Journal article
Morphology Versus Function: The Relationship Between Lumbar Multifidus Intramuscular Adipose Tissue and Muscle Function Among Patients With Low Back Pain
Archives of Physical Medicine and Rehabilitation, Vol.95(10), pp.1846-1852
2014
Abstract
Objective: To explore the bivariate and multivariate relations between fatty degeneration of the lumbar multifidus muscle (LMM) and LMM function among patients with low back pain (LBP).
Design: Cross-sectional clinical study.
Setting: Hospital.
Participants: Patients with LBP (NZ70) referred for lumbar spine magnetic resonance imaging.
Interventions: Not applicable.
Main Outcome Measures: LMM morphology and function were measured at the L4/L5 and L5/S1 spinal levels bilaterally. Quantitative measures of LMM intramuscular adipose tissue (IMAT) were derived from T1-weighted magnetic resonance images. Function was assessed with ultrasound imaging by measuring change in LMM thickness during a submaximal contraction task. The study participants self-reported their level of LBP-related disability (Modified Oswestry Index), pain intensity (numerical pain rating scale), and physical activity (International Physical Activity Questionnaire). Bivariate and multivariate relations between LMM morphology and function were explored with correlational and hierarchical linear regression analyses, respectively. Additionally, we explored for possible covariates with potential to modify the relation between LMM IMAT and function.
Results: There were 70 participants (12 women) enrolled in the study (mean age, 45.4 11.9y). A high level of physical activity was reported by 45.5% of participates. Age, sex, and physical activity level demonstrated variable relations with LMM IMAT and LMM function. There were no significant bivariate or multivariate relations between LMM IMAT and LMM function.
Conclusions: We observed higher levels of physical activity and LMM function and less LMM IMAT than previous studies involving patients with LBP. There was no relation between LMM morphology and function in this cohort of patients with LBP. Issues specific to LMM measurement and recommendations for future research are discussed.
Details
- Title
- Morphology Versus Function: The Relationship Between Lumbar Multifidus Intramuscular Adipose Tissue and Muscle Function Among Patients With Low Back Pain
- Authors/Creators
- E.C. Le Cara (Author/Creator) - Rocky Mountain University of Health ProfessionsR.L. Marcus (Author/Creator) - University of UtahA.R. Dempsey (Author/Creator) - Murdoch UniversityM.D. Hoffman (Author/Creator) - University of California Davis Medical CenterJ.J. Hebert (Author/Creator) - Murdoch University
- Publication Details
- Archives of Physical Medicine and Rehabilitation, Vol.95(10), pp.1846-1852
- Publisher
- W. B. Saunders Co., Ltd.
- Identifiers
- 991005540778207891
- Copyright
- American Congress of Rehabilitation Medicine
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.129 Back pain
- 1.129.98 Low Back Pain
- Web Of Science research areas
- Rehabilitation
- Sport Sciences
- ESI research areas
- Clinical Medicine