Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises
Abstract Objective To understand lumbar multifidus (LM) muscle activation as a clinical feature to predict patients with low back pain (LBP) who are likely to benefit from stabilization (STB) exercises. Design Prospective, cohort study. Setting Outpatient physical therapy clinics. Participants Perso...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2013-06, Vol.94 (6), p.1132-1138 |
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| creator | Zielinski, Kristen A., BS, DPT Henry, Sharon M., PT, PhD, ATC Ouellette-Morton, Rebecca H., MS, MPT DeSarno, Michael J., MS |
| description | Abstract Objective To understand lumbar multifidus (LM) muscle activation as a clinical feature to predict patients with low back pain (LBP) who are likely to benefit from stabilization (STB) exercises. Design Prospective, cohort study. Setting Outpatient physical therapy clinics. Participants Persons with LBP were recruited for this study. Subjects (N=25) were classified as either eligible to receive STB exercises or ineligible on the basis of current clinical prediction rules. Interventions Six weeks of STB treatment. Main Outcome Measures Before and after treatment, subjects underwent rehabilitative ultrasound imaging to quantify LM-muscle activation and completed disability and pain questionnaires. Analyses were performed to examine the (1) relation between LM-muscle activation and current clinical features used to predict patients with LBP likely to benefit from STB exercises, (2) LM-muscle activation between the STB-eligible and STB-ineligible groups before and after STB treatment, and (3) relation between LM-muscle activation before STB treatment and (a) disability and (b) pain outcomes after treatment for both groups. Results No relation was found between LM-muscle activation and the number of clinical features. Before STB treatment, LM-muscle activation between the STB-eligible and STB-ineligible groups did not differ. After STB treatment, LM-muscle activation differed between the groups; however, this interaction was because the LM-muscle activation for the STB-eligible group decreased after treatment while that for the STB-ineligible group increased after treatment. Finally, only the STB-eligible group had a significant reduction in disability following treatment; however, no relation was found between LM-muscle activation before treatment and (a) disability or (b) pain outcomes after treatment in the STB-eligible group. Conclusions LM-muscle activation does not appear to be a clinical feature that predicts patients with LBP likely to benefit from STB exercises. |
| doi_str_mv | 10.1016/j.apmr.2012.12.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3677852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999312012087</els_id><sourcerecordid>1837317286</sourcerecordid><originalsourceid>FETCH-LOGICAL-c543t-ff3dc9141b8ea728814e3aaee0699d878166e64109a3fc0ab2435e8c0e8371633</originalsourceid><addsrcrecordid>eNqFUk1v1DAQtRCILoU_wAH5yCWLPxLHkVAlWgpUWj6kLio3y-tMWO8m8WInC-XAb2eiLRVwAGmksT3vPY_9hpDHnM054-rZZm53XZwLxsUcgzF-h8x4IUWmBf90l8wYYzKrqkoekQcpbXCrCsnvkyMhhdBKqBn5sRi7lY307dgOvvH1mHCZXAt0ufZu20NK9GWARN-FgX6IUHuH2Q4e-iHRKz-s6SJ8pafWbfHY9_RqHehFt4thD4fyMo79ll4OduVb_x2Zoafn3yA6nyA9JPca2yZ4dJOPycdX58uzN9ni_euLsxeLzBW5HLKmkbWreM5XGmwptOY5SGsBmKqqWpeaKwUq56yysnHMrkQuC9COgZYlV1Iek5OD7m5cdVA77D7a1uyi72y8NsF682el92vzOeyNVGWpC4ECT28EYvgyQhpM55ODtrU9hDEZjhdJjq2p_0NlUeaVqDRHqDhAXQwpRWhuO-LMTB6bjZk8NpPHBgM9RtKT399yS_llKgKeHwCAP7r3EE1y6JdD8yK4wdTB_1v_5C-6a33vnW23cA1pE8bYo1eGm4QEczlN2TRkfBJhupQ_AfMxzng</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1357492981</pqid></control><display><type>article</type><title>Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Zielinski, Kristen A., BS, DPT ; Henry, Sharon M., PT, PhD, ATC ; Ouellette-Morton, Rebecca H., MS, MPT ; DeSarno, Michael J., MS</creator><creatorcontrib>Zielinski, Kristen A., BS, DPT ; Henry, Sharon M., PT, PhD, ATC ; Ouellette-Morton, Rebecca H., MS, MPT ; DeSarno, Michael J., MS</creatorcontrib><description>Abstract Objective To understand lumbar multifidus (LM) muscle activation as a clinical feature to predict patients with low back pain (LBP) who are likely to benefit from stabilization (STB) exercises. Design Prospective, cohort study. Setting Outpatient physical therapy clinics. Participants Persons with LBP were recruited for this study. Subjects (N=25) were classified as either eligible to receive STB exercises or ineligible on the basis of current clinical prediction rules. Interventions Six weeks of STB treatment. Main Outcome Measures Before and after treatment, subjects underwent rehabilitative ultrasound imaging to quantify LM-muscle activation and completed disability and pain questionnaires. Analyses were performed to examine the (1) relation between LM-muscle activation and current clinical features used to predict patients with LBP likely to benefit from STB exercises, (2) LM-muscle activation between the STB-eligible and STB-ineligible groups before and after STB treatment, and (3) relation between LM-muscle activation before STB treatment and (a) disability and (b) pain outcomes after treatment for both groups. Results No relation was