The Role of the Lumbar Multifidus in Chronic Low Back Pain: A Review

被引:214
作者
Freeman, Michael D. [1 ]
Woodham, Mark A.
Woodham, Andrew W. [2 ]
机构
[1] Oregon Hlth & Sci Univ, Sch Med, Dept Publ Hlth & Prevent Med, Portland, OR 97205 USA
[2] Univ So Calif, Dept Genet Mol & Cellular Biol, Los Angeles, CA USA
关键词
D O I
10.1016/j.pmrj.2009.11.006
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Low back pain (LBP), a highly prevalent problem in society, is often a recurrent condition. Recent advances in the understanding of the biomechanics of LBP have highlighted the importance of muscular stabilization of the "neutral zone" range of motion in the low back. The lumbar multifidus muscles (LMM) are important stabilizers of this neutral zone, and dysfunction in these muscles is strongly associated with LBP. The dysfunction is a result of pain inhibition from the spine, and it tends to continue even after the pain has resolved, likely contributing to the high recurrence rate of LBP. Persisting LMM dysfunction is identified by atrophic replacement of multifidus muscle with fat, a condition that is best seen on magnetic resonance imaging. Muscle training directed at teaching patients to activate their LMM is an important feature of any clinical approach to the LBP patient with demonstrated LMM dysfunction or atrophy. PM R 2010;2:142-146
引用
收藏
页码:142 / 146
页数:5
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