Physical Therapy in Sport
Volume 13, Issue 1 , Pages 11-15 , February 2012

Multifidus muscle size and symmetry among elite weightlifters

  • Patraporn Sitilertpisan

      Affiliations

    • Biomedical Sciences Program, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 110 Intravarorot St., Suthep, Muang, Chiang Mai 50200, Thailand
    • Corresponding Author InformationCorresponding author. Tel.: +66 81 7721244; fax: +66 53 946042.
  • ,
  • Julie Hides

      Affiliations

    • School of Physiotherapy, Australian Catholic University, Brisbane Campus (McAuley at Banyo), Queensland, Australia
    • Mater Back Stability Clinic, Mater Health Services, South Brisbane, Queensland, Australia
  • ,
  • Warren Stanton

      Affiliations

    • School of Physiotherapy, Australian Catholic University, Brisbane Campus (McAuley at Banyo), Queensland, Australia
    • Mater Back Stability Clinic, Mater Health Services, South Brisbane, Queensland, Australia
  • ,
  • Aatit Paungmali

      Affiliations

    • Biomedical Sciences Program, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 110 Intravarorot St., Suthep, Muang, Chiang Mai 50200, Thailand
  • ,
  • Ubon Pirunsan

      Affiliations

    • Biomedical Sciences Program, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 110 Intravarorot St., Suthep, Muang, Chiang Mai 50200, Thailand

Received 16 September 2010 ,Revised 10 February 2011 ,Accepted 20 April 2011.

References 

  1. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine. 2004;29:E515–E519
  2. Bishop DVM, Ross VA, Daniels MS, Bright P. The measurement of hand preference: a validation study comparing three groups of right-handers. British Journal of Psychology. 1996;87:269–285
  3. Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25:989–994
  4. Calhoon G, Fry AC. Injury rates and profiles of elite competitive weightlifters. Journal of Athletic Training. 1999;34:232–238
  5. Cholewicki J, McGill SM. Lumbar posterior ligament involvement during extremely heavy lifts estimated from fluoroscopic measurements. Journal of Biomechanics. 1992;25:17–28
  6. Cholewicki J, McGill SM, Norman RW. Lumbar spine loads during the lifting of extremely heavy weights. Medicine and Science in Sports and Exercise. 1991;23:1179–1186
  7. Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. European Spine Journal. 2000;9:266–272
  8. Goertzen M, Schoppe K, Lamge G, Schulitz KP. Injuries and damage caused by excess strains in body building and power lifting. Sportverletzung Sportschaden. 1989;3:32–36
  9. Granhed H, Morelli B. Low-back pain among retired wrestlers and heavyweight lifters. The American Journal of Sports Medicine. 1988;16:530–533
  10. Hides JA, Cooper DH, Stokes MJ. Diagnostic ultrasound imaging for measurement of the lumbar multifidus muscle in normal young adults. Physiotherapy Theory and Practice. 1992;8:19–26
  11. Hides JA, Fan T, Stanton WR, Stanton P, McMahon K, Wilson S. Psoas and quadratus lumborum muscle asymmetry among elite Australian football league players. British Journal of Sports Medicine. 2008;Published Online First: 18 September 2008, doi: 2010.1136/bjsm.2008.048751
  12. Hides JA, Gilmore C, Stanton WR, Bohlscheid E. Multifidus size and symmetry among chronic low back pain and healthy asymtomatic subjects. Manual Therapy. 2008;13:43–49
  13. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine. 1996;21:2763–2769
  14. Hides JA, Stanton WR, McMahon S, Sims K, Richardson CA. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. The Journal of Orthopaedic and Sports Physical Therapy. 2008;38:101–108
  15. Hides JA, Stokes MJ, Saide M, Jull GA, Cooper DH. Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine. 1994;19:165–172
  16. Karder DF, Wardlaw D, Smith FW. Correlation between the MRI changes in the lumbar multifidus muscles and leg pain. Clinical Radiology. 2000;55:145–149
  17. Keifer A, Shirazi-Adl A, Parnianpour M. Stability of the human spine in neutral postures. European Spine Journal. 1997;6:45–53
  18. Keifer A, Shirazi-Adl A, Parnianpour M. Synergy of the human spine in neutral postures. European Spine Journal. 1998;7:471–479
  19. Lee SW, Chan CK, Lam TS, Lam C, Lau NC, Lau RW, et al. Relationship between low back pain and lumbar multifidus size at different postures. Spine. 2006;31:2258–2262
  20. Mazanec D. Non operative treatment of low back pain. In:  Frymoyer J,  Wiesel S editor. The adult and pediatric spine. 3rd ed. Philadelphia: Lippincott Williams&Wilkins; 2004;p. 883–898
  21. McGill S. Low back disorders. Champaign, Illinois: Human Kinetics; 2002;
  22. McGregor AH, Anderton L, Gedroyc WM. The trunk muscles of elite oarsmen. British Journal of Sports Medicine. 2002;36:214–221
  23. Moseley GL, Hodges PW, Gandevia SC. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine. 2002;27:E29–E36
  24. Mundt DJ, Kelsey JL, Golden AL, Panjabi MM, Pastides H, Berg AT, et al. An epidemiologic study of sports and weight lifting as possible risk factors for herniated lumbar and cervical discs. The American Journal of Sports Medicine. 1993;21:854–860
  25. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders. 1992;5:383–389
  26. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. Journal of Spinal Disorders. 1992;5:390–397
  27. Panjabi MM, Abumi K, Duranceau J, Oxland T. Spinal stability and intersegmental muscle forces. A biomechanic model. Spine. 1989;14:194–200
  28. Parkkola R, Rytokoski U, Kormano M. Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine. 1993;18:830–836
  29. Paungmali A, Pirunsan U, Chamnongkich S, Sitilertpisan P, Pothongsunun P, Khamwong P, et al. Analysis of injuries and rehabilitation for excellence of Thai national weightlifters. Thailand: Department of Physical Therapy, Faculty of Associated Medical Sciences, ChiangMai University; 2007;
  30. Rossi F. Spondylolysis, spondylolithesis and sports. The Journal of Sports Medicine and Physical Fitness. 1978;18:317–340
  31. Roy SH, Deluca CJ, Snyder-Mackler L, Emley MS, Crenshaw RL, Lyons JP. Fatigue, recovery and low back pain in varsity rowers. Medicine and Science in Sports and Exercise. 1990;22:463–469
  32. Stokes M, Hides J, Elliot J, Kiesel K, Hodges P. Rehabilitative ultrasound imaging of the posterior paraspinal muscles. The Journal of Orthopaedic and Sports Physical Therapy. 2007;37:581–595
  33. Stokes M, Rankin G, Newham DJ. Ultrasound imaging of lumbar multifidus muscle: normal reference ranges for measurements and practical guidance on the technique. Manual Therapy. 2005;10:116–126
  34. Videman T, Sama S, Battie MC, Koskinen S, Gill K, Paananen H, et al. The long-term effects of physical loading and exercise life-styles on back-related symptoms, disability, and spinal pathology among men. Spine. 1995;20:699–709
  35. Wallwork TL, Stanton WR, Freke M, Hides JA. The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Manual Therapy. 2009;14:496–500
  36. Wilke HJ, Wolf S, Claes LE, Arand M, Wiesend A. Stability increase of the lumbar spine with different muscle groups: a biomechanical in vitro study. Spine. 1995;20:192–198

PII: S1466-853X(11)00041-1

doi: 10.1016/j.ptsp.2011.04.005

Physical Therapy in Sport
Volume 13, Issue 1 , Pages 11-15 , February 2012