[fr] Cet article présente les différentes techniques d’investigation de la musculature rachidienne et analyse les données relatives aux muscles spinaux de sujets sains et lombalgiques chroniques. L’atrophie des muscles paravertébraux de lombalgiques chroniques et notamment une réduction
de leur surface de section et de leur densité musculaire peuvent être objectivées par l’imagerie médicale. La biopsie musculaire des muscles spinaux de sujets sains démontre un pourcentage élevé de fibres lentes (type I) lié à leur fonction posturale ; les femmes se caractérisent par une
meilleure adaptation à l’effort aérobie s’expliquant par une plus grande section musculaire relative occupée par les fibres de type I. Les muscles spinaux de lombalgiques chroniques présentent soit une atrophie marquée des fibres de type II, soit une conversion des fibres de type I en type II, soit la présence accrue d’anomalies non-spécifiques. La spectroscopie par résonance magnétique et en proche infrarouge, explorant respectivement le métabolisme musculaire et l’oxygénation tissulaire de la musculature spinale, restent encore peu décrites. L’électromyographie de surface confirme, chez les lombalgiques chroniques, la fatigabilité accrue des muscles spinaux et l’absence fréquente du phénomène de flexion–relaxation.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Demoulin, Christophe ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice
Crielaard, Jean-Michel ; Université de Liège - ULiège > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle
Vanderthommen, Marc ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice
Language :
French
Title :
Exploration de la musculature rachidienne du sujet sain et lombalgique: revue de la littérature
Hultman G., Nordin M., Saraste H., and Ohlsen H. Body composition, endurance, strength, cross-sectional area, and density of MM erector spinae in men with and without low back pain. J. Spinal Disord. 6 (1993) 114-123
Jorgensen K. Human trunk extensor muscles physiology and ergonomics. Acta Physiol. Scand. Suppl. 637 (1997) 1-58
Keller A., Gunderson R., Reikeras O., and Brox J.I. Reliability of computed tomography measurements of paraspinal muscle cross-sectional area and density in patients with chronic low back pain. Spine 28 (2003) 1455-1460
Danneels L.A., Vanderstraeten G.G., Cambier D.C., Witvrouw E.E., and De Cuyper H.J. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur. Spine J. 9 (2000) 266-272
Savage R.A., Whitehouse G.H., and Roberts N. The relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males. Eur. Spine J. 6 (1997) 106-114
Hides J.A., Richardson C.A., and Jull G.A. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities. Spine 20 (1995) 54-58
Mannion A.F., Dumas G.A., Cooper R.G., Espinosa F.J., Faris M.W., and Stevenson J.M. Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences. J. Anat. 190 (1997) 505-513
Keller A., Johansen J.G., Hellesnes J., and Brox J.I. Predictors of isokinetic back muscle strength in patients with low back pain. Spine 24 (1999) 275-280
Mannion A.F., Kaser L., Weber E., Rhyner A., Dvorak J., and Muntener M. Influence of age and duration of symptoms on fibre type distribution and size of the back muscles in chronic low back pain patients. Eur. Spine J. 9 (2000) 273-281
Parkkola R., and Kormano M. Lumbar disc and back muscle degeneration on MRI: correlation to age and body mass. J. Spinal Disord. 5 (1992) 86-92
Gibbons L.E., Videman T., and Battie M.C. Isokinetic and psychophysical lifting strength, static back muscle endurance, and magnetic resonance imaging of the paraspinal muscles as predictors of low back pain in men. Scand. J. Rehabil. Med. 29 (1997) 187-191
Kaser L., Mannion A.F., Rhyner A., Weber E., Dvorak J., and Muntener M. Active therapy for chronic low back pain: part 2. Effects on paraspinal muscle cross-sectional area, fiber type size, and distribution. Spine 26 (2001) 909-919
Mooney V., Gulick J., Perlman M., Levy D., Pozos R., Leggett S., et al. Relationships between myoelectric activity, strength, and MRI of lumbar extensor muscles in back pain patients and normal subjects. J. Spinal Disord. 10 (1997) 348-356
Kankaanpaa M., Laaksonen D., Taimela S., Kokko S.M., Airaksinen O., and Hanninen O. Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric Sorensen back endurance test. Arch. Phys. Med. Rehabil. 79 (1998) 1069-1075
