The evaluation of lumbar multifidus muscle function via palpation: Reliability and validity of a new clinical test

Spine Journal

Volumn 15, Issue 6, 2015, Pages 1196-1202

  Hebert, Jeffrey J ^a   Koppenhaver, Shane L ^a,b   Teyhen, Deydre S ^b,c   Walker, Bruce F ^a   Fritz, Julie M ^d  

^a MURDOCH UNIVERSITY   (Australia)

^b BAYLOR UNIVERSITY   (United States)

^c U S ARMY MEDICAL RESEARCH AND MATERIEL COMMAND   (United States)

^d UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

Author keywords

Diagnosis; Low back pain; Reliability; Skeletal muscle; Spine; Validity

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL ASSESSMENT TOOL; CLINICAL DECISION MAKING; CLINICAL EVALUATION; COMPARATIVE EFFECTIVENESS; CONCURRENT VALIDITY; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DIAGNOSTIC TEST ACCURACY STUDY; EVIDENCE BASED PRACTICE; FEMALE; HUMAN; IMAGING SOFTWARE; INTERRATER RELIABILITY; LOW BACK PAIN; LUMBAR MULTIFIDUS MUSCLE; LUMBAR SPINE; MALE; MEASUREMENT ERROR; MULTIFIDUS LIFT TEST; MULTIFIDUS MUSCLE; MUSCLE DISEASE; MUSCLE FUNCTION; MUSCULOSKELETAL DISEASE ASSESSMENT; OSWESTRY DISABILITY INDEX; OUTPATIENT; PALPATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; REAL TIME ECHOGRAPHY; REAL TIME ULTRASOUND SCANNER; STANDARD; UNIVERSITY; LUMBOSACRAL REGION; PARASPINAL MUSCLE; PATHOPHYSIOLOGY; REPRODUCIBILITY; VALIDATION STUDY; YOUNG ADULT;

ADULT; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; LOW BACK PAIN; LUMBOSACRAL REGION; MALE; PALPATION; PARASPINAL MUSCLES; REPRODUCIBILITY OF RESULTS; YOUNG ADULT;

EID: 84888615437     PISSN: 15299430     EISSN: 18781632     Source Type: Journal    
DOI: 10.1016/j.spinee.2013.08.056     Document Type: Article

References (50)

