Changes of muscular fibre types in erector spinae and multifidus muscles in the unstable lumbar spine

Matĕjka, J; Zůchová, M; Koudela, K; Pavelka, Tomáš

doi:10.3233/bmr-2006-19101

Cited by 6 publications

(16 citation statements)

References 10 publications

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“…Meta-analysis was performed when two or more studies measured the same outcome for a given muscle as per the Cochrane guidelines for systematic reviews [46]. Two studies reported their findings in graphical presentation [13,47]. The raw data was unavailable for these two studies despite contacting the authors and hence data were extracted from the graphs.…”

Section: Discussionmentioning

confidence: 99%

“…participants with acute pain included, studies with no healthy comparators and interventional studies. Five studies [12,13,47,56,57] matched the inclusion criteria and objectives and were included in the systematic review.…”

Section: Study Selectionmentioning

confidence: 99%

“…The overall age of the participants ranged from 18 to 61 years in the CLBP pain group and 17 to 60 years in the control group. One study [47] considered a control group population with acute fracture of lower lumbar spine (at L3, L4, L5) from whom intraoperative biopsy samples were taken within 48 hours of trauma. Further, the lower age limit of one of the participants from control group of this study was 17 years but as this was the only limitation, the study was considered for inclusion on discussion with the third reviewer (DF).…”

Section: Populationmentioning

confidence: 99%

“…Further, the lower age limit of one of the participants from control group of this study was 17 years but as this was the only limitation, the study was considered for inclusion on discussion with the third reviewer (DF). Two studies [13,57] considered the outcomes for male and females separately whereas one study [12] included only males in their study and two studies [47,56] presented their results combined for both males and females. Two studies [12,56] compared nonspecific CLBP to healthy controls and three studies [13,47,57] compared CLBP attributed to a pathology with healthy controls.…”

Section: Populationmentioning

confidence: 99%

See 3 more Smart Citations

Microscopic changes in the spinal extensor musculature in people with chronic spinal pain: a systematic review

Purushotham¹,

Stephenson²,

Sanderson³

et al. 2022

The Spine Journal

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Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Populationmentioning

confidence: 99%

Section: Populationmentioning

confidence: 99%

See 2 more Smart Citations

Microscopic changes in the spinal extensor musculature in people with chronic spinal pain: a systematic review

Purushotham¹,

Stephenson²,

Sanderson³

et al. 2022

The Spine Journal

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“…30 Shorter moment arm is related to increased stability. 62 Local and global muscles Local muscles are the deep muscles that have their origin or insertion close to a joint. These muscles control joint stiffness and are essential for stability.…”

Section: Moment Armmentioning

confidence: 99%

Characteristics of Stabilizer Muscles: A Systematic Review

Sangwan

Green²,

Taylor

2014

Physiotherapy Canada

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Purpose: To identify the main characteristics, based on available evidence, of stabilizer muscles to inform the development of a definition of stabilizer muscles. Methods: Electronic databases were systematically searched for relevant literature from the databases' inception to June 2013 using keywords related to stability, muscles, and characteristics of stabilizer muscles. Studies that provided at least one characteristic of a stabilizer muscle were included. For the quality assessment, all included articles were categorized as either experimental or opinion-based studies. Methodological quality was assessed using a customized checklist, and data were analyzed with a narrative synthesis involving content analysis. The number of articles providing either direct evidence supporting a link between the characteristic and joint stability or indirect evidence that a muscle considered to be a stabilizer has that characteristic determined the level of significance of that characteristic for stabilizer muscles. Results: A total of 77 studies met the inclusion criteria. The highest number of articles providing supporting evidence that a particular muscle characteristic plays a stabilizing role related to biomechanical characteristics (27 articles), followed by neurological characteristics (22 articles) and anatomical/physiological characteristics (4 articles). Conclusion: Based on a synthesis of supporting evidence from the literature, stabilizer muscles can be defined as muscles that contribute to joint stiffness by co-contraction and show an early onset of activation in response to perturbation via either a feed-forward or a feedback control mechanism. These results may guide researchers to investigate which muscles exhibit these characteristics to determine whether particular muscles have a stabilizer rather than a prime mover role during normal functioning.Key Words: joint instability; joints; muscles; systematic review. RÉ SUMÉObjectif : Dé terminer les principales caracté ristiques des muscles stabilisateurs afin d'é clairer la formulation d'une dé finition des muscles stabilisateurs basé e sur les é lé ments de preuve disponibles. Mé thodes : On a effectué , dans des bases de donné es é lectroniques, une recherche systé matique de publications pertinentes depuis le dé but jusqu'en juin 2013 en utilisant des mots clé s lié s à la stabilité , aux muscles et aux caracté ristiques des muscles stabilisateurs. Les é tudes comportant au moins une caracté ristique d'un muscle stabilisateur ont é té incluses. Pour les fins de l'é valuation de la qualité , on a classé tous les articles inclus comme é tudes expé rimentales ou traduisant une opinion. On a é valué la qualité mé thodologique au moyen d'une liste de contrô le personnalisé e et analysé les donné es au moyen d'une synthè se narrative comportant une analyse de contenu. Le nombre d'articles pré sentant des é lé ments de preuve directs à l'appui de l'existence d'un lien entre la caracté ristique et la stabilité de l'articulation ou un é lé ment de preuve ind...

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Morphological changes of the multifidus muscle in patients with symptomatic lumbar disc herniation

Franke¹,

Hesse²,

Tournier³

et al. 2009

SPI

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Object Lumbar disc herniations are associated with segmental muscle alterations of the ipsilateral segmental multifidus muscle. The aim of the present study was a histopathological analysis of the myopathological changes of the multifidus muscle and correlation with the duration of radicular symptoms. Methods Multifidus muscle biopsies were performed in 20 patients during discectomy. Specimens were obtained from the area of the multifidus muscle innervated by the nerve from the level of the affected disc. Histopathological findings were classified according as neurogenic tissue syndrome and nonspecific myopathological syndrome, and these results were correlated with the duration of radicular symptoms. Results Results of multifidus muscle biopsies were classified as neurogenic tissue syndrome in 12 patients and as nonspecific myopathological syndrome in 8. The mean (± SD) duration of radicular symptoms was 10.75 ± 7.9 months in patients with neurogenic tissue syndrome and 4.37 ± 3.9 months in patients with a nonspecific myopathological syndrome. There was a positive correlation between group assignment and symptom duration (correlation coefficient 0.457, p = 0.043). Conclusions A long duration of radicular symptoms is associated with a neurogenic tissue syndrome, whereas a nonspecific myopathological tissue syndrome is seen in patients with shorter duration of symptoms. This suggests that patients with long duration of radicular symptoms originating from a lumbar disc herniation have an increased risk for neurogenic muscular changes, and that consideration should be given to an earlier surgical intervention.

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Changes of muscular fibre types in erector spinae and multifidus muscles in the unstable lumbar spine

Cited by 6 publications

References 10 publications

Microscopic changes in the spinal extensor musculature in people with chronic spinal pain: a systematic review

Microscopic changes in the spinal extensor musculature in people with chronic spinal pain: a systematic review

Characteristics of Stabilizer Muscles: A Systematic Review

Morphological changes of the multifidus muscle in patients with symptomatic lumbar disc herniation

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