Danneels L.A., Cools A.M., Vanderstraeten G.G., Cambier D.C., Witvrouw E.E., Bourgois J., et al. The effects of three different training modalities on the cross-sectional area of the paravertebral muscles. Scand. J. Med. Sci. Sports 11 (2001) 335-341
Storheim K., Holm I., Gunderson R., Brox J.I., and Bo K. The effect of comprehensive group training on cross-sectional area, density, and strength of paraspinal muscles in patients sick-listed for subacute low back pain. J. Spinal Disord. Tech. 16 (2003) 271-279
Hakkinen K. Neuromuscular and hormonal adaptations during strength and power training. A review. J. Sports Med. Phys. Fitness 29 (1989) 9-26
Fisher M.J., Meyer R.A., Adams G.R., Foley J.M., and Potchen E.J. Direct relationship between proton T2 and exercise intensity in skeletal muscle MR images. Invest. Radiol. 25 (1990) 480-485
Flicker P.L., Fleckenstein J.L., Ferry K., Payne J., Ward C., Mayer T., et al. Lumbar muscle usage in chronic low back pain. Magnetic resonance image evaluation. Spine 18 (1993) 582-586
Fidler M.W., Jowett R.L., and Troup J.D. Myosin ATPase activity in multifidus muscle from cases of lumbar spinal derangement. J. Bone Joint Surg. Br. 57 (1975) 220-227
Polgar J., Johnson M.A., Weightman D., and Appleton D. Data on fibre size in thirty-six human muscles. An autopsy study. J. Neurol. Sci. 19 (1973) 307-318
Sirca A., and Kostevc V. The fibre type composition of thoracic and lumbar paravertebral muscles in man. J. Anat. 141 (1985) 131-137
Mannion A.F., Weber B.R., Dvorak J., Grob D., and Muntener M. Fibre type characteristics of the lumbar paraspinal muscles in normal healthy subjects and in patients with low back pain. J. Orthop. Res. 15 (1997) 881-887
Crossman K., Mahon M., Watson P.J., Oldham J.A., and Cooper R.G. Chronic low back pain-associated paraspinal muscle dysfunction is not the result of a constitutionally determined "adverse" fiber-type composition. Spine 29 (2004) 628-634
Ng J.K., Richardson C.A., Kippers V., and Parnianpour M. Relationship between muscle fiber composition and functional capacity of back muscles in healthy subjects and patients with back pain. J. Orthop. Sports Phys. Ther. 27 (1998) 389-402
Mannion A.F., Dumas G.A., Stevenson J.M., and Cooper R.G. The influence of muscle fiber size and type distribution on electromyographic measures of back muscle fatigability. Spine 23 (1998) 576-584
Weber B.R., Grob D., Dvorak J., and Muntener M. Posterior surgical approach to the lumbar spine and its effect on the multifidus muscle. Spine 22 (1997) 1765-1772
Mannion A.F., Connolly B., Wood K., and Dolan P. The use of surface EMG power spectral analysis in the evaluation of back muscle function. J. Rehabil. Res. Dev. 34 (1997) 427-439
Haggmark T., Eriksson E., and Jansson E. Muscle fiber type changes in human skeletal muscle after injuries and immobilization. Orthopedics 9 (1986) 181-185
Rissanen A., Kalimo H., and Alaranta H. Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain. Spine 20 (1995) 333-340
Elder G.C., Bradbury K., and Roberts R. Variability of fiber type distributions within human muscles. J. Appl. Physiol. 53 (1982) 1473-1480
Vanderthommen M., Duteil S., Wary C., Raynaud J.S., Leroy-Willig A., Crielaard J.M., et al. A comparison of voluntary and electrically induced contractions by interleaved 1H- and 31P-NMRS in humans. J. Appl. Physiol. 94 (2003) 1012-1024
McCully K.K., Boden B.P., Tuchler M., Fountain M.R., and Chance B. Wrist flexor muscles of elite rowers measured with magnetic resonance spectroscopy. J. Appl. Physiol. 67 (1989) 926-932
Takahashi H., Kuno S.Y., Katsuta S., Shimojo H., Masuda K., Yoshioka H., et al. Relationships between fiber composition and NMR measurements in human skeletal muscle. NMR Biomed. 9 (1996) 8-12
Rzanny R., Grassme R., Reichenbach J.R., Rottenbach M., Petrovitch A., Kaiser W.A., et al. Simultaneous surface electromyography (SEMG) and 31P-MR spectroscopy measurements of the lumbar back muscle during isometric exercise. J. Neurosci. Methods 133 (2004) 143-152
Strobel E.S., Krapf M., Suckfull M., Bruckle W., Fleckenstein W., and Muller W. Tissue oxygen measurement and 31P magnetic resonance spectroscopy in patients with muscle tension and fibromyalgia. Rheumatol. Int. 16 (1997) 175-180
