The Effects of Bag Style on Muscle Activity of the Trapezius, Erector Spinae and Latissimus Dorsi During Walking in Female University Students
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The Erector Spinae Plane Block a Novel Analgesic Technique in Thoracic Neuropathic Pain
CHRONIC AND INTERVENTIONAL PAIN BRIEF TECHNICAL REPORT The Erector Spinae Plane Block A Novel Analgesic Technique in Thoracic Neuropathic Pain Mauricio Forero, MD, FIPP,*Sanjib D. Adhikary, MD,† Hector Lopez, MD,‡ Calvin Tsui, BMSc,§ and Ki Jinn Chin, MBBS (Hons), MMed, FRCPC|| Case 1 Abstract: Thoracic neuropathic pain is a debilitating condition that is often poorly responsive to oral and topical pharmacotherapy. The benefit A 67-year-old man, weight 116 kg and height 188 cm [body of interventional nerve block procedures is unclear due to a paucity of ev- mass index (BMI), 32.8 kg/m2] with a history of heavy smoking idence and the invasiveness of the described techniques. In this report, we and paroxysmal supraventricular tachycardia controlled on ateno- describe a novel interfascial plane block, the erector spinae plane (ESP) lol, was referred to the chronic pain clinic with a 4-month history block, and its successful application in 2 cases of severe neuropathic pain of severe left-sided chest pain. A magnetic resonance imaging (the first resulting from metastatic disease of the ribs, and the second from scan of his thorax at initial presentation had been reported as nor- malunion of multiple rib fractures). In both cases, the ESP block also pro- mal, and the working diagnosis at the time of referral was post- duced an extensive multidermatomal sensory block. Anatomical and radio- herpetic neuralgia. He reported constant burning and stabbing logical investigation in fresh cadavers indicates that its likely site of action neuropathic pain of 10/10 severity on the numerical rating score is at the dorsal and ventral rami of the thoracic spinal nerves. -
Familial Absenceof the Pectoralis Major, Serratus Anterior, And
J Med Genet: first published as 10.1136/jmg.22.5.390 on 1 October 1985. Downloaded from Journal of Medical Genetics, 1985, 22, 390-392 Familial absence of the pectoralis major, serratus anterior, and latissimus dorsi muscles T J DAVID* AND R M WINTERt From *the Department of Child Health, University ofManchester; and tthe Kennedy-Galton Centrefor Clinical Genetics, Harperbury Hospital, Hertfordshire. SUMMARY Congenital absence of shoulder girdle muscles is described in three generations of a family. The proband, a 3 year old boy, had absence of the sternocostal head of the right pectoralis major. His father had absence of the left serratus anterior and part of the left latissimus dorsi and his paternal grandfather had absence of the lower two-thirds of the left pectoralis major, with absence of the left serratus anterior and latissimus dorsi muscles. The condition is probably the result of a dominant gene. These observations show that absence of the pectoralis major is part of a wider spectrum of shoulder girdle defects. Where genetic advice is sought by persons with apparently sporadic absence of the pectoralis major, examination of the relatives is necessary. The Poland anomaly comprises unilateral absence of of the Poland anomaly or isolated absence of the the pectoralis major combined with an ipsilateral pectoralis. The pedigree is shown in fig 1. malformation of the hand which usually includes syndactyly. It is currently unclear whether isolated Case reports absence of the pectoralis major muscle and the CASE 1 Poland anomaly are part of the same spectrum of IV.3 was a male infant, the product of the first defects or are separate entities.1 Both are consis- 30 year old http://jmg.bmj.com/ tently unilateral and both are usually sporadic pregnancy of a 29 year old mother and 2 father, who had been married for seven years. -
Quantification of the Elastic Moduli of Lumbar Erector Spinae And
