Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis

Seyedhoseinpoor, Tahere; Taghipour, Mohammad; Dadgoo, Mehdi; Sanjari, Mohammad Ali; Takamjani, Ismail Ebrahimi; Kazemnejad, Anoshirvan; Khoshamooz, Yasamin; Hides, Julie

doi:10.1016/j.spinee.2021.10.018

Cited by 52 publications

(40 citation statements)

References 58 publications

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“…Chronic low‐back pain (CLBP) is a complex condition with multiple contributors to both the pain and associated disability including psychological factors, social factors, biophysical factors, and comorbidities (Hartvigsen et al, 2018). With respect to biophysical factors, much research has focused on changes in trunk muscle size, shape, and composition in people with LBP (Goubert et al, 2016; Seyedhoseinpoor et al, 2021), using a wide‐variety of measurement techniques. It has been proposed that insights regarding structural muscle alterations observed in people with low‐back pain (LBP) are important for prevention and treatment of people with CLBP (Goubert et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Relationship between the morphology and composition of the lumbar paraspinal and psoas muscles and lumbar intervertebral motion in chronic low‐back pain: An exploratory study

et al. 2022

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Muscles of the lumbar spine play an important role in controlling segmental intervertebral motion. This study aimed to evaluate the association between lumbar intervertebral motion and changes in lumbar morphology/composition in people with chronic low-back pain (CLBP). A sample of 183 patients with CLBP participated in this cross-sectional study. Participants underwent lumbar flexion-extension X-rays to determine vertebral motion (translational and/or rotational motion) of lumbar levels (L1-L2 to L5-S1) and lumbar spine magnetic resonance imaging to quantify total and functional cross-sectional areas (CSAs) and asymmetry of the multifidus (MF), lumbar erector spinae (LES), and psoas muscles. The relationship between morphology/ composition of the muscles and lumbar intervertebral motion was investigated. Smaller total and functional CSAs of the MF and greater CSAs of the LES muscle were observed in participants with greater intervertebral motion. Muscle asymmetry was observed at different lumbar vertebral levels. The greatest amount of translational intervertebral motion was observed at the L3-L4 level, while the greatest amount of rotational translation occurred at the L4-L5. Associations were observed between the morphology of the paraspinal muscles at the vertebral levels adjacent to the L3-L4 level and the increased intervertebral motion at this level. Relationships between measures of muscle morphology/composition and increased segmental vertebral motion were observed. The results may provide a plausible biological reason for the effectiveness of rehabilitating deficient paraspinal muscles in a subset of people with CLBP.

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Section: Introductionmentioning

confidence: 99%

Relationship between the morphology and composition of the lumbar paraspinal and psoas muscles and lumbar intervertebral motion in chronic low‐back pain: An exploratory study

et al. 2022

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“…The ES and MF were thought to play an important role in the active stabilization and movement of the spine ( Sadeghi et al, 2019 ; Kouwijzer et al, 2020 ). Previous studies showed that people with low back pain were found to have smaller multifidus muscles with a significant amount of intramuscular fat infiltration ( Seyedhoseinpoor et al, 2021 ). Considering the high activation of ES and MF (>20% MVC) during HKK with the lower limb lifted, it could be used to strengthen ES and MF in particular.…”

Section: Discussionmentioning

confidence: 99%

The deer play in Wuqinxi and four-point hand−knee kneeling positions for training core muscle function and spinal mobility

Chang

Chen²,

Shen³

et al. 2022

Front. Bioeng. Biotechnol.

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The four-point kneeling exercise is a core stabilization exercise that provides the spine with dynamic stability and neuromuscular control. In the traditional Chinese exercise Wuqinxi, deer play is performed in a hand−foot kneeling (HFK) position, which is remarkably similar to the four-point hand−knee kneeling (HKK) position. However, the differences in spinal function promotion between these two positions are poorly understood. The aim of this study was to investigate muscle activation patterns and spinal kinematics during specific core stabilization training to provide evidence for selecting specific exercises. A total of 19 healthy adults were recruited to perform HFK and HKK. The rotation angle of the C7–T4 vertebra and the surface EMG signals of abdominal and lumbar muscles on both sides were collected. The paired t-test showed that the vertebral rotation angles were significantly higher during HKK than HFK, and the intra-group differences mainly occurred at the level of the thoracic vertebra. The muscle activation of both sides of the rectus abdominis and external oblique in HFK was significantly higher than in HKK when the upper limb was lifted (p < 0.05). The activation of the ipsilateral lumbar multifidus and erector spinae muscles was significantly higher during the HKK position than during HFK when the lower limb was lifted (p < 0.05). HFK provided more training for strengthening abdominal muscles, while HKK could be recommended for strengthening lumbar muscles and increasing spine mobility. These findings can be used to help physiotherapists, fitness coaches, and others to select specific core exercises and develop individualized training programs.

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“…Schmerz beim Training Eine leichte Schmerzzunahme, z. B. um weniger als 2 Punkte auf der numerischen Rating-Skala (NRS), während oder kurz nach dem Training kann toleriert werden 95 . Ein stärkerer oder kontinuierlicher Anstieg der Schmerzintensität bzw.…”

Section: Wege Zur Steigerung Der Effektivität Von Körperlicher Aktivi...unclassified

“…In vielen Fällen sind chronische Rückenschmerzen mit strukturellen Veränderungen wie muskulärer Degeneration und Atrophie in den lumbalen Stabilisatoren assoziiert 95 , 99 . Ein entsprechendes Hypertrophie-Training sollte entweder „lastorientiert“ mit mittleren bis hohen Lasten (60 – 80% der individuellen Maximalkraft, IMK) oder „metabolisch orientiert“ mit geringen Lasten (30% der IMK) und dafür einer größeren Ausbelastung durchgeführt werden 100 .…”

Section: Wege Zur Steigerung Der Effektivität Von Körperlicher Aktivi...unclassified

Evidenzbasiertes und individualisiertes Training für Schmerzpatient*innen

Zebisch¹,

Diemer²

2022

Schmerz.Therapie

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Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis

Cited by 52 publications

References 58 publications

Relationship between the morphology and composition of the lumbar paraspinal and psoas muscles and lumbar intervertebral motion in chronic low‐back pain: An exploratory study

Relationship between the morphology and composition of the lumbar paraspinal and psoas muscles and lumbar intervertebral motion in chronic low‐back pain: An exploratory study

The deer play in Wuqinxi and four-point hand−knee kneeling positions for training core muscle function and spinal mobility

Evidenzbasiertes und individualisiertes Training für Schmerzpatient*innen

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