Evidence map›Paper›PMID 30991977›Full record

ArticleBMC musculoskeletal disorders2019

Cross-sectional area of the paraspinal muscles and its association with muscle strength among fighter pilots: a 5-year follow-up.

Tuomas Honkanen, Matti Mäntysaari, Tuomo Leino, Janne Avela, Liisa Kerttula, Ville Haapamäki, Heikki Kyröläinen

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Cellular and molecular mechanisms of fatty infiltration in paraspinal muscles in spine-specific sarcopenia.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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  15. Radiomics in Spine Surgery.International journal of spine surgery · 2023
    Article
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  19. Article
  20. Different degeneration patterns of paraspinal muscles in degenerative lumbar diseases: a MRI analysis of 154 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Tuomas HonkanenCentre for Military Medicine, P.O.Box 50, FI-00301, Helsinki, Finland. tuomas.honkanen@mil.fi.
Matti MäntysaariCentre for Military Medicine, P.O.Box 50, FI-00301, Helsinki, Finland.
Tuomo LeinoAir Force Command Finland, Tikkakoski, Finland.
Janne AvelaNeuromuscular Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Liisa KerttulaHUS Medical Imaging Center, Helsinki, Finland.
Ville HaapamäkiHUS Medical Imaging Center, Helsinki, Finland.
Heikki KyröläinenNeuromuscular Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Finnish Defence Forces · FIUniversity of Jyväskylä · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA small cross sectional area (CSA) of the paraspinal muscles may be related to low back pain among military aviators but previous studies have mainly concentrated on spinal disc degeneration. Therefore, the primary aim of the study was to investigate the changes in muscle CSA and composition of the psoas and paraspinal muscles during a 5-year follow up among Finnish Air Force (FINAF) fighter pilots.

methodsStudy population consisted of 26 volunteered FINAF male fighter pilots (age: 20.6 (±0.6) at the baseline). The magnetic resonance imaging (MRI) examinations were collected at baseline and after 5 years of follow-up. CSA and composition of the paraspinal and psoas muscles were obtained at the levels of 3-4 and 4-5 lumbar spine. Maximal isometric strength tests were only performed on one occasion at baseline.

resultsThe follow-up comparisons indicated that the mean CSA of the paraspinal muscles increased (p < 0.01) by 8% at L3-4 level and 7% at L4-5 level during the 5-year period. There was no change in muscle composition during the follow-up period. The paraspinal and psoas muscles' CSA was positively related to overall maximal isometric strength at the baseline. However, there was no association between LBP and muscle composition or CSA.

conclusionsThe paraspinal muscles' CSA increased among FINAF fighter pilots during the first 5 years of service. This might be explained by physically demanding work and regular physical activity. However, no associations between muscle composition or CSA and low back pain (LBP) experienced were observed after the five-year follow-up.

Indexed as

PilotsAdultAnatomy, Cross-SectionalFinlandFollow-Up StudiesHumansIncidenceLongitudinal StudiesLow Back PainLumbar VertebraeMagnetic Resonance ImagingMaleMuscle StrengthOccupational DiseasesParaspinal MusclesYoung AdultG-forceIsometric strengthLow back painMilitary aviationMRIMuscle composition

Identifiers

PMID30991977
PMCPMC6469149
OpenAlexW2945329470

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.