Are the size and composition of the paraspinal muscles associated with low back pain? A systematic review - PubMed (original) (raw)
Review
. 2017 Nov;17(11):1729-1748.
doi: 10.1016/j.spinee.2017.07.002. Epub 2017 Jul 26.
Affiliations
- PMID: 28756299
- DOI: 10.1016/j.spinee.2017.07.002
Review
Are the size and composition of the paraspinal muscles associated with low back pain? A systematic review
Tom A Ranger et al. Spine J. 2017 Nov.
Abstract
Background context: Although previous studies have investigated the association between paraspinal muscle morphology and low back pain (LBP), the results are conflicting.
Purpose: This systematic review examined the relationship between size and composition of the paraspinal muscles and LBP.
Study design/setting: A systematic review was carried out.
Patient sample: No patient sample was required.
Outcome measures: This review had no outcome measures.
Methods: A systematic search of electronic databases was conducted to identify studies investigating the association between the cross-sectional area or fatty infiltration of the paraspinal muscles (erector spinae, multifidus, psoas, and quadratus lumborum) and LBP. Descriptive data regarding study design and methodology were tabulated and a risk of bias assessment was performed.
Results: Of the 119 studies identified, 25 met the inclusion criteria. Eight studies were reported as having low to moderate risk of bias. There was evidence for a negative association between cross-sectional area (CSA) of multifidus and LBP, but conflicting evidence for a relationship between erector spinae, psoas, and quadratus lumborum CSA and LBP. Moreover, there was evidence to indicate multifidus CSA was predictive of LBP for up to 12 months in men, but insufficient evidence to indicate a relationship for longer time periods. Although there was conflicting evidence for a relationship between multifidus fat infiltration and LBP, there was no or limited evidence for an association for the other paraspinal musculature.
Conclusions: This review found evidence that multifidus CSA was negatively associated with and predictive of LBP up to 12 months but conflicting evidence for an association between erector spinae, psoas, and quadratus lumborum CSA and LBP. To further understand the role of the paraspinal musculature in LBP, there is a need for high-quality cohort studies which extend over both the short and longer term.
Keywords: Cross-sectional area; Fat infiltration; Low back pain; Morphology; Paraspinal muscles; Systematic review.
Copyright © 2017 Elsevier Inc. All rights reserved.
Similar articles
- Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis.
Seyedhoseinpoor T, Taghipour M, Dadgoo M, Sanjari MA, Takamjani IE, Kazemnejad A, Khoshamooz Y, Hides J. Seyedhoseinpoor T, et al. Spine J. 2022 Apr;22(4):660-676. doi: 10.1016/j.spinee.2021.10.018. Epub 2021 Oct 27. Spine J. 2022. PMID: 34718177 Review. - Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review.
Goubert D, Oosterwijck JV, Meeus M, Danneels L. Goubert D, et al. Pain Physician. 2016 Sep-Oct;19(7):E985-E1000. Pain Physician. 2016. PMID: 27676689 Review. - MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain.
Wan Q, Lin C, Li X, Zeng W, Ma C. Wan Q, et al. Br J Radiol. 2015 Sep;88(1053):20140546. doi: 10.1259/bjr.20140546. Epub 2015 Jun 24. Br J Radiol. 2015. PMID: 26105517 Free PMC article. - Fatty infiltration of the erector spinae at the upper lumbar spine could be a landmark for low back pain.
Ekşi MŞ, Özcan-Ekşi EE. Ekşi MŞ, et al. Pain Pract. 2024 Feb;24(2):278-287. doi: 10.1111/papr.13302. Epub 2023 Oct 13. Pain Pract. 2024. PMID: 37830410 - Lumbar muscle structure and function in chronic versus recurrent low back pain: a cross-sectional study.
Goubert D, De Pauw R, Meeus M, Willems T, Cagnie B, Schouppe S, Van Oosterwijck J, Dhondt E, Danneels L. Goubert D, et al. Spine J. 2017 Sep;17(9):1285-1296. doi: 10.1016/j.spinee.2017.04.025. Epub 2017 Apr 26. Spine J. 2017. PMID: 28456669
Cited by
- Association between Trunk Muscle Mass and Progression of Vertebral Collapse in Patients Treated Conservatively for Vertebral Compression Fractures.
Ikeda N, Ishii S, Fujii Y, Nakagawa S. Ikeda N, et al. Prog Rehabil Med. 2024 Nov 21;9:20240037. doi: 10.2490/prm.20240037. eCollection 2024. Prog Rehabil Med. 2024. PMID: 39574933 Free PMC article. - Efficacy of acupuncture for lumbar disc herniation: changes in paravertebral muscle and fat infiltration - a multicenter retrospective cohort study.
Yan L, Zhang J, Wang X, Zhou Q, Wen J, Zhao H, Guo K, Zeng J. Yan L, et al. Front Endocrinol (Lausanne). 2024 Nov 6;15:1467769. doi: 10.3389/fendo.2024.1467769. eCollection 2024. Front Endocrinol (Lausanne). 2024. PMID: 39568818 Free PMC article. - Fat beyond muscle: Assessing epimuscular fat of the lumbar spine and its association with vertebral level, demographics, BMI, and low back pain.
Vitale JA, Mannion AF, Haschtmann D, Ropelato M, Fekete TF, Kleinstück FS, Loibl M, Haltiner T, Galbusera F. Vitale JA, et al. Brain Spine. 2024 Oct 16;4:103916. doi: 10.1016/j.bas.2024.103916. eCollection 2024. Brain Spine. 2024. PMID: 39498119 Free PMC article. - Assessment of training-associated changes of the lumbar back muscle using a multiparametric MRI protocol.
Maggioni MB, Sibgatulin R, Krämer M, Güllmar D, Reichenbach JR. Maggioni MB, et al. Front Physiol. 2024 Oct 17;15:1408244. doi: 10.3389/fphys.2024.1408244. eCollection 2024. Front Physiol. 2024. PMID: 39483751 Free PMC article. - Deep learning-based structure segmentation and intramuscular fat annotation on lumbar magnetic resonance imaging.
Xu Y, Zheng S, Tian Q, Kou Z, Li W, Xie X, Wu X. Xu Y, et al. JOR Spine. 2024 Sep 17;7(3):e70003. doi: 10.1002/jsp2.70003. eCollection 2024 Sep. JOR Spine. 2024. PMID: 39291096 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous