b,c   Hebert, Jeffrey J ^d   Kawchuk, Greg N ^e   Childs, John D ^a   Parent, Eric C ^e,f   Gill, Norman W ^f   Teyhen, Deydre S ^a  

^a BAYLOR UNIVERSITY   (United States)

^b UNIVERSITY OF UTAH   (United States)

^c INTERMOUNTAIN HEALTHCARE   (United States)

^d MURDOCH UNIVERSITY   (Australia)

^e UNIVERSITY OF ALBERTA   (Canada)

^f GLENROSE REHABILITATION HOSPITAL   (Canada)

Author keywords

Low back pain; Muscle contraction; Transversus abdominis; Ultrasound

Indexed keywords

EID: 79958056709     PISSN: 01906011     EISSN: None     Source Type: Journal    
DOI: 10.2519/jospt.2011.3632     Document Type: Article

References (62)

1. Bernard H. The mechanism of anatomical structure in its relation to osteopathy. 1911. J Am Osteopath Assoc. 2000;100:444-448.
2. Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: A com-prehensive model. Man Ther. 2009;14:531-538. http://dx.doi.org/10.1016/j.math.2008.09.001
3. Bialosky JE, Bishop MD, Robinson ME, Barabas JA, George SZ. The influence of expectation on spinal manipulation induced hypoalgesia: An experimental study in normal subjects. BMC Musculoskelet Disord. 2008;9:19. http://dx.doi.org/10.1186/1471-2474-9-19
4. Bialosky JE, Bishop MD, Robinson ME, Zeppieri G, Jr., George SZ. Spinal manipulative therapy has an immediate effect on thermal pain sensi-tivity in people with low back pain: A randomized controlled trial. Phys Ther. 2009;89:1292-1303. http://dx.doi.org/10.2522/ptj.20090058
5. Boyett MR, Frampton JE, Kirby MS. The length, width and volume of isolated rat and ferret ventricular myocytes during twitch contractions and changes in osmotic strength. Exp Physiol. 1991;76:259-270.
6. Brenner AK, Gill NW, Buscema CJ, Kiesel K. Im-proved activation of lumbar multifidus following spinal manipulation: A case report applying re-habilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37:613-619. http://dx.doi.org/10.2519/jospt.2007.2470
7. Brown SH, McGill SM. A comparison of ultra-sound and electromyography measures of force and activation to examine the mechanics of abdominal wall contraction. Clin Biomech (Bristol, Avon). 2009;25:115-123. http://dx.doi.org/ 10.1016/j.clinbiomech.2009.10.001
8. Childs JD, Fritz JM, Flynn TW, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal ma-nipulation: A validation study. Ann Intern Med. 2004;141:920-928.
9. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005;30:1331-1334. (Pubitemid 40791333)
10. Cramer GD, Gregerson DM, Knudsen JT, Hub-bard BB, Ustas LM, Cantu JA. The effects of side-posture positioning and spinal adjusting on the lumbar Z joints: A randomized controlled trial with sixty-four subjects. Spine (Phila Pa 1976). 2002;27:2459-2466. http://dx.doi.org/10.1097/01.BRS.0000031267.86149.E3 (Pubitemid 35346154)
11. Critchley DJ, Coutts FJ. Abdominal muscle function in chronic low back pain patients: Mea-surement with real-time ultrasound scanning. Physiotherapy. 2002;88:322-332. (Pubitemid 34693073)
12. Degenhardt BF, Darmani NA, Johnson JC, et al. Role of osteopathic manipulative treatment in altering pain biomarkers: A pilot study. J Am Osteopath Assoc. 2007;107:387-400. (Pubitemid 47523317)
13. DeVocht JW, Pickar JG, Wilder DG. Spinal manipulation alters electromyographic activity of paraspinal muscles: A descriptive study. J Manipulative Physiol Ther. 2005;28:465-471. http://dx.doi.org/10.1016/j.jmpt. 2005.07.002 (Pubitemid 41330795)
14. Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. J R Soc Med. 2006;99:192-196. http://dx.doi.org/10.1258/jrsm.99.4. 192
15. Evans DW. Mechanisms and effects of spinal high-velocity, low-amplitude thrust manipula-tion: Previous theories. J Manipulative Physiol Ther. 2002;25:251-262. (Pubitemid 35024430)
16. Ferreira ML, Ferreira PH, Hodges PW. Changes in postural activity of the trunk muscles fol-lowing spinal manipulative therapy. Man Ther. 2007;12:240-248. http://dx.doi.org/10.1016/j.math.2006.06.015 (Pubitemid 47001758)
17. Feuerstein M, Marcus SC, Huang GD. National trends in nonoperative care for nonspecific back pain. Spine J. 2004;4:56-63. (Pubitemid 38100901)
18. Flynn T, Fritz J, Whitman J, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improve-ment with spinal manipulation. Spine (Phila Pa 1976). 2002;27:2835-2843. http://dx.doi.org/10.1097/01.BRS.0000035681.33747.8D (Pubitemid 36008582)
19. Fritz JM, Childs JD, Flynn TW. Pragmatic ap-plication of a clinical prediction rule in primary care to identify patients with low back pain with a good prognosis following a brief spinal manip-ulation intervention. BMC Fam Pract. 2005;6:29. http://dx.doi.org/10.1186/1471-2296-6-29
20. Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: Rela-tionships with current and future disability and work status. Pain. 2001;94:7-15. (Pubitemid 32907553)
21. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Question-naire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81:776-788. (Pubitemid 32119062)
22. Gill NW, Teyhen DS, Lee IE. Improved contrac-tion of the transversus abdominis immediately following spinal manipulation: A case study using real-time ultrasound imaging. Man Ther. 2007;12:280-285. http://dx.doi.org/10. 1016/j.math.2006.06.014 (Pubitemid 47001756)
23. Herbert RD, Moseley AM, Butler JE, Gandevia SC. Change in length of relaxed muscle fascicles and tendons with knee and ankle movement in humans. J Physiol. 2002;539:637-645. (Pubitemid 35175416)
24. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine (Phila Pa 1976). 2001;26:E243-248.
25. Hides JA, Stanton WR, McMahon S, Sims K, Richardson CA. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. J Or-thop Sports Phys Ther. 2008;38:101-108. http://
26. Hodges PW. Changes in motor planning of feed-forward postural responses of the trunk muscles in low back pain. Exp Brain Res. 2001;141:261-266. http://dx.doi.org/10.1007/s002210100873 (Pubitemid 33020855)
27. Hodges PW. Is there a role for transversus abdominis in lumbo-pelvic stability? Man Ther. 1999;4:74-86. http://dx.doi.org/10.1054/math.1999.0169 (Pubitemid 29410510)
28. Hodges PW, Pengel LH, Herbert RD, Gandevia SC. Measurement of muscle contraction with ul-trasound imaging. Muscle Nerve. 2003;27:682-692. http://dx.doi.org/10.1002/mus.10375 (Pubitemid 36667477)
29. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch Phys Med Rehabil. 1999;80:1005-1012. (Pubitemid 29439311)
30. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb. J Spinal Disord. 1998;11:46-56. (Pubitemid 28106293)
31. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003;28:1593-1600. (Pubitemid 36877097)
32. Ito M, Kawakami Y, Ichinose Y, Fukashiro S, Fuku-naga T. Nonisometric behavior of fascicles dur-ing isometric contractions of a human muscle. J Appl Physiol. 1998;85:1230-1235. (Pubitemid 28465046)
33. Jensen MP, Turner JA, Romano JM, Fisher LD. Comparative reliability and validity of chronic pain intensity measures. Pain. 1999;83:157-162. (Pubitemid 29479273)
34. Keller TS, Colloca CJ. Mechanical force spinal manipulation increases trunk muscle strength assessed by electromyography: A compara-tive clinical trial. J Manipulative Physiol Ther. 2000;23:585-595. http://dx.doi.org/10.1067/ mmt.2000.110947 (Pubitemid 32094719)
35. Kiesel KB, Uhl TL, Underwood FB, Rodd DW, Nitz AJ. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imag-ing. Man Ther. 2007;12:161-166. http://dx.doi.org/10.1016/j.math.2006.06.011 (Pubitemid 46628788)
36. Koppenhaver SL, Hebert JJ, Fritz JM, Parent EC, Teyhen DS, Magel JS. Reliability of rehabilitative ultrasound imaging of the transversus abdomi-nis and lumbar multifidus muscles. Arch Phys Med Rehabil. 2009;90:87-94. http://dx.doi.org/10.1016/j.apmr.2008.06.022
37. Koppenhaver SL, Hebert JJ, Parent EC, Fritz JM. Rehabilitative ultrasound imaging is a valid measure of trunk muscle size and activation during most isometric sub-maximal contrac-tions: A systematic review. Aust J Physiother. 2009;55:153-169.
38. Koppenhaver SL, Parent EC, Teyhen DS, Hebert JJ, Fritz JM. The effect of averaging multiple trials on measurement error during ultrasound imaging of transversus abdominis and lumbar multifidus muscles in individuals with low back pain. J Orthop Sports Phys Ther. 2009;39:604-611. http://dx.doi.org/10.2519/ jospt.2009.3088
39. Lehman GJ, Vernon H, McGill SM. Effects of a mechanical pain stimulus on erector spinae ac-tivity before and after a spinal manipulation in patients with back pain: A preliminary investiga-tion. J Manipulative Physiol Ther. 2001;24:402-406. http://dx.doi.org/10.1067/mmt.2001.116421 (Pubitemid 32800486)
40. MacDonald DA, Moseley GL, Hodges PW. The lumbar multifidus: Does the evidence support clinical beliefs? Man Ther. 2006;11:254-263. http://dx.doi.org/10.1016/j.math.2006.02.004 (Pubitemid 44636291)
41. Maitland GD. Vertebral Manipulation. 5th ed. London, UK: Butterworth & Co Ltd; 1986.
42. Marshall P, Murphy B. The effect of sacroiliac joint manipulation on feed-forward activation times of the deep abdominal musculature. J Manipulative Physiol Ther. 2006;29:196-202. http://dx.doi.org/10.1016/j.jmpt.2006.01.010
43. McMeeken JM, Beith ID, Newham DJ, Mil-ligan P, Critchley DJ. The relationship between EMG and change in thickness of transversus abdominis. Clin Biomech (Bristol, Avon). 2004;19:337-342. http://dx.doi.org/10.1016/j. clinbiomech.2004.01.007 (Pubitemid 38510409)
44. Meeker WC, Haldeman S. Chiropractic: A profession at the crossroads of mainstream and alternative medicine. Ann Intern Med. 2002;136:216-227. (Pubitemid 34118122)
45. Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. Reliability and validity of the ac-tive straight leg raise test in posterior pelvic pain since pregnancy. Spine (Phila Pa 1976). 2001;26:1167-1171. (Pubitemid 32429320)
46. Moore KL, Dalley AF. Clinically Oriented Anatomy. Baltimore, MD: Lippincott Williams & Wilkins; 2006.
47. Narici MV, Binzoni T, Hiltbrand E, Fasel J, Terrier F, Cerretelli P. In vivo human gastrocnemius ar-chitecture with changing joint angle at rest and during graded isometric contraction. J Physiol. 1996;496 (Pt 1):287-297. (Pubitemid 26345596)
48. Nelson AG, Kokkonen J. Acute ballistic muscle stretching inhibits maximal strength perfor-mance. Res Q Exerc Sport. 2001;72:415-419. (Pubitemid 33604397)
49. Ostelo RW, Deyo RA, Stratford P, et al. Interpret-ing change scores for pain and functional status in low back pain: Towards international consen-sus regarding minimal important change. Spine (Phila Pa 1976). 2008;33:90-94. http://dx.doi.org/10.1097/BRS.0b013e31815e3a10
50. Otten E. Concepts and models of functional architecture in skeletal muscle. Exerc Sport Sci Rev. 1988;16:89-137.
51. Pickar JG. Neurophysiological effects of spinal manipulation. Spine J. 2002;2:357-371.
52. Puentedura EJ, Landers MR, Hurt K, Meissner M, Mills J, Young D. Immediate effects of lumbar spine manipulation on the resting and contrac-tion thickness of transversus abdominis in asymptomatic individuals. J Orthop Sports Phys Ther. 2011;41:13-21. http://dx.doi.org/10.2519/jospt.2011.3311
53. Raney NH, Teyhen DS, Childs JD. Observed changes in lateral abdominal muscle thickness after spinal manipulation: A case series using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37:472-479. http://dx.doi.org/10.2519/jospt.2007.2523
54. Rubini EC, Costa AL, Gomes PS. The effects of stretching on strength performance. Sports Med. 2007;37:213-224. (Pubitemid 46376774)
55. Stokes M, Hides J, Elliott J, Kiesel K, Hodges P. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. J Orthop Sports Phys Ther. 2007;37:581-595. http://dx.doi.org/10.2519/jospt.2007.2599
56. Takemori S. Influence of osmotic swelling on cross section and resting tension in iso-lated skeletal muscle fibers. Jpn J Physiol. 1990;40:595-611.
57. Teyhen DS, Bluemle LN, Dolbeer JA, et al. Changes in lateral abdominal muscle thickness during the abdominal drawing-in maneuver in those with lumbopelvic pain. J Orthop Sports Phys Ther. 2009;39:791-798. http://dx.doi.org/10.2519/jospt.2009.3128
58. Teyhen DS, Gill NW, Whittaker JL, Henry SM, Hides JA, Hodges P. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37:450-466. http://dx.doi.org/10.2519/jospt.2007.0107
59. Teyhen DS, Miltenberger CE, Deiters HM, 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;35:346-355. (Pubitemid 40770930)
60. Teyhen DS, Williamson JN, Carlson NH, et al. Ul-trasound characteristics of the deep abdominal muscles during the active straight leg raise test. Arch Phys Med Rehabil. 2009;90:761-767. http://dx.doi.org/10.1016/j.apmr.2008.11.011
61. Yoshihara K, Shirai Y, Nakayama Y, Uesaka S. Histochemical changes in the multifidus muscle in patients with lumbar intervertebral disc her-niation. Spine (Phila Pa 1976). 2001;26:622-626. (Pubitemid 32231550)
62. Zhao WP, Kawaguchi Y, Matsui H, Kanamori M, Kimura T. Histochemistry and morphology of the multifidus muscle in lumbar disc her-niation: Comparative study between diseased and normal sides. Spine (Phila Pa 1976). 2000;25:2191-2199.