CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects

Danneels, Lieven; Vanderstraeten, Guy; Cambier, Dirk; Witvrouw, Erik; Cuyper, H. J. De

doi:10.1007/s005860000190

Cited by 572 publications

(543 citation statements)

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“…There is a growing body of evidence for association between paraspinal muscles degeneration and LBP. In several imaging studies, LBP has been investigated in relation to paraspinal muscle CSA [1,6,12,14,16,28,41,47,48,52], MRI signal intensity [10], and fat infiltration [1,6,12,14,19,21,23,28,32,41,47,52]. In patients with chronic LBP, studies consistently show a decrease in CSA [6,12,23], which may reach 10% compared to healthy individuals [19].…”

Section: Discussionmentioning

confidence: 99%

“…However, the extent of muscle changes is not necessarily related to symptom duration [39]. Danneels et al [6] found the atrophy was selective for multifidus, as neither the psoas nor erector spinae muscle masses were significantly smaller compared with matched controls. Hides et al [16] found marked wasting of multifidus on the symptomatic side, isolated to one vertebral level in patients with acute LBP.…”

Section: Discussionmentioning

confidence: 99%

“…Medical imaging techniques provide non-invasive and reproducible [6,29], information on muscle density, crosssectional surface area (CSA), and other characteristics of muscles such as fatty infiltration. In healthy (non-symptomatic) individuals, computerized tomography (CT) may show disc degeneration or nerve root compression, spondylolysis, spondylolisthesis, and spinal stenosis.…”

Section: Introductionmentioning

confidence: 99%

“…With increasing age, there is a reduction in muscle volume [13,35]. Current evidence suggests that the paraspinal muscles are smaller in patients with chronic LBP [4,6,40,50] than in healthy individuals of similar age. Reduced size of multifidus has also been reported in acute LBP [16] and recent animal work has shown rapid changes in CSA in the multifidus muscle following discrete injury to an intervertebral disc [17].…”

Section: Introductionmentioning

confidence: 99%

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Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

et al. 2009

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The objectives of the study were to evaluate the association between lumbar paraspinal muscle density, evaluated on computed tomography (CT) and age, sex and BMI; and to evaluate the association of those changes with low back pain (LBP) and spinal degeneration features in a community-based sample. This study was an ancillary project to the Framingham Study. A sample of 3,529 participants aged 40-80 years had a CT scan performed to assess aortic calcification. 187 individuals were randomly enrolled in this study. LBP in the last 12 months was evaluated using self-report questionnaire. Density (in Hounsfield units) of multifidus and erector spinae was evaluated on CT. The prevalence of intervertebral disc narrowing, facet joint osteoarthritis (FJOA), spondylolysis, spondylolisthesis and spinal stenosis were also evaluated. We used linear regression models to examine the association of paraspinal muscles density with age, sex, BMI, LBP, and spinal degeneration features. The results show that in our study, men have higher density of paraspinal muscles than women, younger individuals have higher density than older ones and individuals with lower weight have higher muscle density than overweight. No differences between individuals with and without LBP were found. Significant association was found between L4 multifidus/erector spinae density and FJOA at L4-L5; between multifidus at L4 and spondylolisthesis at L4-5; and between erector spinae at L4 and L5 with disc narrowing at L4-5 and L5-S1, respectively. We conclude that the paraspinal muscle density decreases with age, and increases BMI. It is associated with at some levels FJOA, spondylolisthesis and disc narrowing at the same level, but not associated with occurrence of LBP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

et al. 2009

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“…However, changes in spinal mechanics have been reported as a common element (Panjabi, 2006). Altered spinal mechanics and LBP have been linked with atrophy (Hides et al, 2008a;Danneels et al, 2000;Hodges et al, 2006;Hodges & Richardson, 1996;Ferriera et al, 2004) and altered motor control (Hodges & Richardson, 1996) of the lumbar multifidus (LM) and transversus abdominis (TrA) muscles. Atrophy of LM and TrA has also been associated with loss of lordosis, development of back pain and spinal injury, and following periods of low activity and disuse of spinal muscles (Buckey, 2006;Hides et al, 2011;Sayson & Hargens, 2008).…”

Section: Introductionmentioning

confidence: 99%

The immediate effects of exercise using the Functional Re-adaptive Exercise Device on lumbopelvic kinematics in people with and without low back pain

Winnard

Debuse

Wilkinson

et al. 2017

Musculoskeletal Science and Practice

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BackgroundDysfunction of the lumbar multifidus (LM) and transversus abdominis (TrA) muscles is associated with low back pain (LBP). The Functional Re-adaptive Exercise Device (FRED) has shown potential as a non-specific LBP intervention by automatically recruiting LM and TrA. Loss or lordosis and altered lumbopelvic positioning has also been linked to LBP and is often trained within LM and TrA interventions. The effect that FRED exercise has on lumbopelvic positioning and lumbar lordosis is unknown. ObjectivesTo assess the effect of FRED exercise on lumbopelvic kinematics and alignment to establish whether FRED exercise promotes a favourable lumbopelvic posture for training LM and TrA. DesignWithin and between-group comparison study MethodOne hundred and thirty participants, 74 experiencing LBP, had lumbopelvic kinematic data measured during over-ground walking and FRED exercise.Magnitude-based inferences were used to compare walking with FRED exercise within participants and between the asymptomatic and LBP groups, to establish the effects of FRED exercise on lumbopelvic kinematics, compared to walking, in each group. ResultsFRED exercise promotes an immediate change in anterior pelvic tilt by 8.7 degrees compared to walking in the no-LBP and LBP groups. Sagittal-plane spinal extension increased during FRED exercise at all spinal levels by 0.9 degrees in the no-LBP group, and by 1.2 degrees in the LBP group. ConclusionsFRED exercise promotes a lumbopelvic position more conducive to LM and TrA training than walking in both asymptomatic people and those with LBP. Highlights A posture conducive to LM and TrA training was promoted. The posture appears to occur automatically in people with and without LBP. Exercise on the FRED may be effective for LM and TrA training.

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Advanced imaging techniques for assessment of undernutrition

Prado

Elliott

Mota

2018

Advanced Nutrition and Dietetics in Nutrition Support

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CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects

Cited by 572 publications

References 30 publications

Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

The immediate effects of exercise using the Functional Re-adaptive Exercise Device on lumbopelvic kinematics in people with and without low back pain

Advanced imaging techniques for assessment of undernutrition

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