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The effect of lumbosacral orthosis on the thickness of deep trunk muscles using ultrasound imaging

A randomized controlled trial in patients with chronic low back pain

Azadinia, Fatemeh1; Ebrahimi Takamjani, Ismail2; Kamyab, Mojtaba1; Kalbassi, Gitta3; Sarrafzadeh, Javad2; Parnianpour, Mohamad4

American Journal of Physical Medicine & Rehabilitation: January 15, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001135
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Objective This study was conducted to evaluate the changes occurring in the thickness of deep trunk muscles, measured using ultrasound imaging, after four weeks of lumbosacral orthosis (LSO) use in conjunction with routine physical therapy.

Design This parallel-group, randomized, controlled trial was conducted on 44 patients with nonspecific chronic low back pain (CLBP), randomly allocated to the experimental and control groups. Both groups received eight sessions of physical therapy twice per week for four weeks. The experimental group wore non-extensible LSO in addition to undergoing routine physical therapy. The thickness of the transversus abdominis (TrA), obliquus internus (IO) and lumbar multifidus (LM) was measured by ultrasound before and after the four-week intervention.

Results The deep trunk muscles differed in thickness in various test positions. Four weeks of intervention with LSO and routine physical therapy, however, did not change the thickness of the IO, TrA and LM.

Conclusion Wearing LSO for an average of 7.21 hours per day for four weeks in conjunction with routine physical therapy did not affect the thickness of obliquus internus, transversus abdominis and lumbar multifidus.

1Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

2Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

3School of Rehabilitation Sciences, Tehran Universities of Medical Sciences, Tehran, Iran

4Biomechanics Laboratory, Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran

Correspondence: Ismail Ebrahimi Takamjani, Prof. in Physical Therapy, Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran; Email: ebrahimi.pt@gmail.com; Phone Number: +982122229087

Funding: Aspen Medical Products, Inc., Irvine, CA, USA, donated the lumbosacral orthoses that were used in this study. The funder had no role in the interpretation or reporting of the results. The authors declare no conflict of interest-associated biases.

Conflicts of Interest Disclosure

The authors have no conflicts of interest to declare with respect to the research, authorship and/or publication of this article.

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