Diagnostic Ultrasound Imaging for Measurement of the Lumbar Multifidus Muscle in Normal Young Adults

Hides, Julie; Cooper, D. H.; Stokes, María

doi:10.3109/09593989209108076

Cited by 103 publications

(112 citation statements)

References 18 publications

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“…The opposite was shown in lumbar multifidus, where the greatest correlations with CSA were for combined linear measures (r<0.9) rather than any single measure (r=0.7 to 0.8) (Hides et al , 1992). This difference between studies may be explained by the contrasting shape between the muscles.…”

Section: Discussionmentioning

confidence: 84%

Validity of measuring distal vastus medialis muscle using rehabilitative ultrasound imaging versus magnetic resonance imaging

et al. 2014

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Stokes, M. (2014) "Validity of measuring distal vastus medialis muscle using rehabilitative ultrasound imaging versus magnetic resonance imaging". Manual Therapy, 19(3) pp259-263The final, fully proofed and peer-reviewed journal article is available from the publisher online, via the following link: http://www.sciencedirect.com/science/article/pii/S1356689X14000137 Objective: This study aimed to validate RUSI against MRI for the linear measurements of the distal fibres of vastus medialis muscle in the thigh.Twelve healthy male participants were recruited from a local university population. The distal portion of their right vastus medialis was imaged with the participant in long-sitting, using MRI and RUSI whilst the leg was in extension and neutral hip rotation. Cross sectional area (CSA) and three linear measures were taken from the MRI and compared with the same linear measures from RUSI.Statistical analysis included comparison of MRI and RUSI measures using the paired t-test and correlation using intra-class correlation coefficients (ICC 3,1).Mean differences between the linear measures taken from the MRI and RUSI were -0.5mm to 2.9mm (95% confidence intervals -0.6 to 8.3mm), which were not statistically different (p>0.05) and were highly correlated (ICCs3,1 0.84-0.94). Correlations between the three linear measurements and muscle CSA ranged from r=0.23 to 0.87, the greatest being muscle thickness. Multiplying the linear measures did not improve the correlation of 0.87 found for muscle thickness.Linear measures of vastus medialis depth made using RUSI were shown to be as valid as using MRI.Muscle thickness measures using RUSI could be used within an objective assessment of this muscle.

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Section: Discussionmentioning

confidence: 84%

Validity of measuring distal vastus medialis muscle using rehabilitative ultrasound imaging versus magnetic resonance imaging

et al. 2014

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“…T he procedures described are based on developmental studies by Hides et al, 21,26,27 Kiesel et al, 34 and a relatively large population study by Stokes et al, 68 and reflect the suggestions of the team of authors of this commentary. Both static and dynamic techniques for quantitative evaluation of muscles are described.…”

Section: Quantitative Evaluationmentioning

confidence: 99%

“…21,68 Conversely, in a parasagittal (longitudinal) image, muscle fascicles can be identified from the connective tissue between muscle fibers (FIGURE 4).…”

Section: Tablementioning

confidence: 99%

Rehabilitative Ultrasound Imaging of the Posterior Paraspinal Muscles

Stokes

Hides

Elliott

et al. 2007

J Orthop Sports Phys Ther

145

125

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T he role of muscles in joint protection and stabilization has been of increasing interest to researchers and clinicians involved in spinal pain and rehabilitation. Evidence for the importance of deep posterior muscles of the spine in the management of people with low back pain (LBP) has been provided by biomechanical 7,60,80,82 and neurophysiological 46,48 investigations. Imaging studies have further allowed definition of both normal morphology and impairments in paraspinal muscles. 22,27,32,33 Rehabilitative ultrasound imaging (RUSI) is a potentially useful tool in physical therapy for the assessment and treatment of these muscles. The advantages of RUSI over other imaging techniques have been discussed in a recently published related cles can be incorporated into neuromusculoskeletal rehabilitation. The main applications of RUSI for measurement of morphological characteristics (morphometry) and visualization of muscle contraction for biofeedback are discussed. The lumbar multifidus is the most widely studied paraspinal muscle, in both healthy populations 68 and people with spinal pain and injury. 22,26,27 Studies of different cervical muscles are also emerging. 37,39,[61][62][63] In the thoracic region, the lower trapezius is the first muscle to be measured with ultrasound imaging. 53Quantitative evaluation of the posterior paraspinal musculature using static and dynamic imaging has been used to study muscle morphology and behavior during contraction. 34,39,64,74,76 In this context, behavior relates to level of contraction (change in thickness), changes in size over time and with respect to other muscles, as well as observation of contraction as a biofeedback tool for the patient or therapist. In this commentary we review what is known about RUSI as applied to the paraspinal musculature, propose guidelines for standardizing the imaging and measurement techniques in clinical and research applications, and propose future directions for research. SYNOPSIS:Interest in rehabilitative ultrasound imaging (RUSI) of the posterior paraspinal muscles is growing, along with the body of literature to support integration of this technique into routine physical therapy practice. This clinical commentary reviews how RUSI can be used as an evaluative and treatment tool and proposes guidelines for its use for the posterior muscles of the lumbar and cervical regions. Both quantitative and qualitative applications are described, as well as measurement reliability and validity. Measurement of morphological characteristics of the muscles (morphometry) in healthy populations and people with spinal pathology are described. Preliminary normal reference data exist for measurements of cross-sectional area (CSA), linear dimensions (muscle depth/thickness and width), and shape ratios. Compared to individuals without low back pain, changes in muscles' size at rest and during the contracted state have been observed using RUSI in people with spinal pathology. Visual observation of the image during contraction indicates that RUSI may be a va...

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“…The lumbar multifidi and abdominals especially the transversus abdominis have been implicated in LBP and in face of muscle deactivation subsequent to recovery from an episode of LBP. Furthermore evidences by Hides et al (1992Hides et al ( , 2008 are in support of the positive role of the lumbar multifidus muscle in segmental stabilization of the lumbar spine. Barr et al, (2005) in their review on lumbar stabilization submitted that the multifidi and transversus abdominus muscles are major stabilizers of the spine.…”

Section: Schools Of Thoughtmentioning

confidence: 99%

Therapeutic Exercises in the Management of Non-Specific Low Back Pain

Esther¹

2012

Low Back Pain

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Diagnostic Ultrasound Imaging for Measurement of the Lumbar Multifidus Muscle in Normal Young Adults

Cited by 103 publications

References 18 publications

Validity of measuring distal vastus medialis muscle using rehabilitative ultrasound imaging versus magnetic resonance imaging

Validity of measuring distal vastus medialis muscle using rehabilitative ultrasound imaging versus magnetic resonance imaging

Rehabilitative Ultrasound Imaging of the Posterior Paraspinal Muscles

Therapeutic Exercises in the Management of Non-Specific Low Back Pain

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