Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study

Background and Objectives: The diaphragm, the lumbar multifidus muscles, and the thoracolumbar fascia (TLF) execute an important role in the stability of the lumbar spine and their morphology has been modified in subjects with non-specific low back pain (NS-LBP). While it is true that three structur...

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Autores: Fernández Carnero, Samuel|||0000-0003-2893-1627, Martín Pérez, Alicia, Sicilia Gómez de Parada, Cristina, Cuenca Zaldivar, Juan Nicolás|||0000-0002-6787-3944, Naranjo-Cinto, Fermín, Pecos Martín, Daniel|||0000-0001-8690-0998, Gallego Izquierdo, Tomás|||0000-0002-2260-8434, Núñez Nagy, Susana|||0000-0001-9206-6725
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/55813
Acceso en línea:http://hdl.handle.net/10017/55813
https://dx.doi.org/10.3390/medicina59020315
Access Level:acceso abierto
Palabra clave:Non-specific low back pain
Diaphragm
Lumbar multifidus muscles
Thoracolumbar fascia
Rehabilitative ultrasound imaging
Fisioterapia
Physical therapy
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spelling Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot studyFernández Carnero, Samuel|||0000-0003-2893-1627Martín Pérez, AliciaSicilia Gómez de Parada, CristinaCuenca Zaldivar, Juan Nicolás|||0000-0002-6787-3944Naranjo-Cinto, FermínPecos Martín, Daniel|||0000-0001-8690-0998Gallego Izquierdo, Tomás|||0000-0002-2260-8434Núñez Nagy, Susana|||0000-0001-9206-6725Non-specific low back painDiaphragmLumbar multifidus musclesThoracolumbar fasciaRehabilitative ultrasound imagingFisioterapiaPhysical therapyBackground and Objectives: The diaphragm, the lumbar multifidus muscles, and the thoracolumbar fascia (TLF) execute an important role in the stability of the lumbar spine and their morphology has been modified in subjects with non-specific low back pain (NS-LBP). While it is true that three structures correlate anatomically, the possible functional correlation between them has not been investigated previously in healthy subjects nor in subjects with NS-LBP. The aim of the present study was to examine this functional nexus by means of a comparison based on ultrasonographic parameters of the diaphragm, the lumbar multifidus muscles, and the TLF in subjects with and without NS-LBP. Materials and Methods: A sample of 54 (23 NS-LBP and 31 healthy) subjects were included in the study. The thickness and diaphragmatic excursion at tidal volume (TV) and force volume (FV), the lumbar multifidus muscles thickness at contraction and at rest, and the TLF thickness were evaluated using rehabilitative ultrasound imaging (RUSI) by B-mode and M-mode ultrasonography. The diaphragm thickening capacity was also calculated by thickening fraction (TF) at tidal volume and force volume. Results: There were no significant differences recorded between the activation of the diaphragm and the activation of the lumbar multifidus muscles and TLF for each variable, within both groups. However, there were significant differences recorded between both groups in diaphragm thickness and diaphragm thickening capacity at tidal volume and force volume. Conclusions: Diaphragmatic activation had no functional correlation with the activation of lumbar multifidus muscles and TLF for both groups. Nevertheless, subjects with NS-LBP showed a reduced diaphragm thickness and a lower diaphragm thickening capacity at tidal volume and force volume, compared to healthy subjects.20232023-02-08journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10017/55813https://dx.doi.org/10.3390/medicina5902031536837516reponame:e_Buah Biblioteca Digital Universidad de Alcaláinstname:Universidad de Alcalá (UAH)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ebuah.uah.es:10017/558132026-06-18T11:13:07Z
dc.title.none.fl_str_mv Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
title Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
spellingShingle Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
Fernández Carnero, Samuel|||0000-0003-2893-1627
Non-specific low back pain
Diaphragm
Lumbar multifidus muscles
Thoracolumbar fascia
Rehabilitative ultrasound imaging
Fisioterapia
Physical therapy
title_short Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
