1. Lumbar multifidus layers stiffness at L5-S1 level in prone and sitting posture measured by shear wave elastography.
- Author
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Bastos de Oliveira, Viviane, Albuquerque Brandão, Maria Clara, Coelho de Albuquerque Pereira, Wagner, and Fernandes de Oliveira, Liliam
- Subjects
MYALGIA ,RESEARCH funding ,ERGONOMICS ,LYING down position ,QUESTIONNAIRES ,BACK muscles ,DESCRIPTIVE statistics ,MANN Whitney U Test ,LUMBAR vertebrae ,SITTING position ,DICOM (Computer network protocol) ,INFERENTIAL statistics ,SACRUM ,POSTURE ,DIGITAL image processing ,DATA analysis software ,NONPARAMETRIC statistics ,LUMBAR pain - Abstract
BACKGROUND: Multifidus is an important lumbar muscle with distinct superficial and deep fibers responsible for torque production and stabilization, respectively. Its mechanical properties change when transitioning from lying to sitting positions, necessitating enhanced stability. It holds crucial clinical relevance to assess these layers separately, especially in the sitting posture, which demands increased neuromuscular control compared to the prone position. OBJECTIVE: To compare lumbar multifidus stiffness in lying versus sitting postures, analyzing both superficial and deep layers. METHODS: Supersonic Shear Imaging captured elastographic images from 26 asymptomatic volunteers in prone and seated positions. RESULTS: Left multifidus shear modulus in lying: 5.98 ± 1.80/7.96 ± 1.59 kPa (deep/superficial) and sitting: 12.58 ± 4.22/16.04 ± 6.65 kPa. Right side lying: 6.08 ± 1.97/7.80 ± 1.76 kPa and sitting: 13.25 ± 4.61/17.95 ± 7.12 kPa. No side differences (lying p = 0.99, sitting p = 0.43). However, significant inter-postural differences occurred. CONCLUSION: Lumbar multifidus exhibits increased stiffness in sitting, both layers affected, with superior stiffness in superficial versus deep fibers. Applying these findings could enhance assessing multifidus stiffness changes, for classifying tension-induced low back pain stages. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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