found between LM-muscle activation and the number of clinical features. Before STB treatment, LM-muscle activation between the STB-eligible and STB-ineligible groups did not differ. After STB treatment, LM-muscle activation differed between the groups; however, this interaction was because the LM-muscle activation for the STB-eligible group decreased after treatment while that for the STB-ineligible group increased after treatment. Finally, only the STB-eligible group had a significant reduction in disability following treatment; however, no relation was found between LM-muscle activation before treatment and (a) disability or (b) pain outcomes after treatment in the STB-eligible group. Conclusions LM-muscle activation does not appear to be a clinical feature that predicts patients with LBP likely to benefit from STB exercises.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2012.12.001</identifier><identifier>PMID: 23228626</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Clinical prediction rule ; Disability Evaluation ; Eligibility Determination ; Exercise ; Exercise Therapy - methods ; Female ; Humans ; Linear Models ; Low back pain ; Low Back Pain - diagnostic imaging ; Low Back Pain - physiopathology ; Low Back Pain - rehabilitation ; Lumbosacral Region - diagnostic imaging ; Male ; Middle Aged ; Muscle, Skeletal - diagnostic imaging ; Pain Measurement ; Physical Medicine and Rehabilitation ; Predictive Value of Tests ; Prospective Studies ; Rehabilitation ; Software ; Surveys and Questionnaires ; Treatment Outcome ; Ultrasonography</subject><ispartof>Archives of physical medicine and rehabilitation, 2013-06, Vol.94 (6), p.1132-1138</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2013 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>2013 by the American Congress of Rehabilitation Medicine 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-ff3dc9141b8ea728814e3aaee0699d878166e64109a3fc0ab2435e8c0e8371633</citedby><cites>FETCH-LOGICAL-c543t-ff3dc9141b8ea728814e3aaee0699d878166e64109a3fc0ab2435e8c0e8371633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2012.12.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23228626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zielinski, Kristen A., BS, DPT</creatorcontrib><creatorcontrib>Henry, Sharon M., PT, PhD, ATC</creatorcontrib><creatorcontrib>Ouellette-Morton, Rebecca H., MS, MPT</creatorcontrib><creatorcontrib>DeSarno, Michael J., MS</creatorcontrib><title>Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To understand lumbar multifidus (LM) muscle activation as a clinical feature to predict patients with low back pain (LBP) who are likely to benefit from stabilization (STB) exercises. Design Prospective, cohort study. Setting Outpatient physical therapy clinics. Participants Persons with LBP were recruited for this study. Subjects (N=25) were classified as either eligible to receive STB exercises or ineligible on the basis of current clinical prediction rules. Interventions Six weeks of STB treatment. Main Outcome Measures Before and after treatment, subjects underwent rehabilitative ultrasound imaging to quantify LM-muscle activation and completed disability and pain questionnaires. Analyses were performed to examine the (1) relation between LM-muscle activation and current clinical features used to predict patients with LBP likely to benefit from STB exercises, (2) LM-muscle activation between the STB-eligible and STB-ineligible groups before and after STB treatment, and (3) relation between LM-muscle activation before STB treatment and (a) disability and (b) pain outcomes after treatment for both groups. Results No relation was found between LM-muscle activation and the number of clinical features. Before STB treatment, LM-muscle activation between the STB-eligible and STB-ineligible groups did not differ. After STB treatment, LM-muscle activation differed between the groups; however, this interaction was because the LM-muscle activation for the STB-eligible group decreased after treatment while that for the STB-ineligible group increased after treatment. Finally, only the STB-eligible group had a significant reduction in disability following treatment; however, no relation was found between LM-muscle activation before treatment and (a) disability or (b) pain outcomes after treatment in the STB-eligible group. Conclusions LM-muscle activation does not appear to be a clinical feature that predicts patients with LBP likely to benefit from STB exercises.