Ghamkhar Leila, Emami Mahnaz, Mohseni-Bandpei Mohammad A, Behtash Hamid
Department of Physiotherapy, The University of Social Welfare and Rehabilitation Sciences, Student Boulevard, P.O. Box 1985713834, Evin, Tehran, Iran.
J Bodyw Mov Ther. 2011 Oct;15(4):465-77. doi: 10.1016/j.jbmt.2010.07.003. Epub 2010 Jul 31.
Low back pain (LBP) is one of the most common work-related conditions affecting all populations both in industrialized and non-industrialized countries, with reported high prevalence and incidence rates and huge direct and indirect costs. Among various suggested causes of LBP, dysfunction of back muscles, particularly lumbar multifidus and transverse abdominis, has been the subject of considerable research during last decades. Of the available imaging techniques, ultrasound (US) imaging technique is increasingly used to assess muscle dimensions and function as a valid, reliable and non-invasive approach. The purpose of the present study was to review the previously published studies (1990-2009) concerning the merit of US imaging of lumbar and abdominal muscles with particular attention to its clinical application in patients with LBP. Studies showed wide variation in terms of methodology, sample size, procedure, definition of LBP, heterogeneous sample, method of analyzing US imaging, US imaging parameters, etc. However, a convincing body of evidence was identified that supports US imaging as a reliable and valid tool both to differentiate patients with LBP from normal subjects and to monitor the effect of rehabilitation programs.
腰痛（LBP）是影响工业化国家和非工业化国家所有人群的最常见的与工作相关的病症之一，据报道其患病率和发病率很高，且直接和间接成本巨大。在各种提出的腰痛病因中，背部肌肉功能障碍，特别是腰多裂肌和腹横肌的功能障碍，在过去几十年中一直是大量研究的主题。在现有的成像技术中，超声（US）成像技术作为一种有效、可靠且非侵入性的方法，越来越多地用于评估肌肉尺寸和功能。本研究的目的是回顾先前发表的关于腰部和腹部肌肉超声成像优点的研究（1990 - 2009年），特别关注其在腰痛患者中的临床应用。研究表明，在方法、样本量、程序、腰痛定义、样本异质性、超声成像分析方法、超声成像参数等方面存在很大差异。然而，已确定了一组有说服力的证据，支持超声成像作为一种可靠且有效的工具，既能区分腰痛患者与正常受试者，又能监测康复计划的效果。
