Lumbar multifidus muscle morphology is associated with low back-related pain duration, disability, and leg pain: A cross-sectional study in secondary care

被引:7
作者
Cooley, Jeffrey R. [1 ]
Kjaer, Per [2 ,3 ]
Jensen, Tue S. [2 ,4 ,5 ,6 ]
Jacques, Angela [7 ]
Theroux, Jean [1 ]
Hebert, Jeffrey J. [1 ,8 ]
机构
[1] Murdoch Univ, Coll Sci Hlth Engn & Educ, Murdoch, WA, Australia
[2] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark
[3] UCL Univ Coll, Hlth Sci Res Ctr, Odense, Denmark
[4] Reg Hosp Silkeborg, Dept Diagnost Imaging, Silkeborg, Denmark
[5] Spine Ctr Southern Denmark, Middelfart, Denmark
[6] Chiropract Knowledge Hub, Odense, Denmark
[7] Univ Notre Dame Australia, Inst Hlth Res, Fremantle, WA, Australia
[8] Univ New Brunswick, Fac Kinesiol, Fredericton, NB, Canada
来源
PLOS ONE | 2023年 / 18卷 / 06期
关键词
PARASPINAL MUSCLES; PHYSICAL FUNCTION; OLDER-ADULTS; ATROPHY; SPINE; AREA;
D O I
10.1371/journal.pone.0285993
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
BackgroundSystematic reviews and studies exploring associations between morphologic change of paraspinal muscles and low back pain or related outcomes such as disability, radiculopathy, and physical workload, have reported conflicting results. This study explores the associations between lumbar multifidus muscle quality and clinical outcomes relating to low back pain. MethodsCross-sectional study of spinal clinic outpatients presenting with a primary complaint of low back and/or leg symptoms. Univariable and multivariable regression models were used to investigate associations between MRI-based multifidus muscle cross-sectional area at L4 and L5 and clinical outcomes for low back pain, leg pain, disability, restricted motion, and strenuous nature of work. Results were reported with beta-coefficients, odds ratios (OR), or incidence rate ratios (IRR) and their corresponding 95% confidence intervals, based on a 10% difference in muscle quality for each clinical variable. Multivariable analyses were adjusted for age, sex, and BMI. Results875 patients [487 females; mean (SD) age: 43.6 (10.2) years] were included. In the multivariable analyses, muscle quality was significantly associated with disability (0-23 scale) [beta: -0.74, 95% CI: -1.14, -0.34], leg pain intensity (0-10 scale) [beta: -0.25, 95% CI: -0.46, -0.03], and current pain duration of more than 12 months [OR: 1.27, 95% CI: 1.03, 1.55]. No associations were found for low back pain intensity, morning stiffness, painful active range of motion, or work nature. ConclusionsPatients with higher lumbar multifidus muscle quality reported lower levels of low back pain-related disability and leg pain intensity, indicating that muscle quality may play a role in the etiology of lumbar spine disorders. However, the clinical importance of these associations is uncertain due to the low magnitude of identified associations. Future longitudinal studies are needed to understand the effect of lumbar multifidus muscle quality on lumbar-related pain and disability.
引用
收藏
页数:14
相关论文
共 40 条
[1]   Diagnostic triage for low back pain: a practical approach for primary care [J].
Bardin, Lynn D. ;
King, Peter ;
Maher, Chris G. .
MEDICAL JOURNAL OF AUSTRALIA, 2017, 206 (06) :268-273
[2]   Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain - The relationship to pain and disability [J].
Barker, KL ;
Shamley, DR ;
Jackson, D .
SPINE, 2004, 29 (22) :E515-E519
[3]   Factors associated with paravertebral muscle cross-sectional area in patients with chronic low back pain [J].
Cankurtaran, Damla ;
Yigman, Zeynep Aykin ;
Umay, Ebru .
KOREAN JOURNAL OF PAIN, 2021, 34 (04) :454-462
[4]   Assessing lumbar paraspinal muscle cross-sectional area and fat composition with T1 versus T2-weighted magnetic resonance imaging: Reliability and concurrent validity [J].
Cooley, J. R. ;
Hebert, J. J. ;
de Zoete, A. ;
Jensen, T. S. ;
Algra, P. R. ;
Kjaer, P. ;
Walker, B. F. .
PLOS ONE, 2021, 16 (02)
[5]   Spinal degeneration is associated with lumbar multifidus morphology in secondary care patients with low back or leg pain [J].
Cooley, Jeffrey R. ;
Jensen, Tue S. ;
Kjaer, Per ;
Jacques, Angela ;
Theroux, Jean ;
Hebert, Jeffrey J. .
SCIENTIFIC REPORTS, 2022, 12 (01)
[6]   Relationships between paraspinal muscle morphology and neurocompressive conditions of the lumbar spine: a systematic review with meta-analysis [J].
Cooley, Jeffrey R. ;
Walker, Bruce F. ;
Ardakani, Emad M. ;
Kjaer, Per ;
Jensen, Tue S. ;
Hebert, Jeffrey J. .
BMC MUSCULOSKELETAL DISORDERS, 2018, 19
[7]   The assessment of abdominal and multifidus muscles and their role in physical function in older adults: a systematic review [J].
Cuellar, W. A. ;
Wilson, A. ;
Blizzard, C. L. ;
Otahal, P. ;
Callisaya, M. L. ;
Jones, G. ;
Hides, J. A. ;
Winzenberg, T. M. .
PHYSIOTHERAPY, 2017, 103 (01) :21-39
[8]   Fat Replacement of Paraspinal Muscles with Aging in Healthy Adults [J].
Dahlqvist, Julia R. ;
Vissing, Christoffer R. ;
Hedermann, Gitte ;
Thomsen, Carsten ;
Vissing, John .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2017, 49 (03) :595-601
[9]   Primary care - Low back pain [J].
Deyo, RA ;
Weinstein, JN .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (05) :363-370
[10]   Correlations between core muscle geometry, pain intensity, functional disability and postural balance in patients with nonspecific mechanical low back pain [J].
Emami, Farahnaz ;
Yoosefinejad, Amin Kordi ;
Razeghi, Mohsen .
MEDICAL ENGINEERING & PHYSICS, 2018, 60 :39-46