Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain

Hildebrandt, Markus; Fankhauser, Gabriela; Meichtry, André; Luomajoki, Hannu

doi:10.21256/zhaw-1205

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-1205

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain
Authors:	Hildebrandt, Markus Fankhauser, Gabriela Meichtry, André Luomajoki, Hannu
DOI:	10.21256/zhaw-1205 10.1186/s12891-016-1376-1
Published in:	BMC Musculoskeletal Disorders
Volume(Issue):	18
Issue:	12
Issue Date:	10-Jan-2017
Publisher / Ed. Institution:	BioMed Central
ISSN:	1471-2474
Language:	English
Subjects:	Low back pain; Multifidus muscle; Fat infiltration; Flexibility
Subject (DDC):	615.82: Physical therapy 617: Surgery
Abstract:	Background: Lumbar multifidus muscles (LMM) are important for spinal motion and stability. Low back pain (LBP) is often associated with fat infiltration in LMM. An increasing fat infiltration of LMM may lead to lumbar dysfunction. The purpose of this study was to investigate whether there is a correlation between the severity of lumbar dysfunction and the severity of fat infiltration of LMM. Methods: In a cross-sectional study, 42 patients with acute or chronic LBP were recruited. Their MRI findings were visually rated and graded using three criteria for fat accumulation in LMM: Grade 0 (0–10%), Grade 1 (10–50%) and Grade 2 (>50%). Lumbar sagittal range of motion, dynamic upright and seated posture control, sagittal movement control, body awareness and self-assessed functional disability were measured to determine the patients’ low back dysfunction. Results: The main result of this study was that increased severity of fat infiltration in the lumbar multifidus muscles correlated significantly with decreased range of motion of lumbar flexion (p = 0.032). No significant correlation was found between the severity of fat infiltration in LMM and impaired movement control, posture control, body awareness or self-assessed functional disability. Conclusion: This is the first study investigating the relationship between the severity of fat infiltration in LMM and the severity of lumbar dysfunction. The results of this study will contribute to the understanding of the mechanisms leading to fat infiltration of LMM and its relation to spinal function. Further studies should investigate whether specific treatment strategies are effective in reducing or preventing fat infiltration of LMM.
URI:	https://digitalcollection.zhaw.ch/handle/11475/1204
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Hildebrandt, M., Fankhauser, G., Meichtry, A., & Luomajoki, H. (2017). Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain. BMC Musculoskeletal Disorders, 18(12). https://doi.org/10.21256/zhaw-1205

Hildebrandt, M. et al. (2017) ‘Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain’, BMC Musculoskeletal Disorders, 18(12). Available at: https://doi.org/10.21256/zhaw-1205.

M. Hildebrandt, G. Fankhauser, A. Meichtry, and H. Luomajoki, “Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain,” BMC Musculoskeletal Disorders, vol. 18, no. 12, Jan. 2017, doi: 10.21256/zhaw-1205.

HILDEBRANDT, Markus, Gabriela FANKHAUSER, André MEICHTRY und Hannu LUOMAJOKI, 2017. Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain. BMC Musculoskeletal Disorders. 10 Januar 2017. Bd. 18, Nr. 12. DOI 10.21256/zhaw-1205

Hildebrandt, Markus, Gabriela Fankhauser, André Meichtry, and Hannu Luomajoki. 2017. “Correlation between Lumbar Dysfunction and Fat Infiltration in Lumbar Multifidus Muscles in Patients with Low Back Pain.” BMC Musculoskeletal Disorders 18 (12). https://doi.org/10.21256/zhaw-1205.

Hildebrandt, Markus, et al. “Correlation between Lumbar Dysfunction and Fat Infiltration in Lumbar Multifidus Muscles in Patients with Low Back Pain.” BMC Musculoskeletal Disorders, vol. 18, no. 12, Jan. 2017, https://doi.org/10.21256/zhaw-1205.