ArticleClinical medicine insights. Arthritis and musculoskeletal disorders2019
Exploring Neuromuscular Electrical Stimulation Intensity Effects on Multifidus Muscle Activity in Adults With Chronic Low Back Pain: An Ultrasound Imaging-Informed Investigation.
Article in Clinical medicine insights. Arthritis and musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Effect of core stability exercises and Russian electrical stimulation on nonspecific low back pain: a single-blinded randomized controlled trial.Scientific reports · 2025Trial
- Impact of Intramuscular Electrical Stimulation on Multifidus Muscle Function in Chronic Low Back Pain: A Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2025Trial
- Clinical Characterization of Hip Subgroups in Geriatric Chronic Low Back Pain.Archives of physical medicine and rehabilitation · 2025Article
- The Effect of a 10-Week Electromyostimulation Intervention with the StimaWELL 120MTRS System on Multifidus Morphology and Function in Chronic Low Back Pain Patients: A Randomized Controlled Trial.Journal of functional morphology and kinesiology · 2025Article
- Article
- Restorative Neurostimulation for Patients with Mechanical Chronic Low Back Pain and Impaired Neuromuscular Control of the Lumbar Spine | A New Treatment Paradigm.Journal of pain research · 2025Review
- Advancing first-contact, primary care physiotherapist practice: the value of integrating point-of-care diagnostic tools.Frontiers in rehabilitation sciences · 2025Article
- The Components of Lumbar Motor Control Are Not Inter-related.Journal of musculoskeletal & neuronal interactions · 2024Article
- Adults with lower-limb amputation: Reduced multifidi muscle activity and extensor muscle endurance is associated with worse physical performance.Clinical physiology and functional imaging · 2023Article
- The effect of phasic versus combined neuromuscular electrical stimulation using the StimaWELL 120MTRS system on multifidus muscle morphology and function in patients with chronic low back pain: a randomized controlled trial protocol.BMC musculoskeletal disorders · 2022Article
- Restorative Neurostimulation: A Clinical Guide for Therapy Adoption.Journal of pain research · 2022Review
- Current Perspectives on Neurostimulation for the Management of Chronic Low Back Pain: A Narrative Review.Journal of pain research · 2021Review
- Sitting for Too Long, Moving Too Little: Regular Muscle Contractions Can Reduce Muscle Stiffness During Prolonged Periods of Chair-Sitting.Frontiers in sports and active living · 2021Article
- Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2021Review
- Inconsistent descriptions of lumbar multifidus morphology: A scoping review.BMC musculoskeletal disorders · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
designCross-sectional study.
backgroundNeuromuscular electrical stimulation (NMES) is an effective tool for stimulating multifidus muscle contractions. Ultrasound imaging (USI) is valid and reliable for quantifying multifidus activity represented by percent thickness change from a resting to contracted state. Thus, USI may be used to help determine optimal NMES intensity.
objectivesTo explore NMES intensity effects on multifidus thickening in adults with chronic low back pain (CLBP).
methodsSixty patients with CLBP participated. L4/5 multifidus ultrasound images were obtained and percent thickness change from a resting to a contracted state was determined at baseline with a limb lift and during NMES application. During NMES, the examiner recorded the intensity, in milliampere, when the multifidus first started to thicken as observed with USI. The examiner also recorded the NMES intensity that resulted in no further multifidus thickening (ie, high-tolerance group) or, in cases where maximal thickening was not observed, the NMES intensity of the submaximal contraction (ie, low-tolerance group). Differences between participants with high versus low NMES tolerance were evaluated.
resultsDuring NMES, the multifidus began thickening at a higher intensity for the high-tolerance group (n = 39), that is, 34 mA, compared with the low-tolerance group (n = 21), that is, 32 mA (
conclusionsResults provide clinicians with NMES intensity targets to facilitate multifidus muscle thickening, which provides insight into muscle activity.
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Registered trials
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.