The relationship between the piriformis muscle, low back pain, lower limb injuries and motor control training among elite football players

Leung, Felix T.; Mendis, M. Dilani; Stanton, Warren R.; Hides, Julie

doi:10.1016/j.jsams.2014.06.011

Cited by 24 publications

(30 citation statements)

References 29 publications

(39 reference statements)

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“…Anatomically, because the piriformis muscle is pear‐shaped, thickness assessment alone is not sufficient to evaluate changes. Felix reported an increased CSA of the piriformis muscle on MRI in elite football players . We demonstrated that piriformis muscle CSA in PS patients was increased on the symptomatic side according to MRI and US.…”

Section: Discussionmentioning

confidence: 49%

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

et al. 2019

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Introduction : Piriformis muscle syndrome (PS) is a disorder encompassing a constellation of symptoms, including buttock and hip pain. In this study we aimed to assess the value of ultrasound (US) in the diagnosis of PS. Methods : Thirty‐three clinically diagnosed PS patients and 26 healthy volunteers underwent a clinical PS scoring examination and US and MRI assessment of the bilateral piriformis muscles. The areas under the receiver operating characteristic curves (AUROCs) of the US parameters (i.e., increased thickness [iTh] and increased cross‐sectional area [iCSA]) for piriformis muscle were evaluated. Results : On US and MRI, the thickness and CSA were increased in PS patients. The AUROCs for the iTh and iCSA for discriminating stage 0 (healthy volunteers) from stage 1 through stage 3 (PS patients) were 0.88 and 0.95, respectively. Discussion : US may be a reliable technique for the clinical diagnosis of PS. Muscle Nerve 59:411–416, 2019

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Section: Discussionmentioning

confidence: 49%

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

et al. 2019

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“…The final study found that cross sectional area (CSA) of the piriformis muscle was similar in football players with and without current LBP but the typical piriformis adaptation to increased physical demands during the season was affected negatively by LBP. In addition, the risk of sustaining lower limb injuries during the season was significantly higher in the players with smaller piriformis CSA (15).…”

Section: Resultsmentioning

confidence: 92%

“…Three MRI studies, all performed by the same research group, measuring the thickness of the abdominal and pelvic muscles were eligible (13)(14)(15). Hides et al (2010) compared the ability of 43 elite male Australian football players with and without LBP from a single club to contract the abdominal wall.…”

Section: Resultsmentioning

confidence: 99%

“…The existing studies demonstrated that athletes with LBP exhibit a variety of MCI, including alterations in kinematics, kinetics, muscle activation and strength of both the trunk and lower limbs. Several inconsistencies were also reported, possibly due to factors such as: a) athletes with LBP not being classified in more homogenous subgroups (most existing studies except for cycling), b) some studies compared the athletes with non-athletes (39,40), c) the target population in some studies was not selected from specific sport (38)(39)(40), d) studies in the same sport examined tasks that were not always sport-specific (13,15,20,21,30,32,33,(38)(39)(40), e) duration of pain varied between studies, f) some studies did not describe sex differences, g) the role of pain and its various intensity and durations on the MCI remained unclear, and h) there are significant differences in assessment methods of different studies.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, understanding the MCIs associated with LBP can assist in planning of more effective management of athletes who suffering from LBP. Although different studies have been conducted on MCI in athletes with LBP (13)(14)(15)(16)(17)(18)(19)(20)(21) it is necessary to investigate the MCIs in various sports in sports-specific functions separately.…”

Section: Sheikhhoseini R Et Al (2016) Ann Appl Sport Sci 4(4): mentioning

confidence: 99%

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Altered Motor Control in Athletes with Low Back Pain: a Literature Review

Sheikhhoseini

O’Sullivan

Alizadeh

et al. 2016

Ann. Appl. Sport Sci

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Low back pain (LBP) is also one of the most common medical conditions in athletes. There is little doubt that patients with LBP use from their body differently than pain free individuals. The purpose of this review was to investigate changes in motor control which may be present in athletes with LBP. The search strategy for this review consisted of an electronic database search of full text in MEDLINE database. 28 studies met the eligibility criteria, most of which were cross-sectional in nature. The studies were analyzed separately according to the specific sports involved. The studies demonstrate that athletes with LBP exhibit a range of MCI in the trunk, lumbopelvic region and lower extremities. However, inconsistencies were apparent between the results. Athletes with LBP demonstrate MCI during functional and non-functional tasks, similar to non-athletes. More studies, especially large prospective studies which control for non-mechanical factors which may also differ among athletes with LBP are required to determine the relationship between LBP and MCI in athletes.

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Hip muscle atrophy in patients with acetabular labral joint pathology

et al. 2019

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Intra‐articular hip joint pathology is a source of hip and groin pain in active individuals and is thought to be a precursor to hip osteoarthritis. Limited evidence exists to guide appropriate physiotherapy management for these patients. Identification of which hip muscles are affected may help clinicians to develop effective exercise programs. A cross‐sectional observational study in a hospital setting was conducted to investigate the size of individual hip abductor, hip extensor, and hip external rotator muscles in patients with acetabular labral joint pathology compared with age and sex matched healthy subjects. Twelve participants (eight females, four males), aged 20–53 years, with a medical diagnosis of unilateral acetabular labral tear and 12 healthy participants were recruited. Magnetic resonance imaging was used to assess cross‐sectional areas of the gluteus minimus, gluteus medius, upper gluteus maximus, lower gluteus maximus, piriformis, and quadratus femoris muscles bilaterally. Gluteus medius muscle cross‐sectional area was significantly different between groups (P < 0.01, effect size = 0.92) with muscle size found to be smaller in the pathology group. No differences were found for the other hip muscles (P > 0.05). These findings suggest that hip muscles are not all affected equally by the presence of intra‐articular hip joint pathology. Atrophy of specific hip muscles, which are important in hip joint and pelvic stability, may alter hip joint function during gait and functional tasks. Clinicians treating patients with intra‐articular hip joint pathology may need to prescribe exercises targeting the specific muscles with demonstrated dysfunction. Clin. Anat. 33:538–544, 2020. © 2019 Wiley Periodicals, Inc.

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The relationship between the piriformis muscle, low back pain, lower limb injuries and motor control training among elite football players

Abstract: Hides JA, The relationship between the piriformis muscle, low back pain, lower limb injuries and motor control training among elite football players,

Cited by 24 publications

References 29 publications

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

Altered Motor Control in Athletes with Low Back Pain: a Literature Review

Hip muscle atrophy in patients with acetabular labral joint pathology

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