Influence of thoracolumbar fascia stretching on lumbar back muscle stiffness: A supersonic shear wave elastography approach

Blain, Maxime; Bedretdinova, Dina; Bellin, Marie‐France; Rocher, Laurence; Gagey, Olivier; Soubeyrand, Marc; Crézé, Maud

doi:10.1002/ca.23266

Cited by 17 publications

(11 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, Moreau et al 16 used SWE to quantify the shear modulus of multifidus muscle (L2-3, L4-5) with high reliability (ICC = 0.72-0.95). Blain et al 17 studied the reliability of SWE in measuring the shear modulus of multifidus and erector spinalis muscles in five different postures. The results showed that Figure 3.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Moreau et al 16 used SWE to quantify the shear modulus of multifidus muscle (L2–3, L4–5) with high reliability (ICC = 0.72–0.95). Blain et al 17 studied the reliability of SWE in measuring the shear modulus of multifidus and erector spinalis muscles in five different postures. The results showed that the reliability of SWE in various postures ranged from general to excellent (ICC = 0.386–0.862), which the SWE had the ability to quantify the dynamic changes of the measuring multifidus and erector spinalis muscles.…”

Section: Discussionmentioning

confidence: 99%

“…2 ). The size of the region of interest (ROIs) is set to match the thickness of the TLF shallow (a variable range is chosen to achieve a larger area and to keep the border of the ROIs at a certain distance from the upper subcutaneous tissue and the lower muscles 17 ).Three measurements were taken for each measurement point, and the measurements were averaged. In addition, to avoid the influence of abdominal fluctuation caused by breathing, we specifically save the image at the end of expiration to ensure the consistency of test results.…”

Section: Methodsmentioning

confidence: 99%

“…ICC (3,1) (two-way mixed-effect model, consistency) and ICC (2,2) (two-way random effects model, absolute agreement) were used to assess reliability within-operator, between-operator reliability. ICC values were evaluated using international standards, poor less than 0.40, moderate between 0.40 and 0.59, good between 0.60 and 0.74, and excellent between 0.75 and 1.00 17 . The standard error of measurement (SEM) was calculated using the formula SEM = SD × √("1 − ICC" ), and the MDC was calculated using MDC = 1.96 × SEM × √2.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Reliability of shear-wave elastography in assessing thoracolumbar fascia elasticity in healthy male

Chen

Zhao

Liao

et al. 2020

Sci Rep

View full text Add to dashboard Cite

The objectives of this study were to examine the intra and inter-operator reliability of shear wave elastography (SWE) device in quantifying the shear modulus of thoracolumbar fascia (TLF) and the device’s abilities to examine the shear modulus of the TLF during upper body forward. Twenty healthy male subjects participated in this study (mean age: 18.4 ± 0.7 years). Two independent operators performed the shear modulus of TLF during upper body forward using SWE, and interclass correlation coefficient (ICC) and minimum detectable change (MDC) were calculated. The shear modulus of the TLF was quantified by operator A using SWE at upper body forward 60°. The intra-operator (ICC = 0.860–0.938) and inter-operator (ICC = 0.904–0.944) reliabilities for measuring the shear modulus of the TLF with the upper body forward 0° were rated as both excellent, and the MDC was 4.71 kPa. The TLF shear modulus of upper body forward 60°was increased 45.5% (L3) and 55.0% (L4) than that of upper body forward 0°. The results indicate that the SWE is a dependable tool to quantify the shear modulus of TLF and monitor its dynamic changes. Therefore, this device can be used for biomechanical study and intervention experiments of TLF.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Reliability of shear-wave elastography in assessing thoracolumbar fascia elasticity in healthy male

Chen

Zhao

Liao

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Stretching performed in all postures produced no significant changes in the paraspinal muscle stiffness. 61 Another study that used a spinal manipulation technique to alter paraspinal muscle stiffness also showed no significant difference in stiffness after the intervention. 62 These findings add further evidence that the paraspinal muscle stiffness might not be affected by passive stretching alone.…”

