scholarly journals Effect of Core Stability Exercise on Cross-Sectional Area of Lumbar Multifidus Muscle and Physical Capacity

2018 ◽  
Vol 3 (82) ◽  
Author(s):  
Irina Klizienė ◽  
Saulė Sipavičienė ◽  
Daiva Imbrasienė ◽  
Šarūnas Klizas ◽  
Hermanas Inokaitis
Keyword(s):  
Elderly Women ◽  
The Elderly ◽  
Physical Capacity ◽  
Cross Sectional Area ◽  
Core Stability ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Lumbar Multifidus Muscle

Research background and hypothesis. Our research novelty was the validation of the use of the method of Ultrasound Imaging to measure the changes in the size of the cross-sectional area (CSA) of the multifidus muscle, performing  exercises  for  lumbar  stability.  Stabilization  exercises  have  been  designed  in  order  to  enhance  the neuromuscular control system correct the dysfunction.Research aim. The purpose of this study was to establish the effect of core stability exercise for cross-sectional area of lumbar multifidus muscle and physical capacity for elderly women.Research methods. The elderly women (n = 22) were in occupations involving light or no manual work and did not take part in sports. CSA of the multifidus muscle was measured from L2 to L5 vertebral segments. These measures were taken with ultrasound „TITAN TM ” (SonoSite, USA). For the assessment of physical capacity we estimated the women’s static strength endurance of back muscles and dynamic strength endurance of abdominal muscles. The tests were done three times: the first testing occurred before exercises for training lumbar stability, the second – after four months, and the third – after eight months of applying exercises for training lumbar stability.Research results. The results of study showed that after eight months of stability exercises, the subjects had significantly larger right side multifidus CSA than before practice  – 9.01 ± 1.1, the left side of the lumbar multifidus muscle was 8.23 ± 0.9 (p < 0.05). After the evaluation of physical capacity we revealed that after eight moths it was 97.6 ± 2.8 s (very good), compared to the values before the research (25.4 ± 9.2) (p < 0.05).Discussion  and  conclusions.  After  the  core  stabilization  exercise  program  multifidus  CSA  values  were significantly larger than before practice, multifidus muscle asymmetry  decreased. Physical activity programs adapted to the elderly women increased their physical capacities.Keywords: lumbar stability, physical activity programs, age.

Effects of Lumbar Stabilization Exercises with Real-Time Ultrasound Imaging Biofeedback on Lumbar Multifidus Muscle Cross-Sectional Area in Individuals with Chronic Nonspecific Low Back Pain: A Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Sarafadeen Raheem ◽  
Sokunbi O. Ganiyu ◽  
Aminu A. Ibrahim ◽  
Anas Ismail ◽  
Mukadas O. Akindele ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cross Sectional Area ◽  
Low Back ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Lumbar Stabilization ◽  
Lumbar Multifidus Muscle

Abstract Background: Impairments in the lumbar multifidus muscle such as reduced muscle thickness and fat infiltrations are evident in individuals with low back pain. Lumbar stabilization exercises (LSE) with real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate of the lumbar multifidus muscle, thus enhancing recovery. However, the effects of using this treatment approach in individuals with nonspecific chronic low back pain (NCLBP) seemed not to have widely reported. The purpose of this study is, therefore, to investigate the effects of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP patients. Method: This study is a prospective, single-center, assessor-blind three-arm, randomized controlled to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety-one individuals with NCLBP will be randomly assigned into one of the three treatment groups of equal sample size (n = 30); LSE group, LSE with RUSI biofeedback group, or control (minimal intervention). The participants in the LSE and LSE with RUSI biofeedback group will also receive the same intervention as the control group. All participants will receive treatment twice weekly for 8 weeks. The primary outcome will be lumbar multifidus muscles cross-sectional area while the secondary outcomes will be pain, functional disability and quality of life. All outcomes will be assessed at baseline, and at 8 weeks and 3 months post-intervention.Discussion: The outcome of the study may support the evidence for the effectiveness of LSE with RUSI biofeedback in the rehabilitation of individuals with NCLBP. It may also provide a rationale for the physiotherapists to make use of diagnostic ultrasound as a feedback mechanism in enhancing the performance and retention of LSE program as well as monitoring the patient’s recovery.Trial registration: Pan African Clinical Trials Registry, (PACTR201801002980602), Registered on 16 January 2018.

scholarly journals Effectiveness of lumbar stabilization exercise with real-time ultrasound imaging biofeedback on lumbar multifidus muscle cross-sectional area in individuals with non-specific chronic low back pain: a study protocol for a randomized controlled trial

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Raheem Sarafadeen ◽  
Sokunbi O. Ganiyu ◽  
Aminu A. Ibrahim ◽  
Anas Ismail ◽  
Mukadas O. Akindele ◽  
...  
Keyword(s):  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Cross Sectional Area ◽  
Low Back ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Muscle Cross Sectional Area ◽  
Lumbar Multifidus Muscle

