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Do Changes in Transversus Abdominis and Lumbar Multifidus During Conservative Treatment Explain Changes in Clinical Outcomes Related to Nonspecific Low Back Pain? A Systematic Review

Overview of attention for article published in Journal of Pain, November 2013
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Title
Do Changes in Transversus Abdominis and Lumbar Multifidus During Conservative Treatment Explain Changes in Clinical Outcomes Related to Nonspecific Low Back Pain? A Systematic Review
Published in
Journal of Pain, November 2013
DOI 10.1016/j.jpain.2013.10.008
Pubmed ID
Authors

Arnold Y.L. Wong, Eric C. Parent, Martha Funabashi, Gregory N. Kawchuk

Abstract

Previous research describes an inconsistent relation between temporal changes in transversus abdominis or lumbar multifidus and temporal changes in clinical outcomes. Unfortunately, a relevant systematic review is unavailable. As a result, this systematic review was designed to summarize evidence regarding the association between temporal changes in muscle morphometry and activity in response to treatment, and temporal changes in clinical outcomes. Candidate publications were identified from 6 electronic databases. Fifteen articles were included after scrutinization by 2 reviewers using predetermined selection criteria. The methodological quality of these articles was appraised using a standard tool. These methods revealed strong evidence that temporal alterations in transversus abdominis thickness change during contraction (as measured by B-mode or M-mode ultrasound) or feedforward activation of transversus abdominis (assessed via electromyography, tissue Doppler imaging, or M-mode ultrasound) were unrelated to temporal changes in low back pain (LBP)/LBP-related disability. There was limited evidence that temporal changes in transversus abdominis lateral sliding or lumbar multifidus endurance were unrelated to temporal changes in LBP intensity. Conflicting evidence was found for the relation between temporal changes in lumbar multifidus morphometry and temporal changes in LBP/LBP-related disability. This review highlights that temporal changes in transversus abdominis features tend to be unrelated to the corresponding LBP/LBP-related disability improvements, whereas the relation between multifidus changes and clinical improvements remains uncertain.

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Mendeley readers

The data shown below were compiled from readership statistics for 316 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 3 <1%
France 2 <1%
Australia 1 <1%
Chile 1 <1%
Canada 1 <1%
India 1 <1%
Japan 1 <1%
Spain 1 <1%
Unknown 305 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 61 19%
Student > Bachelor 46 15%
Other 31 10%
Student > Ph. D. Student 31 10%
Researcher 23 7%
Other 73 23%
Unknown 51 16%
Readers by discipline Count As %
Medicine and Dentistry 130 41%
Nursing and Health Professions 54 17%
Sports and Recreations 28 9%
Agricultural and Biological Sciences 9 3%
Engineering 8 3%
Other 27 9%
Unknown 60 19%