Kell R.T., Farag M., and Bhambhani Y. Reliability of erector spinae oxygenation and blood volume responses using near-infrared spectroscopy in healthy males. Eur. J. Appl. Physiol. 91 (2004) 499-507
Wilson J.R., Mancini D.M., McCully K., Ferraro N., Lanoce V., and Chance B. Noninvasive detection of skeletal muscle underperfusion with near-infrared spectroscopy in patients with heart failure. Circulation 80 (1989) 1668-1674
McGill S.M., Hughson R.L., and Parks K. Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work. Ergonomics 43 (2000) 486-493
Kovacs K.M., Marras W.S., Litsky A.S., Gupta P., and Ferguson S.A. Localized oxygen use of healthy and low back pain individuals during controlled trunk movements. J. Spinal Disord. 14 (2001) 150-158
Stokes I.A., Henry S.M., and Single R.M. Surface EMG electrodes do not accurately record from lumbar multifidus muscles. Clin. Biomech. (Bristol, Avon) 18 (2003) 9-13
McGill S., Juker D., and Kropf P. Appropriately placed surface EMG electrodes reflect deep muscle activity (psoas, quadratus lumborum, abdominal wall) in the lumbar spine. J. Biomech. 29 (1996) 1503-1507
De Luca C.J. Use of the surface EMG signal for performance evaluation of back muscles. Muscle Nerve 16 (1993) 210-216
Ng J.K., and Richardson C.A. Reliability of electromyographic power spectral analysis of back muscle endurance in healthy subjects. Arch. Phys. Med. Rehabil. 77 (1996) 259-264
Danneels L.A., Cagnie B.J., Cools A.M., Vanderstraeten G.G., Cambier D.C., Witvrouw E.E., et al. Intra-operator and inter-operator reliability of surface electromyography in the clinical evaluation of back muscles. Man. Ther. 6 (2001) 145-153
Ebenbichler G., Ebenbichler G.R., Bonato P., Roy S.H., Lehr S., Posch M., et al. Reliability of EMG time-frequency measures of fatigue during repetitive lifting. Med. Sci. Sports Exerc. 34 (2002) 1316-1323
Roy S.H., De Luca C.J., and Casavant D.A. Lumbar muscle fatigue and chronic lower back pain. Spine 14 (1989) 992-1001
Lehman G.J., and McGill S.M. The importance of normalization in the interpretation of surface electromyography: a proof of principle. J. Manipulative Physiol. Ther. 22 (1999) 444-446
Lariviere C., Arsenault A.B., Gravel D., Gagnon D., and Loisel P. Surface electromyography assessment of back muscle intrinsic properties. J. Electromyogr. Kinesiol. 13 (2003) 305-318
Demoulin C., Vanderthommen M., Duysens C., and Crielaard J. Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine 73 (2006) 43-50
Roy S.H., De Luca C.J., Emley M., and Buijs R.J. Spectral electromyographic assessment of back muscles in patients with low back pain undergoing rehabilitation. Spine 20 (1995) 38-48
Floyd W.F., and Silver P.H. Function of the erector spinae muscles in flexion of the trunk. Lancet 1 (1951) 133-134
Neblett R., Mayer T.G., Gatchel R.J., Keeley J., Proctor T., and Anagnostis C. Quantifying the lumbar flexion-relaxation phenomenon: theory, normative data, and clinical applications. Spine 28 (2003) 1435-1446
McGill S.M., and Kippers V. Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon. Spine 19 (1994) 2190-2196
Gupta A. Analyses of myo-electrical silence of erectors spinae. J. Biomech. 34 (2001) 491-496
Andersson E.A., Oddsson L.I., Grundstrom H., Nilsson J., and Thorstensson A. EMG activities of the quadratus lumborum and erector spinae muscles during flexion-relaxation and other motor tasks. Clin. Biomech. (Bristol, Avon) 11 (1996) 392-400
Watson P.J., Booker C.K., Main C.J., and Chen A.C. Surface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio. Clin. Biomech. (Bristol, Avon) 12 (1997) 165-171
Finneran M.T., Mazanec D., Marsolais M.E., Marsolais E.B., and Pease W.S. Large-array surface electromyography in low back pain: a pilot study. Spine 28 (2003) 1447-1454
Pullman S.L., Goodin D.S., Marquinez A.I., Tabbal S., and Rubin M. Clinical utility of surface EMG: report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology 55 (2000) 171-177
Arnall F.A., Koumantakis G.A., Oldham J.A., and Cooper R.G. Between-days reliability of electromyographic measures of paraspinal muscle fatigue at 40, 50 and 60% levels of maximal voluntary contractile force. Clin. Rehabil. 16 (2002) 761-771