Section: Mechanical Muscle Propertiesmentioning

confidence: 99%

Impact of nonsurgical spinal decompression on paraspinal muscle morphology and mechanical properties in young adults with low back pain

Lei

Leng

et al. 2020

J Int Med Res

View full text Add to dashboard Cite

Objective The mechanism underlying the benefit of nonsurgical spinal decompression (NSSD) on low back pain is unclear. This study was performed to investigate the immediate impact of NSSD on the mechanical properties and morphology of the paraspinal muscles. Methods Participants with low back pain were recruited. NSSD therapy was provided on one occasion. A myotonometer was placed perpendicularly on the skin surface over the paraspinal muscle at the level of L3/L4 to measure the mechanical muscle properties. The multifidus thickness was measured using B-mode ultrasound and defined as the distance between the transverse process and subcutaneous tissue fascia. The difference between before and after NSSD was analyzed by a paired t-test. Results Thirty participants (mean age, 20.9 ± 0.8 years; 9 male, 21 female) were recruited. No significant difference was observed in the muscle mechanical properties or morphology between before and after the intervention. Conclusions NSSD intervention did not induce immediate changes in the paraspinal muscle mechanical properties or multifidus thickness in young adults with low back pain. NSSD might produce benefits by stimulating mechanical receptors rather than inducing morphological changes or mechanical property alterations of the muscle fibers. These parameters may not be suitable outcome measures for NSSD intervention.

show abstract

The Lumbar Ligamentum Flavum Does Not Have Two Layers and Is Confluent with the Interspinous Ligament: Anatomical Study with Application to Surgical and Interventional Pain Procedures

et al. 2019

View full text Add to dashboard Cite

Numerous authors over the years have reported that the lumbar ligamentum flavum has two layers. Our routine cadaveric dissections raised the question whether this understanding is correct, as we always have observed only one layer. Thus, the goal of this cadaveric study was to reevaluate the layers of the ligamentum flavum. Twenty lumbar levels from five fresh‐frozen cadaveric specimens were used in this study. After dissection of the lumbar spine, the ligamentum flavum and interspinous ligament were exposed. Each lumbar level was transected through the zygapophyseal joint, and hematoxylin and eosin staining, Masson's trichrome staining and Verhoeff‐van Gieson staining were performed. Continuation of the interspinous ligament and ligamentum flavum were observed invariably. There was no evidence of the existence of a two‐layered ligamentum flavum. The lumbar ligamentum flavum does not consist of two layers, but is confluent instead with the interspinous ligament that attaches to the zygapophyseal joints. To convey this anatomy better, we suggest describing the lumbar ligamentum flavum as a structure that consists of interlaminar and interspinous parts. Precise knowledge of the ligamentum flavum's anatomy can be of clinical value, particularly when epidural anesthesia or lumbar puncture are performed. Clin. Anat. 32:34–40, 2019. © 2019 Wiley Periodicals, Inc.

show abstract

Influence of thoracolumbar fascia stretching on lumbar back muscle stiffness: A supersonic shear wave elastography approach

Abstract: SWE is a reliable tool for assessing stiffness in the LPM. Reliability of SWE protocols is improved during seated position. Tensioning of the TLF via LD stretching did not influence LPM stiffness. This article is protected by copyright. All rights reserved.

Cited by 17 publications

References 48 publications

Reliability of shear-wave elastography in assessing thoracolumbar fascia elasticity in healthy male

Reliability of shear-wave elastography in assessing thoracolumbar fascia elasticity in healthy male

Impact of nonsurgical spinal decompression on paraspinal muscle morphology and mechanical properties in young adults with low back pain

The Lumbar Ligamentum Flavum Does Not Have Two Layers and Is Confluent with the Interspinous Ligament: Anatomical Study with Application to Surgical and Interventional Pain Procedures

Contact Info

Product

Resources

About