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Gluteus medius muscle function in people with and without low back pain: a systematic review
INTRODUCTION: Globally, low back pain (LBP) is one of the greatest causes of disability. In people with LBP, dysfunction of muscles such as the gluteus medius have been demonstrated to increase spinal loading and reduce spinal stability. Differences in gluteus medius function have been reported in t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805550/ https://www.ncbi.nlm.nih.gov/pubmed/31638962 http://dx.doi.org/10.1186/s12891-019-2833-4 |
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author | Sadler, Sean Cassidy, Samuel Peterson, Benjamin Spink, Martin Chuter, Vivienne |
author_facet | Sadler, Sean Cassidy, Samuel Peterson, Benjamin Spink, Martin Chuter, Vivienne |
author_sort | Sadler, Sean |
collection | PubMed |
description | INTRODUCTION: Globally, low back pain (LBP) is one of the greatest causes of disability. In people with LBP, dysfunction of muscles such as the gluteus medius have been demonstrated to increase spinal loading and reduce spinal stability. Differences in gluteus medius function have been reported in those with LBP compared to those without, although this has only been reported in individual studies. The aim of this systematic review was to determine if adults with a history, or current LBP, demonstrate differences in measures of gluteus medius function when compared to adults without LBP. METHODS: MEDLINE, EMBASE, AMED, PsycINFO, PubMED, Pro Quest Database, CINAHL and SPORTDiscus were searched from inception until December 2018 for published journal articles and conference abstracts. No language restrictions were applied. Only case-control studies with participants 18 years and over were included. Participants could have had any type and duration of LBP. Studies could have assessed gluteus medius function with any quantifiable clinical assessment or measurement tool, with the participant non-weight bearing or weight bearing, and during static or dynamic activity. Quality appraisal and data extraction were independently performed by two authors. RESULTS: The 24 included articles involved 1088 participants with LBP and 998 without LBP. The gluteus medius muscle in participants with LBP tended to demonstrate reduced strength and more trigger points compared to the gluteus medius muscle of those without LBP. The level of activity, fatigability, time to activate, time to peak activation, cross sectional area, and muscle thickness showed unclear results. Meta-analysis was not performed due to the heterogeneity of included studies. CONCLUSION: Clinically, the findings from this systematic review should be considered when assessing and managing patients with LBP. Future studies that clearly define the type and duration of LBP, and prospectively assess gluteus medius muscle function in those with and without LBP are needed. TRIAL REGISTRATION: PROSPERO (CRD42017076773). |
format | Online Article Text |
id | pubmed-6805550 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68055502019-10-24 Gluteus medius muscle function in people with and without low back pain: a systematic review Sadler, Sean Cassidy, Samuel Peterson, Benjamin Spink, Martin Chuter, Vivienne BMC Musculoskelet Disord Research Article INTRODUCTION: Globally, low back pain (LBP) is one of the greatest causes of disability. In people with LBP, dysfunction of muscles such as the gluteus medius have been demonstrated to increase spinal loading and reduce spinal stability. Differences in gluteus medius function have been reported in those with LBP compared to those without, although this has only been reported in individual studies. The aim of this systematic review was to determine if adults with a history, or current LBP, demonstrate differences in measures of gluteus medius function when compared to adults without LBP. METHODS: MEDLINE, EMBASE, AMED, PsycINFO, PubMED, Pro Quest Database, CINAHL and SPORTDiscus were searched from inception until December 2018 for published journal articles and conference abstracts. No language restrictions were applied. Only case-control studies with participants 18 years and over were included. Participants could have had any type and duration of LBP. Studies could have assessed gluteus medius function with any quantifiable clinical assessment or measurement tool, with the participant non-weight bearing or weight bearing, and during static or dynamic activity. Quality appraisal and data extraction were independently performed by two authors. RESULTS: The 24 included articles involved 1088 participants with LBP and 998 without LBP. The gluteus medius muscle in participants with LBP tended to demonstrate reduced strength and more trigger points compared to the gluteus medius muscle of those without LBP. The level of activity, fatigability, time to activate, time to peak activation, cross sectional area, and muscle thickness showed unclear results. Meta-analysis was not performed due to the heterogeneity of included studies. CONCLUSION: Clinically, the findings from this systematic review should be considered when assessing and managing patients with LBP. Future studies that clearly define the type and duration of LBP, and prospectively assess gluteus medius muscle function in those with and without LBP are needed. TRIAL REGISTRATION: PROSPERO (CRD42017076773). BioMed Central 2019-10-22 /pmc/articles/PMC6805550/ /pubmed/31638962 http://dx.doi.org/10.1186/s12891-019-2833-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sadler, Sean Cassidy, Samuel Peterson, Benjamin Spink, Martin Chuter, Vivienne Gluteus medius muscle function in people with and without low back pain: a systematic review |
title | Gluteus medius muscle function in people with and without low back pain: a systematic review |
title_full | Gluteus medius muscle function in people with and without low back pain: a systematic review |
title_fullStr | Gluteus medius muscle function in people with and without low back pain: a systematic review |
title_full_unstemmed | Gluteus medius muscle function in people with and without low back pain: a systematic review |
title_short | Gluteus medius muscle function in people with and without low back pain: a systematic review |
title_sort | gluteus medius muscle function in people with and without low back pain: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805550/ https://www.ncbi.nlm.nih.gov/pubmed/31638962 http://dx.doi.org/10.1186/s12891-019-2833-4 |
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