1. B.F. Walker The prevalence of low back pain: a systematic review of the literature from 1966 to 1998 J Spinal Disord 13 2000 205 217
2. S. Dagenais, J. Caro, and S. Haldeman A systematic review of low back pain cost of illness studies in the United States and internationally Spine J 8 2008 8 20
3. X. Luo, R. Pietrobon, S.X. Sun, G.G. Liu, and L. Hey Estimates and patterns of direct health care expenditures among individuals with back pain in the United States Spine 29 2004 79 86
4. L. Abenhaim, M. Rossignol, D. Gobeille, Y. Bonvalot, P. Fines, and S. Scott The prognostic consequences in the making of the initial medical diagnosis of work-related back injuries Spine 20 1995 791 795
5. R.A. Deyo, J. Rainville, and D.L. Kent What can the history and physical examination tell us about low back pain? JAMA 268 1992 760 765
6. G.L. Moseley, P.W. Hodges, and S.C. Gandevia Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements Spine 27 2002 E29 E36
7. M. Solomonow, B.H. Zhou, M. Harris, Y. Lu, and R.V. Baratta The ligamento-muscular stabilizing system of the spine Spine 23 1998 2552 2562
8. S.R. Ward, C.W. Kim, C.M. Eng, L.J. Gottschalk 4th, A. Tomiya, and S.R. Garfin Architectural analysis and intraoperative measurements demonstrate the unique design of the multifidus muscle for lumbar spine stability J Bone Joint Surg Am 91 2009 176 185
9. H. Wagner, C.h. Anders, C.h. Puta, A. Petrovitch, F. Mörl, and N. Schilling Musculoskeletal support of lumbar spine stability Pathophysiology 12 2005 257 265
10. H.J. Wilke, S. Wolf, and L.E. Claes Stability increase of the lumbar spine with different muscle groups: a biomechanical in vitro study Spine 20 1995 192 198
11. D. MacDonald, G.L. Moseley, and P.W. Hodges Why do some patients keep hurting their back? Evidence of ongoing back muscle dysfunction during remission from recurrent back pain Pain 142 2009 183 188
12. N. Dickx, B. Cagnie, E. Achten, P. Vandemaele, T. Parlevliet, and L. Danneels Changes in lumbar muscle activity because of induced muscle pain evaluated by muscle functional magnetic resonance imaging Spine 33 2008 E983 E989
13. K.B. Kiesel, T. Uhl, F.B. Underwood, and A.J. Nitz Rehabilitative ultrasound measurement of select trunk muscle activation during induced pain Man Ther 13 2008 132 138
14. L.A. Danneels, G.G. Vanderstraeten, D.C. Cambier, E.E. Witvrouw, J. Bourgois, and W. Dankaerts Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain Br J Sports Med 35 2001 186 191
15. J.A. Hides, G.A. Jull, and C.A. Richardson Long-term effects of specific stabilizing exercises for first-episode low back pain Spine 26 2001 E243 E248
16. P.B. O'Sullivan, G.D. Phyty, L.T. Twomey, and G.T. Allison 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. J. Hebert, S. Koppenhaver, J. Fritz, and E. Parent Clinical prediction for success of interventions for managing low back pain Clin Sports Med 27 2008 463 479
18. J.J. Hebert, R.L. Marcus, S.L. Koppenhaver, and J.M. Fritz Postoperative rehabilitation following lumbar discectomy with quantification of trunk muscle morphology and function: a case report and review of the literature J Orthop Sports Phys Ther 40 2010 402 412
19. J.J. Hebert, S.L. Koppenhaver, and B.F. Walker Subgrouping patients with low back pain: a treatment-based approach to classification Sports Health 3 2011 534 542
20. S.L. Koppenhaver, J.M. Fritz, J.J. Hebert, G.N. Kawchuk, E.C. Parent, and N.W. Gill Association between history and physical examination factors and change in lumbar multifidus muscle thickness after spinal manipulation in patients with low back pain J Electromyogr Kinesiol 22 2012 724 731
21. K.B. Kiesel, T.L. Uhl, F.B. Underwood, D.W. Rodd, and A.J. Nitz Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging Man Ther 12 2007 161 166
22. T.L. Wallwork, W.R. Stanton, M. Freke, and J.A. Hides The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle Man Ther 14 2009 496 500
23. S.M. Rubinstein, and M. van Tulder A best-evidence review of diagnostic procedures for neck and low-back pain Best Pract Res Clin Rheumatol 22 2008 471 482
24. S.L. Koppenhaver, J.M. Fritz, J.J. Hebert, G.N. Kawchuk, J.D. Childs, and E.C. Parent Association between changes in abdominal and lumbar multifidus muscle thickness and clinical improvement after spinal manipulation J Orthop Sports Phys Ther 41 2011 389 399
25. J.D. Childs, S.R. Piva, and J.M. Fritz Responsiveness of the numeric pain rating scale in patients with low back pain Spine 30 2005 1331 1334
