Correlations of Symmetry of the Trunk Muscle Thickness by Gender with the Spinal Alignment in Healthy Adults

  • Lim, Jae-Heon (Department of Physical Therapy, Seonam University)
  • Received : 2013.11.11
  • Accepted : 2013.12.09
  • Published : 2013.12.25

Abstract

Purpose: Most studies have reported that the abdominal muscle thickness differs according to gender but none of these studies reported a gender difference in the thickness of the multifidus and erector spine. The spinal alignment is affected by the left and right balance in the trunk muscle. The aim of this study was to identify the trunk muscle symmetry according to gender and the correlations of the trunk muscle thickness with spinal alignment. Methods: Forty three subjects(27 males and 16 females) were enrolled in this study. The trunk muscle thickness was measured by ultrasonography. The trunk muscle, which consisted of the rectus abdominis (RA), external oblique abdominis (EOA), internal oblique abdominis (IOA), transverse abdominis (TrA), erector spine (ES), and multifidus (MF), was measured. The spinal alignment was measured by Formetric-III 3D analysis. The dependent variables of the spinal alignment were the trunk imbalance, trunk inclination, lateral deviation, and surface rotation. Results: The muscle thickness of the EOA muscle increased more significantly in the right side than the left side (p<0.05). Each left and right difference in the muscle thickness between the male and female group showed a significant difference (p<0.05) except for the TrA thickness. Significant positive correlations were observed between the ES and lateral deviation and between the TrA with trunk imbalance. Conclusion: These results suggest that asymptomatic men have a greater trunk muscle thickness than women but there was no difference between the left and right in healthy adults. The trunk muscle thickness of ES, TrA is related by the spinal alignment.

Keywords

References

  1. Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand Suppl. 1989;230 (60):1-54.
  2. Silfies SP, Squillante D, Maurer P et al. Trunk muscle recruitment patterns in specific chronic low back pain populations. Clin Biomech (Bristol, Avon). 2005;20(5):465-73. https://doi.org/10.1016/j.clinbiomech.2005.01.007
  3. Goldby LJ, Moore AP, Doust J et al. A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine (Phila Pa 1976). 2006;31(10):1083-93. https://doi.org/10.1097/01.brs.0000216464.37504.64
  4. Gardner-Morse MG, Stokes IA. The effects of abdominal muscle coactivation on lumbar spine stability.Spine (Phila Pa 1976). 1998;23(1):86-91. https://doi.org/10.1097/00007632-199801010-00019
  5. Pope MH, Wilder DG, Magnusson ML. A review of studies on seated whole body vibration and low back pain. Proc Inst Mech Eng H. 1999;213(6):435-46.
  6. Gilchrist RV, Frey ME, Nadler SF. Muscular control of the lumbar spine. Pain Physician. 2003;6(3):361-8.
  7. Rankin G, Stokes M, Newham DJ. Abdominal muscle size and symmetry in normal subjects. Muscle Nerve. 2006;34(3):320-6. https://doi.org/10.1002/mus.20589
  8. Springer BA, Mielcarek BJ, Nesfield TK et al. Relationships among lateral abdominal muscles, gender, body mass index, and hand dominance. J Orthop Sports Phys Ther. 2006;36(5):289-97. https://doi.org/10.2519/jospt.2006.2217
  9. Koppenhaver SL, Fritz JM, Hebert JJ et al. Association between changes in abdominal and lumbar multifidus muscle thickness and clinical improvement after spinal manipulation. J Orthop Sports Phys Ther. 2011;41(6):389-99. https://doi.org/10.2519/jospt.2011.3632
  10. Ota M, Ikezoe T, Kaneoka K et al. Age-related changes in the thickness of the deep and superficial abdominal muscles in women. Arch Gerontol Geriatr. 2012;55(2):26-30. https://doi.org/10.1016/j.archger.2012.03.007
  11. Kiesel KB, Uhl TL, Underwood FB et al. Measurement of lumbar multifidus muscle contraction with rehabilitative ultrasound imaging. Man Ther. 2007;12(2):161-6. https://doi.org/10.1016/j.math.2006.06.011
  12. Van K, Hides JA, Richardson CA. The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. J Orthop Sports Phys Ther. 2006;36(12):920-5. https://doi.org/10.2519/jospt.2006.2304
  13. Drerup B, Hierholzer E. Back shape measurement using video rasterstereography and three-dimensional reconstruction of spinal shape. Clin Biomech (Bristol, Avon). 1994;9(1):28-36. https://doi.org/10.1016/0268-0033(94)90055-8
  14. Hackenberg L, Hierholzer E, Potzl W et al. Rasterstereographic back shape analysis in idiopathic scoliosis after anterior correction and fusion. Clin Biomech (Bristol, Avon). 2003;18(1):1-8. https://doi.org/10.1016/S0268-0033(02)00165-1
  15. Schulte TL, Hierholzer E, Boerke A et al. Raster stereography versus radiography in the long-term follow-up of idiopathic scoliosis. J Spinal Disord Tech. 2008;21(1):23-8. https://doi.org/10.1097/BSD.0b013e318057529b
  16. Mayans D, Cartwright MS, Walker FO. Neuromuscular ultrasonography: Quantifying muscle and nerve measurements. Phys Med Rehabil Clin N Am. 2012;23(1):133-4. https://doi.org/10.1016/j.pmr.2011.11.009
  17. Stokes M, Rankin G, Newham DJ. Ultrasound imaging of lumbar multifidus muscle: Normal reference ranges for measurements and practical guidance on the technique. Man Ther. 2005;10(2):116-26. https://doi.org/10.1016/j.math.2004.08.013
  18. Rho M, Spitznagle T, Van Dillen L et al. Gender differences on ultrasound imaging of lateral abdominal muscle thickness in asymptomatic adults: A pilot study. PM R. 2013;5(5):374-80. https://doi.org/10.1016/j.pmrj.2013.03.003
  19. Teyhen DS, Gill NW, Whittaker JL et al. Rehabilitative ultrasound imaging of the abdominal muscles. J Orthop Sports Phys Ther. 2007;37(8):450-66. https://doi.org/10.2519/jospt.2007.2558
  20. Seo JK, Kim SY. The relationship between hip abductor muscle strength and lumbar instability in patients with chronic low back pain. J Korean Soc Phys Ther. 2011;23(4):15-22.
  21. Wallwork TL, Stanton WR, Freke M et al. The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Man Ther. 2009;14(5):496-500. https://doi.org/10.1016/j.math.2008.09.006
  22. Vasseljen O, Fladmark AM. Abdominal muscle contraction thickness and function after specific and general exercises: A randomized controlled trial in chronic low back pain patients. Man Ther. 2010;15(5):482-9. https://doi.org/10.1016/j.math.2010.04.004
  23. Seo DK, Kim JS, Lee DY et al. The relationship of abdominal muscles balance and body balance. J PhysTher Sci. 2013;25(7):765-7.
  24. Karachalios T, Sofianos J, Roidis N et al. Ten-year follow-up evaluation of a school screening program for scoliosis. Is the forward-bending test an accurate diagnostic criterion for the screening of scoliosis? Spine (Phila Pa 1976). 1999;24(22):2318-2324. https://doi.org/10.1097/00007632-199911150-00006
  25. Reeves NP, Cholewicki J, Silfies SP. Muscle activation imbalance and low-back injury in varsity athletes. J ElectromyogrKinesiol. 2006;16(3):264-72.
  26. Jung YM, Choi JD. A comparison of lumbar lordotic curves between herniated nucleus pulposus patients and normal subject using a flexible. J Korean Soc Phys Ther. 2012;24(3):208-15.