applied sciences Article Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography Tae Hyun Lim 1, Deukhee Lee 2,3 , Olga Kim 1,3 and Song Joo Lee 1,3,* 1 Center for Bionics, Biomedical Research Institute, Korea Institute of Science and Technology, Seoul 02792, Korea; [email protected] (T.H.L.); [email protected] (O.K.) 2 Center for Healthcare Robotics, AI and Robot Institute, Korea Institute of Science and Technology, Seoul 02792, Korea; [email protected] 3 Division of Bio-Medical Science and Technology, KIST School, Korea University of Science and Technology, Seoul 02792, Korea * Correspondence: [email protected]; Tel.: +82-2-958-5645 Featured Application: The findings and approach can potentially be used to guide surgical train- ing and planning for developing a minimal-incision surgical procedure by considering surgical position-dependent muscle material properties. Abstract: Although spinal surgeries with minimal incisions and a minimal amount of X-ray exposure (MIMA) mostly occur in a prone posture on a Wilson table, the prone posture’s effects on spinal muscles have not been investigated. Thus, this study used ultrasound shear-wave elastography (SWE) to compare the material properties of the erector spinae and multifidus muscles when subjects lay on the Wilson table used for spinal surgery and the flat table as a control condition. Thirteen male subjects participated in the study. Using ultrasound SWE, the shear elastic moduli (SEM) of the Citation: Lim, T.H.; Lee, D.; Kim, O.; Lee, S.J. Quantification of the Elastic erector spinae and multifidus muscles were investigated. -
Measurements of the Trapezius and Erector Spinae Muscles Using Virtual Touch Imaging Quantification Ultrasound-Elastography
Heizelmann et al. BMC Musculoskeletal Disorders (2017) 18:370 DOI 10.1186/s12891-017-1733-8 RESEARCHARTICLE Open Access Measurements of the trapezius and erector spinae muscles using virtual touch imaging quantification ultrasound-Elastography: a cross section study Anne Heizelmann1, Sümeyra Tasdemir1, Julian Schmidberger1, Tilmann Gräter2, Wolfgang Kratzer1* and Beate Grüner3 Abstract Background: This study uses virtual touch imaging quantification (VTIQ) technology for the first time to conduct measurements of the trapezius and erector spinae muscles in a large study population. The significance of various influencing factors, such as age and sex, are also examined. Method: The study population comprised 278 subjects. The Siemens Acuson S3000 and VTIQ technology were used for measurements of the trapezius and erector spinae muscles (Siemens Healthcare, Erlangen, Germany). Results: The following mean values ± standard deviation were calculated: left trapezius: males 2.89 ± 0.38 m/s, females 2.71 ± 0.37 m/s; right trapezius: males 2.84 ± 0.41 m/s, females 2.70 ± 0.38 m/s; left erector spinae: males 2. 97 ± 0.50 m/s, females 2.81 ± 0.57 m/s; right erector spinae: males 3.00 ± 0.52 m/s, females 2.77 ± 0.59 m/s. A significant difference between male and female subjects was demonstrated both for the shear wave velocities of the trapezius and erector spinae as well as for the thickness of the trapezius muscle (p < 0.05). There was also a significant difference in muscle elasticity between subjects over 60 years of age and those under 60 (p < 0.05). Furthermore, the results indicate that regular physical activity has an effect on muscle elasticity. -
Erector Spinae Plane Block Versus Retrolaminar Block a Magnetic Resonance Imaging and Anatomical Study
Regional Anesthesia & Pain Medicine: first published as 10.1097/AAP.0000000000000798 on 1 October 2018. Downloaded from REGIONAL ANESTHESIA AND ACUTE PAIN BRIEF TECHNICAL REPORT Erector Spinae Plane Block Versus Retrolaminar Block A Magnetic Resonance Imaging and Anatomical Study Sanjib Das Adhikary, MD,* Stephanie Bernard, MD,† Hector Lopez, MD,‡ and Ki Jinn Chin, FRCPC§ As with the ESP block, it has been postulated that the clinical ef- Background and Objectives: The erector spinae plane (ESP) and fects of the retrolaminar block may be explained by spread of lo- retrolaminar blocks are ultrasound-guided techniques for thoracoabdominal cal anesthetic into the paravertebral space,6 but this mechanism wall analgesia involving injection into the musculofascial plane between has never been systematically investigated. However, there are the paraspinal back muscles and underlying thoracic vertebrae. The ESP significant anatomical and technical differences between the 2 block targets the tips of the transverse processes, whereas the retrolaminar techniques: the retrolaminar block targets the lamina instead of block targets the laminae. We investigated if there were differences in the transverse process, and thus the injection point is more medial injectate spread between the 2 techniques that would have implications and deeper. The muscle layer over the lamina and adjacent to the for their clinical effect. spinous processes is thicker, being composed of the spinalis portion Methods: The blocks were performed in 3 fresh cadavers. The ESP and of the erector spinae muscle group as well as the transversospinalis retrolaminar blocks were performed on opposite sides of each cadaver at muscle group, which comprises the multifidus, rotatores, semis- the T5 vertebral level. -
