已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Structural Changes of Lumbar Muscles in Non-specific Low Back Pain: A Systematic Review.

医学 腰椎 腰痛 多裂肌 肌肉萎缩 萎缩 物理疗法 纳入和排除标准 肌肉痉挛 物理医学与康复 病理 解剖 外科 替代医学
作者
Dorien Goubert,Jessica Van Oosterwijck,Mira Meeus,Lieven Danneels
出处
期刊:PubMed 卷期号:19 (7): E985-E1000 被引量:73
链接
标识
摘要

Lumbar muscle dysfunction due to pain might be related to altered lumbar muscle structure. Macroscopically, muscle degeneration in low back pain (LBP) is characterized by a decrease in cross-sectional area and an increase in fat infiltration in the lumbar paraspinal muscles. In addition microscopic changes, such as changes in fiber distribution, might occur. Inconsistencies in results from different studies make it difficult to draw firm conclusions on which structural changes are present in the different types of non-specific LBP. Insights regarding structural muscle alterations in LBP are, however, important for prevention and treatment of non-specific LBP.The goal of this article is to review which macro- and/or microscopic structural alterations of the lumbar muscles occur in case of non-specific chronic low back pain (CLBP), recurrent low back pain (RLBP), and acute low back pain (ALBP).Systematic review.All selected studies were case-control studies.A systematic literature search was conducted in the databases PubMed and Web of Science. Only full texts of original studies regarding structural alterations (atrophy, fat infiltration, and fiber type distribution) in lumbar muscles of patients with non-specific LBP compared to healthy controls were included. All included articles were scored on methodological quality.Fifteen studies were found eligible after screening title, abstract, and full text for inclusion and exclusion criteria. In CLBP, moderate evidence of atrophy was found in the multifidus; whereas, results in the paraspinal and the erector spinae muscle remain inconclusive. Also moderate evidence occurred in RLBP and ALBP, where no atrophy was shown in any lumbar muscle. Conflicting results were seen in undefined LBP groups. Results concerning fat infiltration were inconsistent in CLBP. On the other hand, there is moderate evidence in RLBP that fat infiltration does not occur, although a larger muscle fat index was found in the erector spinae, multifidus, and paraspinal muscles, reflecting an increased relative amount of intramuscular lipids in RLBP. However, no studies were found investigating fat infiltration in ALBP. Restricted evidence indicates no abnormalities in fiber type in the paraspinal muscles in CLBP. No studies have examined fiber type in ALBP and RLBP.Lack of clarity concerning patient definitions, exact LBP symptoms, and applied methods.The results indicate atrophy in CLBP in the multifidus and paraspinal muscles but not in the erector spinae. No atrophy was shown in RLBP and ALBP. Fat infiltration did not occur in RLBP, but results in CLBP were inconsistent. No abnormalities in fiber type in the paraspinal muscles were found in CLBP.Low back pain, non-specific, chronic, recurrent, acute, muscle structure, fat infiltration, cross-sectional area, fiber type, review.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
zyb完成签到 ,获得积分10
1秒前
shame完成签到 ,获得积分10
2秒前
果汁完成签到 ,获得积分20
4秒前
4秒前
4秒前
4秒前
pegasus0802完成签到,获得积分10
7秒前
8秒前
璇璇完成签到 ,获得积分10
9秒前
九星完成签到 ,获得积分10
9秒前
抽疯的电风扇13完成签到 ,获得积分10
9秒前
Panda完成签到,获得积分10
9秒前
外向豁发布了新的文献求助10
10秒前
奔跑西木完成签到 ,获得积分10
10秒前
long完成签到 ,获得积分10
11秒前
MoonFlows发布了新的文献求助10
12秒前
烤只丘比发布了新的文献求助10
13秒前
xpqiu发布了新的文献求助10
14秒前
大生蚝完成签到 ,获得积分10
14秒前
14秒前
17秒前
心灵美大侠完成签到,获得积分10
17秒前
yxl01yxl完成签到,获得积分10
17秒前
每天都要开心酱完成签到,获得积分20
17秒前
och3完成签到,获得积分10
17秒前
义气代梅发布了新的文献求助10
19秒前
111完成签到 ,获得积分10
20秒前
xpqiu完成签到,获得积分10
21秒前
qi完成签到 ,获得积分10
21秒前
NCL完成签到 ,获得积分10
22秒前
25秒前
叼面包的数学狗完成签到 ,获得积分10
26秒前
可爱的函函应助JIAHAO采纳,获得10
26秒前
11完成签到,获得积分10
27秒前
舒适的绿蓉完成签到 ,获得积分10
29秒前
claud完成签到 ,获得积分10
30秒前
ly完成签到,获得积分10
30秒前
善良元芹完成签到 ,获得积分10
31秒前
嘉心糖完成签到,获得积分10
33秒前
英俊的水彤完成签到,获得积分10
34秒前
高分求助中
中国国际图书贸易总公司40周年纪念文集 大事记1949-1987 2000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
草地生态学 880
Threaded Harmony: A Sustainable Approach to Fashion 799
Basic Modern Theory of Linear Complex Analytic 𝑞-Difference Equations 510
Queer Politics in Times of New Authoritarianisms: Popular Culture in South Asia 500
Livre et militantisme : La Cité éditeur 1958-1967 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3059398
求助须知:如何正确求助?哪些是违规求助? 2715371
关于积分的说明 7444724
捐赠科研通 2360874
什么是DOI,文献DOI怎么找? 1251017
科研通“疑难数据库(出版商)”最低求助积分说明 607671
版权声明 596448