ArticleChiropractic & manual therapies2015
Reliability of diagnostic ultrasound in measuring the multifidus muscle.
Article in Chiropractic & manual therapies, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06875791 (A Safety and Efficacy Trial of TV5M01 for Radiation-Induced Mucositis in Patients Undergoing Treatment for Head and Neck Cancer), which is not on this map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Safety and Efficacy Trial of TV5M01 for Radiation-Induced Mucositis in Patients Undergoing Treatment for Head and Neck Cancer
Who cites it
16 citing papers in PubMed, 36 citations in OpenAlex.
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- Eight Weeks of 448 kHz Radiofrequency Therapy Increases Multifidus Muscle Cross-Sectional Area and Modulates Thoracolumbar Range of Motion in Horses with Chronic Back Pain.Animals : an open access journal from MDPI · 2026Article
- Contraction ratio of multifidus and erector spinae muscles in unilateral sacroiliac joint pain: A cross-sectional trial.Scientific reports · 2025Article
- Analysis of lumbar spine loading during walking in patients with chronic low back pain and healthy controls: An OpenSim-Based study.Frontiers in bioengineering and biotechnology · 2024Article
- Effect of aquatic exercise versus standard care on paraspinal and gluteal muscles morphology in individuals with chronic low back pain: a randomized controlled trial protocol.BMC musculoskeletal disorders · 2023Article
- The Effects of Combined Motor Control and Isolated Extensor Strengthening versus General Exercise on Paraspinal Muscle Morphology, Composition, and Function in Patients with Chronic Low Back Pain: A Randomized Controlled Trial.Journal of clinical medicine · 2023Article
- Correlation between Body Composition and Inter-Examiner Errors for Assessing Lumbar Multifidus Muscle Size, Shape and Quality Metrics with Ultrasound Imaging.Bioengineering (Basel, Switzerland) · 2023Article
- Studies on Reliability and Measurement Error of Measurements in Medicine - From Design to Statistics Explained for Medical Researchers.Patient related outcome measures · 2023Article
- The effects of combined motor control and isolated extensor strengthening versus general exercise on paraspinal muscle morphology and function in patients with chronic low back pain: a randomised controlled trial protocol.BMC musculoskeletal disorders · 2021Article
- Ultrasound Imaging Analysis of the Lumbar Multifidus Muscle Echo Intensity: Intra-Rater and Inter-Rater Reliability of a Novice and an Experienced Rater.Medicina (Kaunas, Lithuania) · 2021Article
- LUMINOUS database: lumbar multifidus muscle segmentation from ultrasound images.BMC musculoskeletal disorders · 2020Article
- Inconsistent descriptions of lumbar multifidus morphology: A scoping review.BMC musculoskeletal disorders · 2020Article
- The effect of low back pain and lower limb injury on lumbar multifidus muscle morphology and function in university soccer players.BMC musculoskeletal disorders · 2020Article
- Immediate Effect of Lumbar Mobilization on Activity of Erector Spinae and Lumbar Multifidus Muscles.Journal of chiropractic medicine · 2017Article
- Estimation of spinopelvic muscles' volumes in young asymptomatic subjects: a quantitative analysis.Surgical and radiologic anatomy : SRA · 2017Article
- Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study.Chiropractic & manual therapies · 2017Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUltrasound is frequently used to measure activity in the lumbar multifidus muscle (LMM). However previous reliability studies on diagnostic ultrasound and LMM have included a limited number of subjects and few have used Bland-Altman's Limits of Agreement (LOA). Further one does not know if activity affects the subjects' ability to contract the LMM.
methodsFrom January 2012 to December 2012 an inter- and intra-examiner reliability study was carried out in a clinical setting. It consisted of a total of four experiments with 30 subjects in each study. Two experienced examiners performed all measurements. Ultrasound measurements were made of: 1. the LMM in the resting state, 2. during a contracted state, 3. on subsequent days, and, before and after walking. Reliability and agreement was tested for 1. resting LMM, 2. contracted LMM, and 3. thickness change in the LMM. Mean values of three measurements were used for statistical analysis for each spinal level. The intra-class correlation coefficient (ICC) 3.1 and 3.2 was used to test for reliability, and Bland-Altman's LOA method to test for agreement.
resultsAll of the studies indicate high levels of reliability, but as the LMM thickness increased (increasing contraction) the agreement between examiners was poorer than for low levels of contraction.
conclusionsThe use of diagnostic ultrasound to measure the LMM seems to be reliable in subjects who have little or no change in thickness of the LMM with contraction.
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