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Table 1 Characteristics of included studies, that measured stiffness with elastography

From: Changes of trunk muscle stiffness in individuals with low back pain: a systematic review with meta-analysis

Authors, year,

country

Participants, sex, age

LBP subtype

Measurement method

Results

Main findings

    

LBP

CON

 

Chan et al., 2012 [43],

China

n = 24 (all M)

12 LBP: 36.6 ± 2.9 y

12 CON: 25.2 ± 1.1 y

Chronic LBP

STE (MF – L4) [kPa]:

Resting

Standing

Forward stoop 25°

Forward stoop 45°

40.2 ± 5.0

67.2 ± 9.3*

101.2 ± 9.4*

127.1 ± 9.8*

36.9 ± 4.8

54.2 ± 7.0

93.9 ± 14.0

108.1 ± 17.2

Individuals with LBP have higher MF stiffness in standing and stooping. No differences were observed in resting stiffness.

Masaki et al., 2017 [32],

Japan

n = 32

9 LBP (1 M, 8 F):

44.7 ± 13.0 y

23 CON (8 M, 15 F):

34.7 ± 10.2 y

Chronic LBP

SWE [kPa]:

ES: 7 cm lateral to L3

MF: lateral to L4

3.7 ± 1.1

5.6 ± 1.1*

3.5 ± 1.1

4.8 ± 0.8

Individuals with LBP have higher MF resting stiffness. No differences were observed for ES stiffness.

Murillo et al., 2019 [44],

United Kingdom

n = 30

15 LBP (7 M, 8 F):

29.4 ± 10.8 y

15 CON (8 M, 7 F):

26.7 ± 5.4 y

Chronic LBP

SWE [kPa]:

SMF: L3 under TLF

DMF: L3 over laminae

A-SMF

10.2 ± 4.2*

14.4 ± 2.6

N/A

6.8 ± 1.7

15.4 ± 2.8

N/A

Individuals with LBP have higher resting stiffness of SMF, but not DMF. No differences were observed for SMF stiffness during contraction.

Koppenhaver et al., 2020 [31],

USA

n = 120

60 LBP (36 M, 24 F):

32.2 ± 7.3 y

60 CON (26 M, 34 F):

31.0 ± 8.0 y

Not defined

SWE [kPa]:

ES: symptomatic level

MF: symptomatic level or L4/L5 facet joint

A-MF

6.4 ± 3.4*

6.8 ± 3.2*

20.8 ± 10.8

4.5 ± 1.7

5.7 ± 2.0

22.6 ± 9.8

Individuals with LBP have higher resting ES and MF stiffness. No differences were observed for MF stiffness during contraction.

Pinto et al., 2022 [45],

China

n = 151

78 LBP (32 M, 46 F):

46.0 y

73 CON (26 M, 52 F):

48.0 y

Chronic LBP

SWE [kPa]:

MF: facet L4/L5

MF: facet L5/S1

43.3 ± 21.5

43.5 ± 21.2

41.3 ± 18.7

41.9 ± 19.4

No differences were observed for resting SMF stiffness.

  1. Legend: M Male, F Female, [ ] unit of measurement, LBP Low back pain, CON Control, MF M. multifidus, SMF Superficial multifidus, DMF Deep multifidus, ES m. erector spinae, SWE Shear wave elastography, STE Strain elastography, TLF Thoracolumbar fascia, A Active stiffness, * = p < 0.05