Abdominal and Pelvic Floor Activity Related to Respiratory Diaphragmatic Activity in Subjects with and without Non-Specific Low Back Pain

被引:7
|
作者
Sicilia-Gomez, Cristina [1 ]
Fernandez-Carnero, Samuel [1 ]
Martin-Perez, Alicia [1 ]
Cuenca-Zaldivar, Nicolas [1 ,2 ]
Naranjo-Cinto, Fermin [1 ]
Pecos-Martin, Daniel [1 ]
Cervera-Cano, Maria [1 ]
Nunez-Nagy, Susana [1 ]
机构
[1] Univ Alcala, Fac Med & Ciencias Salud, Dept Enfermeria & Fisioterapia, Grp Invest Fisioterapia & Dolor, Alcala De Henares 28801, Spain
[2] Puerta de Hierro Hlth Res Inst Segovia de Arana I, Res Grp Nursing & Hlth Care, Madrid 28222, Spain
关键词
rehabilitative ultrasound imaging (RUSI); non-specific low back pain (LBP); abdominal wall; pelvic floor (PF); diaphragmatic thickness; diaphragmatic excursion; ULTRASOUND IMAGING SYMPOSIUM; MUSCLES;
D O I
10.3390/diagnostics12102530
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
One of the advances in physiotherapy in recent years is the exploration and treatment by ultrasound imaging. This technique makes it possible to study the relationship between the musculature of the anterolateral wall of the abdomino-pelvic cavity, the pelvic floor muscles and the diaphragm muscle, among others, and thus understand their implication in non-specific low back pain (LBP) in pathological subjects regarding healthy subjects. Objective: To evaluate by RUSI (rehabilitative ultrasound imaging) the muscular thickness at rest of the abdominal wall, the excursion of the pelvic floor and the respiratory diaphragm, as well as to study their activity. Methodology: Two groups of 46 subjects each were established. The variables studied were: non-specific low back pain, thickness and excursion after tidal and forced breathing, pelvic floor (PF) excursion in a contraction and thickness of the external oblique (EO), internal oblique (IO) and transverse (TA) at rest. Design: Cross-sectional observational study. Results: Good-to-excellent reliability for measurements of diaphragm thickness at both tidal volume (TV) (inspiration: 0.763, expiration: 0.788) and expiration at forced volume (FV) (0.763), and good reliability for inspiration at FV (0.631). A correlation was found between the EO muscle and PF musculature with respect to diaphragmatic thickness at TV, inspiration and expiration, and inspiration at FV, in addition to finding significant differences in all these variables in subjects with LBP. Conclusion: Subjects with LBP have less thickness at rest in the OE muscle, less excursion of the pelvic diaphragm, less diaphragmatic thickness at TV, in inspiration and expiration, and in inspiration to FV.
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页数:11
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