Κατεύθυνση Φυσική Αποκατάσταση-Χειροθεραπεία
Library of the School of Health Sciences

2019-03-05

2019

Loulakis Emmanouil

Κουτσιλιέρης Μιχαήλ, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βαϊόπουλος Γεώργιος, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φιλίππου Αναστάσιος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Η εφαρμογή του διαγνωστικού υπέρηχου στην αξιολόγηση του Οσφυϊκού Πολυσχιδή μυός

Greek

The application of ultrasound diagnosis to the evaluation of the lumbar multifidus muscle

Low back pain (LBP) is one of the most prevalent medical entities with work-related, economic and social implications. Among various suggested causes of LBP, dysfunction of back muscles has been the subject of considerable research during last decades. Of particular interest, in the muscles of the trunk are the action and the characteristics of the lumbar multifidus. Of the available imaging techniques, rehabilitative ultrasound (RUS) imaging is one of the popular methods for investigating muscle morphologic characteristics, dimensions and function in recent years, as a valid, reliable and non-invasive approach. The purpose of the present study was to review the previously published studies concerning the merit of RUS imaging of lumbar multifidus with particular attention to its clinical application in healthy subjects and in patients with LBP. The PubMed database was searched to identify original research articles published from 2003 to 2018. The search of the database provided 73 articles, which met the import criteria, in the review. Also, 3 systematic reviews, 1 literature review, 2 case reports and 2 clinical reviews were excluded. Studies reported high intraclass correlation coefficients (ICCs) at various positions of the participants during the measurement. Generally, the results of the reviewed studies indicate that RUS imaging has high levels of both inter- and intra-rater reliability. In conclusion , the diversity of the methodology and the individual characteristics of the studies were identified that supports RUS imaging as a useful, reliable and valid tool for the assessment of lumbar multifidus, both to patients with LBP and normal subjects.

Health Sciences

Low back pain, Ultrasound imaging, Lumbar multifidus, Selective activation, Review

Yes

2

Yes

96

89

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https://pergamos.lib.uoa.gr/uoa/dl/object/2864916