ArticlePloS one2022
Quantifying the stiffness of lumbar erector spinae during different positions among participants with chronic low back pain.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Evaluating the Reliability of MyotonPro in Assessing Muscle Properties: A Systematic Review of Diagnostic Test Accuracy.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Changes of trunk muscle stiffness in individuals with low back pain: a systematic review with meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Immediate Biomechanical Effects of Manual and Tool-Assisted Myofascial Release on the Erector Spinae Muscle.Sensors (Basel, Switzerland) · 2025Trial
- Comparative Impact of Kinesio Taping and Post-Isometric Muscle Relaxation on Pain and Myofascial Mechanics in Chronic Low Back Pain: A Randomized Clinical Trial.Medical science monitor : international medical journal of experimental and clinical research · 2025Trial
- Agreement of MyotonPRO Measurements Across Standing and Prone Positions in Adolescents with Idiopathic Scoliosis.Journal of clinical medicine · 2026Article
- Low back pain during prolonged sitting on a sofa is associated with pelvic posterior tilt in individuals with non-specific chronic low back pain.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 · 2026Article
- Pilates-Based Training and Its Influence on Muscle Viscoelasticity and Health-Related Outcomes in Chronic Low Back Pain: A Comparative Study.Healthcare (Basel, Switzerland) · 2026Article
- Soft Tissue Stiffness and Functional Knee Outcomes in Female Handball Players Following a Knee Injury: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Influence of Posture, Spinal Level, Gender and Muscle Activation on Biomechanical Properties of Lumbar Erector Spinae in Healthy Young Adults.Medicina (Kaunas, Lithuania) · 2026Observational
- Effects of the lumbar support function of wearable robot (Bot Fit) on sitting position.Biomedical engineering online · 2025Article
- Postural and biomechanical insights in disc displacement with reduction.Journal of oral & facial pain and headache · 2025Article
- Do Lumbar Paravertebral Muscle Properties Show Changes in Mothers with Moderate-Severity Low Back Pain Following a Cesarean Birth? A Case-Control Study.Journal of clinical medicine · 2025Article
- Impact of Standing and Sitting Postures on Spinal Curvature and Muscle Mechanical Properties in Young Women: A Photogrammetric and MyotonPro Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Trunk muscles' characteristics in adolescent gymnasts with low back pain: a pilot study on the effects of a physiotherapy intervention including a postural reeducation program.The Journal of manual & manipulative therapy · 2024Article
- Article
- Central mechanisms of muscle tone regulation: implications for pain and performance.Frontiers in neuroscience · 2024Article
- The Immediate Effects of Dry Cupping the Lumbar Paraspinals on Range of Motion and Temperature.International journal of exercise science · 2024Article
- Assessing reliability and validity of different stiffness measurement tools on a multi-layered phantom tissue model.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purposes of this study were to (1) detect the intra- and inter-reliabilities of the lumbar erector spinae stiffness by MyotonPRO among participants with chronic lower back pain (CLBP); (2) compare the muscle stiffness between pain and non-pain sides during different positions; (3) explore the correlation between intensity of pain and muscle stiffness.
designTwenty participants with CLBP were recruited and the stiffness measurements were carried out by two experienced physiotherapists (operators Ⅰ and Ⅱ). Each participant was evaluated by the operatorⅠ in different postures (static prone and sitting). After a 5-day interval, the same participant was reassessed by the operatorⅠ in the static prone posture. For the inter-rater reliability test, each participant was quantified by both operators once, with 30 minutes between the measurements on the same day. The intensity of pain was evaluated using a 0-10 visual analog scale (VAS).
resultsThe intra- and inter-rater reliabilities were excellent (ICC = 0.88-0.99). The MDC values ranged from 25.03 to 86.26 N/m. Examples of Bland-Altman plots showed good agreement. The erector spinae stiffness on the painful sides was higher with a marked increase in the sitting position (P < .05) when compared with the non-painful side. However, there was no significant difference in the prone position (P > .05). The intensity of pain among adults with CLBP was not associated with muscle stiffness of the lumbar erector spinae muscle.
conclusionsOur findings indicated that the MyotonPRO is a feasible device in quantifying the stiffness of the lumbar erector spinae muscle in patients with CLBP. Meanwhile, the erector spinae stiffness on the painful sides was higher in the sitting when compared with the non-painful side.
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