The role of the lumbar multifidus in chronic low back pain: a review - PubMed (original) (raw)
Review
. 2010 Feb;2(2):142-6; quiz 1 p following 167.
doi: 10.1016/j.pmrj.2009.11.006.
Affiliations
- PMID: 20193941
- DOI: 10.1016/j.pmrj.2009.11.006
Review
The role of the lumbar multifidus in chronic low back pain: a review
Michael D Freeman et al. PM R. 2010 Feb.
Abstract
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.
Copyright 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Similar articles
- Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects.
Hides J, Gilmore C, Stanton W, Bohlscheid E. Hides J, et al. Man Ther. 2008 Feb;13(1):43-9. doi: 10.1016/j.math.2006.07.017. Epub 2006 Oct 27. Man Ther. 2008. PMID: 17070721 - Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain.
Hildebrandt M, Fankhauser G, Meichtry A, Luomajoki H. Hildebrandt M, et al. BMC Musculoskelet Disord. 2017 Jan 10;18(1):12. doi: 10.1186/s12891-016-1376-1. BMC Musculoskelet Disord. 2017. PMID: 28068962 Free PMC article. - Lumbar muscle dysfunction during remission of unilateral recurrent nonspecific low-back pain: evaluation with muscle functional MRI.
D'hooge R, Cagnie B, Crombez G, Vanderstraeten G, Achten E, Danneels L. D'hooge R, et al. Clin J Pain. 2013 Mar;29(3):187-94. doi: 10.1097/AJP.0b013e31824ed170. Clin J Pain. 2013. PMID: 23369927 - The lumbar spine and low back pain in golf: a literature review of swing biomechanics and injury prevention.
Gluck GS, Bendo JA, Spivak JM. Gluck GS, et al. Spine J. 2008 Sep-Oct;8(5):778-88. doi: 10.1016/j.spinee.2007.07.388. Epub 2007 Oct 15. Spine J. 2008. PMID: 17938007 Review. - Moving beyond the neutral spine: stabilizing the dancer with lumbar extension dysfunction.
Smith J. Smith J. J Dance Med Sci. 2009;13(3):73-82. J Dance Med Sci. 2009. PMID: 19754983 Review.
Cited by
- Age and sex-based distribution of lumbar multifidus muscle atrophy and coexistence of disc hernia: an MRI study of 2028 patients.
Ekin EE, Kurtul Yıldız H, Mutlu H. Ekin EE, et al. Diagn Interv Radiol. 2016 May-Jun;22(3):273-6. doi: 10.5152/dir.2015.15307. Diagn Interv Radiol. 2016. PMID: 27035591 Free PMC article. - FactFinders for patient safety: Understanding potential procedure-related complications: RFN/multifidus atrophy, intradiscal biologics, and facet cyst rupture.
Nguyen M, Saffarian M, Smith CC, Holder EK, Lee H, Marshall BJ, Mattie R, Patel J, Schneider B, McCormick ZL; Spine Intervention Society's Patient Safety Committee. Nguyen M, et al. Interv Pain Med. 2023 May 31;2(2):100248. doi: 10.1016/j.inpm.2023.100248. eCollection 2023 Jun. Interv Pain Med. 2023. PMID: 39238672 Free PMC article. - Changes in paraspinal muscles and facet joints after percutaneous endoscopic transforaminal lumbar interbody fusion for the treatment of lumbar spinal stenosis: A 3-year follow-up.
Pang D, Yang J, Hai Y, Fan Z, Gao H, Yin P. Pang D, et al. Front Surg. 2022 Oct 28;9:1041105. doi: 10.3389/fsurg.2022.1041105. eCollection 2022. Front Surg. 2022. PMID: 36386532 Free PMC article. - Correlation between multifidus muscle atrophy, spinopelvic parameters, and severity of deformity in patients with adult degenerative scoliosis: the parallelogram effect of LMA on the diagonal through the apical vertebra.
Sun XY, Kong C, Zhang TT, Lu SB, Wang W, Sun SY, Guo MC, Ding JZ. Sun XY, et al. J Orthop Surg Res. 2019 Aug 28;14(1):276. doi: 10.1186/s13018-019-1323-6. J Orthop Surg Res. 2019. PMID: 31455401 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous