Chronic Low Back Pain, Low Back Pain
Conditions
Brief summary
To delineate the underlying mechanisms that contribute to chronic low back pain, by extending our knowledge on structural characteristics of the lumbar multifidus muscle using ultrasound muscle imaging, and by examining the association of structural features with functional performance, more precisely proprioceptive control.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
for chronic low back pain group: * Non-specific low back pain, during 3 or more months, without radicular leg pain * Modified Low Back Pain Disability Questionnaire \> 20% * Indication for MRI of the lumbar spine * No contra-indications for MRI * Informed consent to participate Inclusion criteria for healthy control group: * No history of low back pain needing medical treatment or resulting in limited activity level * Any low back pain in the previous 3 months * Informed consent to participate
Exclusion criteria
for all subjects: * Pregnancy * Previous trauma or surgery to spine, abdomen or pelvis * Structural deformity (e.g. scoliosis) * Neurological/neuromuscular/systemic disease * Inability to lie prone for 20 minutes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar multifidus muscle volume measured by 3DfUS | immediately after inclusion in the study | in patients with chronic low back pain |
| Lumbar multifidus muscle volume measured by MRI | immediately after inclusion in the study | in patients with chronic low back pain |
| Cross-sectional area of the lumbar multifidus | immediately after inclusion in the study | measured by classic 2D-ultrasound in patients with chronic low back pain and healthy controls |
| Thickness of the lumbar multifidus | immediately after inclusion in the study | measured by classic 2D-ultrasound in patients with chronic low back pain and healthy controls |
| Proprioceptive postural control strategies in patients with low back pain with healthy controls | immediately after inclusion in the study | Mean center-of-pressure displacement in response to soleus muscle and/or multifidus muscle vibration (60 Hz, 0.5 mm) during upright standing on two support surfaces. |
Countries
Belgium