Effect of Latissimus Dorsi Muscle Strengthening in Mechanical Low Back Pain
International Journal of Science and Research (IJSR) ISSN: 2319-7064 ResearchGate Impact Factor (2018): 0.28 | SJIF (2019): 7.583 Effect of Latissimus Dorsi Muscle Strengthening in Mechanical Low Back Pain 1 2 Vishakha Vishwakarma , Dr. P. R. Suresh 1, 2PCPS & RC, People’s University, Bhopal (M.P.), India Abstract: Mechanical low back pain (MLBP) is one of the most common musculoskeletal pain syndromes, affecting up to 80% of people at some point during their lifetime. Sources of back pain are numerous, usually sought in as lesion of disc or facet joints at L4- L5 and L5-S1 levels. Studies have shown that 40% of all back pain is of thoracolumbar origin. The term meachnical low back pain also gives reassurance that there is no damage to the nerves or spinal pathology. The clinical presentation of mechanical low back pain usually the ages 18-55 years is in the lumbo sacral region. A study was conducted to evaluate the designed to check the effectiveness of Conventional Exercises alone in Mechanical low back pain and along with the latissimus dorsi muscle strengthening, data was collected from People’s hospital, Bhopal (age group-30-45 yr both male and female randomly) Keywords: Visual analog scale, Assessment chart, Treatment table, Data collection sheets, Essential stationery materials, Computer, SPSS Software etc. 1. Introduction Back pain is a primary to seek medical advice considering 80% of people suffering from back pain. Mechanical low back pain is defined as a result of minor intervertebral dysfunction and referred pain in the low back The latissimus dorsi is a large, flat muscle on the back that and hip region, and can often be confused with the other stretches to the sides, behind the arm, and is partly covered pathologies that may cause these symptoms.18 by the trapezius on the back near the midline, the word latissimus dorsi comes from Latin and its means, broadest muscle of the back dorsum means back. -
Study of Axillary Arch: Embryological Basis and Its Clinical Implications
Original Article Indian Journal of Anatomy291 Volume 7 Number 3, May - June 2018 DOI: http://dx.doi.org/10.21088/ija.2320.0022.7318.12 Study of Axillary Arch: Embryological Basis and Its Clinical Implications Divya Shanthi D’Sa1, Vasudha T.K.2 Abstract Aim: To study the incidence, embryological basis and clinical implications of unusual but most common anatomical variant, axillary arch. Materials & Methods: The study was conducted in the department of Anatomy, Subbaiah Institute of Medical Sciences, Shimoga during routine cadaveric dissection on 60 upper limbs. Results: Of the 60 upper limbs dissected, Axillary arch was seen in one right upper limb. It was extending between latissimus dorsi and fascia covering the subscapularis muscle after crossing the posterior cord of brachial plexus and circumflex scapular vessels. It was supplied by a branch from the thoracodorsal nerve. Conclusion: The presence of an axillary arch needs to be considered in differential diagnosis of axillary swellings and also in surgeries of shoulder region. Therefore it is mandatory to know the variant slips of the musculotendinous arch. Keywords: Axillary Arch; Latissimus Dorsi; Neurovascular Bundle; Clinical Implications. Introduction other variants of this anomaly have also been observed like the muscle adhering to the coracoid process of the scapula, medial epicondyle of the Humerus or The axillary arch muscle is an accessory muscle blending with the fibers of teres major, long head of that extends between the pectoralis major and triceps brachii, coracobrachialis -
The Erector Spinae Group Is a Group of 3 Sets of Muscles—Spinalis, Longissimus, and Iliocostalis
