Effects of different verbal instructions on change of lumbar multifidus muscle thickness in asymptomatic adults and in patients with low back pain
TLDR
The results of the study suggest that both groups responded similarly to the three verbal instructions, and verbal instructions may increase lumbar multifidus muscle thickness by different amounts at L4-5, but by the same amount at L5-S1.Abstract:
Background: Spinal stabilisation exercise has been shown to be effective in the rehabilitation of low back pain (LBP). Due to the isometric nature of spinal stabilisation exercise, manual therapists use various verbal instructions to elicit lumbar multifidus muscle contraction.Objectives: The purpose of this study was to assess whether or not three verbal instructions would alter muscle thickness of the lumbar multifidus muscle differently in asymptomatic individuals and patients with LBP.Methods: Three verbal instructions were selected for this study: (1) swell the muscle underneath the transducer, (2) draw your belly button in towards your spinal column and (3) think about tilting your pelvis but without really doing it. Lumbar multifidus muscle thickness was determined using parasagittal ultrasound (US) imaging. Measurements of muscle thickness were collected at rest and during verbal instructions from 21 asymptomatic adults and 21 patients with LBP. Percent changes of muscle thickness during contracti...read more
Citations
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Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus musculature
TL;DR: In this article, the intraexaminer and interexaminer reliability of rehabilitation ultrasound imaging (RUSI) in obtaining thickness measurements of the transversus abdominis (TrA) and lumbar multifidus muscles at rest and during contractions was evaluated.
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Rehabilitative Ultrasound Imaging Evaluation in Physiotherapy: Piloting a Systematic Review.
Samuel Fernández Carnero,Jose Luis Arias Buría,Juan Nicolás Cuenca Zaldivar,Alejandro Leal Quiñones,César Calvo-Lobo,Carlos Martin Saborido +5 more
TL;DR: This pilot study checked the proposed systematic review protocol methodology, evaluating the evidence from the last five years, and coordinating the work of the team of reviewers in performing a complete systematic review prior to a full systematic review.
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Short-term effects of two deep dry needling techniques on pressure pain thresholds and electromyographic amplitude of the lumbosacral multifidus in patients with low back pain - a randomized clinical trial.
Sharon Wang-Price,Jason Zafereo,Zach Couch,Zach Couch,Kelli Brizzolara,Taylor Heins,Lindsey Smith +6 more
TL;DR: Deep DN with needle manipulation appeared to reduce mechanical pressure sensitivity more than DN without manipulation for patients with LBP, and although a single session of DN could reduce pressure pain sensitivity, it may not be sufficient to improve LM muscle function.
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Effects of tactile feedback on lumbar multifidus muscle activity in asymptomatic healthy adults and patients with low back pain.
TL;DR: Adding tactile stimulation to verbal instruction appeared to provide an inhibitory effect on LM activity in both asymptomatic healthy adults and patients with LBP.
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Abdominal Expansion versus Abdominal Drawing-In Strategy on Thickness and Electromyography of Lumbar Stabilizers in People with Nonspecific Low Back Pain: A Cross-Sectional Study.
TL;DR: In this paper, the immediate effects of the abdominal expansion versus abdominal drawing-in (AD) strategy on lumbar stabilization muscles in people with nonspecific low back pain (LBP) were investigated.
References
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Journal ArticleDOI
Effect of Verbal Instruction on Muscle Activity During the Bench Press Exercise
Benjamin J. Snyder,Wesley R. Fry +1 more
TL;DR: It is found that verbal technique instruction is effective in shifting muscle activity during a basic lift, but it may be less effective at higher intensities.
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Effect of instruction, surface stability, and load intensity on trunk muscle activity
TL;DR: The results indicate that if the goal is to enhance EMG activity of the abdominal muscles during a multi-joint squat exercise then verbal instructions may be more effective than increasing load intensity or lifting on an unstable surface.
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Morphology Versus Function: The Relationship Between Lumbar Multifidus Intramuscular Adipose Tissue and Muscle Function Among Patients With Low Back Pain
Ed Le Cara,Robin L. Marcus,Alasdair R. Dempsey,Martin D. Hoffman,Martin D. Hoffman,Jeffrey J. Hebert +5 more
TL;DR: Higher levels of physical activity and LMM function and less LMM IMAT than previous studies involving patients with LBP, and issues specific to LMM measurement are discussed.
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Global Ratings of Change Do Not Accurately Reflect Functional Change Over Time in Clinical Practice
John Schmitt,J. Haxby Abbott +1 more
TL;DR: Results confirm that GROC does not adequately or consistently correlate with functional change across varying lengths of time, and is therefore not recommended as a substitute for change scores on valid functional outcome measures for use in routine clinical practice.
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Lumbar multifidus muscle thickness does not predict patients with low back pain who improve with trunk stabilization exercises.
TL;DR: LM-muscle activation does not appear to be a clinical feature that predicts patients with LBP likely to benefit from stabilization exercises, and no relation was found between LM-Muscle activation and the number of clinical features.