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"Lumbar multifidus"

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"Lumbar multifidus"

Original Articles
Activations of Deep Lumbar Stabilizing Muscles by Transcutaneous Neuromuscular Electrical Stimulation of Lumbar Paraspinal Regions
Seung Ok Baek, Sang Ho Ahn, Rodney Jones, Hee Kyung Cho, Gil Su Jung, Yun Woo Cho, Hyeong Jun Tak
Ann Rehabil Med 2014;38(4):506-513.   Published online August 28, 2014
DOI: https://doi.org/10.5535/arm.2014.38.4.506
Objective

To investigate changes in lumbar multifidus (LM) and deep lumbar stabilizing abdominal muscles (transverse abdominis [TrA] and obliquus internus [OI]) during transcutaneous neuromuscular electrical stimulation (NMES) of lumbar paraspinal L4-L5 regions using real-time ultrasound imaging (RUSI).

Methods

Lumbar paraspinal regions of 20 healthy physically active male volunteers were stimulated at 20, 50, and 80 Hz. Ultrasound images of the LM, TrA, OI, and obliquus externus (OE) were captured during stimulation at each frequency.

Results

The thicknesses of superficial LM and deep LM as measured by RUSI were greater during NMES than at rest for all three frequencies (p<0.05). The thicknesses in TrA, OI, and OE were also significantly greater during NMES of lumbar paraspinal regions than at rest (p<0.05).

Conclusion

The studied transcutaneous NMES of the lumbar paraspinal region significantly activated deep spinal stabilizing muscle (LM) and the abdominal lumbar stabilizing muscles TrA and OI as evidenced by RUSI. The findings of this study suggested that transcutaneous NMES might be useful for improving spinal stability and strength in patients having difficulty initiating contraction of these muscles.

Citations

Citations to this article as recorded by  
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    Maryse Fortin, Daniel Wolfe, Geoffrey Dover, Mathieu Boily
    BMC Musculoskeletal Disorders.2022;[Epub]     CrossRef
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    Scientific Reports.2021;[Epub]     CrossRef
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    BMC Musculoskeletal Disorders.2020;[Epub]     CrossRef
  • Effects of core stabilization exercises on thickness and activity of trunk and hip muscles in subjects with nonspecific chronic low back pain
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  • The effects of whole-body electromyostimulation (WB-EMS) in comparison to a multimodal treatment concept in patients with non-specific chronic back pain—A prospective clinical intervention study
    Karl Lorenz Konrad, Jean-Pierre Baeyens, Christof Birkenmaier, Anna Helena Ranker, Jonas Widmann, Johannes Leukert, Lisa Wenisch, Eduard Kraft, Volkmar Jansson, Bernd Wegener, Wolfgang Kemmler
    PLOS ONE.2020; 15(8): e0236780.     CrossRef
  • Muscle Hypertrophy and Architectural Changes in Response to Eight-Week Neuromuscular Electrical Stimulation Training in Healthy Older People
    Tereza Jandova, Marco Narici, Michal Steffl, Danilo Bondi, Moreno D’Amico, Dagmar Pavlu, Vittore Verratti, Stefania Fulle, Tiziana Pietrangelo
    Life.2020; 10(9): 184.     CrossRef
  • Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial
    Muhammad Alrwaily, Michael Schneider, Gwendolyn Sowa, Michael Timko, Susan L. Whitney, Anthony Delitto
    Brazilian Journal of Physical Therapy.2019; 23(6): 506.     CrossRef
  • Muscle Control and Non-specific Chronic Low Back Pain
    Marc Russo, Kristiaan Deckers, Sam Eldabe, Kyle Kiesel, Chris Gilligan, John Vieceli, Peter Crosby
    Neuromodulation: Technology at the Neural Interface.2018; 21(1): 1.     CrossRef
  • Transcutaneous neuromuscular electrical stimulation applied to optimal points on the lower abdomen and lumbar paraspinal region changes gait parameters in patients with lumbar degenerative kyphosis
    Gil Su Jung, Min Cheol Chang, Sang Wan Seo, Dong Gyu Lee, Sang Gyu Kwak, Hee Kyung Cho, Sang Ho Ahn
    Journal of Back and Musculoskeletal Rehabilitation.2018; 31(2): 267.     CrossRef
  • Effects and underlying mechanisms of unstable shoes on chronic low back pain: a randomized controlled trial
    Juan Francisco Lisón, Borja Ortega-Santana, Álvaro Antón-Nogués, Palmy González-Requena, Cristina Vera-Hervás, Julio Doménech-Fernández, Daniel Sánchez-Zuriaga, Pablo Salvador-Coloma
    Clinical Rehabilitation.2018; 32(5): 654.     CrossRef
  • Investigation of trunk muscle activity for modified plank exercise: A preliminary study
    Donggeon Lee, Yunbok Lee, Hwi-Young Cho, Kyeong-Bong Lee, Soungkyun Hong, Seunghyeon Pyo, Gyuchang Lee
    Isokinetics and Exercise Science.2017; 25(3): 209.     CrossRef
  • Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy
    Jae Chul Koh, Do Hyeong Kim, Youn Woo Lee, Jong Bum Choi, Dong Hun Ha, Ji Won An
    The Korean Journal of Pain.2017; 30(4): 296.     CrossRef
  • The effects of transcutaneous neuromuscular electrical stimulation on the activation of deep lumbar stabilizing muscles of patients with lumbar degenerative kyphosis
    So Yeon Kim, Jin Hyun Kim, Gil Su Jung, Seung Ok Baek, Rodney Jones, Sang Ho Ahn
    Journal of Physical Therapy Science.2016; 28(2): 399.     CrossRef
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Atrophy of Multifidus Muscle on Low Back Pain Patients.
Bae, Ji Hye , Na, Jin Kyung , Yu, Ji Yun , Park, Yong Ok
J Korean Acad Rehabil Med 2001;25(4):684-691.

Objective: To investigate the correlation of multifidus muscle atrophy on MRI findings with clinical findings in low back pain patients.

Method: Medical records of 80 patients presenting with low back pain were retrospectively reviewed. Their MR images were visually analysed to know lumbar multifidus muscle atrophy, disc herniation, disc degeneration, spinal stenosis and nerve root compression.

Results: Multifidus muscle atrophy increased from the upper lumbar level to the most caudal intervertebral level. It was bilateral in the majority of the cases. Multifidus muscle atrophy was well correlated with patient's age, referred leg pain, and disc degeneration. However, duration of low back pain, disc herniation, spinal stenosis, nerve root compression, sex, weight, height and BMI had no correlation with multifidus muscle atrophy.

Conclusion: Examination of multifidus muscle atrophy should be considered when assessing MR images of lumbar spine. It may help for further evaluation and planning the treatment modalities of low back pain.

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