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Systematic review of the literature on abdominal and multifidus muscle function, assessment methods and their measurement reliability in older adults

Citation

Cuellar, WA and Wilson, A and Blizzard, CL and Hides, JA and Jones, Graeme and Winzenberg, TM, Systematic review of the literature on abdominal and multifidus muscle function, assessment methods and their measurement reliability in older adults, APA Conference 2013, 17-20 October, 2013, Melbourne, Australia (2013) [Conference Extract]


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Abstract

Question: What is known about abdominal and multifidus muscle measures, including validity, reliability and their relationship to functional outcomes in older adults? Design: Systematic review of quantitative studies. Participants: Adults aged over 50 years. Outcome measures: Electromyographic (EMG), ultrasound (US), magnetic resonance imaging (MRI) and computerised tomographic (CT) measurements of rectus abdominis, internal and external oblique, transversus abdominis and lumbar multifidus muscles, their measurement reliability and validity, and associations with other factors. Results: 28 studies with 2812 participants (median 41, range 12-1194, 52% male, mean age 20-87 years) were included. Measurement methods were EMG (n=15 studies), US (n=5), CT (n=6) and MRI (n=2). Study quality scores ranged from 12% to 86%. Studies (n=9) assessing measurement reliability reported high intra- and inter-observer reliability. Studies of people with low back pain (n=7) reported altered muscle activation and decreased muscle CSA. Studies (n=6) of people with a recent stroke reported detrimental effects of stroke on abdominal muscle activation on the affected side. Age was generally associated with reduced muscle size and activation. Conclusions: Current evidence, though sparse, suggests that abdominal and lumbar multifidus muscles play a role in healthy aging. It seems possible to reliably measure these muscles of older people. Further research is both warranted and feasible.

Item Details

Item Type:Conference Extract
Keywords:Abdominal muscles, multifidus muscles, older adults, assessment methods, reliability
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Physiotherapy
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Health Related to Ageing
Author:Cuellar, WA (Mr William Cuellar)
Author:Wilson, A (Ms Anitra Wilson)
Author:Blizzard, CL (Associate Professor Leigh Blizzard)
Author:Jones, Graeme (Professor Graeme Jones)
Author:Winzenberg, TM (Professor Tania Winzenberg)
ID Code:107874
Year Published:2013
Deposited By:Medicine (Discipline)
Deposited On:2016-03-30
Last Modified:2016-03-31
Downloads:0

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