Pattern of changes in latissimus dorsi, gluteus maximus, internal oblique and transverse abdominus muscle thickness among individuals with sacroiliac joint dysfunction

Muhammad Salman Bashir, Rabiya Noor, Mohammad Reza Hadian, Gholamreza Olyaei, Muhammad Salman Bashir, Rabiya Noor, Mohammad Reza Hadian, Gholamreza Olyaei

Abstract

Background and objective: Altered Pattern of the Global Muscle system is presented in literature among individuals with sacroiliac Joint Dysfunctions. However, the pattern of changes in the Latissimus dorsi (LD) and gluteal maximus (GM) among sacroiliac joint dysfunctions (SIJD) is not reported. This study aimed to investigate the changes in the resting muscle thickness of the Latissimusdorsi and gluteal maximus in SIJD.

Method: A total of 88 subjects (44 individuals with SIJD and 44 healthy individuals as matched control) was included in this study. The resting thickness of the Latissimusdorsi and gluteal maximus was measured using real time musculoskeletal ultrasonography and data was compared between the ipsilateral side and contra lateral side among subjects with SIJD as well as healthy subjects. Independent sample t test was used to analyze the data by using SPSS version-25.

Results: The results showed that contralateral LD were reduced significantly among subjects with SIJD when compared with the other side and with control. It also showed that ipsilateral IO, TrA and GM were reduced significantly among subjects with SIJD when compared with the controls and with contralateral side.

Conclusion: The reduced resting muscle thickness showed an altered motor pattern of Deep Muscles of local system and Gross muscles of global system among patients with sacroiliac joint dysfunction.

Keywords: Gluteal Maximus; LatissimusDorsi; Resting Thickness; Sacroiliac Joint; Ultrasound.

Figures

Fig.1
Fig.1
Mean resting thickness of latissimus dorsi, gluteus maximus, transverse abdominus and internal oblique.

