The difference in multifidus muscle morphology and motor control in non‐specific low back pain with clinical lumbar instability and healthy subjects: A case‐control study.
Background: Low back pain (LBP) with clinical lumbar instability (CLI) is considered a subgroup of back pain. Poor core stability function and/or lack of motor controls are thought to play a role in inappropriate inter‐segmental movements and pain. There is no study investigating the changes in the...
| Publicado en: | Physiotherapy Research International Vol. 29; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175072213&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175072213 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jan2024 vid: 29 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175072213 169992109 175072213 175072213 10.1002/pri.2047 175072213 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The difference in multifidus muscle morphology and motor control in non‐specific low back pain with clinical lumbar instability and healthy subjects: A case‐control study. aug: au: Abdelaty, Eman Masry Shendy, Salwa Lotfy, Osama Hassan, Karima Abdelaty affil: Physical Therapist at Damanhour National Institute, Cairo University, Dokki, Egypt sug: subj: Chronic Pain Egypt Low Back Pain Multifidus Muscles Anatomy and Histology Multifidus Muscles Physiology Lumbar Vertebrae Physiopathology Joint Instability Motor Activity Evaluation Multifidus Muscles Ultrasonography Lumbar Vertebrae Ultrasonography Human Adult Male Female Case Control Studies Nonexperimental Studies Egypt Pain Measurement Pain Management Descriptive Statistics Data Analysis Software Unpaired T-Tests Head-Down Tilt Comparative Studies Adult: 19-44 years Male Female ab: Background: Low back pain (LBP) with clinical lumbar instability (CLI) is considered a subgroup of back pain. Poor core stability function and/or lack of motor controls are thought to play a role in inappropriate inter‐segmental movements and pain. There is no study investigating the changes in the lumbar multifidus muscle (LMM) morphology and motor control in this subgroup of patients. Objective: To assess motor control components and morphological changes of LMM in the patients suffering from chronic nonspecific low back pain (CNSLBP) with CLI. Design: Observational case‐control study. Methods: Thirty‐two patients suffering from (CNSLBP) with CLI and 32 healthy individuals were included. The muscle force element of lumbar motor control was assessed by using (the active straight‐leg raise test, leg lowering test, and Trendelenburg test). Ultrasonography was used to assess changes in the LMM morphology. Results: There was a significant decrease in motor control (p = 0.0001), an increase in LMM fatty infiltration (p = 0.002), and a decrease in the thickness of LMM in patients suffering from CNSLBP during contraction (p = 0.006), during rest (p = 0.018). The cross‐section area of the LMM showed no statistically significant differences during rest on the right and left sides (p = 0.827, 0.220 respectively) and contraction (p = 0.160, 0.278 respectively) between patients and healthy subjects. Conclusion: Motor control and the morphology of LMM in patients with CNSLBP with CLI may provide insight into the mechanisms of underlying pain and their effect on muscle function and structure. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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