</description><subject>Adult</subject><subject>Clinical prediction rule</subject><subject>Disability Evaluation</subject><subject>Eligibility Determination</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Low back pain</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - physiopathology</subject><subject>Low Back Pain - rehabilitation</subject><subject>Lumbosacral Region - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - diagnostic imaging</subject><subject>Pain Measurement</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Rehabilitation</subject><subject>Software</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1v1DAQtRCILoU_wAH5yCWLPxLHkVAlWgpUWj6kLio3y-tMWO8m8WInC-XAb2eiLRVwAGmksT3vPY_9hpDHnM054-rZZm53XZwLxsUcgzF-h8x4IUWmBf90l8wYYzKrqkoekQcpbXCrCsnvkyMhhdBKqBn5sRi7lY307dgOvvH1mHCZXAt0ufZu20NK9GWARN-FgX6IUHuH2Q4e-iHRKz-s6SJ8pafWbfHY9_RqHehFt4thD4fyMo79ll4OduVb_x2Zoafn3yA6nyA9JPca2yZ4dJOPycdX58uzN9ni_euLsxeLzBW5HLKmkbWreM5XGmwptOY5SGsBmKqqWpeaKwUq56yysnHMrkQuC9COgZYlV1Iek5OD7m5cdVA77D7a1uyi72y8NsF682el92vzOeyNVGWpC4ECT28EYvgyQhpM55ODtrU9hDEZjhdJjq2p_0NlUeaVqDRHqDhAXQwpRWhuO-LMTB6bjZk8NpPHBgM9RtKT399yS_llKgKeHwCAP7r3EE1y6JdD8yK4wdTB_1v_5C-6a33vnW23cA1pE8bYo1eGm4QEczlN2TRkfBJhupQ_AfMxzng</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Zielinski, Kristen A., BS, DPT</creator><creator>Henry, Sharon M., PT, PhD, ATC</creator><creator>Ouellette-Morton, Rebecca H., MS, MPT</creator><creator>DeSarno, Michael J., MS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope><scope>5PM</scope></search><sort><creationdate>20130601</creationdate><title>Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises</title><author>Zielinski, Kristen A., BS, DPT ; Henry, Sharon M., PT, PhD, ATC ; Ouellette-Morton, Rebecca H., MS, MPT ; DeSarno, Michael J., MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-ff3dc9141b8ea728814e3aaee0699d878166e64109a3fc0ab2435e8c0e8371633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Clinical prediction rule</topic><topic>Disability Evaluation</topic><topic>Eligibility Determination</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Low back pain</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - physiopathology</topic><topic>Low Back Pain - rehabilitation</topic><topic>Lumbosacral Region - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - diagnostic imaging</topic><topic>Pain Measurement</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Rehabilitation</topic><topic>Software</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zielinski, Kristen A., BS, DPT</creatorcontrib><creatorcontrib>Henry, Sharon M., PT, PhD, ATC</creatorcontrib><creatorcontrib>Ouellette-Morton, Rebecca H., MS, MPT</creatorcontrib><creatorcontrib>DeSarno, Michael J., MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zielinski, Kristen A., BS, DPT</au><au>Henry, Sharon M., PT, PhD, ATC</au><au>Ouellette-Morton, Rebecca H., MS, MPT</au><au>DeSarno, Michael J., MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>94</volume><issue>6</issue><spage>1132</spage><epage>1138</epage><pages>1132-1138</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To understand lumbar multifidus (LM) muscle activation as a clinical feature to predict patients with low back pain (LBP) who are likely to benefit from stabilization (STB) exercises. Design Prospective, cohort study. Setting Outpatient physical therapy clinics. Participants Persons with LBP were recruited for this study. Subjects (N=25) were classified as either eligible to receive STB exercises or ineligible on the basis of current clinical prediction rules. Interventions Six weeks of STB treatment. Main Outcome Measures Before and after treatment, subjects underwent rehabilitative ultrasound imaging to quantify LM-muscle activation and completed disability and pain questionnaires. Analyses were performed to examine the (1) relation between LM-muscle activation and current clinical features used to predict patients with LBP likely to benefit from STB exercises, (2) LM-muscle activation between the STB-eligible and STB-ineligible groups before and after STB treatment, and (3) relation between LM-muscle activation before STB treatment and (a) disability and (b) pain outcomes after treatment for both groups. Results No relation was found between LM-muscle activation and the number of clinical features. Before STB treatment, LM-muscle activation between the STB-eligible and STB-ineligible groups did not differ. After STB treatment, LM-muscle activation differed between the groups; however, this interaction was because the LM-muscle activation for the STB-eligible group decreased after treatment while that for the STB-ineligible group increased after treatment. Finally, only the STB-eligible group had a significant reduction in disability following treatment; however, no relation was found between LM-muscle activation before treatment and (a) disability or (b) pain outcomes after treatment in the STB-eligible group. Conclusions LM-muscle activation does not appear to be a clinical feature that predicts patients with LBP likely to benefit from STB exercises.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23228626</pmid><doi>10.1016/j.apmr.2012.12.001</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Clinical prediction rule Disability Evaluation Eligibility Determination Exercise Exercise Therapy - methods Female Humans Linear Models Low back pain Low Back Pain - diagnostic imaging Low Back Pain - physiopathology Low Back Pain - rehabilitation Lumbosacral Region - diagnostic imaging Male Middle Aged Muscle, Skeletal - diagnostic imaging Pain Measurement Physical Medicine and Rehabilitation Predictive Value of Tests Prospective Studies Rehabilitation Software Surveys and Questionnaires Treatment Outcome Ultrasonography |
| title | Lumbar Multifidus Muscle Thickness Does Not Predict Patients With Low Back Pain Who Improve With Trunk Stabilization Exercises |
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