The Erector Spinae Group is a group of 3 sets of muscles—spinalis, longissimus, and iliocostalis. The spinalis group are located off of the spinous processes of the vertebrae. The longissimus group are located off of the transverse processes of the vertebrae and the iliocostalis group are located off of the ribs. By knowing these regions we can see that the spinalis group is the most medial and the iliocostalis group is most lateral. 1 During full flexion the erector spinae are relaxed. When standing upright the muscles are active and extension is initiated by the hamstrings—so when you lift a load from the bent over position it causes injury to the erector spinae group. Always lift with a straight back, not when you are hunched over. 2 3 The interspinalis muscles are very tiny muscles that connect from one spinous process to another. The intertransversarii muscles connect between each transverse process. The multifidus lies deep to the erector spinae muscles and it connects from one transverse process to the next spinous process. 4 The rotatores differs from the multifidus by going from 1 transverse process to 2 spinous processes. 5 The external obliques are the most superficial of the oblique muscles. Notice the fibers angle downward and medially, which allows for lateral flexion to same side and rotation to the opposite side. What other muscle does that (neck muscle)?? Once again it takes both sides to contract to cause trunk flexion to occur and only 1 side to cause the rotation and lateral flexion. Now the internal obliques have the fibers directed more horizontally which allows for rotation to the same side when 1 side contracts unlike the external obliques. -
Methodological Considerations in Region of Interest Definitions for Paraspinal Muscles in Axial Mris of the Lumbar Spine David B
Berry et al. BMC Musculoskeletal Disorders (2018) 19:135 https://doi.org/10.1186/s12891-018-2059-x RESEARCHARTICLE Open Access Methodological considerations in region of interest definitions for paraspinal muscles in axial MRIs of the lumbar spine David B. Berry1, Jennifer Padwal2, Seth Johnson3, Callan L. Parra3, Samuel R. Ward1,3,4 and Bahar Shahidi3,4* Abstract Background: Magnetic Resonance Imaging (MRI) is commonly used to assess the health of the lumbar spine and supporting structures. Studies have suggested that fatty infiltration of the posterior lumbar muscles is important in predicting responses to treatment for low back pain. However, methodological differences exist in defining the region of interest (ROI) of a muscle, which limits the ability to compare data between studies. The purpose of this study was to determine reliability and systematic differences within and between two commonly utilized methodologies for ROI definitions of lumbar paraspinal muscle. Methods: T2-weighted MRIs of the mid-L4 vertebrae from 37 patients with low back pain who were scheduled for lumbar spine surgery were included from a hospital database. Fatty infiltration for these patients ranged from low to high, based on Kjaer criteria. Two methods were used to define ROI: 1) segmentation of the multifidus and erector spinae based on fascial planes including epimuscular fat, and 2) segmentation of the multifidus and erector spinae based on visible muscle boundaries, which did not include epimuscular fat. Total cross sectional area (tCSA), fat signal fraction (FSF), muscle cross sectional area, and fat cross sectional area were measured. Degree of agreement between raters for each parameter was assessed using intra-class correlation coefficients (ICC) and area fraction of overlapping voxels. -
The Anatomy and Function of the Equine Thoracolumbar Longissimus Dorsi Muscle
Aus dem Veterinärwissenschaftlichen Department der Tierärztlichen Fakultät der Ludwig-Maximilians-Universität München Lehrstuhl für Anatomie, Histologie und Embryologie Vorstand: Prof. Dr. Dr. Fred Sinowatz Arbeit angefertigt unter der Leitung von Dr. Renate Weller, PhD, MRCVS The Anatomy and Function of the equine thoracolumbar Longissimus dorsi muscle Inaugural-Dissertation zur Erlangung der tiermedizinischen Doktorwürde der Tierärztlichen Fakultät der Ludwig-Maximilians-Universität München Vorgelegt von Christina Carla Annette von Scheven aus Düsseldorf München 2010 2 Gedruckt mit der Genehmigung der Tierärztlichen Fakultät der Ludwig-Maximilians-Universität München Dekan: Univ.-Prof. Dr. Joachim Braun Berichterstatter: Priv.-Doz. Dr. Johann Maierl Korreferentin: Priv.