Abstract Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional area, is evident among individuals with chronic low back pain. Real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate the lumbar multifidus muscle during lumbar stabilization exercises (LSE). However, evidence of the effectiveness of this treatment approach in individuals with non-specific chronic low back pain (NCLBP) is still limited. The purpose of this study is, therefore, to determine the effectiveness of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP. Methods/Design This study is a prospective, single-center, assessor-blind, three-arm, parallel randomized controlled trial to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety individuals with NCLBP will be randomized in a 1:1:1: ratio to receive LSE, LSE with RUSI biofeedback, or minimal intervention. All participants will receive treatment twice weekly for 8 weeks. The primary outcome will be the lumbar multifidus muscle cross-sectional area. The secondary outcomes will include pain (Numerical Pain Rating Scale), functional disability (Roland–Morris Disability Questionnaire), and quality of life (12-Item Short-Form Health Survey). All outcomes will be assessed at baseline, 8 weeks post-intervention,  and 3 months follow-up. Discussion To our knowledge, this study will be the first powered randomized controlled trial to compare the effectiveness of LSE training with and without RUSI biofeedback in individuals with NCLBP. The outcome of the study may provide evidence for the effectiveness of LSE with RUSI biofeedback on enhancing the recovery of the lumbar multifidus muscle in individuals with NCLBP. Trial registration Pan African Clinical Trials Registry (PACTR201801002980602). Registered on January 16, 2018.

Study on the cross-sectional area of the multifidus muscle at the L4-L5 level on ultrasound images of Olympic-style weightlifting and judo athletes

2021 ◽  
pp. 1-8
Author(s):  
Kenan Erdağı ◽  
Necdet Poyraz
Keyword(s):  
Cross Sectional Area ◽  
Ultrasound Images ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Lumbar Multifidus ◽  
Imaging Results ◽  
Judo Athletes ◽  
The Cross ◽  
Lumbar Multifidus Muscle

BACKGROUND: The multifidus muscle is located near the spine and controls the erection of the spine and stabilization during movements of the spine and extremities, and assists in all other spinal movements. Differences in paraspinal muscles between sides and levels, particularly in he multifidus, have been proposed as possible indicators of low back pain or spinal pathology. OBJECTIVE: This study aims to examine the cross-sectional area of the lumbar multifidus muscle at L4-L5 vertebral levels on ultrasound images of athletes in Olympic-style weightlifting, judo athletes and sedentary individuals. METHODS: This study included asymptomatic male athletes (athletes in Olympic-style weightlifting, n= 17, age: 19.24 ± 1.88, judo athletes, n= 17, age: 19.18 ± 1.23) and sedentary individuals (n= 17, age: 19.88 ± 1.31). The cross-sectional area of lumbar multifidus muscles was assessed bilaterally at the L4-L5 segments level in prone and using ultrasound imaging. RESULTS: Lumbar multifidus muscle cross-sectional areas of athletes in Olympic-style weightlifting and judo athletes were larger than those of sedentary individuals (p< 0.004). No asymmetric development was observed in cross-sectional areas of right-left lumbar multifidus muscle at L4-L5 levels of athletes in Olympic-style weightlifting and sedentary individuals (p> 0.008). The cross-sectional areas of the right and left lumbar multifidus muscle at L5 segment of individuals in judo athletes was found to be asymmetrical (p< 0.008). CONCLUSION: Our study shows that the cross-sectional areas of athletes in Olympic-style weightlifting and judo athletes are larger than that of sedentary individuals. The difference in the cross-sectional area of the lumbar multifidus muscle of athlete and sedentary groups might be said to result from hypertrophic effect of trainings of these athletes on the cross-sectional area of the lumbar multifidus muscle.

scholarly journals Is there a correlation between upper lumbar disc herniation and multifidus muscle degeneration? A retrospective study of MRI morphology

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chong Liu ◽  
Jiang Xue ◽  
Jingjing Liu ◽  
Gang Ma ◽  
Abu Moro ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Lumbar Disc ◽  
Fatty Infiltration ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Muscle Degeneration ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Upper Lumbar Disc Herniation ◽  
Muscle Cross Sectional Area

Abstract Background The purpose of the study is to investigate the correlation between upper lumbar disc herniation (ULDH) and multifidus muscle degeneration via the comparison of width, the cross-sectional area and degree of fatty infiltration of the lumbar multifidus muscle. Methods Using the axial T2-weighted images of magnetic resonance imaging as an assessment tool, we retrospectively investigated 132 patients with ULDH and 132 healthy individuals. The total muscle cross-sectional area (TMCSA) and the pure muscle cross-sectional area (PMCSA) of the multifidus muscle at the L1/2, L2/3, and L3/4 intervertebral disc levels were measured respectively, and in the meantime, the average multifidus muscle width (AMMW) and degree of fatty infiltration of bilateral multifidus muscle were evaluated. The resulting data were analyzed to determine the presence/absence of statistical significance between the study and control groups. Multivariate logistical regression analyses were used to evaluate the correlation between ULDH and multifidus degeneration. Results The results of the analysis of the two groups showed that there were statistically significant differences (p < 0.05) between TMCSA, PMCSA, AMMW and degree of fatty infiltration. The multivariate logistic regression analysis indicated that the TMCSA, PMCSA, AMMW and the degree of fatty infiltration of multifidus muscle were correlated with ULDH, and the differences were statistically significant (P < 0.05). Conclusions A correlation could exist between multifidus muscles degeneration and ULDH, that may be a process of mutual influence and interaction. Lumbar muscle strengthening training could prevent and improve muscle atrophy and degeneration.

