Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study
Background. It is reported that impaired postural control in patients with non-specific chronic low back pain (NCLBP) was associated with “core” trunk muscle incoordination. However, as the diaphragm is an important component of the “core” deep trunk muscle group, we still know little about the pote...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2022-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2022/7929982 |
| _version_ | 1797977078483648512 |
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| author | Wenwu Xiao Fuming Zheng Ke Dong Zhuangfu Wang Yao Zu Chuhuai Wang |
| author_facet | Wenwu Xiao Fuming Zheng Ke Dong Zhuangfu Wang Yao Zu Chuhuai Wang |
| author_sort | Wenwu Xiao |
| collection | DOAJ |
| description | Background. It is reported that impaired postural control in patients with non-specific chronic low back pain (NCLBP) was associated with “core” trunk muscle incoordination. However, as the diaphragm is an important component of the “core” deep trunk muscle group, we still know little about the potential relationship between diaphragm dysfunction and NCLBP. Objectives. This case-control study is intended to investigate the changes of diaphragm morphological structure and function in young and middle-aged subjects with and without NCLBP by ultrasound evaluation and its possible validity in predicating the occurrence of NCLBP. Methods. 31 subjects with NCLBP (NCLBP group) and 32 matched healthy controls (HC group) were enrolled in this study. The diaphragm thickness at the end of inspiration (Tins) or expiration (Texp) during deep breathing was measured through B-mode ultrasound, and the diaphragm excursion (Texc) was estimated at deep breathing through M-mode ultrasound. The diaphragm thickness change rate (Trate) was calculated by the formula: Trate=Tins−Texp/Texp×100%. Results. Compared with the HC group, the NCLBP group had a significant smaller degree of Tins (t = −3.90, P<0.001), Texp (Z = −2.79, P=0.005), and Trate (t = −2.03, P=0.047). However, there was no statistical difference in Texc between the two groups (t = −1.42, P=0.161). The binary logistic regression analysis indicated that Trate (OR = 16.038, P=0.014) and Texp (OR = 7.714, P=0.004) were potential risk factors for the occurrence of NCLBP. Conclusions. The diaphragm morphological structure and function were changed in young and middle-aged subjects with NCLBP, while the diaphragm thickness change rate (Trate) and diaphragm thickness at the end of expiration (Texp) may be conductive to the occurrence of NCLBP. Furthermore, these findings may suggest that abnormal diaphragm reeducation is necessary for the rehabilitation of patients with NCLBP. |
| first_indexed | 2024-04-11T05:01:12Z |
| format | Article |
| id | doaj.art-aa3289a455744d7aa6f17a5371a2e0fc |
| institution | Directory Open Access Journal |
| issn | 1918-1523 |
| language | English |
| last_indexed | 2024-04-11T05:01:12Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj.art-aa3289a455744d7aa6f17a5371a2e0fc2022-12-26T01:12:35ZengHindawi LimitedPain Research and Management1918-15232022-01-01202210.1155/2022/7929982Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control StudyWenwu Xiao0Fuming Zheng1Ke Dong2Zhuangfu Wang3Yao Zu4Chuhuai Wang5Department of Rehabilitation MedicineDepartment of Rehabilitation MedicineDepartment of Rehabilitation MedicineDepartment of Rehabilitation MedicineDepartment of Rehabilitation MedicineDepartment of Rehabilitation MedicineBackground. It is reported that impaired postural control in patients with non-specific chronic low back pain (NCLBP) was associated with “core” trunk muscle incoordination. However, as the diaphragm is an important component of the “core” deep trunk muscle group, we still know little about the potential relationship between diaphragm dysfunction and NCLBP. Objectives. This case-control study is intended to investigate the changes of diaphragm morphological structure and function in young and middle-aged subjects with and without NCLBP by ultrasound evaluation and its possible validity in predicating the occurrence of NCLBP. Methods. 31 subjects with NCLBP (NCLBP group) and 32 matched healthy controls (HC group) were enrolled in this study. The diaphragm thickness at the end of inspiration (Tins) or expiration (Texp) during deep breathing was measured through B-mode ultrasound, and the diaphragm excursion (Texc) was estimated at deep breathing through M-mode ultrasound. The diaphragm thickness change rate (Trate) was calculated by the formula: Trate=Tins−Texp/Texp×100%. Results. Compared with the HC group, the NCLBP group had a significant smaller degree of Tins (t = −3.90, P<0.001), Texp (Z = −2.79, P=0.005), and Trate (t = −2.03, P=0.047). However, there was no statistical difference in Texc between the two groups (t = −1.42, P=0.161). The binary logistic regression analysis indicated that Trate (OR = 16.038, P=0.014) and Texp (OR = 7.714, P=0.004) were potential risk factors for the occurrence of NCLBP. Conclusions. The diaphragm morphological structure and function were changed in young and middle-aged subjects with NCLBP, while the diaphragm thickness change rate (Trate) and diaphragm thickness at the end of expiration (Texp) may be conductive to the occurrence of NCLBP. Furthermore, these findings may suggest that abnormal diaphragm reeducation is necessary for the rehabilitation of patients with NCLBP.http://dx.doi.org/10.1155/2022/7929982 |
| spellingShingle | Wenwu Xiao Fuming Zheng Ke Dong Zhuangfu Wang Yao Zu Chuhuai Wang Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study Pain Research and Management |
| title | Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study |
| title_full | Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study |
| title_fullStr | Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study |
| title_full_unstemmed | Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study |
| title_short | Ultrasonography Comparison of Diaphragm Morphological Structure and Function in Young and Middle-Aged Subjects with and without Non-Specific Chronic Low Back Pain: A Case-Control Study |
| title_sort | ultrasonography comparison of diaphragm morphological structure and function in young and middle aged subjects with and without non specific chronic low back pain a case control study |
| url | http://dx.doi.org/10.1155/2022/7929982 |
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