-Doz. Dr. Bettina Wollanke Tag der Promotion: 24. Juli 2010 3 Für meine Familie 4 Table of Contents I. Introduction................................................................................................................ 8 II. Literature review...................................................................................................... 10 II.1 Macroscopic anatomy ............................................................................................. 10 II.1.1 Comparative evolution of the body axis ............................................................ 10 II.1.2 Axis of the equine body ..................................................................................... 12 II.1.2.1 Vertebral column of the horse.................................................................... -
EMG Analysis of Latissimus Dorsi, Erector Spinae and Middle Trapezius Muscle Activity During Spinal Rotation: a Pilot Study Jamie Flint University of North Dakota
University of North Dakota UND Scholarly Commons Physical Therapy Scholarly Projects Department of Physical Therapy 2015 EMG Analysis of Latissimus Dorsi, Erector Spinae and Middle Trapezius Muscle Activity during Spinal Rotation: A Pilot Study Jamie Flint University of North Dakota Toni Linneman University of North Dakota Rachel Pederson University of North Dakota Megan Storstad University of North Dakota Follow this and additional works at: https://commons.und.edu/pt-grad Part of the Physical Therapy Commons Recommended Citation Flint, Jamie; Linneman, Toni; Pederson, Rachel; and Storstad, Megan, "EMG Analysis of Latissimus Dorsi, Erector Spinae and Middle Trapezius Muscle Activity during Spinal Rotation: A Pilot Study" (2015). Physical Therapy Scholarly Projects. 571. https://commons.und.edu/pt-grad/571 This Scholarly Project is brought to you for free and open access by the Department of Physical Therapy at UND Scholarly Commons. It has been accepted for inclusion in Physical Therapy Scholarly Projects by an authorized administrator of UND Scholarly Commons. For more information, please contact [email protected]. ------- ---- ------------------------------- EMG ANALYSIS OF LATISSIMUS DORSI, ERECTOR SPINAE AND MIDDLE TRAPEZIUS MUSCLE ACTIVITY DURING SPINAL ROTATION: A PILOT STUDY by Jamie Flint, SPT Toni Linneman, SPT Rachel Pederson, SPT Megan Storstad, SPT Bachelor of Science in Physical Education, Exercise Science and Wellness University of North Dakota, 2013 A Scholarly Project Submitted to the Graduate Faculty of the -
The Relationship Between the Angle of Curvature of the Spine and SEMG Amplitude of the Erector Spinae in Young School-Children
applied sciences Article The Relationship between the Angle of Curvature of the Spine and SEMG Amplitude of the Erector Spinae in Young School-Children Jacek Wilczy ´nski* , Przemysław Karolak, Sylwia Janecka, Magdalena Kabała and Natalia Habik-Tatarowska Department Posturology, Hearing and Balance Rehabilitation, Institute of Physiotherapy, Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce, Al. IX Wieków Kielc 19, 25-317 Kielce, Poland * Correspondence: [email protected] Received: 11 July 2019; Accepted: 29 July 2019; Published: 1 August 2019 Abstract: The aim of the study was to analyze the relationship between the angle of spinal curvature and surface electromyography (SEMG) amplitude of the erector spinae in young school-children. A total of 251 children aged 7–8 participated in the study. The analysis involved 103 (41%) children with scoliosis, 141 (56.17%) with scoliotic posture, and seven (3.0%) with normal posture. Body posture was evaluated using the Diers formetric III 4D optoelectronic method. Analysis of SEMG amplitude of the erector spinae was performed with the Noraxon TeleMyo DTS apparatus. A significant correlation was found between the angle of spinal curvature and the SEMG amplitude of the erector spinae. The most important and statistically significant predictor of the SEMG amplitude and scoliosis angle in the scoliosis group was the standing position, chest segment, right side. The largest generalized SEMG amplitude of the erector spinae occurred in both boys and girls with scoliosis. Impaired balance of muscle tension in the erector spinae can trigger a set of changes that create a clinical and anatomopathological image of spinal curvature.