Atrophy of gluteus maximus among women with a history of chronic low back pain

Amabile, Amy H.; Bolte, John H.; Richter, Saskia

doi:10.1371/journal.pone.0177008

Cited by 23 publications

(37 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Amabile et al. () reported that the mean normalized gluteus maximus muscle CSA was significantly smaller in female patients with CLBP than in asymptomatic female participants, whereas Kamaz et al. () found no significant difference.…”

Section: Resultsmentioning

confidence: 98%

“…), and the remaining studies were from the USA (Amabile et al. ; Sions et al. ), Poland (Skorupska et al.…”

Section: Resultsmentioning

confidence: 99%

“…; Amabile et al. ). A comparative study revealed that the gluteus maximus muscle showed fatigue faster in women with chronic LBP than in a group of healthy controls during a sustained back extension endurance test (Kankaanpää et al.…”

Section: Discussionmentioning

confidence: 98%

“…While arising from full trunk flexion into extension, most movement occurs at the hip joint and is accomplished by the gluteus maximus and hamstring muscles during the first 50% of the movement cycle (Amabile et al. ).…”

Section: Discussionmentioning

confidence: 99%

“…Amabile et al. () showed a correlation between the decreased CSA of the gluteus maximus muscle with the development of LBP and suggested investigating the role of the gluteus maximus muscle in LBP and the nature of its atrophy in future studies. Skorupska et al.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Changes in the macroscopic morphology of hip muscles in low back pain

Pourahmadi

Asadi

Dommerholt³

et al. 2019

Journal of Anatomy

View full text Add to dashboard Cite

Low back pain is a major health issue affecting the lumbopelvic muscles. Morphological changes in hip muscles, such as alterations in the muscle cross‐sectional area and muscle volume, may occur in patients with low back pain. This systematic review was conducted to investigate whether patients with low back pain have macroscopic changes in their hip muscle morphology compared with asymptomatic, healthy individuals, based on current evidence. The electronic databases of PubMed/Medline, Ovid, Scopus, Embase®, and Google Scholar were searched from the inception to August 31, 2018. We only included full texts of original studies regarding macroscopic morphological alterations, including atrophy and fat infiltration, in hip muscles of patients with low back pain compared with asymptomatic controls. The quality of the included studies was determined using an assessment tool based on the Newcastle–Ottawa Scale. The scale was modified for the purposes of this study. Sixteen comparative observational studies were found eligible to be included in this review. Eleven were classified as high quality and four as moderate quality. The morphological changes in the psoas major, gluteus maximus, gluteus medius, gluteus minimus, and piriformis muscles were assessed in the primary studies. All selected studies were considered B level of evidence studies. The strength of conclusions for the psoas major, gluteal, and piriformis muscles was moderate. The results revealed that there is substantial controversy about the morphological changes in hip muscles in patients with low back pain; however, the majority of high‐quality studies concluded that atrophy of hip muscles is evident in patients with low back pain. The psoas major muscle was the most commonly investigated hip muscle for morphological changes. Major methodological limitations of the included studies were identified and discussed. The present systematic review does not include a formal meta‐analysis because of very significant differences in the primary studies in terms of study populations and methodologies. Finally, in clinical practice, it is recommended that physical therapists develop exercise programs to improve hip muscle function in patients with low back pain.

show abstract

Section: Resultsmentioning

confidence: 98%

“…), and the remaining studies were from the USA (Amabile et al. ; Sions et al. ), Poland (Skorupska et al.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%