scholarly journals Comparison of Muscle Cross-sectional Area and Lumbar Muscle Strength According to Degenerative Spinal Diseases

2020 ◽  
Vol 22 (2) ◽  
pp. 1-10
Author(s):  
Ji-Hoon Cho ◽  
Ki-Hyuk Lee ◽  
Seung-Taek Lim ◽  
Buong-O Chun
Keyword(s):  
Muscle Strength ◽  
Cross Sectional Area ◽  
Spinal Diseases ◽  
Sectional Area ◽  
Multifidus Muscle ◽  
Cross Sectional ◽  
Total Group ◽  
Male Group ◽  
The Difference ◽  
Lumbar Extension

OBJECTIVES The purpose of this study was to investigate the difference in the cross - sectional area (CSA) of multifidus and Iliopsoas muscles and the lumbar extension muscle strength according to degenerative spinal diseases (LHI; lumbar herniation of intervertebral disc group, SS; spinal stenosis group, S; spondylolisthesis group).METHODS The CSA of multifidus and Iliopsoas muscles size were measured by PACS(Picture Achiving and Communication System) using MRI at the L4/5 level and lumbar extension muscle strength (72˚, 60˚, 48˚, 36˚, 24˚, 12˚, 0˚) was measured using lumbar extension machine(MedX) in 97 patients of degenerative spinal diseases(male: 57, female: 40). The collected data were analyzed by one-way ANOVA using the SPSS program.RESULTS The results of this study showed that the CSA of total and right multifidus muscle in the LHI was significantly higher than that of the S (p <.05; p <.05) in the male group. The difference between the left and right CSA of multifidus in the LHI group was significantly higher than that of the SS (p <.05) in the male group (p <.05) and total group (p <.05). The CSA of iliopsoas muscle in the S was significantly higher than that of the LHI in the male and total group (p <.05; p <.05). In case of lumbar extension muscle strength, the S showed significantly higher muscle strength at 36 and 48 degrees than that of the SS in the male group. In the total group, LHI showed significantly higher muscle strength at 60 degrees of lumbar extension muscle strength than that of the S.CONCLUSION Multifidus muscle appears to be a key factor in prevention and treatment intervention in low back pain patients. In particular, in the case of S group, exercise therapy for strengthening the multifidus muscle is need for the rehabilitation.

CROSS-SECTIONAL AREA OF THE ACHILLES TENDON IN YOUNG AND ELDERLY WOMEN

2001 ◽  
Vol 33 (5) ◽  
pp. S126 ◽  
Author(s):  
N Beyer ◽  
H Abrahamsen ◽  
K Neergaard ◽  
M Kjaer ◽  
P Aagaard ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Elderly Women ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional

scholarly journals Effect of aging on human muscle architecture

2003 ◽  
Vol 95 (6) ◽  
pp. 2229-2234 ◽  
Author(s):  
M. V. Narici ◽  
C. N. Maganaris ◽  
N. D. Reeves ◽  
P. Capodaglio
Keyword(s):  
The Elderly ◽  
Muscle Architecture ◽  
Cross Sectional Area ◽  
Elderly Group ◽  
Sectional Area ◽  
Morphometric Measurements ◽  
Fascicle Length ◽  
Cross Sectional ◽  
Physically Active ◽  
Structural Alterations

The effect of aging on human gastrocnemius medialis (GM) muscle architecture was evaluated by comparing morphometric measurements on 14 young (aged 27–42 yr) and on 16 older (aged 70–81 yr) physically active men, matched for height, body mass, and physical activity. GM muscle anatomic cross-sectional area (ACSA) and volume (Vol) were measured by computerized tomography, and GM fascicle length ( Lf) and pennation angle (θ) were assessed by ultrasonography. GM physiological cross-sectional area (PCSA) was calculated as the ratio of Vol/ Lf. In the elderly, ACSA and Vol were, respectively, 19.1% ( P < 0.005) and 25.4% ( P < 0.001) smaller than in the young adults. Also, Lf and θ were found to be smaller in the elderly group by 10.2% ( P < 0.01) and 13.2% ( P < 0.01), respectively. When the data for the young and elderly adults were pooled together, θ significantly correlated with ACSA ( P < 0.05). Because of the reduced Vol and Lf in the elderly group, the resulting PCSA was found to be 15.2% ( P < 0.05) smaller. In conclusion, this study demonstrates that aging significantly affects human skeletal muscle architecture. These structural alterations are expected to have implications for muscle function in old age.

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