1. Comparison of erector spinae and gluteus medius muscle thickness and activation in individuals with and without low back pain.
- Author
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Farley JR, Pokhrel S, Koppenhaver SL, and Fritz JM
- Subjects
- Humans, Male, Female, Cross-Sectional Studies, Adult, Middle Aged, Paraspinal Muscles diagnostic imaging, Paraspinal Muscles physiology, Paraspinal Muscles physiopathology, Buttocks, Muscle Contraction physiology, Low Back Pain physiopathology, Ultrasonography, Muscle, Skeletal physiopathology, Muscle, Skeletal diagnostic imaging, Muscle, Skeletal physiology
- Abstract
Background: Dysfunctional patterns of the erector spinae (ES) and gluteus medius (GM) muscles often accompany episodes of low back pain (LBP). Rehabilitative ultrasound imaging (RUSI) has been used to measure ES and GM muscle thickness, however such measurements have not been compared in individuals with and without LBP., Objectives: To compare ES and GM muscle thickness and change in thickness utilizing RUSI in individuals with and without LBP., Design: Cross-sectional comparison., Methods: A volunteer sample of 60 adults with (n = 30) and without (n = 30) LBP was examined. Thickness measurements of the ES and GM at rest and during contraction were obtained by using RUSI during a single session. Statistical comparison was performed using ANCOVA. The demographic variable age was used as a covariate in the primary comparative analysis., Results: Mean difference for age between groups was 5.4 years (95% CI: 1.85, 8.94, p = 0.004). Average ODI score was 32.33±6.58 and pain level of 5.39±0.73 over the last 24 h in the symptomatic group. There was a statistically significant difference in the percent thickness change in both the ES, mean difference = -3.46 (95% CI: -6.71, -0.21, p = 0.039) and GM, mean difference = -1.93 (95% CI: -3.85, -0.01, p = 0.049) muscles between groups., Conclusions: Individuals with LBP may have reduced percent thickness change of the ES and GM muscles when compared to asymptomatic individuals., Competing Interests: Declaration of competing interest All authors, Jedidiah Farley, Shane Koppenhaver, and Julie Fritz, have no interests to declare in this work and all agree that Declarations of Interest: none., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
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