title_full Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
title_fullStr Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
title_full_unstemmed Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
title_sort Diaphragmatic activation correlated with lumbar multifidus muscles and thoracolumbar fascia by B-mode and M-mode ultrasonography in subjects with and without non-specific low back pain: a pilot study
dc.creator.none.fl_str_mv Fernández Carnero, Samuel|||0000-0003-2893-1627
Martín Pérez, Alicia
Sicilia Gómez de Parada, Cristina
Cuenca Zaldivar, Juan Nicolás|||0000-0002-6787-3944
Naranjo-Cinto, Fermín
Pecos Martín, Daniel|||0000-0001-8690-0998
Gallego Izquierdo, Tomás|||0000-0002-2260-8434
Núñez Nagy, Susana|||0000-0001-9206-6725
author Fernández Carnero, Samuel|||0000-0003-2893-1627
author_facet Fernández Carnero, Samuel|||0000-0003-2893-1627
Martín Pérez, Alicia
Sicilia Gómez de Parada, Cristina
Cuenca Zaldivar, Juan Nicolás|||0000-0002-6787-3944
Naranjo-Cinto, Fermín
Pecos Martín, Daniel|||0000-0001-8690-0998
Gallego Izquierdo, Tomás|||0000-0002-2260-8434
Núñez Nagy, Susana|||0000-0001-9206-6725
author_role author
author2 Martín Pérez, Alicia
Sicilia Gómez de Parada, Cristina
Cuenca Zaldivar, Juan Nicolás|||0000-0002-6787-3944
Naranjo-Cinto, Fermín
Pecos Martín, Daniel|||0000-0001-8690-0998
Gallego Izquierdo, Tomás|||0000-0002-2260-8434
Núñez Nagy, Susana|||0000-0001-9206-6725
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Non-specific low back pain
Diaphragm
Lumbar multifidus muscles
Thoracolumbar fascia
Rehabilitative ultrasound imaging
Fisioterapia
Physical therapy
topic Non-specific low back pain
Diaphragm
Lumbar multifidus muscles
Thoracolumbar fascia
Rehabilitative ultrasound imaging
Fisioterapia
Physical therapy
description Background and Objectives: The diaphragm, the lumbar multifidus muscles, and the thoracolumbar fascia (TLF) execute an important role in the stability of the lumbar spine and their morphology has been modified in subjects with non-specific low back pain (NS-LBP). While it is true that three structures correlate anatomically, the possible functional correlation between them has not been investigated previously in healthy subjects nor in subjects with NS-LBP. The aim of the present study was to examine this functional nexus by means of a comparison based on ultrasonographic parameters of the diaphragm, the lumbar multifidus muscles, and the TLF in subjects with and without NS-LBP. Materials and Methods: A sample of 54 (23 NS-LBP and 31 healthy) subjects were included in the study. The thickness and diaphragmatic excursion at tidal volume (TV) and force volume (FV), the lumbar multifidus muscles thickness at contraction and at rest, and the TLF thickness were evaluated using rehabilitative ultrasound imaging (RUSI) by B-mode and M-mode ultrasonography. The diaphragm thickening capacity was also calculated by thickening fraction (TF) at tidal volume and force volume. Results: There were no significant differences recorded between the activation of the diaphragm and the activation of the lumbar multifidus muscles and TLF for each variable, within both groups. However, there were significant differences recorded between both groups in diaphragm thickness and diaphragm thickening capacity at tidal volume and force volume. Conclusions: Diaphragmatic activation had no functional correlation with the activation of lumbar multifidus muscles and TLF for both groups. Nevertheless, subjects with NS-LBP showed a reduced diaphragm thickness and a lower diaphragm thickening capacity at tidal volume and force volume, compared to healthy subjects.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-02-08
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10017/55813
https://dx.doi.org/10.3390/medicina59020315
36837516
url http://hdl.handle.net/10017/55813
https://dx.doi.org/10.3390/medicina59020315
identifier_str_mv 36837516
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:e_Buah Biblioteca Digital Universidad de Alcalá
instname:Universidad de Alcalá (UAH)
instname_str Universidad de Alcalá (UAH)
reponame_str e_Buah Biblioteca Digital Universidad de Alcalá
collection e_Buah Biblioteca Digital Universidad de Alcalá
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