References

    1. DonTigny RL. Mechanics and treatment of the sacroiliac joint. J Man Manip Ther. 2013;1(1):3–12. doi:10.1179/106698193791069816.
    1. Visser L, Nijssen P, Tijssen C, van Middendorp J, Schieving J. Sciatica-like symptoms and the sacroiliac joint:clinical features and differential diagnosis. Eur Spine J. 2013;22(7):1657–1664. doi:10.1007/s00586-013-2660-5.
    1. Jung HS, Jeon HS, Oh DW, Kwon OY. Effect of the pelvic compression belt on the hip extensor activation patterns of sacroiliac joint pain patients during one-leg standing:a pilot study. Man Ther. 2013;18(2):143–148. doi:10.1016/j.math.2012.09.003.
    1. Mooney V. Coupled motion of contralateral latissimus dorsi and gluteus maximus:its role in sacroiliac stabilization. Movement, Stability, and Low Back Pain. Churchill Livingstone. 1997:115–122.
    1. Mooney V, Pozos R, Vleeming A, Gulick J, Swenski D. Exercise treatment for sacroiliac pain. Orthopedics. 2001;24(1):29–32. doi:10.3928/0147-7447-20010101-14.
    1. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Man Ther. 2009;14(6):690–695. doi:10.1016/j.math.2009.05.003.
    1. Teyhen D. Rehabilitative Ultrasound Imaging Symposium, May 8-10, 2006, San Antonio, Texas. J Orthop Sports Phys Ther. 2006;36(8):A-1–A-17. doi:10.2519/jospt.2006.0301.
    1. Teyhen DS, Williamson JN, Carlson NH, Suttles ST, O'Laughlin SJ, Whittaker JL, et al. Ultrasound characteristics of the deep abdominal muscles during the active straight leg raise test. Arch Phys Med Rehabil. 2009;90(5):761–767. doi:10.1016/j.apmr.2008.11.011.
    1. Ferreira PH, Ferreira ML, Hodges PW. Changes in recruitment of the abdominal muscles in people with low back pain:ultrasound measurement of muscle activity. Spine. 2004;29(22):2560–2566. doi:10.1097/01.brs.0000144410.89182.f9.
    1. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain:validity of individual provocation tests and composites of tests. Man Ther. 2005;10(3):207–218. doi:10.1016/j.math.2005.01.003.
    1. van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil. 2006;87:110–14. doi:10.1016/j.apmr.2005.09.023.
    1. Walton J, Roberts N, Whitehouse G. Measurement of the quadriceps femoris muscle using magnetic resonance and ultrasound imaging. Br J Sports Med. 1997;31(1):59–64. doi:10.1136/bjsm.31.1.59.
    1. Dupont AC, Sauerbrei EE, Fenton PV, Shragge PC, Loeb GE, Richmond FJ. Real-time sonography to estimate muscle thickness:Comparison with MRI and CT. J Clin Ultrasound. 2001;29(4):230–236. doi:10.1002/jcu.1025.
    1. Fukunaga T, Miyatani M, Tachi M, Kouzaki M, Kawakami Y, Kanehisa H. Muscle volume is a major determinant of joint torque in humans. Acta Physiol (Oxf) 2001;172(4):249–255. doi:10.1046/j.1365-201x.2001.00867.
    1. Miyatani M, Kanehisa H, Ito M, Kawakami Y, Fukunaga T. The accuracy of volume estimates using ultrasound muscle thickness measurements in different muscle groups. Eur J Appl Physiol. 2004;91(2-3):264–272. doi:10.1007/s00421-003-0974-4.
    1. Sanada K, Kearns CF, Midorikawa T, Abe T. Prediction and validation of total and regional skeletal muscle mass by ultrasound in Japanese adults. Eur J Appl Physiol. 2006;96(1):24–31. doi:10.1007/s00421-005-0061-0.
    1. Ikezoe T, Mori N, Nakamura M, Ichihashi N. Age-related muscle atrophy in the lower extremities and daily physical activity in elderly women. Arch Gerontol Geriatr. 2011;53(2):e153–e157. doi:10.1016/j.archger.2010.08.003.
    1. Teyhen DS, Childs JD, Stokes MJ, Wright AC, Dugan JL, George SZ. Abdominal and lumbar multifidus muscle size and symmetry at rest and during contracted states. J Ultrasound Med. 2012;31(7):1099–1110. doi:10.7863/jum.2012.31.7.1099.
    1. Sitilertpisan P, Pirunsan U, Puangmali A, Ratanapinunchai J, Kiatwattanacharoen S, Neamin H, et al. Comparison of lateral abdominal muscle thickness between weightlifters and matched controls. Phys Ther Sport. 2011;12(4):171–174. doi:10.1016/j.ptsp.2011.02.002.
    1. Bruno PA, Millar DP, Goertzen DA. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. Chiropr Man Therap. 2014;22(1):23. doi:10.1186/2045-709X-22-23.
    1. Teyhen DS, Miltenberger CE, Deiters HM, Del Toro YM, Pulliam JN, Childs JD, et al. The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J Orthop Sports Phys Ther. 2005;35(6):346–355. doi 10.2519/jospt.2005.35.6.346.
    1. O'Sullivan PB, Beales DJ. Diagnosis and classification of pelvic girdle pain disorders—Part 1:A mechanism based approach within a biopsychosocial framework. Man Ther. 2007;12(2):86–97. doi:10.1016/j.math.2007.02.001.
    1. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794–819. doi:10.1007/s00586-008-0602-4.
    1. Van Wingerden JP, Vleeming A, Buyruk H, Raissadat K. Stabilization of the sacroiliac joint in vivo:verification of muscular contribution to force closure of the pelvis. Eur Spine J. 2004;13(3):199–205. doi:10.1007/s00586-003-0575-2.
    1. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383–389.
    1. Hodges PW, Richardson CA. Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement. Exp Brain Res. 1997;114(2):362–370. doi:10.1007/PL00005644.
    1. Hodges PW, Richardson CA. Delayed postural contraction of transversus abdominis associated with the lower limb in people with low back pain. J Spinal Disord. 1998;11(1):46–56.
    1. Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine. 2003;28(14):1593–1600. doi:10.1097/01.BRS.0000076821.41875.1C.
    1. Joseph LH, Hussain RI, Naicker AS, Htwe O, Pirunsan U, Paungmali A. Pattern of changes in local and global muscle thickness among individuals with sacroiliac joint dysfunction. Hong Kong Physiother J. 2015;33(1):28–33. doi:10.1016/j.hkpj.2014.12.003.

Source: PubMed

スポンサーと協力者

医学的状態

薬物療法

3
購読する