26. M.P. Jensen, J.A. Turner, and J.M. Romano What is the maximum number of levels needed in pain intensity measurement? Pain 58 1994 387 392
27. J.T. Farrar, J.A. Berlin, and B.L. Strom Clinically important changes in acute pain outcome measures: a validation study J Pain Symptom Manage 25 2003 406 411
28. M.P. Jensen, J.A. Turner, J.M. Romano, and L.D. Fisher Comparative reliability and validity of chronic pain intensity measures Pain 83 1999 157 162
29. L. Li, X. Liu, and K. Herr Postoperative pain intensity assessment: a comparison of four scales in Chinese adults Pain Med 8 2007 223 234
30. J.M. Fritz, and J.J. Irrgang A comparison of a modified Oswestry disability questionnaire and the Quebec back pain disability scale Phys Ther 81 2001 776 788
31. G. Waddell, M. Newton, I. Henderson, D. Somerville, and C.J. Main A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability Pain 52 1993 157 168
32. K.B. Kiesel, F.B. Underwood, C.G. Mattacola, A.J. Nitz, and T.R. Malone A comparison of select trunk muscle thickness change between subjects with low back pain classified in the treatment-based classification system and asymptomatic controls J Orthop Sports Phys Ther 37 2007 596 607
33. J.J. Hebert, S.L. Koppenhaver, E.C. Parent, and J.M. Fritz A systematic review of the reliability of rehabilitative ultrasound imaging for the quantitative assessment of the abdominal and lumbar trunk muscles Spine 34 2009 E848 E856
34. S.L. Koppenhaver, J.J. Hebert, J.M. Fritz, E.C. Parent, D.S. Teyhen, and J.S. Magel Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles Arch Phys Med Rehabil 90 2009 87 94
35. S.L. Koppenhaver, J.J. Hebert, E.C. Parent, and J.M. Fritz Rehabilitative ultrasound imaging is a valid measure of trunk muscle size and activation during most isometric sub-maximal contractions: a systematic review Aust J Physiother 55 2009 153 169
36. S.L. Koppenhaver, E.C. Parent, D.S. Teyhen, J.J. Hebert, and J.M. Fritz 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 39 2009 604 611
37. J. Hides, Q. Scott, G. Jull, and C. Richardson A clinical palpation test to check the activation of the deep stabilizing muscles of the lumbar spine Int Sports Med J 1 2000
38. R. Chakraverty, P. Pynsent, and K. Isaacs Which spinal levels are identified by palpation of the iliac crests and the posterior superior iliac spines? J Anat 210 2007 232 236
39. K.T. Snider, J.W. Kribs, E.J. Snider, B.F. Degenhardt, A. Bukowski, and J.C. Johnson Reliability of Tuffier's line as an anatomic landmark Spine 33 2008 E161 E165
40. T. Byrt, J. Bishop, and J.B. Carlin Bias, prevalence and kappa J Clin Epidemiol 46 1993 423 429
41. R.J. Landis, and G.G. Koch The measurement of observer agreement for categorical data Biometrics 33 1977 159 174
42. G. Guyatt Users' guides to the medical literature: a manual for evidence-based clinical practice 2nd ed. 2008 McGraw-Hill Medical New York, NY
43. J.W. Frymoyer, and D.K. Selby Segmental instability. Rationale for treatment Spine 10 1985 280 286
44. M. Shaughnessy, and B. Caulfield A pilot study to investigate the effect of lumbar stabilisation exercise training on functional ability and quality of life in patients with chronic low back pain Int J Rehabil Res 27 2004 297 301
45. P. Kjaer, T. Bendix, J.S. Sorensen, L. Korsholm, and C. Leboeuf-Yde Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain? BMC Med 5 2007 2
46. B. Mengiardi, M.R. Schmid, N. Boos, C.W. Pfirrmann, F. Brunner, and A. Elfering Fat content of lumbar paraspinal muscles in patients with chronic low back pain and in asymptomatic volunteers: quantification with MR spectroscopy Radiology 240 2006 786 792
47. K.L. Barker, D.R. Shamley, and D. Jackson 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
48. L.A. Danneels, G.G. Vanderstraeten, D.C. Cambier, E.E. Witvrouw, and H.J. De Cuyper CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects Eur Spine J 9 2000 266 272
49. J.M. Fritz, S.L. Koppenhaver, G.N. Kawchuk, D.S. Teyhen, J.J. Hebert, and J.D. Childs Preliminary investigation of the mechanisms underlying the effects of manipulation: exploration of a multivariate model including spinal stiffness, multifidus recruitment, and clinical findings Spine 36 2011 1772 1781
50. J.J. Hebert, S.L. Koppenhaver, J.S. Magel, and J.M. Fritz The relationship of transversus abdominis and lumbar multifidus activation and prognostic factors for clinical success with a stabilization exercise program: a cross-sectional study Arch Phys Med Rehabil 91 2010 78 85