Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain

British Journal of Sports Medicine - Tập 35 Số 3 - Trang 186-191 - 2001
Lieven Danneels1, Guy Vanderstraeten2, Dirk Cambier2, Erik Witvrouw2, Jan Bourgois3, Wim Dankaerts2, Hugo J. De Cuyper4
1University Hospital Gent, Department of Rehabilitation Sciences and Physical Therapy, De Pintelaan 185, 1B3, B-9000 Ghent, Belgium lieven.danneels{at}rug.ac.be
2Department of Rehabilitation Sciences and Physical Therapy, Faculty of Medicine, Ghent University, Belgium
3Centre of Sports Medicine, Ghent University Hospital, Belgium
4Department of Physical Medicine and Rehabilitation, Hospital Jan Palfijn-Campus Gallifort, Antwerp, Belgium

Tóm tắt

Objectives—To determine the effect of different training schedules on the cross sectional area (CSA) of the lumbar multifidus muscle in patients with chronic low back pain.Methods—Each of 59 nine patients was randomly assigned to one of three programmes: 10 weeks of stabilisation training (group 1; n = 19); 10 weeks of stabilisation training combined with dynamic resistance training (group 2; n = 20); 10 weeks of stabilisation training combined with dynamic-static resistance training (group 3; n = 20). Before and after 10 weeks of training, multifidus CSAs were measured from standard computed tomography images at three different levels (upper end plate of L3 and L4, and lower end plate of L4).Results—The CSA of the multifidus muscle was significantly increased at all levels after training in group 3. In contrast, no significant differences were found in groups 1 and 2.Conclusions—General stabilisation exercises and dynamic intensive lumbar resistance training have no significant effect on the CSA of the lumbar multifidus muscle in patients with chronic low back pain. The static holding component between the concentric and eccentric phase was found to be critical in inducing muscle hypertrophy during the first 10 weeks. Treatment consisting of stabilisation training combined with an intensive lumbar dynamic-static strengthening programme seems to be the most appropriate method of restoring the size of the multifidus muscle.

Từ khóa


Tài liệu tham khảo

Andersson G. The epidemiology if spinal disorders. In: Frymoyer JW, ed. The adult spine: principles and practice. New York: Ravel Press, 1991:107–46.

1995, J Orthop Sports Phys Ther, 22, 52, 10.2519/jospt.1995.22.2.52

10.1097/00007632-198901000-00006

10.1097/00007632-198709000-00002

10.1177/036354658901700506

10.1097/00007632-198703000-00007

1991, Neurosurg Clin N Am, 2, 785, 10.1016/S1042-3680(18)30700-9

10.1097/00002517-199212000-00001

10.1097/00007632-199712150-00020

10.1097/00007632-200103150-00003

1993, Spine, 18, 1531, 10.1097/00007632-199318110-00019

1995, Spine, 20, 192, 10.1097/00007632-199501150-00011

10.1007/s005860000190

10.1053/crad.1999.0340

1994, Spine, 19, 165, 10.1097/00007632-199401001-00009

10.1093/rheumatology/31.6.389

1993, J Spinal Disord, 6, 114

10.1097/00007632-199902010-00016

10.1097/00007632-199304000-00009

10.1097/00007632-199304000-00010

1997, Scand J Rehabil Med, 29, 187, 10.2340/165019771997187191

1993, Spine, 18, 830, 10.1097/00007632-199306000-00004

1998, Eur J Appl Physiol, 77, 66

10.1007/BF00243501

1999, Med Sci Sports Exerc, 31, 18, 10.1097/00005768-199901000-00005

Jull G, Richardson C. Rehabilitation of active stabilisation of the lumbar spine. In: Twomey LT, Taylor JR, eds. Physical therapy of the low back. 2nd ed. New York: Churchill-Livingstone, 1994:251–73.

1988, Lancet, 31, 1473

1991, Acta Physiol Scand, 143, 177, 10.1111/j.1748-1716.1991.tb09219.x

10.1016/S0003-9993(98)90233-7

1981, De Richting, 35, 150

1997, Critical Reviews Physical Rehabilitation Medicine, 9, 315, 10.1615/CritRevPhysRehabilMed.v9.i3-4.70

1994, J Comput Assist Tomogr, 18, 275, 10.1097/00004728-199403000-00021

1992, J Spinal Disord, 5, 448, 10.1097/00002517-199212000-00010

10.1097/00007632-199612010-00011

1983, Acta Anat, 116, 152, 10.1159/000145737

10.1097/00007632-198609000-00013

10.1097/00007632-199304000-00008

1997, Physician and Sportsmedicine, 25, 44, 10.3810/psm.1997.02.1137

1993, Med Sci Sports Exerc, 25, 47

10.1097/00007632-198904000-00008

10.1007/BF02200146

Goldspink G. Cellular and molecular aspects of adaptation in skeletal muscle. In: Komi PV, ed. Strength and power in sport. Oxford: Blackwell Scientific Publications, 1992;211–29.

10.1097/00007632-199502000-00013

10.1007/BF00838642

10.1097/00007632-199911150-00008

Thông tin
Thông tin xuất bản

British Journal of Sports Medicine

Tập 35 Số 3

186-191

Thông tin tác giả